NACE CARE OF CHILDBEARING FAMILY EXAM 2026/2027
COMPLETE ACTUAL EXAM APPROVED QUESTIONS WITH
WELL ELABORATED ANSWERS WITH RATIONALES (100%
CORRECT VERIFIED SOLUTIONS) NEWEST UPDATED
VERSION 2026 |GUARANTEED PASS A+
Which hormone is primarily responsible for maintaining the
endometrium during early pregnancy?
A. estrogen
B. progesterone
C. oxytocin
D. prolactin
Correct answer: progesterone
Rationale: Progesterone maintains the endometrial lining for
implantation and early pregnancy support.
A gravida 2, para 1 woman at 36 weeks gestation reports decreased fetal
movement. What is the nurse’s priority action?
A. schedule the patient for her next routine prenatal visit
B. instruct the patient to count fetal kicks at home
C. perform a non-stress test (NST) immediately
D. reassure the patient that decreased movement is normal
Correct answer: perform a non-stress test (NST) immediately
,Rationale: Decreased fetal movement can indicate fetal compromise.
Immediate assessment is required.
A patient with hyperemesis gravidarum is most at risk for which
complication?
A. hypertension
B. gestational diabetes
C. dehydration and electrolyte imbalance
D. preterm labor
Correct answer: dehydration and electrolyte imbalance
Rationale: Severe vomiting can cause dehydration, hypokalemia, and
metabolic alkalosis.
At 28 weeks gestation, a patient is screened for gestational diabetes.
Which test is used?
A. fasting blood sugar
B. hemoglobin A1c
C. oral glucose tolerance test (OGTT)
D. random glucose
Correct answer: oral glucose tolerance test (OGTT)
Rationale: OGTT is the standard screening tool for gestational diabetes
at 24–28 weeks.
, Which prenatal vitamin is most important for neural tube development?
A. iron
B. calcium
C. folic acid
D. vitamin D
Correct answer: folic acid
Rationale: Folic acid supplementation prevents neural tube defects in the
fetus.
Which maternal position is recommended for a fundal height
measurement?
A. standing
B. supine with slight lateral tilt
C. prone
D. trendelenburg
Correct answer: supine with slight lateral tilt
Rationale: Supine with lateral tilt prevents supine hypotensive syndrome
while allowing accurate measurement.
Which factor increases the risk of preeclampsia?
A. multiparity
B. young maternal age
COMPLETE ACTUAL EXAM APPROVED QUESTIONS WITH
WELL ELABORATED ANSWERS WITH RATIONALES (100%
CORRECT VERIFIED SOLUTIONS) NEWEST UPDATED
VERSION 2026 |GUARANTEED PASS A+
Which hormone is primarily responsible for maintaining the
endometrium during early pregnancy?
A. estrogen
B. progesterone
C. oxytocin
D. prolactin
Correct answer: progesterone
Rationale: Progesterone maintains the endometrial lining for
implantation and early pregnancy support.
A gravida 2, para 1 woman at 36 weeks gestation reports decreased fetal
movement. What is the nurse’s priority action?
A. schedule the patient for her next routine prenatal visit
B. instruct the patient to count fetal kicks at home
C. perform a non-stress test (NST) immediately
D. reassure the patient that decreased movement is normal
Correct answer: perform a non-stress test (NST) immediately
,Rationale: Decreased fetal movement can indicate fetal compromise.
Immediate assessment is required.
A patient with hyperemesis gravidarum is most at risk for which
complication?
A. hypertension
B. gestational diabetes
C. dehydration and electrolyte imbalance
D. preterm labor
Correct answer: dehydration and electrolyte imbalance
Rationale: Severe vomiting can cause dehydration, hypokalemia, and
metabolic alkalosis.
At 28 weeks gestation, a patient is screened for gestational diabetes.
Which test is used?
A. fasting blood sugar
B. hemoglobin A1c
C. oral glucose tolerance test (OGTT)
D. random glucose
Correct answer: oral glucose tolerance test (OGTT)
Rationale: OGTT is the standard screening tool for gestational diabetes
at 24–28 weeks.
, Which prenatal vitamin is most important for neural tube development?
A. iron
B. calcium
C. folic acid
D. vitamin D
Correct answer: folic acid
Rationale: Folic acid supplementation prevents neural tube defects in the
fetus.
Which maternal position is recommended for a fundal height
measurement?
A. standing
B. supine with slight lateral tilt
C. prone
D. trendelenburg
Correct answer: supine with slight lateral tilt
Rationale: Supine with lateral tilt prevents supine hypotensive syndrome
while allowing accurate measurement.
Which factor increases the risk of preeclampsia?
A. multiparity
B. young maternal age
