NACE Care of Childbearing Family Exam Questions and Correct
Answers
Question 1
A patient with no prenatal care is admitted to the labor and delivery unit.She is placed on an external fetal monitor,
and an intravenous infusion is begun.A tentative diagnosis of abruptio placentae is made.Which finding would
support this diagnosis?
Correct Answer
Sustained uterine hypertonicity
Question 2
The nurse at the antepartal clinic reviews four patients’ charts.Which patient is at increased risk for an ectopic
pregnancy?
Correct Answer
A 23-year-old primigravida with a history of endometriosis.
Question 3
Terbutaline (Brethine)
Correct Answer
relaxes uterine smooth muscle to stop uterine contractions
Page 1 of 36
,Question 4
A nurse is caring for a patient who is receiving oxytocin injection intravenously for labor induction.The nurse
should monitor this patient for which adverse effect of oxytocin?
Correct Answer
Insufficient relaxation of the uterus between contractions.
Question 5
alpha-fetoprotein
Correct Answer
is a protein produced by the fetus that can be measured in the mother's blood.Abnormal levels of AFP may indicate a
problem with the development of the baby's brain, spine, or other organs.
This test is usually done between 15 and 20 weeks of gestation.
Question 6
A nurse is caring for a client who has gestational diabetes and is scheduled for an amniocentesis at 37 weeks of
gestation due to suspected fetal compromise.What is the nurse’s best response to the client’s question as to why the
amniocentesis test is being done?.
Correct Answer
To determine fetal lung maturity
Page 2 of 36
,Question 7
condylomata are genital warts caused by
Correct Answer
human papillomavirus (HPV),
Question 8
The nurse prepares to counsel a 14-year-old patient who is 16 weeks pregnant regarding nutrition.Which action
would be appropriate for the nurse to take first?
Correct Answer
Ask what the patient ate and drank within the last day or two.
Question 9
A 22-year-old primigravida visits the antepartal clinic in her third month of pregnancy. She has had diabetes
mellitus for the past 7 years.During the visit to the clinic, the nurse and patient discuss diabetes mellitus and
pregnancy.Which comment by the patient would indicate a need for further instruction?
Correct Answer
Urine testing is the best indication of whether my blood sugar is under control.
Page 3 of 36
, Question 10
A nurse caring for a patient in labor is evaluating the fetal heart monitor.Which finding would indicate fetal
distress?
Correct Answer
The fetal heart rate decreases after the start of a contraction and returns to the baseline 60 seconds after the end of the
contraction.
Question 11
A woman gives birth to twin girls, one of whom is stillborn.Which nursing action would be least helpful in
supporting the woman as she copes with her loss?
Correct Answer
Remind her that she should be happy that one child survived and is healthy.
Question 12
A nurse is assessing a newborn.Which finding may indicate a problem?
Correct Answer
The newborn's nostrils flare slightly during respiration.
Page 4 of 36
Answers
Question 1
A patient with no prenatal care is admitted to the labor and delivery unit.She is placed on an external fetal monitor,
and an intravenous infusion is begun.A tentative diagnosis of abruptio placentae is made.Which finding would
support this diagnosis?
Correct Answer
Sustained uterine hypertonicity
Question 2
The nurse at the antepartal clinic reviews four patients’ charts.Which patient is at increased risk for an ectopic
pregnancy?
Correct Answer
A 23-year-old primigravida with a history of endometriosis.
Question 3
Terbutaline (Brethine)
Correct Answer
relaxes uterine smooth muscle to stop uterine contractions
Page 1 of 36
,Question 4
A nurse is caring for a patient who is receiving oxytocin injection intravenously for labor induction.The nurse
should monitor this patient for which adverse effect of oxytocin?
Correct Answer
Insufficient relaxation of the uterus between contractions.
Question 5
alpha-fetoprotein
Correct Answer
is a protein produced by the fetus that can be measured in the mother's blood.Abnormal levels of AFP may indicate a
problem with the development of the baby's brain, spine, or other organs.
This test is usually done between 15 and 20 weeks of gestation.
Question 6
A nurse is caring for a client who has gestational diabetes and is scheduled for an amniocentesis at 37 weeks of
gestation due to suspected fetal compromise.What is the nurse’s best response to the client’s question as to why the
amniocentesis test is being done?.
Correct Answer
To determine fetal lung maturity
Page 2 of 36
,Question 7
condylomata are genital warts caused by
Correct Answer
human papillomavirus (HPV),
Question 8
The nurse prepares to counsel a 14-year-old patient who is 16 weeks pregnant regarding nutrition.Which action
would be appropriate for the nurse to take first?
Correct Answer
Ask what the patient ate and drank within the last day or two.
Question 9
A 22-year-old primigravida visits the antepartal clinic in her third month of pregnancy. She has had diabetes
mellitus for the past 7 years.During the visit to the clinic, the nurse and patient discuss diabetes mellitus and
pregnancy.Which comment by the patient would indicate a need for further instruction?
Correct Answer
Urine testing is the best indication of whether my blood sugar is under control.
Page 3 of 36
, Question 10
A nurse caring for a patient in labor is evaluating the fetal heart monitor.Which finding would indicate fetal
distress?
Correct Answer
The fetal heart rate decreases after the start of a contraction and returns to the baseline 60 seconds after the end of the
contraction.
Question 11
A woman gives birth to twin girls, one of whom is stillborn.Which nursing action would be least helpful in
supporting the woman as she copes with her loss?
Correct Answer
Remind her that she should be happy that one child survived and is healthy.
Question 12
A nurse is assessing a newborn.Which finding may indicate a problem?
Correct Answer
The newborn's nostrils flare slightly during respiration.
Page 4 of 36
