NACE CARE OF CHILDREN BEARING GUIDE
AND NEWEST 2024 QUESTIONS WITH
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS)ALREADY GRADED A++
Abortion - ANSWER-Abortion is the intentional or unintentional ending of a pregnancy before 20
weeks gestation, the point of viability. Miscarriage is a late term applied to a spontaneous
abortion. Abortion can be induced as a result of artificial or mechanical means for therapeutic or
elective reasons. Bleeding/cramping may indicate an abortion. Rh negative mother should
receive RhoGAM.
Adolescent Pregnancy - ANSWER-There may be financial problems, shame, guilt, relationship
problems with the infants father, and feelings of low self-esteem. Alcoholism and substance
abuse may be a part of the complex picture. Advise patient to eat foods rich in calcium and
vitamin D, regular exercise and muscle activity is necessary for bone health.
Alpho-feto Protein - ANSWER-Determines the level of this protein in the pregnant women's
blood serum or in a sample of amniotic fluid. Correct interpretation requires accurate gestational
age. Test usually preformed at 16-18 weeks gestation. High levels may cause spina bifida. Low
levels may cause chromosomal anomalies or hydatidiform mole.
Amniocentesis - ANSWER-Performed to obtain amniotic fluid containing fetal cells. Under direct
visualization of ultrasound a thin needle is inserted through the abdominal and uterine walls to
withdraw amniotic fluid into a syringe. Sufficient fluid must be present for the test to be done,
usually 15 to 17 weeks gestation. Check for genetic disorder, levels of AFP, neural tube defects,
and chromosomal defects. Minimal risk of abortion in late pregnancy. Check Rh compatibility.
Analgesia/Anesthesia - ANSWER-Epidural can be given in the first and second stage of labor.
Pudendal block is given when ready for delivery. Anesthetize the lower vagina and part of
perineum.
, Contraindications: Hypovolemia, those on blood thinners, clotting disorders, infection at
injection site.
Apgar Score - ANSWER-Assigned at 1 and 5 minutes. A score of 7 to 10 indicates a baby who has
good cardio respiratory functioning with minimal bulb suction assistance. 4-7 needs gentle
stimulation. Less than 3 needs active resuscitation.
Assessment of Fundus - ANSWER-Fundus is firmly contracted and at level of umbilicus. Fundus
feels hard like a grapefruit. Instruct patient to massage Fundus.
Fundus is soft and boggy. Fundus is difficult to locate and soft. Support lower uterine. Segment
and massage Fundus until firm. Apply slight pressure to expel clots. Notify health care provider if
fundus remains softer if a trickle of bright red blood continues after Fundus is firm.
Fundus is displaced from midline or above level of umbilicus. Fundus may be firm but above
umbilicals. Assess bladder for distinction. Assist mother to void or catheterize and recheck
Fundus. Document findings.
Assessment of Lochia - ANSWER-Lochia Rubra- Days 1-3. Normal: Bright red, bloody consistency;
fleshy odor, temporary increase during ready feeding and on rising.
Lochia Serosa- Usually 4-9 days, up to 27. Normal: Pinkish brown, serosanguineous consistency.
Lochi Alba - Day 10 to 6 weeks. Creamy white, fleshy odor.
Abnormal: Numerous large clots, foul smell, saturation of perineal pad in less than 1 hour.
AND NEWEST 2024 QUESTIONS WITH
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS)ALREADY GRADED A++
Abortion - ANSWER-Abortion is the intentional or unintentional ending of a pregnancy before 20
weeks gestation, the point of viability. Miscarriage is a late term applied to a spontaneous
abortion. Abortion can be induced as a result of artificial or mechanical means for therapeutic or
elective reasons. Bleeding/cramping may indicate an abortion. Rh negative mother should
receive RhoGAM.
Adolescent Pregnancy - ANSWER-There may be financial problems, shame, guilt, relationship
problems with the infants father, and feelings of low self-esteem. Alcoholism and substance
abuse may be a part of the complex picture. Advise patient to eat foods rich in calcium and
vitamin D, regular exercise and muscle activity is necessary for bone health.
Alpho-feto Protein - ANSWER-Determines the level of this protein in the pregnant women's
blood serum or in a sample of amniotic fluid. Correct interpretation requires accurate gestational
age. Test usually preformed at 16-18 weeks gestation. High levels may cause spina bifida. Low
levels may cause chromosomal anomalies or hydatidiform mole.
Amniocentesis - ANSWER-Performed to obtain amniotic fluid containing fetal cells. Under direct
visualization of ultrasound a thin needle is inserted through the abdominal and uterine walls to
withdraw amniotic fluid into a syringe. Sufficient fluid must be present for the test to be done,
usually 15 to 17 weeks gestation. Check for genetic disorder, levels of AFP, neural tube defects,
and chromosomal defects. Minimal risk of abortion in late pregnancy. Check Rh compatibility.
Analgesia/Anesthesia - ANSWER-Epidural can be given in the first and second stage of labor.
Pudendal block is given when ready for delivery. Anesthetize the lower vagina and part of
perineum.
, Contraindications: Hypovolemia, those on blood thinners, clotting disorders, infection at
injection site.
Apgar Score - ANSWER-Assigned at 1 and 5 minutes. A score of 7 to 10 indicates a baby who has
good cardio respiratory functioning with minimal bulb suction assistance. 4-7 needs gentle
stimulation. Less than 3 needs active resuscitation.
Assessment of Fundus - ANSWER-Fundus is firmly contracted and at level of umbilicus. Fundus
feels hard like a grapefruit. Instruct patient to massage Fundus.
Fundus is soft and boggy. Fundus is difficult to locate and soft. Support lower uterine. Segment
and massage Fundus until firm. Apply slight pressure to expel clots. Notify health care provider if
fundus remains softer if a trickle of bright red blood continues after Fundus is firm.
Fundus is displaced from midline or above level of umbilicus. Fundus may be firm but above
umbilicals. Assess bladder for distinction. Assist mother to void or catheterize and recheck
Fundus. Document findings.
Assessment of Lochia - ANSWER-Lochia Rubra- Days 1-3. Normal: Bright red, bloody consistency;
fleshy odor, temporary increase during ready feeding and on rising.
Lochia Serosa- Usually 4-9 days, up to 27. Normal: Pinkish brown, serosanguineous consistency.
Lochi Alba - Day 10 to 6 weeks. Creamy white, fleshy odor.
Abnormal: Numerous large clots, foul smell, saturation of perineal pad in less than 1 hour.
