CARE OF CHILDBEARING FAMILY-NACE
Comprehensive Questions (Frequently
Tested) with Verified Answers
Subjective Changes - Answer: Amenorrhea, nausea and vomiting, fatigue, urinary frequency,
breast changes, quickening, abdominal enlargement.
Objective Changes - Answer: Pregnancy test, fetal heart sounds, fundal height.
Developmental task of becoming a parent - Answer: Love and protect the child, parents identify
changing roles and are willing to make the lifestyle changes, parents identify with parents roles,
parents discuss what roles mean, couple incorporates child into relationship, couples support
each other.
Preparation of Siblings/Grandparents - Answer: Grandparents- Delighted with newborn. May
feel negativity towards growing older. Provides long term help. Demands of helping raise the
grandchild can be stressful.
Siblings- Often experience jealousy towards the newborn. Let the sibling help with care of the
infant. Continue you to show affection to all children.
Iron and Folic Acid Supplements - Answer: Folic acid- Decreases risk of neural tube defects.
Iron supplements- A woman is anticipating a short time period between pregnancies is atrium
for iron-deficiency anemia. Encourage iron rich foods.
Parent Classes - Answer: Educate on how to hold, suction, bath, and dress the newborn.
, True/False Labor - Answer: Braxton Hicks contractions are irregular contractions that begin
during early pregnancy and are perceived by the pregnant woman. If cervix is not dilated and
contractions remain irregular or stop, it is known as false labor (prodromal labor). True labor has
cervical change, regular contractions, and pink mucous.
Common Discomforts of Pregnancy - Answer: Nausea, vomiting, heartburn, constipation, leg
cramps, backache, urinary frequency.
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.
Fetal Biophysical Profile - Answer: Monitors the fetal breathing, gross fetal movements, FHR
variability and reactivity to NST, and volume of amniotic fluid. Used after 26 weeks gestation.
Assesses hypoxia and loss of muscle tone.
Ultrasound - Answer: Used to visualize internal organs and tissues. Bladder must be full, so
woman should drink 1-2 quarts of water before procedure. Confirms pregnancy and gestational
age, verifies death, rules out abnormalities, observes fetal movement.
High Risk Pregnancies - Answer: Diabetes mellitus, cardiac disease, AIDS, HIV.
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
Comprehensive Questions (Frequently
Tested) with Verified Answers
Subjective Changes - Answer: Amenorrhea, nausea and vomiting, fatigue, urinary frequency,
breast changes, quickening, abdominal enlargement.
Objective Changes - Answer: Pregnancy test, fetal heart sounds, fundal height.
Developmental task of becoming a parent - Answer: Love and protect the child, parents identify
changing roles and are willing to make the lifestyle changes, parents identify with parents roles,
parents discuss what roles mean, couple incorporates child into relationship, couples support
each other.
Preparation of Siblings/Grandparents - Answer: Grandparents- Delighted with newborn. May
feel negativity towards growing older. Provides long term help. Demands of helping raise the
grandchild can be stressful.
Siblings- Often experience jealousy towards the newborn. Let the sibling help with care of the
infant. Continue you to show affection to all children.
Iron and Folic Acid Supplements - Answer: Folic acid- Decreases risk of neural tube defects.
Iron supplements- A woman is anticipating a short time period between pregnancies is atrium
for iron-deficiency anemia. Encourage iron rich foods.
Parent Classes - Answer: Educate on how to hold, suction, bath, and dress the newborn.
, True/False Labor - Answer: Braxton Hicks contractions are irregular contractions that begin
during early pregnancy and are perceived by the pregnant woman. If cervix is not dilated and
contractions remain irregular or stop, it is known as false labor (prodromal labor). True labor has
cervical change, regular contractions, and pink mucous.
Common Discomforts of Pregnancy - Answer: Nausea, vomiting, heartburn, constipation, leg
cramps, backache, urinary frequency.
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.
Fetal Biophysical Profile - Answer: Monitors the fetal breathing, gross fetal movements, FHR
variability and reactivity to NST, and volume of amniotic fluid. Used after 26 weeks gestation.
Assesses hypoxia and loss of muscle tone.
Ultrasound - Answer: Used to visualize internal organs and tissues. Bladder must be full, so
woman should drink 1-2 quarts of water before procedure. Confirms pregnancy and gestational
age, verifies death, rules out abnormalities, observes fetal movement.
High Risk Pregnancies - Answer: Diabetes mellitus, cardiac disease, AIDS, HIV.
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
