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Fall Semester 2025 | NACE Care of the Childbearing Family Comprehensive Study Guide | Verified Questions and Detailed Rationales | Updated 2025/2026 Edition for Nursing Students, RNs, and Healthcare Professionals | Covers Pregnancy, Labor, Delivery, Post

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Master the NACE Care of the Childbearing Family exam with this fully updated Fall Semester 2025 edition, featuring 350+ verified questions, answers, and in-depth rationales. Designed for nursing students and registered nurses, this guide offers full coverage of maternal and newborn nursing concepts including pregnancy, labor and delivery, postpartum care, newborn assessment, maternal complications, pharmacology, and patient education. Updated to meet 2025/2026 NACE curriculum standards, this study resource helps learners build clinical confidence, strengthen exam readiness, and excel in both academic and professional healthcare settings.

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Fall SemeSter 2025 | NaCe Care oF the
ChildbeariNg Family CompreheNSive Study guide
| veriFied QueStioNS aNd detailed ratioNaleS |
updated 2025/2026 editioN For NurSiNg
StudeNtS, rNS, aNd healthCare proFeSSioNalS |
CoverS pregNaNCy, labor, delivery,
poStpartum, aNd NewborN Care
Question 1:
Which of the following is a critical nursing intervention during the immediate
postpartum period?
• A) Assisting with breastfeeding
• B) Monitoring vital signs
• C) Providing cultural accommodations
• D) Educating about newborn care
Correct Option: B) Monitoring vital signs
Rationale: Monitoring vital signs is crucial in the immediate postpartum period as it
helps identify potential complications such as hemorrhage or infection. Early detection
of abnormal vital signs can facilitate timely interventions.


Question 2:
What is the primary purpose of prenatal education?
• A) To ensure the delivery is painless
• B) To prepare parents for labor and delivery
• C) To teach about infant feeding methods
• D) To reduce the number of prenatal visits
Correct Option: B) To prepare parents for labor and delivery
Rationale: Prenatal education aims to prepare expectant parents for the physical,
emotional, and psychological aspects of labor and delivery, equipping them with
knowledge to manage the birthing process effectively.


Question 3:
In assessing a newborn’s immediate needs, which of the following should be
prioritized?

, • A) Bathing the newborn
• B) Establishing breathing
• C) Performing a hearing test
• D) Administering immunizations
Correct Option: B) Establishing breathing
Rationale: The immediate priority for a newborn is to ensure airway patency and
establish breathing. Any compromises in these areas require urgent intervention to
prevent hypoxia or respiratory distress.


Question 4:
Which maternal change is typical during the third trimester of pregnancy?
• A) Increased energy levels
• B) Shortness of breath
• C) Decreased weight
• D) Increased appetite
Correct Option: B) Shortness of breath
Rationale: Shortness of breath is common in the third trimester due to the diaphragm
being pushed upward by the growing uterus, which can decrease lung capacity and lead
to respiratory changes.


Question 5:
What is the recommended position for a laboring woman to facilitate optimal fetal
positioning?
• A) Supine
• B) Lateral
• C) Sitting upright
• D) Trendelenburg
Correct Option: B) Lateral
Rationale: The lateral position is recommended as it can help improve uteroplacental
blood flow and may relieve pressure on the umbilical cord, thereby facilitating optimal
fetal positioning during labor.
Question 6:

,What is the most common initial sign of pregnancy?
• A) Nausea
• B) Missed menstrual period
• C) Breast tenderness
• D) Fatigue
Correct Option: B) Missed menstrual period
Rationale: A missed menstrual period is often the first noticeable sign of pregnancy. It
occurs due to hormonal changes that prevent ovulation and menstruation during
pregnancy.


Question 7:
During the first prenatal visit, which screening is most likely to be performed?
• A) Blood type and Rh factor
• B) Glucose tolerance test
• C) Pap smear
• D) STI testing
Correct Option: A) Blood type and Rh factor
Rationale: Blood type and Rh factor screening are crucial in the first prenatal visit to
identify any potential incompatibilities between the mother and fetus that could lead to
complications.


Question 8:
Which of the following is a key consideration in postpartum care?
• A) Encouraging long periods of bed rest
• B) Promoting early ambulation
• C) Limiting fluid intake
• D) Ignoring perineal discomfort
Correct Option: B) Promoting early ambulation
Rationale: Early ambulation after delivery promotes circulation, reduces the risk of
thromboembolism, and aids in recovery. It also helps with bowel function and prevents
complications like constipation.

, Question 9:
What is the recommended weight gain for a woman of normal weight during
pregnancy?
• A) 10-15 pounds
• B) 25-35 pounds
• C) 30-40 pounds
• D) 20-30 pounds
Correct Option: D) 20-30 pounds
Rationale: The general recommendation for a woman of normal weight is a weight gain
of 25-35 pounds; however, some guidelines suggest a range of 20-30 pounds for better
health outcomes.


Question 10:
Which emotional response is common in the first trimester?
• A) Euphoria
• B) Mood swings
• C) Stability in emotions
• D) Depression
Correct Option: B) Mood swings
Rationale: Hormonal fluctuations during the first trimester often result in mood swings,
which are a normal part of adjusting to the physical and emotional changes of
pregnancy.


Question 11:
What complication is characterized by hypertension and proteinuria after 20 weeks
of gestation?
• A) Eclampsia
• B) Preeclampsia
• C) Gestational diabetes
• D) Placenta previa

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