CARE OF CHILDBEARING FAMILY NACE
EXAM EXAMINATION TEST 2026
QUESTIONS WITH SOLUTIONS GRADED
A+
◉35-week G3P2 client comes into the clinic complaining of headache
unrelieved by acetaminophen. She has 3+ pitting edema, 3+ patellar
reflexes, elevated liver enzymes and BP 140/94. She started on MgSO4?
What interventions will be preformed? ANSWER: - Baseline FHR
(before/during therapy)
Calcium gluconate at the beside (suction, oxygen)
Monitor VS (reparations) every 30-60 min
Monitor lab values
Monitor I&O (hourly)
Assess for Mg toxicity
Monitor DTR and clonus (hourly)
Medication education
◉What nursing Intervention would you preform with client on
oxytocin? (Going above [like hills] above baseline) ANSWER: -
Discontinue oxytocin
Assess client to lateral (side-lying) position
Administer oxygen
, Increased rate of IVF
Notify provider
Correct maternal hypotension
Palpate uterus to assess tachystole
Consider internal monitoring
◉Your clients membranes have just ruptured spontaneously, and you
see the umbilical cord protruding from the vagina. What do you need to
do? ANSWER: - Call for help
Monitor FHR
Prepare for C-section
Adminiter oxygen
Preform vaginal exam/elevate the presenting part
Reposition the client/mother
Wrap the cord in a sterile towel with warm normal saline
Initiate/Increase IVF
◉What nursing intervention would you preform on this client on
oxytocin? (going low [like a hole] below baseline) ANSWER: -
Decrease or discontinue oxytocin
Notify provider
Amnioinfusion
Change maternal position
Preform SVE to assess for cord prolapse
EXAM EXAMINATION TEST 2026
QUESTIONS WITH SOLUTIONS GRADED
A+
◉35-week G3P2 client comes into the clinic complaining of headache
unrelieved by acetaminophen. She has 3+ pitting edema, 3+ patellar
reflexes, elevated liver enzymes and BP 140/94. She started on MgSO4?
What interventions will be preformed? ANSWER: - Baseline FHR
(before/during therapy)
Calcium gluconate at the beside (suction, oxygen)
Monitor VS (reparations) every 30-60 min
Monitor lab values
Monitor I&O (hourly)
Assess for Mg toxicity
Monitor DTR and clonus (hourly)
Medication education
◉What nursing Intervention would you preform with client on
oxytocin? (Going above [like hills] above baseline) ANSWER: -
Discontinue oxytocin
Assess client to lateral (side-lying) position
Administer oxygen
, Increased rate of IVF
Notify provider
Correct maternal hypotension
Palpate uterus to assess tachystole
Consider internal monitoring
◉Your clients membranes have just ruptured spontaneously, and you
see the umbilical cord protruding from the vagina. What do you need to
do? ANSWER: - Call for help
Monitor FHR
Prepare for C-section
Adminiter oxygen
Preform vaginal exam/elevate the presenting part
Reposition the client/mother
Wrap the cord in a sterile towel with warm normal saline
Initiate/Increase IVF
◉What nursing intervention would you preform on this client on
oxytocin? (going low [like a hole] below baseline) ANSWER: -
Decrease or discontinue oxytocin
Notify provider
Amnioinfusion
Change maternal position
Preform SVE to assess for cord prolapse
