NACE Care Of Childbearing Family Actual Exam NEWEST
2025 COMPLETE QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED
A+||BRAND NEW VERSION!!
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 - CORRECT 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 - CORRECT ANSWER- Educate on how to hold, suction, bath, and dress the
newborn.
True/False Labor - CORRECT 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 - CORRECT ANSWER- Nausea, vomiting, heartburn,
constipation, leg cramps, backache, urinary frequency.
,Alpho-feto Protein - CORRECT 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 - CORRECT 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.
Subjective Changes - CORRECT ANSWER- Amenorrhea, nausea and vomiting, fatigue, urinary
frequency, breast changes, quickening, abdominal enlargement.
Objective Changes - CORRECT ANSWER- Pregnancy test, fetal heart sounds, fundal height.
Developmental task of becoming a parent - CORRECT 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 - CORRECT ANSWER- Grandparents- Delighted with
newborn. May feel negativity towards growing older. Provides long term help. Demands of
helping raise the grandchild can be stressful.
Fetal Biophysical Profile - CORRECT 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 - CORRECT 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 - CORRECT ANSWER- Diabetes mellitus, cardiac disease, AIDS, HIV.
Adolescent Pregnancy - CORRECT 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.
Mature Pregnancy - CORRECT ANSWER- Women over age 35 years may have a decreased
ability to adjust their uterine blood flow to meet the needs of the fetus. Increased risk of
congenital anomalies.
Multiple Pregnancy - CORRECT ANSWER- Preterm labor is common because of the
overdistention of the uterus. There is an increased frequency of anemia, hypertension, and
hemorrhage. The woman is more likely to hemorrhage because of an overdistention of the
uterus.
Infertility - CORRECT ANSWER- The inability to conceive and maintain a pregnancy after 12
months of unprotected sexual intercourse. Autoimmune disorders, diabetes, eating disorders,
alcohol, obesity, old age, STI, environment pollution, impotence, smoking.
Sexually Transmitted Diseases - CORRECT ANSWER- STIs can cause pelvic inflammatory
disease. Pelvic inflammatory disease can lead to infertility, chronic hepatitis, and cervical and
other cancers.
STIs can pass to the fetus by crossing the placenta, some by delivery in birth canal. Harmful
effects include preterm birth, low birth weight, neonatal sepsis, and neurological damage.
, Substance Abuse - CORRECT ANSWER- Exposure to alcohol during pregnancy places the
developing fetus at higher risk for fetal death, low birth weight, IUGR, metal retardation, and
fetal alcohol syndrome.
Exposure to illicit drugs during pregnancy is associated within incidences of preterm birth,
Abruptio placentae, drug withdrawal for neonate, and a variety of congenital defects.
Abortion - CORRECT 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.
Pregnancy Induced Hypertension - CORRECT ANSWER- Classified as blood pressure above
140/90 in pregnancy. Monitor for proteinuria (preeclampsia) and seizures (eclampsia). Take BP
every 4 hours.
Bleeding Disorders - CORRECT ANSWER- Placenta previa- Occurs when the placenta
abnormally implants near or over the cervical os instead of in the fundus of the uterus. May
cause hemorrhage or premature birth.
Abruptio placenta- Premature separation of placenta. Causes bleeding and often pain.
DIC- Disseminated intravascular coagulation is a condition in which a coagulation defect
prevents blood from clotting.
2025 COMPLETE QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED
A+||BRAND NEW VERSION!!
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 - CORRECT 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 - CORRECT ANSWER- Educate on how to hold, suction, bath, and dress the
newborn.
True/False Labor - CORRECT 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 - CORRECT ANSWER- Nausea, vomiting, heartburn,
constipation, leg cramps, backache, urinary frequency.
,Alpho-feto Protein - CORRECT 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 - CORRECT 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.
Subjective Changes - CORRECT ANSWER- Amenorrhea, nausea and vomiting, fatigue, urinary
frequency, breast changes, quickening, abdominal enlargement.
Objective Changes - CORRECT ANSWER- Pregnancy test, fetal heart sounds, fundal height.
Developmental task of becoming a parent - CORRECT 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 - CORRECT ANSWER- Grandparents- Delighted with
newborn. May feel negativity towards growing older. Provides long term help. Demands of
helping raise the grandchild can be stressful.
Fetal Biophysical Profile - CORRECT 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 - CORRECT 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 - CORRECT ANSWER- Diabetes mellitus, cardiac disease, AIDS, HIV.
Adolescent Pregnancy - CORRECT 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.
Mature Pregnancy - CORRECT ANSWER- Women over age 35 years may have a decreased
ability to adjust their uterine blood flow to meet the needs of the fetus. Increased risk of
congenital anomalies.
Multiple Pregnancy - CORRECT ANSWER- Preterm labor is common because of the
overdistention of the uterus. There is an increased frequency of anemia, hypertension, and
hemorrhage. The woman is more likely to hemorrhage because of an overdistention of the
uterus.
Infertility - CORRECT ANSWER- The inability to conceive and maintain a pregnancy after 12
months of unprotected sexual intercourse. Autoimmune disorders, diabetes, eating disorders,
alcohol, obesity, old age, STI, environment pollution, impotence, smoking.
Sexually Transmitted Diseases - CORRECT ANSWER- STIs can cause pelvic inflammatory
disease. Pelvic inflammatory disease can lead to infertility, chronic hepatitis, and cervical and
other cancers.
STIs can pass to the fetus by crossing the placenta, some by delivery in birth canal. Harmful
effects include preterm birth, low birth weight, neonatal sepsis, and neurological damage.
, Substance Abuse - CORRECT ANSWER- Exposure to alcohol during pregnancy places the
developing fetus at higher risk for fetal death, low birth weight, IUGR, metal retardation, and
fetal alcohol syndrome.
Exposure to illicit drugs during pregnancy is associated within incidences of preterm birth,
Abruptio placentae, drug withdrawal for neonate, and a variety of congenital defects.
Abortion - CORRECT 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.
Pregnancy Induced Hypertension - CORRECT ANSWER- Classified as blood pressure above
140/90 in pregnancy. Monitor for proteinuria (preeclampsia) and seizures (eclampsia). Take BP
every 4 hours.
Bleeding Disorders - CORRECT ANSWER- Placenta previa- Occurs when the placenta
abnormally implants near or over the cervical os instead of in the fundus of the uterus. May
cause hemorrhage or premature birth.
Abruptio placenta- Premature separation of placenta. Causes bleeding and often pain.
DIC- Disseminated intravascular coagulation is a condition in which a coagulation defect
prevents blood from clotting.
