NACE CARE OF CHILDBEARING FAMILY
EXAM/NACE CARE OF CHILDBEARING
FAMILY PREP EXAM 2025/2026 WITH ACTUAL
CORRECT QUESTIONS AND VERIFIED
DETAILED ANSWERS |FREQUENTLY TESTED
QUESTIONS AND SOLUTION|ALREADY
GRADED A+|NEWEST|BRAND NEW VERSION
!!|GUARANTEED PASS
A client who is in labor delivers spontaneously. Immediately after the delivery of the baby,
which of these actions should a nurse take first?
· Assess the baby's gestational age
· Obtain the baby's Apgar score
· Wipe secretions from the baby's eyes
· Dry the baby
Drying the baby is the first action the nurse should take. This will decrease chilling of the
infant and help keep the infants temperature up and stable.
Which of these statements, if made by a woman who is 10 weeks pregnant, would reflect a
normal physiological development at this time?
· I have difficulty falling asleep at night. I sleep less than I used to sleep
· I have some spotting and abdominal cramping
· My breasts are tender and my bras don't fit anymore
· Lately I have a white vaginal discharge and it makes me itch
The breast tissue is extremely hormone-sensitive during pregnancy. The hormones of
pregnancy, progesterone and HCG increase blood volume, which makes the breasts swell and
feel heavier than usual.
A client who is 24 weeks pregnant developed a vaginal monilial infection. It is important that
the infection be treated because an untreated vaginal candida Albicans infection may result in
1|Page
,which of these conditions in the newborn?
· Thrush
· Milia
· Erythema toxicum
· Opthalmia neonatorum
Untreated vaginal monilial infection can results in oral thrush, caused by yeast that typically
invades inside a newborns mouth and on the tongue. Milia and erythema toxicum are normal
skin variations of a newborn, and opthalmia neonatorum can result from untreated
gonorrhea.
A client who is at 20 weeks' gestation and at her ideal body weight for her height asks a nurse
how much weight she should gain during her pregnancy. The nurse should recommend that the
client should gain approximately how many pounds?
· At least 45 pounds
· 15 to 18 pounds
· 25 to 35 pounds
· At least 12 pounds
The current recommended weight gain for this pregnant woman with a single fetus should be
between 25 to 35 pounds during pregnancy. Underweight women should gain between 25 to
35 pounds, overweight women should gain 15 to 25 pounds, and obese women should gain at
least 15.4 pounds.
A nurse instructs a class of postnatal women on methods to avoid nipple soreness while
breastfeeding. Which of these comments, if made by the participating women, indicates the
need for further instructions?
· I will wash my nipples and then dry them with a hair dry set at the lowest setting
· I will use one breast at each feeding and switch to the second breast at the next feeding
· I will rub breast milk into my nipples
· I will place tea bags on my nipples
The second comment would indicate the need for further teaching. It is recommended that
the baby feed of both breasts at a feeding; this will help decrease soreness of nipples and
help in milk production.
A nurse should instruct a client who has an episiotomy to include which of these comfort
measures in the care plan after discharge?
· Using sterile supplies and techniques when cleansing the perineum
· Applying cold packs at least every 3-4 hours
2|Page
,· Avoid hard sitting surfaces and recline for the first week at home
· Applying a perineal hot pack of using hot sitz bath
Perineal hot pack or moist heat with a sitz bath is an effective way to increase circulation to
the perineum, provide comfort and promote healing after the first 24 hours past delivery. Ice
or cold pack to the perineum during the first 24 hours reduces perineal edema and the
possibility of hematoma formation, thereby reducing pain and promoting healing and
comfort. Ice to the perineum after the first 24 hours is no longer therapeutic.
When discussing nutritional needs during pregnancy with a client who is six weeks pregnant, a
nurse should include which of these actions?
· Give the client a list of the foods that should be included in her diet
· Explain why it is important for the client to increase caloric and protein intake
· Ask the client to describe what she eats during a typical 48 hours period
· Determine whether the client knows which foods contain essential amino acids
The nurse should ask the client to describe what they eat during a typical 48 hour period in
order to get a picture of the clients eating pattern. This will help assess in what areas she will
need nutritional teaching.
A client who is 37 weeks pregnant is scheduled for a fetal biophysical profile. A nurse should
instruct the client that the purpose of the test is to
· Assess fetal well-being
· Determine the degree of glucose in the fetal circulatory system
· Determine fetal lung maturity
· Assess fetal growth
The purpose of the fetal biophysical profile test is to assess fetal well-being. Special
ultrasound methods are used to determine increases in heart rate with movement (nonstress
test), muscle tone, breathing rate, and the amount of amniotic fluid.
A pregnant woman has a complete blood count and a urinalysis done. Which of these
laboratory findings, if noted by a nurse, would require further assessments?
· A hematocrit level of 33 percent
· A urine specific gravity of 1.020
· A white blood cell count of 9,000/cu mm
· A trace of urinary protein upon arising
A hematocrit level of 33 percent would require further assessments. For adult females, the
normal average hematocrit is 41 percent.
3|Page
, Maternal nutrition during the first trimester of pregnancy is critical for which of these reasons?
· Fetal organs develop and differentiate
· Maternal resistance to infection is low
· Maternal energy needs are increased
· Fetal growth in the first trimester is very rapid
Maternal nutrition during the first trimester of pregnancy is critical because fetal organ
develop and differentiate at this time. Lack of adequate nutrition at this time may contribute
to congenital problems.
The husband of a women who is 22 weeks gestation calls the clinic and says, "My wife has been
exposed to rubella. We are so worried that my wife might get it and that our baby might be
born with a defect." In order to respond appropriately to the husband, a nurse should have
which pf these understandings about the significance of rubella during pregnancy?
· The teratogenic effect of rubella on the fetus is greatest during the second trimester of
pregnancy
· Rubella is not a threat to major organogenesis when contracted by a woman in the second
trimester of her pregnancy, but the fetus may be subjected to other deficits
· A woman exposed to rubella during the second trimester of her pregnancy should routinely be
given immune human serum globulin
· A woman exposed to rubella during the second trimester of pregnancy should be given a
rubella vaccine immediately
Rubella is not a threat to major organogenesis when contracted by a woman in the second
trimester of her pregnancy, but the fetus may be subject to other deficits. The risk of deficits
decreases when exposure occurs after the early pregnancy stage.
A nurse in the antepartal clinic conducts a class concerning avoidance of back strain. Which of
these comments, if made by the participants about back pain prevention, would require further
instructions?
· Three times a day, I get on my hands and knees and do the pelvic tilt about 30 times
· Whenever I use the telephone, I sit on the floor in a cross-legged position
· When I pick something up from the floor, I'm careful to place my feet apart and bend from the
waste
· When I'm waiting for the bus, I often practice tightening and relaxing my abdominal and
buttocks muscles
The 3rd comment would require further instruction. Bending should not be done at the
waste, but done at the knees for proper body mechanics.
4|Page
EXAM/NACE CARE OF CHILDBEARING
FAMILY PREP EXAM 2025/2026 WITH ACTUAL
CORRECT QUESTIONS AND VERIFIED
DETAILED ANSWERS |FREQUENTLY TESTED
QUESTIONS AND SOLUTION|ALREADY
GRADED A+|NEWEST|BRAND NEW VERSION
!!|GUARANTEED PASS
A client who is in labor delivers spontaneously. Immediately after the delivery of the baby,
which of these actions should a nurse take first?
· Assess the baby's gestational age
· Obtain the baby's Apgar score
· Wipe secretions from the baby's eyes
· Dry the baby
Drying the baby is the first action the nurse should take. This will decrease chilling of the
infant and help keep the infants temperature up and stable.
Which of these statements, if made by a woman who is 10 weeks pregnant, would reflect a
normal physiological development at this time?
· I have difficulty falling asleep at night. I sleep less than I used to sleep
· I have some spotting and abdominal cramping
· My breasts are tender and my bras don't fit anymore
· Lately I have a white vaginal discharge and it makes me itch
The breast tissue is extremely hormone-sensitive during pregnancy. The hormones of
pregnancy, progesterone and HCG increase blood volume, which makes the breasts swell and
feel heavier than usual.
A client who is 24 weeks pregnant developed a vaginal monilial infection. It is important that
the infection be treated because an untreated vaginal candida Albicans infection may result in
1|Page
,which of these conditions in the newborn?
· Thrush
· Milia
· Erythema toxicum
· Opthalmia neonatorum
Untreated vaginal monilial infection can results in oral thrush, caused by yeast that typically
invades inside a newborns mouth and on the tongue. Milia and erythema toxicum are normal
skin variations of a newborn, and opthalmia neonatorum can result from untreated
gonorrhea.
A client who is at 20 weeks' gestation and at her ideal body weight for her height asks a nurse
how much weight she should gain during her pregnancy. The nurse should recommend that the
client should gain approximately how many pounds?
· At least 45 pounds
· 15 to 18 pounds
· 25 to 35 pounds
· At least 12 pounds
The current recommended weight gain for this pregnant woman with a single fetus should be
between 25 to 35 pounds during pregnancy. Underweight women should gain between 25 to
35 pounds, overweight women should gain 15 to 25 pounds, and obese women should gain at
least 15.4 pounds.
A nurse instructs a class of postnatal women on methods to avoid nipple soreness while
breastfeeding. Which of these comments, if made by the participating women, indicates the
need for further instructions?
· I will wash my nipples and then dry them with a hair dry set at the lowest setting
· I will use one breast at each feeding and switch to the second breast at the next feeding
· I will rub breast milk into my nipples
· I will place tea bags on my nipples
The second comment would indicate the need for further teaching. It is recommended that
the baby feed of both breasts at a feeding; this will help decrease soreness of nipples and
help in milk production.
A nurse should instruct a client who has an episiotomy to include which of these comfort
measures in the care plan after discharge?
· Using sterile supplies and techniques when cleansing the perineum
· Applying cold packs at least every 3-4 hours
2|Page
,· Avoid hard sitting surfaces and recline for the first week at home
· Applying a perineal hot pack of using hot sitz bath
Perineal hot pack or moist heat with a sitz bath is an effective way to increase circulation to
the perineum, provide comfort and promote healing after the first 24 hours past delivery. Ice
or cold pack to the perineum during the first 24 hours reduces perineal edema and the
possibility of hematoma formation, thereby reducing pain and promoting healing and
comfort. Ice to the perineum after the first 24 hours is no longer therapeutic.
When discussing nutritional needs during pregnancy with a client who is six weeks pregnant, a
nurse should include which of these actions?
· Give the client a list of the foods that should be included in her diet
· Explain why it is important for the client to increase caloric and protein intake
· Ask the client to describe what she eats during a typical 48 hours period
· Determine whether the client knows which foods contain essential amino acids
The nurse should ask the client to describe what they eat during a typical 48 hour period in
order to get a picture of the clients eating pattern. This will help assess in what areas she will
need nutritional teaching.
A client who is 37 weeks pregnant is scheduled for a fetal biophysical profile. A nurse should
instruct the client that the purpose of the test is to
· Assess fetal well-being
· Determine the degree of glucose in the fetal circulatory system
· Determine fetal lung maturity
· Assess fetal growth
The purpose of the fetal biophysical profile test is to assess fetal well-being. Special
ultrasound methods are used to determine increases in heart rate with movement (nonstress
test), muscle tone, breathing rate, and the amount of amniotic fluid.
A pregnant woman has a complete blood count and a urinalysis done. Which of these
laboratory findings, if noted by a nurse, would require further assessments?
· A hematocrit level of 33 percent
· A urine specific gravity of 1.020
· A white blood cell count of 9,000/cu mm
· A trace of urinary protein upon arising
A hematocrit level of 33 percent would require further assessments. For adult females, the
normal average hematocrit is 41 percent.
3|Page
, Maternal nutrition during the first trimester of pregnancy is critical for which of these reasons?
· Fetal organs develop and differentiate
· Maternal resistance to infection is low
· Maternal energy needs are increased
· Fetal growth in the first trimester is very rapid
Maternal nutrition during the first trimester of pregnancy is critical because fetal organ
develop and differentiate at this time. Lack of adequate nutrition at this time may contribute
to congenital problems.
The husband of a women who is 22 weeks gestation calls the clinic and says, "My wife has been
exposed to rubella. We are so worried that my wife might get it and that our baby might be
born with a defect." In order to respond appropriately to the husband, a nurse should have
which pf these understandings about the significance of rubella during pregnancy?
· The teratogenic effect of rubella on the fetus is greatest during the second trimester of
pregnancy
· Rubella is not a threat to major organogenesis when contracted by a woman in the second
trimester of her pregnancy, but the fetus may be subjected to other deficits
· A woman exposed to rubella during the second trimester of her pregnancy should routinely be
given immune human serum globulin
· A woman exposed to rubella during the second trimester of pregnancy should be given a
rubella vaccine immediately
Rubella is not a threat to major organogenesis when contracted by a woman in the second
trimester of her pregnancy, but the fetus may be subject to other deficits. The risk of deficits
decreases when exposure occurs after the early pregnancy stage.
A nurse in the antepartal clinic conducts a class concerning avoidance of back strain. Which of
these comments, if made by the participants about back pain prevention, would require further
instructions?
· Three times a day, I get on my hands and knees and do the pelvic tilt about 30 times
· Whenever I use the telephone, I sit on the floor in a cross-legged position
· When I pick something up from the floor, I'm careful to place my feet apart and bend from the
waste
· When I'm waiting for the bus, I often practice tightening and relaxing my abdominal and
buttocks muscles
The 3rd comment would require further instruction. Bending should not be done at the
waste, but done at the knees for proper body mechanics.
4|Page
