CARE OF CHILDBEARING FAMILY-NACE EXAM TEST 2026 |
GRADED A+ | GUARANTEED PASS!!
Abortion
- 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.
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
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.
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.
Analgesia/Anesthesia
- answer-Epidural can be given in the first and second stage of labor.
Pudendal block is given when ready for delivery. Anesthetize the lower vagina and
part of perineum.
, Contraindications: Hypovolemia, those on blood thinners, clotting disorders,
infection at injection site.
Apgar Score
- answer-Assigned at 1 and 5 minutes. A score of 7 to 10 indicates a baby who has
good cardio respiratory functioning with minimal bulb suction assistance. 4-7
needs gentle stimulation. Less than 3 needs active resuscitation.
Assessing Progress of Labor
- answer-
Assessment of Fundus
- answer-Fundus is firmly contracted and at level of umbilicus. Fundus feels hard
like a grapefruit. Instruct patient to massage Fundus.
Fundus is soft and boggy. Fundus is difficult to locate and soft. Support lower
uterine. Segment and massage Fundus until firm. Apply slight pressure to expel
clots. Notify health care provider if fundus remains softer if a trickle of bright red
blood continues after Fundus is firm.
Fundus is displaced from midline or above level of umbilicus. Fundus may be firm
but above umbilicals. Assess bladder for distinction. Assist mother to void or
catheterize and recheck Fundus. Document findings.
Assessment of Lochia
- answer-Lochia Rubra- Days 1-3. Normal: Bright red, bloody consistency; fleshy
odor, temporary increase during ready feeding and on rising.
Lochia Serosa- Usually 4-9 days, up to 27. Normal: Pinkish brown,
serosanguineous consistency.
Lochi Alba- Day 10 to 6 weeks. Creamy white, fleshy odor.
Abnormal: Numerous large clots, foul smell, saturation of perineal pad in less than
1 hour.
Assisting Feeding
- answer-Roll flat nipples between mother fingers to make them more erect. Pull
areola gentle to release adhesion. Tongue should be visible between lower gum and
breast. Have mother guide nipple into mouth.
GRADED A+ | GUARANTEED PASS!!
Abortion
- 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.
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
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.
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.
Analgesia/Anesthesia
- answer-Epidural can be given in the first and second stage of labor.
Pudendal block is given when ready for delivery. Anesthetize the lower vagina and
part of perineum.
, Contraindications: Hypovolemia, those on blood thinners, clotting disorders,
infection at injection site.
Apgar Score
- answer-Assigned at 1 and 5 minutes. A score of 7 to 10 indicates a baby who has
good cardio respiratory functioning with minimal bulb suction assistance. 4-7
needs gentle stimulation. Less than 3 needs active resuscitation.
Assessing Progress of Labor
- answer-
Assessment of Fundus
- answer-Fundus is firmly contracted and at level of umbilicus. Fundus feels hard
like a grapefruit. Instruct patient to massage Fundus.
Fundus is soft and boggy. Fundus is difficult to locate and soft. Support lower
uterine. Segment and massage Fundus until firm. Apply slight pressure to expel
clots. Notify health care provider if fundus remains softer if a trickle of bright red
blood continues after Fundus is firm.
Fundus is displaced from midline or above level of umbilicus. Fundus may be firm
but above umbilicals. Assess bladder for distinction. Assist mother to void or
catheterize and recheck Fundus. Document findings.
Assessment of Lochia
- answer-Lochia Rubra- Days 1-3. Normal: Bright red, bloody consistency; fleshy
odor, temporary increase during ready feeding and on rising.
Lochia Serosa- Usually 4-9 days, up to 27. Normal: Pinkish brown,
serosanguineous consistency.
Lochi Alba- Day 10 to 6 weeks. Creamy white, fleshy odor.
Abnormal: Numerous large clots, foul smell, saturation of perineal pad in less than
1 hour.
Assisting Feeding
- answer-Roll flat nipples between mother fingers to make them more erect. Pull
areola gentle to release adhesion. Tongue should be visible between lower gum and
breast. Have mother guide nipple into mouth.
