NACE Comprehensive Exam – Care Of The
Childbearing Family, Nursing Program
Complete Exam Review And Study Guide
Introduction:
This document provides an extensive review for the Care of the
Childbearing Family NACE Comprehensive Exam, covering
pharmacology, maternity nursing, labor and delivery,
postpartum care, and newborn assessment. It includes a large
collection of exam-style questions and correct answers focused
on medications, maternal–fetal complications, obstetric
procedures, and essential nursing interventions. The study
guide is suitable for comprehensive final exam preparation
and NCLEX-style review in obstetric and pharmacological
nursing.
Exam Questions and Answers:
Antiviral patient education ---Correct Answer---Specific per
drug, how to not infect others, signs to call dr: swelling,
edema, dyspnea, dizziness, a rash, fever, joint aches,
tingling/numbness, pain in hands/feet
Zidovudine (AZT) ---Correct Answer---Retrovir
,Zidovudine MOA ---Correct Answer---(Retrovir);
Inhibits reverse transcripatase
Zidovudine used for ---Correct Answer---HIV
Zidovudine side effects ---Correct Answer---1. anemia
2. headache
3. gastrointestinal upset
4. paresthesias
5. dizziness
6. insomnia
7. agranulocytosis
Zidovudine nursing considerations ---Correct Answer----GI
upset and insomnia resolve after 3-4 weeks
-PO: peak 30-90 minutes
-Check with provider before taking aspirin, acetaminophen, or
indomethacin
-Rx: Preg Category C
,Digoxin ---Correct Answer---cardiac glycoside
Digoxin MOA ---Correct Answer---Inhibition of Na/K/ATPase
pumps in the heart, increasing cardiac cell potentials and
contractility
Digoxin use ---Correct Answer---heart failure, atrial
fibrillation
Digoxin side/adverse effects ---Correct Answer----GI
symptoms (Nausea and vomiting, anorexia)
-CNS symptoms (blurred or yellow vision, fatigue, HA)
-cardiac dysrhythmias
-cardiotoxicity
-bradycardia
Digoxin Nursing Considerations ---Correct Answer---■ Check
pulse, if less than 60 beats per minute (adult) or 90 beats per
minute (infant), hold the med and contact clinician
■ PO: with or without food; may crush tablets and mix with
food/fluids
■ Do not open, chew, or crush capsule
, ■ Contact clinician if loss of appetite, lower stomach pain,
diarrhea, weakness, drowsiness, headache, blurred or yellow
vision, rash, depression
■ Eat a sodium-restricted and potassium-rich (bananas, orange
juice) diet to keep potassium level normal
■ Avoid OTC meds and herbal meds; many adverse interactions
may occur
Digoxin Patient Education ---Correct Answer---Do not stop
taking this drug on your own, Never take an extra dose if you
missed a dose, Monitor your pulse rate and write your pulse
rate on a calendar, Monitor weight, Avoid herbals: ginseng,
hawthorn, and licorice (Increased digoxin toxicity has been
reported with these), St. John's wort and psyllium reduce
effectiveness
Nitroglycerin ---Correct Answer---vasodilator
Nitroglycerin MOA ---Correct Answer---vasodilate arteries and
veins, vasodilation of veins decreases preload
Nitroglycerin use ---Correct Answer----reduce angina
Childbearing Family, Nursing Program
Complete Exam Review And Study Guide
Introduction:
This document provides an extensive review for the Care of the
Childbearing Family NACE Comprehensive Exam, covering
pharmacology, maternity nursing, labor and delivery,
postpartum care, and newborn assessment. It includes a large
collection of exam-style questions and correct answers focused
on medications, maternal–fetal complications, obstetric
procedures, and essential nursing interventions. The study
guide is suitable for comprehensive final exam preparation
and NCLEX-style review in obstetric and pharmacological
nursing.
Exam Questions and Answers:
Antiviral patient education ---Correct Answer---Specific per
drug, how to not infect others, signs to call dr: swelling,
edema, dyspnea, dizziness, a rash, fever, joint aches,
tingling/numbness, pain in hands/feet
Zidovudine (AZT) ---Correct Answer---Retrovir
,Zidovudine MOA ---Correct Answer---(Retrovir);
Inhibits reverse transcripatase
Zidovudine used for ---Correct Answer---HIV
Zidovudine side effects ---Correct Answer---1. anemia
2. headache
3. gastrointestinal upset
4. paresthesias
5. dizziness
6. insomnia
7. agranulocytosis
Zidovudine nursing considerations ---Correct Answer----GI
upset and insomnia resolve after 3-4 weeks
-PO: peak 30-90 minutes
-Check with provider before taking aspirin, acetaminophen, or
indomethacin
-Rx: Preg Category C
,Digoxin ---Correct Answer---cardiac glycoside
Digoxin MOA ---Correct Answer---Inhibition of Na/K/ATPase
pumps in the heart, increasing cardiac cell potentials and
contractility
Digoxin use ---Correct Answer---heart failure, atrial
fibrillation
Digoxin side/adverse effects ---Correct Answer----GI
symptoms (Nausea and vomiting, anorexia)
-CNS symptoms (blurred or yellow vision, fatigue, HA)
-cardiac dysrhythmias
-cardiotoxicity
-bradycardia
Digoxin Nursing Considerations ---Correct Answer---■ Check
pulse, if less than 60 beats per minute (adult) or 90 beats per
minute (infant), hold the med and contact clinician
■ PO: with or without food; may crush tablets and mix with
food/fluids
■ Do not open, chew, or crush capsule
, ■ Contact clinician if loss of appetite, lower stomach pain,
diarrhea, weakness, drowsiness, headache, blurred or yellow
vision, rash, depression
■ Eat a sodium-restricted and potassium-rich (bananas, orange
juice) diet to keep potassium level normal
■ Avoid OTC meds and herbal meds; many adverse interactions
may occur
Digoxin Patient Education ---Correct Answer---Do not stop
taking this drug on your own, Never take an extra dose if you
missed a dose, Monitor your pulse rate and write your pulse
rate on a calendar, Monitor weight, Avoid herbals: ginseng,
hawthorn, and licorice (Increased digoxin toxicity has been
reported with these), St. John's wort and psyllium reduce
effectiveness
Nitroglycerin ---Correct Answer---vasodilator
Nitroglycerin MOA ---Correct Answer---vasodilate arteries and
veins, vasodilation of veins decreases preload
Nitroglycerin use ---Correct Answer----reduce angina
