NACE Childbearing Family Test Questions and Answers
Question 1
After a client received an epidural anesthesia, a nurse should make which of these assessments first?
· Determine whether the client has bladder distention
· Determine whether the client has sensory impairment in the legs
· Determine the frequency of the client's contractions
Determine the clients blood pressure
Correct Answer
The nurse should determine the client's blood pressure first. Since epidural anesthesia may cause the blood pressure to
drop, it is important to ensure there is adequate blood flow to the baby. The other options may be subsequent
assessments the nurse would make, but should not be the first assessment.
Question 2
The client who is 16 weeks pregnant attends the antepartal clinic. She makes all of these comments to a nurse. Which of
these comments by this client requires FURTHER discussion by the nurse?
· I drink about 2.5 quarts of fluids every day
· I've gained about 7 pounds so far. I'll probably gain another 20 pounds by the time I deliver
· I had a problem with hemorrhoids with my other pregnancy, so now I eat a large serving of bran every evening
· I'm being careful to eat mostly salt-free and to use no salt in my cooking
Correct Answer
The fourth statement requires further discussion. Sodium requirements increase during pregnancy. However, the sodium
provided by the average diet is likely to be adequate for expectant mothers. Use of additional salt is rarely warranted.
Page 1 of 16
,Question 3
A nurse teaches pregnancy exercises to a group of pregnant women. The nurse should include an explanation that pelvic
rock will be helpful at any time in their lives should the women develop which of these conditions?
· Hemorrhoids
· Intestinal flatus
· Lower back pain
· Leg cramps
Correct Answer
Pelvic rock helps to relieve lower back pains. Pelvic rocking helps to relieve a sore back by stretching the lower back
muscles. Pelvic rocking also helps stimulate the digestive system, realigns the uterus, and keeps the stomach muscles
toned.
Question 4
A client who is in active labor has a vaginal examination which reveals she is 5cm dilated and 100% effaced at a -1 station.
At the peak of a contraction, the amniotic fluid ruptures. Which of these actions should a nurse take first?
· Records the findings and notify the provider
· Change the linen and make the client comfortable
· Check the perineal area and assess for crowning
· Assess the fetal heart rate and check for regularity
Correct Answer
After rupture of the membranes, there is a danger of cord prolapse; therefore, the nurse should assess the fetal heart rate
for regularity. Variable decelerations can occur as a result of cord compression secondary to cord prolapse. There is also a
risk for infection after membrane rupture.
Page 2 of 16
, Question 5
After teaching a class about relieving leg cramps during pregnancy, a nurse evaluates the effectiveness of the instructions.
Which of these comments, if made by the participants, would require FURTHER instruction?
· When I get a leg cramps in the middle of the night, my husband presses on my knee and pushes my foot toward my leg
· Sometimes when I'm sitting at my typewriter, I get a horrible leg cramp. First, I stand and bear weight on my leg in the
middle of the night
· I take a heating pad to bed with me so that I can use it if I get a leg cramp in the middle of the night
· When I get a leg cramp while sitting at my desk, I flex my knee and extend my foot
Correct Answer
The fourth comment would require further education. With leg cramps, the leg should be straightened and toes should
be flexed toward the shin.
Question 6
A client who is scheduled for a cesarean delivery has the following written preoperative orders. Which should the nurse
question?
· Nothing by mouth after midnight
· Atropine sulfate 0.4mg IM on call
· Indwelling urinary catheter to be inserted in the morning
· Cleansing enema this evening
Correct Answer
The order for a cleansing enema in the evening should be discussed with the physician. A cleansing enema is not usually
done prior to a cesarean section.
Page 3 of 16
Question 1
After a client received an epidural anesthesia, a nurse should make which of these assessments first?
· Determine whether the client has bladder distention
· Determine whether the client has sensory impairment in the legs
· Determine the frequency of the client's contractions
Determine the clients blood pressure
Correct Answer
The nurse should determine the client's blood pressure first. Since epidural anesthesia may cause the blood pressure to
drop, it is important to ensure there is adequate blood flow to the baby. The other options may be subsequent
assessments the nurse would make, but should not be the first assessment.
Question 2
The client who is 16 weeks pregnant attends the antepartal clinic. She makes all of these comments to a nurse. Which of
these comments by this client requires FURTHER discussion by the nurse?
· I drink about 2.5 quarts of fluids every day
· I've gained about 7 pounds so far. I'll probably gain another 20 pounds by the time I deliver
· I had a problem with hemorrhoids with my other pregnancy, so now I eat a large serving of bran every evening
· I'm being careful to eat mostly salt-free and to use no salt in my cooking
Correct Answer
The fourth statement requires further discussion. Sodium requirements increase during pregnancy. However, the sodium
provided by the average diet is likely to be adequate for expectant mothers. Use of additional salt is rarely warranted.
Page 1 of 16
,Question 3
A nurse teaches pregnancy exercises to a group of pregnant women. The nurse should include an explanation that pelvic
rock will be helpful at any time in their lives should the women develop which of these conditions?
· Hemorrhoids
· Intestinal flatus
· Lower back pain
· Leg cramps
Correct Answer
Pelvic rock helps to relieve lower back pains. Pelvic rocking helps to relieve a sore back by stretching the lower back
muscles. Pelvic rocking also helps stimulate the digestive system, realigns the uterus, and keeps the stomach muscles
toned.
Question 4
A client who is in active labor has a vaginal examination which reveals she is 5cm dilated and 100% effaced at a -1 station.
At the peak of a contraction, the amniotic fluid ruptures. Which of these actions should a nurse take first?
· Records the findings and notify the provider
· Change the linen and make the client comfortable
· Check the perineal area and assess for crowning
· Assess the fetal heart rate and check for regularity
Correct Answer
After rupture of the membranes, there is a danger of cord prolapse; therefore, the nurse should assess the fetal heart rate
for regularity. Variable decelerations can occur as a result of cord compression secondary to cord prolapse. There is also a
risk for infection after membrane rupture.
Page 2 of 16
, Question 5
After teaching a class about relieving leg cramps during pregnancy, a nurse evaluates the effectiveness of the instructions.
Which of these comments, if made by the participants, would require FURTHER instruction?
· When I get a leg cramps in the middle of the night, my husband presses on my knee and pushes my foot toward my leg
· Sometimes when I'm sitting at my typewriter, I get a horrible leg cramp. First, I stand and bear weight on my leg in the
middle of the night
· I take a heating pad to bed with me so that I can use it if I get a leg cramp in the middle of the night
· When I get a leg cramp while sitting at my desk, I flex my knee and extend my foot
Correct Answer
The fourth comment would require further education. With leg cramps, the leg should be straightened and toes should
be flexed toward the shin.
Question 6
A client who is scheduled for a cesarean delivery has the following written preoperative orders. Which should the nurse
question?
· Nothing by mouth after midnight
· Atropine sulfate 0.4mg IM on call
· Indwelling urinary catheter to be inserted in the morning
· Cleansing enema this evening
Correct Answer
The order for a cleansing enema in the evening should be discussed with the physician. A cleansing enema is not usually
done prior to a cesarean section.
Page 3 of 16
