CARE OF CHILDBEARING FAMILY-NACE Exam
Questions and Answers-2024
Subjective Changes - -Amenorrhea, nausea and vomiting, fatigue, urinary frequency, breast
changes, quickening, abdominal enlargement.
Objective Changes - -Pregnancy test, fetal heart sounds, fundal height.
Developmental task of becoming a parent - -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 - -Grandparents- Delighted with newborn. May feel
negativity towards growing older. Provides long term help. Demands of helping raise the grandchild can
be stressful.
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 - -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 - -Educate on how to hold, suction, bath, and dress the newborn.
, True/False Labor - -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 - -Nausea, vomiting, heartburn, constipation, leg cramps,
backache, urinary frequency.
Alpho-feto Protein - -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 - -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.
Fetal Biophysical Profile - -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 - -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 - -Diabetes mellitus, cardiac disease, AIDS, HIV.
Questions and Answers-2024
Subjective Changes - -Amenorrhea, nausea and vomiting, fatigue, urinary frequency, breast
changes, quickening, abdominal enlargement.
Objective Changes - -Pregnancy test, fetal heart sounds, fundal height.
Developmental task of becoming a parent - -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 - -Grandparents- Delighted with newborn. May feel
negativity towards growing older. Provides long term help. Demands of helping raise the grandchild can
be stressful.
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 - -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 - -Educate on how to hold, suction, bath, and dress the newborn.
, True/False Labor - -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 - -Nausea, vomiting, heartburn, constipation, leg cramps,
backache, urinary frequency.
Alpho-feto Protein - -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 - -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.
Fetal Biophysical Profile - -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 - -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 - -Diabetes mellitus, cardiac disease, AIDS, HIV.
