NACE Care Of Childbearing Family 2024/2025
Questions With 100% Correct Answers
Subjective Changes - ANSWERAmenorrhea, nausea and vomiting, fatigue, urinary
frequency, breast changes, quickening, abdominal enlargement.
Objective Changes - ANSWERPregnancy test, fetal heart sounds, fundal height.
Developmental task of becoming a parent - ANSWERLove 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 - ANSWERGrandparents- 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 - ANSWERFolic 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 - ANSWEREducate on how to hold, suction, bath, and dress the
newborn.
True/False Labor - ANSWERBraxton 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 - ANSWERNausea, vomiting, heartburn,
constipation, leg cramps, backache, urinary frequency.
Alpho-feto Protein - ANSWERDetermines 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 - ANSWERPerformed 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 - ANSWERMonitors 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 - ANSWERUsed 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 - ANSWERDiabetes mellitus, cardiac disease, AIDS, HIV.
Adolescent Pregnancy - ANSWERThere 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.
Mature Pregnancy - ANSWERWomen over age 35 years may have a decreased ability
to adjust their uterine blood flow to meet the needs of the fetus. Increased risk of
congenital anomalies.
Multiple Pregnancy - ANSWERPreterm labor is common because of the
overdistention of the uterus. There is an increased frequency of anemia,
hypertension, and hemorrhage. The woman is more likely to hemorrhage because of
an overdistention of the uterus.
Infertility - ANSWERThe inability to conceive and maintain a pregnancy after 12
months of unprotected sexual intercourse. Autoimmune disorders, diabetes, eating
disorders, alcohol, obesity, old age, STI, environment pollution, impotence, smoking.
Sexually Transmitted Diseases - ANSWERSTIs can cause pelvic inflammatory disease.
Pelvic inflammatory disease can lead to infertility, chronic hepatitis, and cervical and
other cancers.
STIs can pass to the fetus by crossing the placenta, some by delivery in birth canal.
Harmful effects include preterm birth, low birth weight, neonatal sepsis, and
neurological damage.
Substance Abuse - ANSWERExposure to alcohol during pregnancy places the
developing fetus at higher risk for fetal death, low birth weight, IUGR, metal
retardation, and fetal alcohol syndrome.
Questions With 100% Correct Answers
Subjective Changes - ANSWERAmenorrhea, nausea and vomiting, fatigue, urinary
frequency, breast changes, quickening, abdominal enlargement.
Objective Changes - ANSWERPregnancy test, fetal heart sounds, fundal height.
Developmental task of becoming a parent - ANSWERLove 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 - ANSWERGrandparents- 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 - ANSWERFolic 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 - ANSWEREducate on how to hold, suction, bath, and dress the
newborn.
True/False Labor - ANSWERBraxton 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 - ANSWERNausea, vomiting, heartburn,
constipation, leg cramps, backache, urinary frequency.
Alpho-feto Protein - ANSWERDetermines 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 - ANSWERPerformed 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 - ANSWERMonitors 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 - ANSWERUsed 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 - ANSWERDiabetes mellitus, cardiac disease, AIDS, HIV.
Adolescent Pregnancy - ANSWERThere 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.
Mature Pregnancy - ANSWERWomen over age 35 years may have a decreased ability
to adjust their uterine blood flow to meet the needs of the fetus. Increased risk of
congenital anomalies.
Multiple Pregnancy - ANSWERPreterm labor is common because of the
overdistention of the uterus. There is an increased frequency of anemia,
hypertension, and hemorrhage. The woman is more likely to hemorrhage because of
an overdistention of the uterus.
Infertility - ANSWERThe inability to conceive and maintain a pregnancy after 12
months of unprotected sexual intercourse. Autoimmune disorders, diabetes, eating
disorders, alcohol, obesity, old age, STI, environment pollution, impotence, smoking.
Sexually Transmitted Diseases - ANSWERSTIs can cause pelvic inflammatory disease.
Pelvic inflammatory disease can lead to infertility, chronic hepatitis, and cervical and
other cancers.
STIs can pass to the fetus by crossing the placenta, some by delivery in birth canal.
Harmful effects include preterm birth, low birth weight, neonatal sepsis, and
neurological damage.
Substance Abuse - ANSWERExposure to alcohol during pregnancy places the
developing fetus at higher risk for fetal death, low birth weight, IUGR, metal
retardation, and fetal alcohol syndrome.
