NACE Care Of Childbearing Family Actual Exam
NACE CARE OF CHILDBEARING FAMILY ACTUAL EXAM NEWEST
/NACE CARE OF CHILDBEARING FAMILY EXAM
PREPARATION/NACE CARE OF CHILDBEARING FAMILY PRACTICE
EXAM WITH COMPLETE QUESTIONS AND CORRECT ANSWERS|
BRAND NEW VERSION!
Which of these statements, if made by a woman who is 10 weeks pregnant, would
reflect a normal physiological development at this time?
· I have difficulty falling asleep at night. I sleep less than I used to sleep
· I have some spotting and abdominal cramping
· My breasts are tender and my bras don't fit anymore
· Lately I have a white vaginal discharge and it makes me itch - Correct Answer-The
breast tissue is extremely hormone-sensitive during pregnancy. The hormones of
pregnancy, progesterone and HCG increase blood volume, which makes the
breasts swell and feel heavier than usual.
A client who is 24 weeks pregnant developed a vaginal monilial infection. It is
important that the infection be treated because an untreated vaginal candida
Albicans infection may result in which of these conditions in the newborn?
· Thrush
· Milia
· Erythema toxicum
· Opthalmia neonatorum - Correct Answer-Untreated vaginal monilial infection
can results in oral thrush, caused by yeast that typically invades inside a newborns
mouth and on the tongue. Milia and erythema toxicum are normal skin variations
of a newborn, and opthalmia neonatorum can result from untreated gonorrhea.
1|Page
, NACE Care Of Childbearing Family Actual Exam
A client who is at 20 weeks' gestation and at her ideal body weight for her height
asks a nurse how much weight she should gain during her pregnancy. The nurse
should recommend that the client should gain approximately how many pounds?
· At least 45 pounds
· 15 to 18 pounds
· 25 to 35 pounds
· At least 12 pounds - Correct Answer-The current recommended weight gain for
this pregnant woman with a single fetus should be between 25 to 35 pounds
during pregnancy. Underweight women should gain between 25 to 35 pounds,
overweight women should gain 15 to 25 pounds, and obese women should gain at
least 15.4 pounds.
A nurse instructs a class of postnatal women on methods to avoid nipple soreness
while breastfeeding. Which of these comments, if made by the participating
women, indicates the need for further instructions?
· I will wash my nipples and then dry them with a hair dry set at the lowest setting
· I will use one breast at each feeding and switch to the second breast at the next
feeding
· I will rub breast milk into my nipples
· I will place tea bags on my nipples - Correct Answer-The second comment would
indicate the need for further teaching. It is recommended that the baby feed of
both breasts at a feeding; this will help decrease soreness of nipples and help in
milk production.
A nurse should instruct a client who has an episiotomy to include which of these
comfort measures in the care plan after discharge?
2|Page
, NACE Care Of Childbearing Family Actual Exam
· Using sterile supplies and techniques when cleansing the perineum
· Applying cold packs at least every 3-4 hours
· Avoid hard sitting surfaces and recline for the first week at home
· Applying a perineal hot pack of using hot sitz bath - Correct Answer-Perineal hot
pack or moist heat with a sitz bath is an effective way to increase circulation to the
perineum, provide comfort and promote healing after the first 24 hours past
delivery. Ice or cold pack to the perineum during the first 24 hours reduces
perineal edema and the possibility of hematoma formation, thereby reducing pain
and promoting healing and comfort. Ice to the perineum after the first 24 hours is
no longer therapeutic.
When discussing nutritional needs during pregnancy with a client who is six weeks
pregnant, a nurse should include which of these actions?
· Give the client a list of the foods that should be included in her diet
· Explain why it is important for the client to increase caloric and protein intake
· Ask the client to describe what she eats during a typical 48 hours period
· Determine whether the client knows which foods contain essential amino acids -
Correct Answer-The nurse should ask the client to describe what they eat during a
typical 48 hour period in order to get a picture of the clients eating pattern. This
will help assess in what areas she will need nutritional teaching.
A client who is 37 weeks pregnant is scheduled for a fetal biophysical profile. A
nurse should instruct the client that the purpose of the test is to
· Assess fetal well-being
· Determine the degree of glucose in the fetal circulatory system
· Determine fetal lung maturity
3|Page
NACE CARE OF CHILDBEARING FAMILY ACTUAL EXAM NEWEST
/NACE CARE OF CHILDBEARING FAMILY EXAM
PREPARATION/NACE CARE OF CHILDBEARING FAMILY PRACTICE
EXAM WITH COMPLETE QUESTIONS AND CORRECT ANSWERS|
BRAND NEW VERSION!
Which of these statements, if made by a woman who is 10 weeks pregnant, would
reflect a normal physiological development at this time?
· I have difficulty falling asleep at night. I sleep less than I used to sleep
· I have some spotting and abdominal cramping
· My breasts are tender and my bras don't fit anymore
· Lately I have a white vaginal discharge and it makes me itch - Correct Answer-The
breast tissue is extremely hormone-sensitive during pregnancy. The hormones of
pregnancy, progesterone and HCG increase blood volume, which makes the
breasts swell and feel heavier than usual.
A client who is 24 weeks pregnant developed a vaginal monilial infection. It is
important that the infection be treated because an untreated vaginal candida
Albicans infection may result in which of these conditions in the newborn?
· Thrush
· Milia
· Erythema toxicum
· Opthalmia neonatorum - Correct Answer-Untreated vaginal monilial infection
can results in oral thrush, caused by yeast that typically invades inside a newborns
mouth and on the tongue. Milia and erythema toxicum are normal skin variations
of a newborn, and opthalmia neonatorum can result from untreated gonorrhea.
1|Page
, NACE Care Of Childbearing Family Actual Exam
A client who is at 20 weeks' gestation and at her ideal body weight for her height
asks a nurse how much weight she should gain during her pregnancy. The nurse
should recommend that the client should gain approximately how many pounds?
· At least 45 pounds
· 15 to 18 pounds
· 25 to 35 pounds
· At least 12 pounds - Correct Answer-The current recommended weight gain for
this pregnant woman with a single fetus should be between 25 to 35 pounds
during pregnancy. Underweight women should gain between 25 to 35 pounds,
overweight women should gain 15 to 25 pounds, and obese women should gain at
least 15.4 pounds.
A nurse instructs a class of postnatal women on methods to avoid nipple soreness
while breastfeeding. Which of these comments, if made by the participating
women, indicates the need for further instructions?
· I will wash my nipples and then dry them with a hair dry set at the lowest setting
· I will use one breast at each feeding and switch to the second breast at the next
feeding
· I will rub breast milk into my nipples
· I will place tea bags on my nipples - Correct Answer-The second comment would
indicate the need for further teaching. It is recommended that the baby feed of
both breasts at a feeding; this will help decrease soreness of nipples and help in
milk production.
A nurse should instruct a client who has an episiotomy to include which of these
comfort measures in the care plan after discharge?
2|Page
, NACE Care Of Childbearing Family Actual Exam
· Using sterile supplies and techniques when cleansing the perineum
· Applying cold packs at least every 3-4 hours
· Avoid hard sitting surfaces and recline for the first week at home
· Applying a perineal hot pack of using hot sitz bath - Correct Answer-Perineal hot
pack or moist heat with a sitz bath is an effective way to increase circulation to the
perineum, provide comfort and promote healing after the first 24 hours past
delivery. Ice or cold pack to the perineum during the first 24 hours reduces
perineal edema and the possibility of hematoma formation, thereby reducing pain
and promoting healing and comfort. Ice to the perineum after the first 24 hours is
no longer therapeutic.
When discussing nutritional needs during pregnancy with a client who is six weeks
pregnant, a nurse should include which of these actions?
· Give the client a list of the foods that should be included in her diet
· Explain why it is important for the client to increase caloric and protein intake
· Ask the client to describe what she eats during a typical 48 hours period
· Determine whether the client knows which foods contain essential amino acids -
Correct Answer-The nurse should ask the client to describe what they eat during a
typical 48 hour period in order to get a picture of the clients eating pattern. This
will help assess in what areas she will need nutritional teaching.
A client who is 37 weeks pregnant is scheduled for a fetal biophysical profile. A
nurse should instruct the client that the purpose of the test is to
· Assess fetal well-being
· Determine the degree of glucose in the fetal circulatory system
· Determine fetal lung maturity
3|Page
