Care of Childbearing Family NACE Practice 2025-
2026 Most Recent Version Comprehensive 80
Questions and Verified Answers Accurate
Solutions Already Graded A+ Get it 100% Correct
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.
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
· Assess fetal growth - CORRECT ANSWER: The purpose of the fetal biophysical profile
test is to assess fetal well-being. Special ultrasound methods are used to determine
increases in heart rate with movement (nonstress test), muscle tone, breathing rate, and
the amount of amniotic fluid.
A client who is 39 weeks pregnant is admitted to the labor and delivery unit in active
labor. Upon assessment, her contractions are 4 minutes apart, 50 seconds in duration,
and of moderate intensity. The cervix is dilated 5cm and the fetus is in the left occiput
anterior position at -1 station. Based on this information, the client is in which phase of
labor?
,· Preliminary
· Latent
· Active
· Transition - CORRECT ANSWER: The client is in active labor phase. Active phase is
when the cervix is 4-5cm dilated and it can be estimated that the cervix will dilate at
least 1cm/hr. Contractions are more frequent, 2-5 minutes apart and lasting 45-60
seconds. There is no preliminary phase of labor. Latent phase is the earliest phase of
labor and contractions are not as long or intense. The transition phase can be the most
difficult phase but it is also the shortest; the cervix id dilated from 7-8cm to 10cm and
contractions are frequent and intense.
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 client who is G1P0 is receiving IV oxytocin injection for labor augmentation. Because
of the effects of Pitocin, a nurse should assess the client for which of these adverse
effects of Pitocin?
· Bradypnea and diarrhea
· Insomnia and tachycardia
· Hypotension and diuresis
· Headache and water intoxication - CORRECT ANSWER: With doses of 20mU/min on
above, oxytocin exerts an antidiuretic effect decreases free water exchange in the
kidney, and markedly decreases urine output. Blood pressure initially may decrease, but
, after prolonged administration, the blood pressure increases above the baseline.
Oxytocin does not cause bradycardia, diarrhea, insomnia, or tachycardia.
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.
A client who is in labor at 5cm dilation is receiving a continuous lumbar epidural block.
Which of these assessments would be a priority for a nurse to make immediately
following the epidural administration?
· Ability to void
· Level of consciousness
· Axillary temperature
· Blood pressure - CORRECT ANSWER: Hypotension is a side effect of an epidural
block. Therefore, the priority assessment by the nurse should be to assess and
continuously monitor the client's blood pressure after the administration of the epidural
block.
A client who is in labor delivers spontaneously. Immediately after the delivery of the
baby, which of these actions should a nurse take first?
· Assess the baby's gestational age
· Obtain the baby's Apgar score
· Wipe secretions from the baby's eyes
2026 Most Recent Version Comprehensive 80
Questions and Verified Answers Accurate
Solutions Already Graded A+ Get it 100% Correct
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.
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
· Assess fetal growth - CORRECT ANSWER: The purpose of the fetal biophysical profile
test is to assess fetal well-being. Special ultrasound methods are used to determine
increases in heart rate with movement (nonstress test), muscle tone, breathing rate, and
the amount of amniotic fluid.
A client who is 39 weeks pregnant is admitted to the labor and delivery unit in active
labor. Upon assessment, her contractions are 4 minutes apart, 50 seconds in duration,
and of moderate intensity. The cervix is dilated 5cm and the fetus is in the left occiput
anterior position at -1 station. Based on this information, the client is in which phase of
labor?
,· Preliminary
· Latent
· Active
· Transition - CORRECT ANSWER: The client is in active labor phase. Active phase is
when the cervix is 4-5cm dilated and it can be estimated that the cervix will dilate at
least 1cm/hr. Contractions are more frequent, 2-5 minutes apart and lasting 45-60
seconds. There is no preliminary phase of labor. Latent phase is the earliest phase of
labor and contractions are not as long or intense. The transition phase can be the most
difficult phase but it is also the shortest; the cervix id dilated from 7-8cm to 10cm and
contractions are frequent and intense.
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 client who is G1P0 is receiving IV oxytocin injection for labor augmentation. Because
of the effects of Pitocin, a nurse should assess the client for which of these adverse
effects of Pitocin?
· Bradypnea and diarrhea
· Insomnia and tachycardia
· Hypotension and diuresis
· Headache and water intoxication - CORRECT ANSWER: With doses of 20mU/min on
above, oxytocin exerts an antidiuretic effect decreases free water exchange in the
kidney, and markedly decreases urine output. Blood pressure initially may decrease, but
, after prolonged administration, the blood pressure increases above the baseline.
Oxytocin does not cause bradycardia, diarrhea, insomnia, or tachycardia.
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.
A client who is in labor at 5cm dilation is receiving a continuous lumbar epidural block.
Which of these assessments would be a priority for a nurse to make immediately
following the epidural administration?
· Ability to void
· Level of consciousness
· Axillary temperature
· Blood pressure - CORRECT ANSWER: Hypotension is a side effect of an epidural
block. Therefore, the priority assessment by the nurse should be to assess and
continuously monitor the client's blood pressure after the administration of the epidural
block.
A client who is in labor delivers spontaneously. Immediately after the delivery of the
baby, which of these actions should a nurse take first?
· Assess the baby's gestational age
· Obtain the baby's Apgar score
· Wipe secretions from the baby's eyes
