NACE Care Of Childbearing Family 2024/2025 Questions With 100% Correct Answers
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NACE Care Of Childbearing Family
NACE Care Of Childbearing Family 2024/2025 Questions With 100% Correct Answers
NACE Care Of Childbearing Family 2024/2025 Questions With 100% Correct Answers
NACE Care Of Childbearing Family 2024/2025
Questions With 100% Correct Answers
1. A Nurse Is Explaining Physiological Jaundice To A Nursing Student. Which Of
The Following Should The Nurse Include When Discussing Risk Factors For
Neonatal Physiological Jaundice?
A) Gestational Age Of 35-38 Weeks
B) Birth Weight Less Than 2500 Grams
C) Maternal Diabetes
D) Maternal Blood Type O
ANSWER: A)
Rationale: Physiological Jaundice Typically Occurs In Newborns Due To The
Immature Hepatic Uptake And Conjugation Of Bilirubin. Newborns Born Between
35-38 Weeks Are At Higher Risk Compared To Those Born Earlier Or Later. While
Factors Like Maternal Blood Type O Can Lead To Hemolytic Disease Of The
Newborn, Physiological Jaundice Is Mainly Linked To The Immaturity Of The Liver
In These Gestational Age Ranges.
2. A Baby Boy Is Circumcised On The Day Of Discharge. Which Observation Should
The Nurse Make Prior To The Infant’s Discharge?
A) Assess For Redness And Swelling Around The Circumcision Site
B) Ensure The Baby Can Urinate Normally Without Pain
C) Evaluate The Infant's Ability To Latch Onto The Breast
D) Monitor The Infant's Temperature
ANSWER: B)
Rationale: Prior To Discharge After Circumcision, It’s Crucial To Confirm That The
Baby Can Urinate Normally Without Experiencing Pain. This Ensures That There Are
No Complications Such As Urinary Retention Or Excessive Bleeding From The
Circumcision Site.
,3. A Patient Who Is 38 Weeks Pregnant Is Admitted To The Hospital In Active
Labor. On Admission, The Patient Says, “For The Past Ten Hours, I Have Been
Leaking Small Amounts Of Urine.” Which Action Should The Nurse Take Initially?
A) Perform A Vaginal Examination
B) Test The Patient's Vaginal Secretions With Nitrazine Paper
C) Notify The Healthcare Provider Immediately
D) Place The Patient On Continuous Fetal Monitoring
ANSWER: B)
Rationale: The Nitrazine Test Is Used To Determine If The Fluid Is Amniotic Fluid
Or Urine. If The Fluid Turns Blue On The Nitrazine Paper, It Indicates The Presence
Of Amniotic Fluid, Which Is Critical For The Assessment Of Labor Progression And
Fetal Well-Being.
4. A Nurse Is Caring For A Female Client Who Suspects She Is Pregnant. Which
Question, If Asked By The Nurse, Is Consistent With Signs Of Early Pregnancy?
A) "Have You Experienced Any Nausea Or Vomiting?"
B) "Have You Noticed Any Tenderness In Your Breasts?"
C) "Are You Feeling More Fatigued Than Usual?"
D) "Have You Noticed Any Changes In Your Appetite?"
ANSWER: B)
Rationale: Breast Tenderness Is A Common Early Sign Of Pregnancy Due To
Hormonal Changes. While Nausea And Fatigue Are Also Associated, Breast
Tenderness Is A Specific Symptom That Often Prompts Women To Suspect
Pregnancy.
5. A Nurse Is Caring For A Newborn With A Gestational Age Of 42 Weeks. Which
Finding Would The Nurse Expect During The Assessment Of This Newborn?
A) Hypertonicity Of Muscles
B) Dryness And Flaking Of The Skin On The Hands And Feet
C) Increased Vernix Caseosa
D) Abundant Lanugo
ANSWER: B)
,Rationale: Newborns At 42 Weeks Are Post-Term And Often Exhibit Dryness And
Peeling Skin Due To The Decreased Amount Of Vernix Caseosa As They Are
Outside The Womb Longer. In Contrast, Hypertonicity And Abundant Lanugo Would
Be Seen In Preterm Infants.
6. A Patient Who Is 37 Weeks Pregnant And Has Gestational Diabetes Is Admitted
To The Labor And Delivery Unit For Induction. The Patient Is Placed On An External
Fetal Monitor And Receives An Epidural Anesthesia. Which Action Should The
Nurse Take To Identify A Potential Side Effect Of The Epidural?
A) Monitor The Patient's Heart Rate
B) Assess The Level Of Pain Relief
C) Monitor The Patient's Blood Pressure
D) Check The Fetal Heart Rate
ANSWER: C)
Rationale: Epidural Anesthesia Can Cause Hypotension, Which May Lead To
Reduced Placental Perfusion And Affect Fetal Oxygenation. Therefore, Monitoring
Blood Pressure Is Essential To Identify This Potential Complication.
7. Epidural Anesthesia Can Cause:
A) Hypertension
B) Bradycardia
C) Hypotension
D) Tachycardia
ANSWER: C)
Rationale: Epidural Anesthesia Can Lead To Decreased Systemic Vascular
Resistance, Causing Hypotension, Which Is Significant During Labor As It Can
Compromise Placental Blood Flow And Oxygenation Of The Fetus.
8. Preeclampsia Is Characterized By:
A) Hypertension, Edema, And Proteinuria
B) Hypotension, Edema, And Headache
, C) Proteinuria, Gestational Diabetes, And Hypertension
D) Hypertension, Headaches, And Elevated Liver Enzymes
ANSWER: A)
Rationale: Preeclampsia Is A Pregnancy-Related Condition Characterized Primarily
By The Combination Of Hypertension And Proteinuria, Along With Possible Edema,
Affecting Maternal And Fetal Health.
9. Deep Tendon Reflexes Can Be Affected By:
A) Calcium
B) Magnesium
C) Potassium
D) Sodium
ANSWER: B)
Rationale: Magnesium Has A Calming Effect On The Nervous System And Can
Suppress Deep Tendon Reflexes. In Conditions Such As Preeclampsia, Magnesium
Sulfate Is Used To Prevent Seizures And Can Also Impact Reflexes.
10. A Medication Used To Prevent Seizures In Patients With Preeclampsia:
A) Labetalol
B) Magnesium Sulfate
C) Nifedipine
D) Hydralazine
ANSWER: B)
Rationale: Magnesium Sulfate Is The Standard Treatment For Seizure Prophylaxis In
Women With Preeclampsia Or Eclampsia, Helping To Stabilize Neuromuscular
Excitability.
11. A Patient Is Receiving Magnesium Sulfate. Which Side Effect Should The Nurse
Monitor For With This Patient?
A) Increased Heart Rate
B) Decreased Respiratory Rate
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