Maternity Nace

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Sample questions from Maternity Nace

This material has 90 questions with answers and rationales. Here are the first 5.

1. 1.At a prenatal visit, a client at 10 weeks' gestation asks which nutrient is most important to take before and during early pregnancy to reduce neural tube defects. Which response is best?

   • A.Calcium
   • B.Iron
   • C.Vitamin D
   • D.Folic acid

   Rationale: Folic acid taken before conception and during early pregnancy reduces the risk of neural tube defects. Calcium supports fetal bone development, vitamin D aids calcium absorption, and iron supports maternal and fetal oxygen needs, but none has this specific preventive effect. The key teaching point is to begin folic acid before neural tube closure early in pregnancy.

2. 2.A client at 28 weeks' gestation calls the prenatal clinic. Which findings should the nurse instruct the client to report promptly? Select all that apply.

   • A.A severe, persistent headache
   • B.Vaginal bleeding
   • C.Mild ankle swelling at the end of the day
   • D.A sudden gush of fluid from the vagina
   • E.Noticeably decreased fetal movement

   Rationale: A severe headache can signal hypertensive disease, and decreased fetal movement warrants fetal assessment. A gush of fluid may indicate rupture of membranes, while vaginal bleeding requires prompt evaluation. Mild dependent ankle edema can occur in pregnancy and, without other concerning findings, is not by itself an emergency.

3. 3.A primigravida at 32 weeks' gestation reports intermittent painless vaginal bleeding. Which action should the nurse anticipate first?

   • A.Perform a digital cervical examination
   • B.Encourage ambulation to determine whether bleeding increases
   • C.Assess maternal vital signs and fetal status
   • D.Administer an oxytocic medication

   Rationale: Painless bleeding in the third trimester raises concern for placenta previa, so maternal stability and fetal status must be assessed promptly. A digital cervical examination is avoided until previa has been ruled out because it can provoke severe hemorrhage. Ambulation and oxytocic medication do not address the immediate safety concern.

4. 4.Which statement by a pregnant client indicates correct understanding of how to manage common heartburn?

   • A.I will eat smaller meals and remain upright after eating.
   • B.I will take any over-the-counter antacid without checking with my provider.
   • C.I will lie flat after meals to help food move through my stomach.
   • D.I will avoid drinking any fluids during the day.

   Answer and rationale are in the full material.

5. 5.During a home visit, a client at 30 weeks' gestation describes symptoms of possible preeclampsia. Which findings should the nurse identify as concerning? Select all that apply.

   • A.Urinary frequency without pain
   • B.Persistent right upper-quadrant pain
   • C.Blood pressure 146/94 mm Hg
   • D.Sudden swelling of the face and hands
   • E.New visual spots

   Answer and rationale are in the full material.