College of Nursing

NCM 101 (First Semester) Final Exam

2nd Year (NCP)
Name: ___________________________________________________________Date:__________

Multiple Choice.
Direction : Shade the correct letter of your choice on the answer sheet provided. NO ERASURE.

1. Which changes occur in the woman during the first postpartum period? Select all that apply

a. increase WBC c. increase urine output

b. Increase hunger d. increase progesterone production

2. Which behaviour would the postpartum woman demonstrate during the taking in phase?

a. passive dependent role c. receptive to self- care education

b. Increase energy d. increased responsibility

3. On the second postpartum day, the nurse would expect to palpate the fundus at:

a. 1 cm above umbilicus c. 1 cm below umbilicus

b. the level of umbilicus D. 2 cm below the umbilicus

4. When assessing the woman’s lochia on the 21 st postpartum day, what would the nurse expect to find?

a.Lochia rubra c. Lochia alba

b. Lochia serosa d. absence of lochia

5. The postpartum woman if not lactating is expected to have her resumed of menstruation in:

a. 12-24 weeks c. 6-8 weeks

b. 4-6 weeks d. 10-12 weeks

6. The postpartum woman if lactating is expected to have her resumed of menstruation in:

a. 12-24 weeks c. 6-8 weeks

b. 4-6 weeks d. 10-12 weeks

7. Vagina and perineum are inspected daily for normal healing of episiotomy by observing through REEDA

a. readiness, ecchymosis, edema, discharge, appropriateness

b. redness, edema, ecchymosis, discharge , approximation

c. redness, edema, estimated dryness and approximation

d. redness, edema, estimated discharge and approximation

8. Milk “let down reflex” from posterior pituitary gland released by sucking is caused by:

a. progesterone c. oxytocin

b. prostaglandin d. relaxin

9. The development of caring relationship with the baby is called:

a. sensual response c. entertainment

b. bonding d. touch

10. Mother in this postpartal stage is passive and may need help with daily activities as well as with the child care:

a. Taking in c. letting go

b. Taking hold d. independent

11. Mother in this postpartal stage identifies own needs, especially for teaching and help with her own and baby’s need:

a. Taking in c. letting go

b. taking hold d. dependent

12. The fundus of postpartum woman after 6-12 hours of delivery is expected to:

a. rises up to the level of umbilicus c. midway the symphysis pubis and umbilicus

b. descends 1 fingerbreadth (1cm) d. below umbilicus

13.The following measures are used to promote good bowel habits after delivery , except:

a. regular bowel elimination habits c. diet of fresh fruits and vegetables

b. drinking large amount of fluids d. mineral oil

14. Assessing thrombophlebitis, the woman’s ankle is dorsiflexed and assessed for the presence of pain the woman ‘s

calf while woman’s ankle is in dorsiflexed position and is called :

a. Calkin’s sign c. chadwick’s sign

b. Hegar’s sign d. Homan’s sign

15. The postpartum period usually six weeks, in which the mother’s body experiences anatomic and physiologic changes

that reverse the body’s adaptation to pregnancy, may also be called

a. Subinvolution c. anovulation
b. Involution d. evolution

16. Sexual intercourse is resumed after6 weeks of delivery when the bleeding has stopped to prevent discomforts and

facilitate the :

a. Dryness of perineum c. healing of episiotomy

b. Prevention of infection d. prepregnant return of uterine size

17. The normal blood loss in vaginal delivery is:

a. 300cc to 500 cc c. 600cc to 800 cc

b. 500 cc to 1000 cc d. 200 to 400 cc

18. Initial secretion of colostrums with increasing amount of true breast milk is appearing between:

a. 12-24 hours c. 24-36 hours

b. 48-96 hours d. 48-72 hours

19. After birth the mother is expected to have temperature slightly increased during the first 24 hours due to:

a. stress c. dehydration

b. climate change d. bleeding

20. Blood pressure of the mother during the the 1st 24 hrs. of postpartum period is expected to be;

a. 140/90 mmHg c. 90/50mmHg

b. 130/100 mmHg d. 120/80mmHg

21. To promote perineal exercises to relieve episiotomy discomfort, an exercise of contracting and relaxing muscles of

the perineum five to ten times is done as if trying to stop voiding as termed as:

a. Kegels exercise c. active exercise

b. Passive exercise d. perineal exercise
22. It is defined as the 6 week period after childbirth or called postpartum period:

a. involution c. subinvolution

b. puerperium d. anovulation

23. During the postpartum period, a client asks the nurse what the term “involution” means . The nurse’s response is

based on which of the following?

a. Involution is a progress descent of the uterus into the pelvic cavity , occurring approximately 1 cm per day as
it returns to its non-pregnant weight.
b. Involution refers to the gradual reversal of then uterine muscle into the abdominal cavity
c. Involution refers to the descent of the uterus into the pelvic cavity, occurring at a rate of2 cm daily.
d. Involution refers to the inverted uterus that is beginning to return to normal.

24. A woman is to receive ergonovine maleate (Methergine ) by mouth during the first and second postpartum days.

Prior to administering Methergine, it is most important to check the womans :

a. Lochia c. blood pressure

b. Deep tendon reflexes d. uterine tone

25. Four hours postpartum, the client’s temperature is 101°F. The most appropriate nursing action is to:

a. continue to monitor the temperature c. notify the physician

b. apply cool packs to the abdomen d. remove blanket from the client’s bed.

26. After instructing a primipara client who is breastfeeding how to prevent nipple soreness during feedings, the nurse

determines that the client needs further instruction when she states which of the following?

a. “I should position the baby the same way of each feedings”

b. “I should make sure the baby grasps the entire areola and nipple”
c. “I should air-dry my breast and nipples for 10 to 15 minutes after the feeding”
d. “I should’nt use a hand breast pump if my nipples get sore.

27. A client is threedays postpartum. Her vital signs are stable; fundus is three fingerbreaths below the umbilicus. , and

her lochia rubra is moderate . Her breast are hard and warm to touch. The analysis of these findings would be that

the client:

a. is shown early signs of breast infection

b. Is normal for three days postpartum
c. Needs ice packs applied on her breast
d. Should remove her nursing bra to reduce discomfort.

28. A multiparous client who is breastfeeding complains of severe cramps or afterpains 28 hours after caesarean

delivery . The nurse explains that these are caused by which of the following?

a. Flatulence accumulation after caesarean delivery.

b. Healing of the abdominal incision after caesarean delivery.
c. Side effects of the medication s