SITUATION: As the fetus grows, body organ systems develop from

Arlian, a nursing student, is reviewing for her finals specific tissue layers. Knowing these is helpful to know
examination next week. She wants to master the because coexisting congenital disorders found in
Reproductive organ. The following questions are newborns usually arise from the same germ layer.
pertaining to its anatomy.
6. Which among the Germ layers that forms the brain
1. During coitus, there are glands that release secretions and spinal cord?*
to lubricate the external genitalia. What do you call the
glands located on each side of the vaginal opening?* A.Ectoderm
1 point B.Mesoderm
C.Endoderm
A.Bartholin gland D.Epidermis
B.Cowper’s gland beside prostate
C.Skene gland 7. Heart is the muscle at the center of the circulatory
D.Prostate gland system that pumps blood around the body as it beats. The
nurse is aware that it is from which germ layer?*
2. The nurse knows that the structure that conveys the
ovum from the ovaries to the uterus is the fallopian tube. A.Ectoderm
Which of the following is true about the isthmus part of B.Mesoderm
the fallopian tube* C.Endoderm
D.Epidermis
A.It is the most proximal part of the tube that lies within
the uterine wall  INTERSTITIAL WALL 8. The trachea and esophagus arise from the same germ
B.This part is cut during childbirth to enlarge the vaginal layer which makes it common for a birth anomaly such
opening FOURCHETTE as fistula to occur between them. Which germ layer it
C.It is where fertilization of an ovum usually occurs arises from?*
D.It is extremely narrow where tubal sterilization is
done A.Ectoderm
B.Mesoderm
3. Spermatogenesis is the production of sperm to C.Endoderm
maintain a fixed number of chromosomes of every D.Epidermis
human being. Spermatozoa is produced in the testes.
Which among the following is true about its complex 9. Krizzia, a pregnant client, is currently working in a
sequence of events?* company. She tells the nurse that she has to work
because her husband’s income is not enough to sustain
A.Ductus deferens, arteries and veins their everyday needs. She asks the nurse how she can
B.Prostate gland, cowper’s gland and vas deferens prevent fetal teratogens.*
C.Seminal vesicle, epididymis and vas deferens
D.Vas deferens, cowper’s gland and seminal vesicle A.Avoid any room where smoker gathers
B.Refrain from drinking alcohol
4. Spermatogenesis is the production of sperm to C.Ask employer for a statement on hazardous substances
maintain a fixed number of chromosomes of every at work site
human being. Spermatozoa is produced in the testes. D.AOTA
Which among the following is true about its complex
sequence of events?* SITUATION:
There is a 1.47% increase of population in the
A.FSH is responsible for the release of testosterone from Philippines in 2022. Family Planning Health program
the testes LH was held in a hospital where topics about contraceptives
B.LH is responsible for the release of androgen-binding is discussed. Nurse Totimar is on duty and she
protein (ABP) FSH encountered the following questions:
C.LH and FSH are only released in females for their
menstruation 10. Jana went to the clinic and confirmed with the nurse
D.ABP and testosterone promotes sperm formation about the use of diaphragm. She should be instructed to
ABPS Bind to testosteron leave it in place after coitus for at least how many hours?
*
5. Patient XYZ went for a laboratory test to check for
his sperm count. Analysis revealed that the number of his A.1 hour
sperm in one ejaculation is approximately 15 million. B.6 hours  24 hours, MORETHAN 24 fluid statisis
The nurse knows that is:* C.12 hours
D.24 hours
A.Aspermia
B.Oligospermia 11. A 38 year old female, with 4 children, came to the
C.Normal  NORMAL VOLUME:1.5 to 5mL clinic and inquired about her options for contraception
NORMAL COUNT: 20-150 MILLION methods. She also stated that she smokes a pack of
D.Hyperspermia cigarettes a day. The nurse advised her to avoid:*

SITUATION: A.Oral contraceptives

B.IUD
C.Cervical cap probability of complications during pregnancy. The
D.Diaphragm following questions apply:

12. Carla, a 19-year-old working student, was trembling. 16. Maryrose, a 22-week pregnant client, is scheduled
She told the nurse she forgot to take her prescribed active for an amniocentesis. Which of the following nursing
contraceptive pills for two consecutive days. She started instructions should be given to the client?*
crying and asked the nurse what to do. The nurse should
instruct:* A.Position the patient in a sitting position to better access
the fluid
A.Ignore it, take one now and use other contraceptive B.Void immediately before the procedure
such as spermicide for a month C.Drink 2-3 full glasses of water prior to the
B.Take two pills now then continue tomorrow with amniocentesis and void after the procedure
your usual schedule D.X-ray will be used to guide the procedure  UTZ
C.Throw out the rest of the pack and start a new pack of
pills 17. Judy, a 23-year old primigravida is scheduled for an
D.Let’s inform the physician. alpha-fetoprotein test. She asks the nurse for the
indication of the test and what the medical professional is
13. Carol consults the nurse because her 16-year-old trying to detect. The nurse correctly answers:*
daughter asks her how she can avoid the pressure of
unwanted sex? The nurse should not suggests:* A.Kidney defects
1 point B.Respiratory Defects
C.Cardiac Defects 
A.Tell the daughter to discuss it with her partner which D.Chromosomal Defects  ↑:NTD ↓: CHROMOSAL.
sexual activities will permit or not TRISOMY21
B.Be certain that her partner understands that when she
say “NO”, she means it 18. Judy, still being anxious, feels sorry and says it is
C.Avoid being in a high-pressure situations such as a her first time. She is curious on how AFP is being
party with known drug use obtained?*
D.Tell her daughter that accepting drugs is fine if she 1 point
is with her close friends
A.Cervical secretions
14. The nurse is teaching the client about a natural B.Chorionic villi blood sample
family planning method which is the basal body C.Maternal blood sample  16-18 weeks
temperature method. The woman does not need any D.Abdominal ultrasoun
further teaching when she states that*
19. Angela is in her first trimester. She is too excited to
know the gender of her baby and asks when is the earliest
A.“Sa araw ng ovulation ko ay tataas ng 1°C ang month that her baby’s gender will be determined. The
temperature ko” nurse responds*
B.“Iche-check ko ang temperature ko sa umaga
pagkatapos ko mag exercise”
A.2 months by an ultrasound  EXTERNAL
C.“Kapag bumaba po ang temperature ko tapos
GENITALIA STARTS TO OCCUR
kinabukasan biglang tumaas, dapat hindi ako
B.4 months by an ultrasound
makipagtalik hanggang dalawang araw pagkatapos ito
C.7 months by an ultrasound  DESCEND OF
tumaas” TESTICLES
D.“Kapag paiba-iba ang oras ng gising ko, D.It is impossible. The gender is known after birth
makakaapekto ito sa BBT method”
20. Biophysical profile scoring combines five
15. The mucus of the uterine cervix changes in structure parameters in checking the overall well-being of the
and consistency each month during a menstrual cycle. fetus. Among the parameters, which is not assessed using
Which assessment of cervical mucus suggests that the a sonogram*
woman is about to ovulate?
A.Fetal breathing continues movement of diaphragm for
i.Scant cervical mucus at least 30 sec
ii.(+) Spinnbarkeit if ↑estrogen B.Fetal Tone  atleast active extension of fetal with return
iii.Highly viscous cervical mucus to flexion/ opening or closing of hand
iv.(+) Ferning if ↑estrogen C.Fetal Heart reactivity  non stress test—REACTIVE+
atleast 2 or more FHR acceleratipn of atlest 15bpm for
A.i, ii, iii, iv atleast 15 sec. during a 20 min period
B.ii, iii, iv D.Amniotic fluid volume 
C.i, ii, iv
D.ii, iv 21. Pia, a 36 weeks in gestation is scheduled for a
routine ultrasound prior to an amniocentesis. After
SITUATION: teaching Pia about the purpose for the ultrasound, when
Nurse Lilian is working in Guimaras Primary Health you were validating her understanding which of the
Care where routine laboratory tests is done for pregnant following statements would indicate that Pia needs
client. She knows that Routine laboratory tests are further instruction?*
performed to identify conditions that may increase the
A.“the test will determine where to insert the needle"
B."the ultrasound locates a pool of amniotic fluid" A.Boys should be circumcised because it is in the
C."the ultrasound will help to locate the placenta" Philippine culture
D."the ultrasound identifies blood flow through the B.A statement from the DOH asserts that
umbilical cord"  DOOPLER circumcision is highly personal
C.Centers for Disease Control and Prevention (CDC)
22. The mother received the results of her ultrasound experts endorse circumcision for every male newborns.
and it indicates that there is a less than the usual amount D.Circumcision is not yet allowed in newborns and
of amniotic fluid present. The nurse knows that should not be talked about.
OLIGOHYDRAMNIOS is NOT related to:*
28. A 1-day old baby of Mr. and Mrs. Reyes is being
A.It suggests extreme prematurity assessed by the nurse. Which of the following findings
B.It may result to umbilical cord compression should be reported to the doctor?*
C.It is related to poor flexion in fetal attitude
D.The pockets of amniotic fluid is around 20-24 A.Harlequin sign
B.Erythema Toxicum
C.Choanal atresia
D.Epstein pearls

23. Baby Juju, a 1-year-old infant weighs 22.5lbs. If the

infant gains weight normally, the nurse knows that Juju’s
weight when she was 6 months is:* 29. Trevor is for a laboratory test to check his
 BY 6 MONTHS - DOUBLES respiratory status with acute asthma exacerbation. The
 BY 12 MONTHS – TRIPLED nurse has a scientific knowledge if she knows the result
 BASELINE WEIGHT- 22.5x2=7 .5 is from*

A.11.25lbs A.CBC
B.15 lbs B.SGPT
C.7.5 lbs C.ABG
D.16.5 lbs D.CBG

24. When the nurse is assigned to admitting neonates in 30. Casey, a 4-year-old child is scheduled for breathing
the nursery. She makes it into a point to wear her gloves exercises. The goal is for her to increase her expiratory
carefully. This action is based on what scientific phase? What is the appropriate task?*
knowledge*
A.Use an incentive spirometer
A.Meconium contains enteric bacteria which may be a B.Taking several deep breaths
cause for infection C.Breathe into a paper bag
B.The urine of infant is so alkaline which is very harmful D.Blow a pinwheel
to the skin
C.The baby is at high risk for infection and must be 31. The mother of a child with asthma is confused with
protected at all times the prescription given by the doctor and says there are a
D.Amniotic fluid may contain harmful viruses lot of medications for asthma. She asks which of the
following medications has a quick relief when there is an
25. The attending physician has ordered to give Vitamin asthma attack?*
K 0.5mg IM for a newborn. The nurse checked the stocks
of available medication and found a vial with 2mg/mL A.Fluticasone
label. The nurse calculates and give the correct dose as:* B.Prednisone
C.Montelukast
A.1mL D.Albuterol  SABA
B. 0.25mL
C. 4mL 32. A 6-year-old child was rushed to the emergency
D.0.5mL department due to difficulty breathing.The most
important piece of information that would indicate that a
26. When the nurse checked the 8-hour-old neonate, she child is in status asthmaticus is?*
assessed the hands and feets bluish in color. The nurse is
knowledgeable when she does what action?* A.When is the child’s last meal?
B.When was the child’s last dose of medication?
A.Administer oxygen via nasal cannula C.What was the child’s last activity when asthma
B.Swaddle the baby in a blanket triggers?
C.Inform the physician and ask for a possible incubator D.When was the child last admitted
D.Apply pulse oximeter to check for oxygen saturation
33. Four primigravida clients went to the clinic and were
27. The postpartum mother asks the nurse if she should assessed accordingly by the nurse on duty. Which among
have their son circumcised. Which piece of scientific the gravid clients should the nurse refer for further
information should the nurse base her answer on?* assessment?*

A.30 weeks’ gestation complains of supine hypotension

B.9 weeks’ gestation complains of pyrosis with nausea 1 point
and vomiting
C.36 weeks’ gestation complains of hemorrhoids and A.Vital capacity does not decrease and has no change
bleeding gums during pregnancy
D.34 week’s gestation complains of epigastric pain B.Gravid client develops chronic respiratory alkalosis
and oliguria fully compensated by a chronic metabolic acidosis
C.Tidal volume is increased up to 40% as a woman
34. Nilda, A 37-week pregnant client, told the nurse draws in deeper breaths
about changes in her body, she states that her face and D.Residual volume is increased up to 20% because of
hands look swollen. The nurse knows that this might be the pressure from the diaphragm
cause of:*
40. Luna, a 9th week pregnant client, is experiencing
A.Cardiac failure morning sickness. All of the following is related to the
B.Hepatic insufficiency normal nausea and vomiting in early pregnancy. Which
C.Pulmonary problem is not included?
D.Altered glomerular filtration i.Due to Increasing hCG levels
ii.Due to decreasing glucose levels being used by
35. Nilda is diagnosed to have mild-preeclampsia. The growing fetus
pediatrician was worried for the fetus and asked for iii.It usually subsides after the first 3 trimester
diagnostic tests. The nurse knows because preeclamptic iv.Eating a snack before bedtime may help in preventing
gravid clients may cause what effect on the fetus* nausea
1 point Notify physician if vomits more than once daily

A.IUGR ANSWER: iii ONLY

B.HELLP A.i, ii, v
C.DIC B.i only
D.PDA C.i, ii, iii, iv, v
D.i, ii, iv, v
36. Nilda became conscious on her diet and asks the
nurse on what she should consume to manage her 41. Marga’s pre-pregnancy weight is 68 kilograms and
diagnosis of mild-preeclampsia. The nurse is correct she is 5 ’4’’ in height. She is advised to gain how much
when she states:* additional weight in her pregnancy?*
1 point 1 point

A.Restrict sodium intake A.25 - 35 lbs NORMAL BMI

B.Avoid foods high in sugar B.15 - 25 lbs OVERWIGHT
C.Increase oral fluid intake C. 28 - 40 lbs UNDERWEIGHT
D.Consume a well-balanced diet D. 25 - 42 lbs OBESE WITH MULTIPLE FETUSES

37. Nilda was given discharge instruction about having

to be on bedrest at home and questions why she has to
comply? The nurse responds with scientific basis that:*
1 point

A.Bed Rest prevents you from falling while you are

walking
B.Bed Rest helps in conserving enough energy for the
upcoming labor
C.Bed Rest prevents premature labor from occurring
D.Bed Rest helps in increasing amount of oxygen 42. Genesis went together with her BFF, Cassy, who is
receive by the fetus also pregnant with a pre-pregnancy weight of 121 lbs
with 5’7 in height. In Cassy’s case, she is to gain weight
38. Regina, a 22-year-old gravid client, told the nurse how much additional weight, as advised, in her
her concern and said “Napapansin ko po na parang pregnancy?*
napapadalas ang pagbabara ang ilong ko. Wala naman po
akong allergy”. The nurse knows that it is due to:* A.25 - 35 lb
B.15 - 25 lbs
A.Increased progesterone levels C.28 - 40 lbs
B.Increased estrogen levels D. 25 - 42 lbs
C.Increased hCG levels
D.Increased testosterone levels

39. It is noted in Regina’s assessment that she is having

a mild feeling of shortness of breath. The nurse’s recalls
in her maternal and child nursing class that it is due to
the diaphragm being displaced by increasing size of the
uterus. The following are the respiratory changes during 43. Marga asks if she is taking enough vitamins for the
pregnancy except* growth and health of her baby and raised a concern about
folic acid. The Recommended amounts of folic acid daily D.Infant born after 41st week of pregnancy
to be taken during pregnancy is?*
49. As the nurse is assessing the newborn with a high
A.0.4 mg daily  400 MICROGRAMS
risk. What of the following assessment would lead the
B.40 µg daily nurse to suspect cold stress syndrome?*
C.400 mg daily
D.4 g daily A.Erythema toxicum
B.Acyocyanosis
44. Marga is concerned about her weight and how she C.Blood glucose of 50mg/dL
will be able to achieve the recommended gain in her D.Tachypnea DIMINISHED SURFACTANT
entire pregnancy. She asks the nurse about nutrition PRODUCTION= INHIBITS TACHYPNEA
advice. The nurse should include:*
50. Another neonate, Lucy, born at 28 weeks of
A.Obtain simple carbohydrates because it is easily gestation, develops respiratory distress syndrome. The
digestible doctor prescribed surfactant immediately after birth. The
B.Consume sugar substitutes to maintain glucose levels nurse knows it is administered:*
C.Consume less than 1,500 calories per day to help
regulate the weight gain A.Intravenous
B.Intramuscular
C.Endotracheally
D.Orally
D.Advise to consume protein-rich foods 51. Oxygen administration is necessary for Lucy to
maintain the correct PO2 and pH levels following
45. Lisa is communicating about the nutrition of the surfactant administration. However, a possible
pregnant woman. She wants to gather information that complication of oxygen therapy in neonate like Lucy,
will give the most accurate nutrition history about the
since she is a preterm baby is:*
patient. She will ask:*
A.Bronchopulmonary dysplasia
A.How do you feel after you eat in each meal? B.Cystic Fibrosis
B.What foods should you include in an ideal food plate? C.Laryngomalacia
C.Can you tell me what you ate yesterday? D.Croup
D.In your opinion, are you eating nutritious food? How
do you say so? 52. The nurse heard about the news of increasing hazing
in brotherhood, fraternity or sorority. The law that
46. The patient is taking prescribed oral iron
prohibits this is:*
supplements religiously. She was informed that it
contributes to her constipation. The nurse advised the
pregnant client to:* A.RA 7610  SPECIAL PROTECTION AGAINST CHILD
ABUSE
B.RA 10630  JUVENILE SYSTEM
A.Use mineral oil to relieve constipation C.RA 11053HAZING
B.Enemas can be done because it is natural. It only uses D.RA 10354  RH LAW
water  PRETERM LABOR
C.Docusate sodium may be taken if dietary measures SITUATION:
fail  STOOL SOFTENER Care of the newborn also places a lot of professional
D.Dulcolax may be taken if regular bowel evacuation nursing practice challenges.
fail HYPOMAGNESEMIA
53. A newborn baby girl was born at 9:15 A.M. which
47. Nutrition must always form part of the health of the following findings are normal?*
education for all pregnant mothers. When counseling a
pregnant woman about nutrition, nurse Nicole makes A.Yellow skin tones at 12 hours of age
sure to:* B.Passage of meconium within the first 24 hours
C.Respiratory rate of 70/minute at rest
A.Recommend that she weighs herself once a week D.Bleeding from umbilicus
B.Tell her to eat double the amount of food that she takes
before her pregnancy 54. As you were carrying this newborn infant to her
C.Inform her that only very anemic women need mother's room, her mother remarked, "I think my baby is
iron/folate supplements afraid of me. Every time I make a loud noise, he jumps".
D.Ask per participating mothers what they eat in a You should:*
day to determine if her diet is adequate
A.Reassure her that this is a normal reflex reaction
48. Four babies are in the newborn nursery. The nurse for her baby  NORMAL REFLEC REACTION
that is at highest risk for developing cold stress syndrome B.Wrap the baby more tightly in warm blankets
is?* C.Take the baby back to the nursery for a neurologic
evaluation
A.Infant with Rh incompatibility D.Encourage her not to be so nervous with her baby
B.Infant with neural tube defect
C.Infant born with diabetic mother
55. You are assessing another 3-hour old, full-term undertaken by healthcare professionals in doing
newborn baby boy. Which of the following findings immediate intrapartal maternal care and newborn care
would you record as abnormal when assessing his head?* management and the following condition apply.

A.Asymmetry of the head with overriding bones. 60. Nurse Nicole is a member of the birthing team when
B.Head circumference 32 cm, chest 34 cm  Michelle gave birth to her first born. Inside the delivery
C.A sharply outlined, spongy area of edema room Nicole assisted the attending obstetrician. To
D.Two" soft spots" between the cranial bones address the concerns of keeping the baby warm, her first
step in obtaining thermal protection for the newborn is
to.*

A.Dry the baby thoroughly after the cord has been cut
B.Dry the baby thoroughly immediately after giving
birth
C.Cover the baby with a clean, dry cloth after the cord
has been cut
56. Nicole just had a vaginal delivery of her second D.Cover the baby with clean, dry cloth, immediately
child 2 days ago. She breastfeeds her baby without after birth
difficulty. You visited her and during your postpartum
assessment you EXPECT normal findings to be as:* 61. After providing necessary drying and warmth and
support to the newborn. Nurse Michelle observed other
details as essential parts of the immediate care of a
A.Fundic height at 1 cm above the umbilicus
 1 hour after birth = umbilicus normal newborn which includes:*
24hrs thereafter+1cm below
B.Some feeling of after pains A.Deep suctioning of the airway to remove mucous
C.Voiding frequently, 50-75 mL per episode of voiding B.Removing used wet cloth, and covering the baby with
250-400 mL clean, dry cloth
D.Pinkish to brownish vaginal discharge RUBRA-DARK C.Stimulation the baby by slapping the soles of the
RED
baby’s feet
57. Ruthchelle had vaginal delivery of her first baby 6 D.Skin-to-skin contact by placing the baby over the
weeks ago and you see her for follow-up postpartum mother’s chest
visits. She is feeding well and is bottle-feeding her infant
successfully. During your physical assessment, you 62. In applying essential new born care (ENC), Nurse
EXPECT normal findings as:* Richard keeps in mind that care of the umbilicus should
include:*
A.Having some pink striae but starting to fade
B.Tender breast, some milk expressed  MASTITIS A.Cleaning with cooled, boiled water and leaving it
C.Fundus 6cm below the umbilicus on palpation  NON uncovered
PALPABLE BY 10 DAYS B.Covering with a Sterile compress
D.With creamy, yellow vaginal discharge  YEAST C.Cleaning with alcohol
INFECTION D.Applying antibiotic cream

58. In the postpartum period, you should instruct your 63. The vitamin K is administered to the newborn for
client to perform which of the following exercises to which of the following reason?*
strengthen her pelvis floor muscles?*
A.Newborns are susceptible to avitaminosis
A.Kegel exercises B.Newborns have no intestinal bacteria
B.lung exercise C.Hemolysis of the fetal red blood cells destroys vitamin
C.push-up K
D.sit-ups D.The newborn’s liver incapable of producing sufficient
vitamin K
59. Another nursing focus is the monitoring of
postpartum clients for possible complications. 64. Practice like cord clamping and the traditional
Postpartum hemorrhage is one of the primary causes of “milking” of the cord immediately post delivery have
maternal mortality associated with child bearing. Which now been proven to be beneficial. These can also results
among the following T’s is the most frequent cause of in more harm and complications especially in pre-terms
postpartum hemorrhage?* and in the fragile blood vessels in the brain of the
newborn. Richard NOW modifies and introduces a new
A.Tissue newborn care practice termed as:*
B.Trauma
C.Tone  RESISTANCE OF THE MUSCLE A.Routine Separation
D.Thrombin B.“Unang Yakap”
C.Properly timed cord clamping
SITUATION: D.Partographing
A current initiative of the Department of Health (DOH)
is the program called essential intrapartal Newborn SITUATION:
(EINC). This provides meaningful measures to be If emergencies occur inside healthcare facilities where
supplies and equipment’s are expectedly available and
assumed complete, similar healthcare situations are also danger signal prompting alert for the first sign of
present in “pre-hospital” or pre-institutional” settings excessive blood magnesium level is:*
requiring the same degree of nursing care management.
The following applies. A.Disappearance knee – jerk reflex  ↓ DEEP TENDON
REFLEX NORMAL=2+
65. During the second second trimester of pregnancy, a B.Increased respiratory rate DECREASE
pregnancy woman is ideally given her first dose of C.Development of cardiac dysrhythmia
tetanus toxoid by intramuscular injection. Which of the D.Disturbance in sensorium
following is appropriate for the disposition of used
syringes and needles in the pre-institutional settings?* SITUATION:
Nurse Michelle retired early form service as clinical
A.Cap again before throwing in garbage cans instructor in a college of nursing in Alfonso Cavite and
B.Decontaminate before even reusing opened he PRIMARY HEALTH CARE (PHC)
C.Place in puncture – proof containers NURSONG CLINIC. One of her health programs
D.Place in a garbage can focused on CHILD SURVIVAL which includes
addressing malnutrition.
66. The pregnant client with threatened miscarriage is
advised by the nurse to avoid coitus for two weeks which Using the IMCI Approach the following situations and
she asks the purpose why. The nurse responds correctly:* questions apply

A.It prevents infection 71. Among the first clients in nurse Michelle’s PHC
B.It prevents threatened miscarriage to change to Clinic Raffy, a 6 month’s old child, with visible severe
imminent wasting and severe palmar pallor which nurse Raffy
C.It pokes the live fetus classified as:*
D.It is unethical and unprofessional
A.Not very weight/No Anemia
67. Mrs. Nicole Richards came to you with an obstetric B.Anemia/severe malnutrition
history of three (3) spontaneous abortions, is now 12 C.Severe malnutrition/severe anemia
weeks pregnant, and attending her OB’s high rick clinic. D.Anemia/very low birth weight
Mrs. Richard expresses to you her concern over this
pregnancy. In order for you to determine that the patient
is experiencing IMMINENT miscarriage occur when*

A.Bright red vaginal bleeding

B.Abdominal cramping
C.Cervical dilation
D.Loss of products halted

68. You are faced with a patient, Mican who is

suspected of having ruptured tubal pregnancy. In 72. Another child, Sam, has some palmar pallor can be
obtaining the history from this client you should expect classifies as having:*
the client to indicate that her symptoms of pain in the
lower abdomen and vaginal bleeding starting:* A.Severe anemia
B.Low weight for age
A.Midway through the second semester C.Anemia
B.At the beginning of the last trimester D.No anemia
C,.Immediately after implantation occurred
D.About the sixth (6th) week of pregnancy  1,5-3.5 73. Intestinal parasitism may be a cause of malnutrition
cm +large enough to start rupturing in the case of Sam. Given that IMCI best practiced
beginning at the primary level of health care, treatment
69. You are assessing a client, Michelle with pregnancy- of parasitism has also been covered. In these cases,
induced hypertension, you expect Miles with pregnancy- mebendazole is given as a single dose for:*
induced hypertension, you expect Miles’s blood pressure
to be:*

A.30/15 mmHg over the baseline BP of Michelle’s

prior to pregnancy on 2 occasions at 6 hours apart or
140/90 mmHg and over USED WHEN NO BASELINE
B.Above her baseline BP during her non-pregnancy state
A.10 month old children
and accompanied by headache
B.Hookworm/Whipworm infection as problem in
C.150/100 mmHg while standing and sitting since prior
specified areas
to pregnancy
C.Children who received a dose the previous month
D.Above her baseline BP during her non-pregnancy state
D.Children with Feeding problems
and fluctuating at each reading
74. Iron deficiency anemia may also be prevalent in
70. You are caring for Michelle, a patient on MgS04
some areas and in this condition IRON SUPLEMENTS
(CNS DEPRESSANT) therapy for severe pre-eclampsia. The
may be given for:*
 C.A client with cold symptoms has an oral temperature
of 39.4°C
D.A client is complaining of leg pain after walking half a
mile

80. You are the nurse on duty and at approximately 6

PM you began to open the nurses' notes for the evening
A.1 week shift. The last entry is noted for 1PM, and there is no
B.3 weeks signature. The MOST appropriate nursing response for
C.30 days you is:*
D.14 days A.Begin charting on the next line below the last entry,
and make a note for the day nurse to make a late
75. Vitamin A should also be given to children EXCEPT entry to complete the chart
for when:* B.To leave approximately 3 or 4 lines for the day nurse
A.There is severe malnutrition to enter the day information and sign the chart
B.Children who has received vitamin A in the last 3 C.Not to make any entry notes until the day nurse has
months been notifies of the problem and returns to the unit to
C.Has normal weight complete her charting
D.Children 6 months or older D.Review with the client the activities after 1PM, and
enter what are determined to be the activities after 1 PM
SITUATION:
Documentation is an important aspect of every nursing SITUATION:
activity. This is a major area of responsibility which Telling and sharing are very important tools of
helps facilitate continuity of work within a 24-hour transmitting health awareness to clients particularly
cycle. during children's growth and development years. These
conditions apply.
76. Nicole, a 26-year old mother was admitted for
hyperemesis gravidarum. While taking her history it 81. A mother asks you when the soft spot on the front of
would be MOST important to report which of the the baby's head will close. Your appropriate response is "
following? Nicole has:* the anterior fontanel will close:*
1 point
A.Anxieties over the effect of her condition to the baby
B.Cool lower extremities, bilaterally A.By 12 to 18 months of age"
C.Diminished palpable peripheral pulses—SIGN OF B.Shortly after the posterior fontanel; closes"
DEHYDRATION C.In a 6 months"
D.Allergy to shellfish D.By the time the baby is 1 year old"
77. You are on duty and from the report/endorsements 82. Another mother asks you to explain what fine motor
from the previous shift which client should you attend to skills are. She has heard that it has something? to do with
FIRST? A client who is:* a school-aged child's ability to draw and color within the
lines, and she wants to know what this mean in an infant.
A.Schedule to receive heparin and the PTT is 70 You would explain that fine motor development is the
seconds NORMAL 60-100 seconds ability to:*
B.Receiving Ciprofloxacin (Cipro) and complains of a
fine macular rash  ALLERGIC REACTION A.Write and draw, and that infant do not have any fine
C.Receiving a blood transfusion and complains of a dry motor skills yet
mouth B.Use all of the fingers of both hands equally well in a
D.Receiving IV potassium and complains of burning at coordinated manner
the IV site C.Picks up items and moves them from place to place
in a voluntary fashion
78.You are reviewing the nurse's notes in your obstetric
D.Coordinates hand to eye movement in an orderly and
client's chart. You would be MOST concerned by which
progressive manner
of the following entries?
83. As you are working with the parents of Nicole, a 32
A."the client's skin is blanched over the scapular months old child was having a tantrum, becoming
areas"  BEDSORE STAGE 1 aggressive and running away. The nurse knows that the
B.’’Foley catheter draining clear urine and the pH is 6.5" patient is in which developmental stage?*
C.vital signs are within normal limits"
D."the client drinks 3 glasses of orange juice every day" A.Trust vs mistrust
B.Initiative vs guilt
79. You are attending to clients in your clinic. As you C.Autonomy vs shame and doubt
return to your desk you find 4 phone messages. Which of D.Identity vs role confusion  ADULT
the following messages should you RETURN FIRST?*
84. The parents of Richard, a toddler who has intrusive
A.A client is nauseated and has vomited 6 times in the behavior and in need of redirection asked you how to
previous 24 hours respond to their child. Your most appropriate response
B.A client with stage II decubitus ulcer at home reports is:*
that the dressing has come off
A.Separate Richard from others for him to think how 89. A breastfeeding mother has received an advice from
best he should rightly interact with others" the nurse on how to stop engorgement. Which of the
B."let Richard know the behavior is not acceptable by following acts by the mother demonstrates that the
speaking with a firm, loud voice" instruction was successful?*
C.Send Richard to his room and set a later time for a
serious talk" A.Every after feeding, she pumps her breast
D.gently touch Richard's shoulder to get his attention B.the mother feeds her infant on demand
and with a firm eye-to-eye contact speak to him with C.Ten minutes are spent feeding the baby on each side of
concern" the breast.
D.She adds formula as a supplement to each feeding.
85. Nicole, a mother of a 34 month old boy is upset that
her child begun to wet in bed and thumb-- suck after 90. A multigravida postpartum mother reported having
being admitted to the hospital, Nicole asked you to excruciating stomach cramps every time she is nursing
explain why this happens. Which of the following is your her infant. Which of the nurse's subsequent answers is
best response?*  REGRESSION appropriate?*

A."this behavior is a defense mechanisms when A.Suggest to the mother to give the baby bottle feeding
normal routine changes" for several days until the pain subsides.
B."your child probably do not like me or another nurse B.Give the mother instruction on how to massage her
assigned to him" fundus.
C."bedwetting and thumb-sucking are the child's way of C.Give the patient instructions on how to breastfeed in a
getting even for abandonment" different positions.
D." your toddler is angry and this is a way of telling you D.Describe how hormones in breastfeeding work.
of his unhappiness"
91. When preparing to conduct prenatal and parenting
SITUATION: classes for a group of parents, the clinic's nursing staff
In your area of assignment which is LABOR AND will be providing childcare for the parents' children who
DELIVERY, you get to handle varied cases of birthing range in age from 15 months to 6 years. The clinic has
mothers. The following conditions apply. a playroom. Which of the following activities would be
most appropriate to include?*
86. You are attending to Nicole, whose cervix is
completely dilated and with THE FETAL HEAD IS AT
A.A group sing-along
2 (-) station. The head of Nicole's fetus has not
B.Drawing and painting projects
descended in the past hour. What most appropriate initial
C.Free play with adult supervision
assessment should you make?*
D.Watching cartoon videos.
A.Determine if Nicole's bladder is distended 92. Which of the following would suggest that the
PREVENTS DESCENT OF BABY parents of a 6-year-old boy with leukemia have age-
B.Assess fetal status, fetal heart tones, and scalp pH appropriate expectations regarding their child's response
C.Submit Nicole for x-rays to determine fetal size to his approaching death after the nurse has taught them
D.Notify the surgical team so that an operative delivery how to talk with their child about death and dying?* 
can be planned PRECONVENTIONAL STAGE
87. A newborn, at 1 minute after vaginal delivery, is
pink with blue hands and feet, has a lusty cry 2 . heart A.He is too young to comprehend what is happening to
rate of 1402 , prompt response to stimulation with him
crying, and maintains minimal flexion, with sluggish B.He might believe that his behavior causes his own
movement. If you should perform an Apgar score, how death
would you score for this newborn?* C.He will accept that his illness will cause death
D.He will understand how much his siblings will miss
A.8 him.
B.9 93. After the nurse instructs the parents of a 5-month-old
C.10 infant about the purpose of the Denver Developmental
D.7 Screening Test (DDST), which of the following
88. A postpartum mother, after giving birth 6 hours ago, statements by the parents about what the test measures
was checked by the nurse and noted a temperature of would indicate that the teaching was effective?*
38C. The nurse knows that the appropriate action to do
is:* A.Intelligence quotient.
B.Emotional development.
A.Report immediately to the physician because it may be C.Social and physical abilities.
a sign of infection D.Potential for future development
B.Encourage the mother to take in fluids.
94. While the nurse talks to the mother about her baby's
C.Inform the mother to be on bed rest without bathroom
motor skill development. The nurse should communicate
privilege
to the mother that a newborn will most likely be able to
D.Do nothing as this is expected.
do which of the following by the age of 7 months?*
A.Walk with one handheld 12 months
B.Use a spoon to successfully eat 18 months A.Prior to the procedure, wrap the food in an ice pack for
C.Stand while holding onto furniture 11 months one full minute
cruising B.Lateral heel should be avoided to prevent damage on
D.Sit alone using the hands for support. the sensitive structures
C.Let the skin air dry after rubbing the skin with
95. According to the developmental theories, which alcohol
important developmental event during a toddler is D.Grasping the calf firmly may prevent harm throughout
essential?* the procedure.
A.The child learns to feed himself
B.The child is able to develop friendships
C.The child learns how to walk independently
D.The child participates in being potty-trained.

Child is able to stay dry for 2 hours.

Child is waking up dry from a nap.
Child is able to sit, squat, and walk.
Child is able to remove clothing.
Child recognizes the urge to defecate or
urinate.
Child expresses willingness to please a
parent.
Child is able to sit on the toilet for 5 to 10
minutes without fussing or getting off

96. When administering phototherapy to a baby, which

of the following safety care measures should you
include?*

A.Cover the baby with a sheet during therapy

B.Check the baby’s blood glucose before therapy
C.Apply a special sunscreen to the baby’s skin prior to
the treatment
D.Shield the baby’s eyes and protect the gonads

97. Baby yosh, a newborn diagnosed with

erythroblastosis fetalis, was admitted in the NICU.
Which of the subsequent signs or symptoms should the
nurse be looking for?*

A.Patches of alopecia
B.Ruddy complexion  JAUNDICE
C.Erythema toxicum
D.Anasarca GENERALIZED EDEMA

98. Which of the following laboratory findings would

the nurse expect to see in baby yosh that is in congruent
with his diagnosis?*

A.Sodium 125 mEq/L.

B.Hematocrit 24%.  42%-65%
C.Potassium 5.5 mEq/L.
D.Leukocyte count 45,000 cells/mm3

99. The nurse received the test results of the mother and
her baby. The nurse saw that the direct Coombs test is
positive. The sample required for the procedure is?*

A.Newborn’s blood
B.Mother’s blood  INDIRECT
C.Newborn’s urine
D.Mother’s urine

100. To measure bilirubin levels in a neonate with

jaundice, a heel stick is required. During the procedure,
the nurse should do which action?*