SITUATION:

Arlian, a nursing student, is reviewing for 4. Spermatogenesis is the production of

her final’s examination next week. She sperm to maintain a fixed number of
wants to master the Reproductive organ. chromosomes of every human being.
The following questions are pertaining to its Spermatozoa is produced in the testes.
anatomy. Which among the following is true about its
complex sequence of events?
1. During coitus, there are glands that
release secretions to lubricate the external A. FSH is responsible for the release of
genitalia. What do you call the glands testosterone from the testes
located on each side of the vaginal opening?
B. LH is responsible for the release of
A. Bartholin gland androgen-binding protein (ABP)
B. Cowper’s gland C. LH and FSH are only released in females
for their menstruation
C. Skene gland
D. ABP and testosterone promotes sperm
D. Prostate gland
formation

2. The nurse knows that the structure that

5. Patient XYZ went for a laboratory test to
conveys the ovum from the ovaries to the
check for his sperm count. Analysis revealed
uterus is the fallopian tube. Which of the
that the number of his sperm in one
following is true about the isthmus part of
ejaculation is approximately 15 million. The
the fallopian tube?
nurse knows that is:
A. It is the most proximal part of the tube that
a. Aspermia
lies within the uterine wall -interstitial
b. Oligospermia – fewer than 20 million
B. This part is cut during childbirth to enlarge
the vaginal opening c. Normal
C. It is where fertilization of an ovum usually d. Hyperspermia
occurs
D. It is extremely narrow where tubal
SITUATION:
sterilization is done
As the fetus grows, body organ systems
develop from specific tissue layers. Knowing
3. The spermatic cord, protected by a thick these is helpful to know because coexisting
fibrous coating that serves as the pathway congenital disorders found in newborns
for sperm is comprised of: usually arise from the same germ layer.
A. Ductus deferens, arteries and veins
B. Prostate gland, cowper’s gland and vas 6. Which among the Germ layers that
deferens forms the brain and spinal cord?
C. Seminal vesicle, epididymis and vas a. Ectoderm
deferens
b. Mesoderm
c. Endoderm
D. Vas deferens, cowper’s gland and seminal
d. Epidermis
vesicle
 10. Jana went to the clinic and confirmed
with the nurse about the use of diaphragm.
7. Heart is the muscle at the center of the
She should be instructed to leave it in place
circulatory system that pumps blood
after coitus for at least how many hours?
around the body as it beats. The nurse is
aware that it is from which germ layer? a. 1 hour
a. Ectoderm b. 6 hours
b. Mesoderm c. 12 hours
c. Endoderm d. 24 hours
d. Epidermis
11. A 38 year old female, with 4 children,
came to the clinic and inquired about her
8. The trachea and esophagus arise from the
options for contraception methods. She also
same germ layer which makes it common
stated that she smokes a pack of cigarettes a
for a birth anomaly such as fistula to occur
day. The nurse advised her to avoid:
between them. Which germ layer it arises
from? a. Oral contraceptives
a. Ectoderm b. IUD
b. Mesoderm c. Cervical cap
c. Endoderm d. Diaphragm
d. Epidermis
12. Carla, a 19-year-old working student,
was trembling. She told the nurse she forgot
9. Krizzia, a pregnant client, is currently
to take her prescribed active contraceptive
working in a company. She tells the nurse
pills for two consecutive days. She started
that she has to work because her husband’s
crying and asked the nurse what to do. The
income is not enough to sustain their
nurse should instruct:
everyday needs. She asks the nurse how she
can prevent fetal teratogens. a. Ignore it, take one now and use other
contraceptive such as spermicide for a month
a. Avoid any room where smoker gathers
b. Take two pills now then continue tomorrow
b. Refrain from drinking alcohol
with your usual schedule
c. Ask employer for a statement on hazardous
c. Throw out the rest of the pack and start a
substances at work site
new pack of pills
d. AOTA
d. Let’s inform the physician.
13. Carol consults the nurse because her
SITUATION: 16-year-old daughter asks her how she can
avoid the pressure of unwanted sex? The
There is a 1.47% increase of population in nurse should not suggests:
the Philippines in 2022. Family Planning
Health program was held in a hospital a. Tell the daughter to discuss it with her
where topics about contraceptives is partner which sexual activities will permit or
discussed. Nurse Totimar is on duty and she not
encountered the following questions:
b. Be certain that her partner understands that laboratory tests is done for pregnant client.
when she say “NO”, she means it She knows that Routine laboratory tests are
performed to identify conditions that may
c. Avoid being in a high-pressure situations
increase the probability of complications
such as a party with known drug use
during pregnancy. The following questions
d. Tell her daughter that accepting drugs is fine apply:
if she is with her close friends
16. Maryrose, a 22-week pregnant client, is
scheduled for an amniocentesis. Which of
the following nursing instructions should be
14. The nurse is teaching the client about a given to the client?
natural family planning method which is
the basal body temperature method. The a. Position the patient in a sitting position to
woman does not need any further teaching better access the fluid
when she states that:
b. Void immediately before the procedure
a. “Sa araw ng ovulation ko ay tataas ng 1°C
c. Drink 2-3 full glasses of water prior to the
ang temperature ko”
amniocentesis and void after the procedure
b. “Iche-check ko ang temperature ko sa
d. X-ray will be used to guide the procedure
umaga pagkatapos ko mag exercise”
c. “Kapag bumaba po ang temperature ko
tapos kinabukasan biglang tumaas, dapat hindi 17. Judy, a 23-year old primigravida is
ako makipagtalik hanggang dalawang araw scheduled for an alpha-fetoprotein test. She
pagkatapos ito tumaas” asks the nurse for the indication of the test
and what the medical professional is trying
d. “Kapag paiba-iba ang oras ng gising ko,
to detect. The nurse correctly answers:
makakaapekto ito sa BBT method”
a. Kidney defects
b. Respiratory Defects
15. The mucus of the uterine cervix
changes in structure and consistency each c. Cardiac Defects
month during a menstrual cycle. Which
d. Chromosomal Defects
assessment of cervical mucus suggests that
the woman is about to ovulate?
i. Scant cervical mucus 18. Judy, still being anxious, feels sorry and
ii. (+) Spinnbarkeit says it is her first time. She is curious on
iii. Highly viscous cervical mucus how AFP is being obtained?
iv. (+) Ferning
a. Cervical secretions
a. i, ii, iii, iv
b. Chorionic villi blood sample
b. ii, iii, iv
c. Maternal blood sample
c. i, ii, iv
d. Abdominal ultrasound
d. ii, iv

19. Angela is in her first trimester. She is

SITUATION too excited to know the gender of her baby
and asks when is the earliest month that her
Nurse Lilian is working in Guimaras
baby’s gender will be determined. The
Primary Health Care where routine
nurse responds:
a. 2 months by an ultrasound c. It is related to poor flexion in fetal attitude
b. 4 months by an ultrasound d. The pockets of amniotic fluid is around 20-
24
c. 7 months by an ultrasound
d. It is impossible. The gender is known after
birth SITUATION:
Infancy is designated as the period of time
from 1 month to 1 year of age. The nurse
20. Biophysical profile scoring combines
works in an OB-Gyne & delivery room
five parameters in checking the overall well-
knows that infants undergo such rapid
being of the fetus. Among the parameters,
development.
which is not assessed using a sonogram?
23. Baby Juju, a 1-year-old infant weighs
a. Fetal breathing
22.5lbs. If the infant gains weight normally,
b. Fetal Tone the nurse knows that Juju’s weight when
she was 6 months is:
c. Fetal Heart reactivity
A. 11.25lbs
d. Amniotic fluid volume
B. 15 lbs
C. 7.5 lbs
21. Pretchelle, a 36 weeks in gestation is
scheduled for a routine ultrasound prior to D. 16.5 lbs
an amniocentesis. After teaching Pretchelle
about the purpose for the ultrasound, when
you were validating her understanding 24. When the nurse is assigned to
which of the following statements would admitting neonates in the nursery. She
indicate that Pretchelle needs further makes it into a point to wear her gloves
instruction? carefully. This action is based on what
scientific knowledge?
A. “the test will determine where to insert the
needle" a. Meconium contains enteric bacteria which
may be a cause for infection
B. "the ultrasound locates a pool of amniotic
fluid" b. The urine of infant is so alkaline which is
very harmful to the skin
C. "the ultrasound will help to locate the
placenta" c. The baby is at high risk for infection and
must be protected at all times
D. "the ultrasound identifies blood flow
through the umbilical cord" d. Amniotic fluid may contain harmful viruses

22. The mother received the results of her 25 The attending physician has ordered to
ultrasound and it indicates that there is a give Vitamin K 0.5mg IM for a newborn.
less than the usual amount of amniotic fluid The nurse checked the stocks of available
present. The nurse knows that medication and found a vial with 2mg/mL
oligohydramnios is not related to: label. The nurse calculates and give the
correct dose as:
a. It suggests extreme prematurity
a. 1mL
b. It may result to umbilical cord compression
b. 0.25mL
c. 4mL 29. Trevor is for a laboratory test to check
his respiratory status with acute asthma
d. 0.5mL
exacerbation. The nurse has a scientific
knowledge if she knows the result is from:

26. When the nurse checked the 8-hour-old a. CBC

neonate, she assessed the hands and feets
b. SGPT
bluish in color. The nurse is knowledgeable
when she does what action? c. ABG
a. Administer oxygen via nasal cannula d. CBG
b. Swa ddle the baby in a blanket
c. Inform the physician and ask for a possible 30. Casey, a 4-year-old child is scheduled
incubator for breathing exercises. The goal is for her
to increase her expiratory phase? What is
d. Apply pulse oximeter to check for oxygen
the appropriate task?
saturation
a. Use an incentive spirometer
b. Taking several deep breaths
27. The postpartum mother asks the nurse
if she should have their son circumcised. c. Breathe into a paper bag
Which piece of scientific information should
d. Blow a pinwheel
the nurse base her answer on?
a. Boys should be circumcised because it is in
the Philippine culture 31. The mother of a child with asthma is
confused with the prescription given by the
b. A statement from the DOH asserts that
doctor and says there are a lot of
circumcision is highly personal
medications for asthma. She asks which of
c. Centers for Disease Control and Prevention the following medications has a quick relief
(CDC) experts endorse circumcision for every when there is an asthma attack?
male newborns.
a. Fluticasone
d. Circumcision is not yet allowed in newborns
b. Prednisone
and should not be talked about.
c. Montelukast
d. Albuterol
28. A 1-day old baby of Mr. and Mrs.
Reyes is being assessed by the nurse. Which
of the following findings should be reported
to the doctor? 32. A 6-year-old child was rushed to the
emergency department due to difficulty
a. Harlequin sign breathing.The most important piece of
information that would indicate that a child
b. Erythema Toxicum
is in status asthmaticus is?
c. Choanal atresia
a. When is the child’s last meal?
d. Epstein pearls
b. When was the child’s last dose of
medication?
c. What was the child’s last activity when 36. Nilda became conscious on her diet and
asthma triggers? asks the nurse on what she should consume
to manage her diagnosis of mild-
d. When was the child last admitted?
preeclampsia. The nurse is correct when she
states:

33. Four primigravida clients went to the a. Restrict sodium intake

clinic and were assessed accordingly by the
b. Avoid foods high in sugar
nurse on duty. Which among the gravid
clients should the nurse refer for further c. Increase oral fluid intake
assessment?
d. Consume a well-balanced diet
a. 30 weeks’ gestation complains of supine
hypotension
37. Nilda was given discharge instruction
b. 9 weeks’ gestation complains of pyrosis
about having to be on bedrest at home and
with nausea and vomiting
questions why she has to comply? The nurse
c. 36 weeks’ gestation complains of responds with scientific basis that:
hemorrhoids and bleeding gums
a. Bed Rest prevents you from falling while
d. 34 week’s gestation complains of epigastric you are walking
pain and oliguria
b. Bed Rest helps in conserving enough energy
for the upcoming labor
34. Nilda, A 37-week pregnant client, told c. Bed Rest prevents premature labor from
the nurse about changes in her body, she occurring
states that her face and hands look swollen.
d. Bed Rest helps in increasing amount of
The nurse knows that this might be cause
oxygen receive by the fetus
of:
a. Cardiac failure
38. Regina, a 22-year-old gravid client, told
b. Hepatic insufficiency
the nurse her concern and said
c. Pulmonary problem “Napapansin ko po na parang napapadalas
ang pagbabara ang ilong ko. Wala naman
d. Altered glomerular filtration
po akong allergy”. The nurse knows that it
is due to:

35. Nilda is diagnosed to have mild- a. Increased progesterone levels

preeclampsia. The pediatrician was worried
b. Increased estrogen levels
for the fetus and asked for diagnostic tests.
The nurse knows because preeclamptic c. Increased hCG levels
gravid clients may cause what effect on the
d. Increased testosterone levels
fetus?
a. IUGR
39. It is noted in Regina’s assessment that
b. HELLP
she is having a mild feeling of shortness of
c. DIC breath. The nurse’s recalls in her maternal
and child nursing class that it is due to the
d. PDA
diaphragm being displaced by increasing
size of the uterus. The following are the
respiratory changes during pregnancy 42. Genesis went together with her BFF,
except: Cassy, who is also pregnant with a pre-
pregnancy weight of 121 lbs with 5’7 in
a. Vital capacity does not decrease and has no
height. In Cassy’s case, she is to gain weight
change during pregnancy
how much additional weight, as advised, in
b. Gravid client develops chronic respiratory her pregnancy?
alkalosis fully compensated by a chronic
a. 25 - 35 lbs
metabolic acidosis
b. 15 - 25 lbs
c. Tidal volume is increased up to 40% as a
woman draws in deeper breaths c. 28 - 40 lbs
d. Residual volume is increased up to 20% d. 25 - 42 lbs
because of the pressure from the diaphragm

43. Marga asks if she is taking enough

40. Luna, a 9th week pregnant client, is vitamins for the growth and health of her
experiencing morning sickness. All of the baby and raised a concern about folic acid.
following is related to the normal nausea The Recommended amounts of folic acid
and vomiting in early pregnancy. Which is daily to be taken during pregnancy is?
not included?
a. 0.4 mg daily
i. Due to Increasing hCG levels
b. 40 µg daily
ii. Due to decreasing glucose levels being
used by growing fetus c. 400 mg daily
iii. It usually subsides after the first 3
trimester d. 4 g daily
iv. Eating a snack before bedtime may
help in preventing nausea
v. Notify physician if vomits more than 44. Marga is concerned about her weight
once daily and how she will be able to achieve the
recommended gain in her entire pregnancy.
a. i, ii, v She asks the nurse about nutrition advice.
b. i only The nurse should include:

c. i, ii, iii, iv, v a. Obtain simple carbohydrates because it is

easily digestible
d. i, ii, iv, v
b. Consume sugar substitutes to maintain
glucose levels
41. Marga’s pre-pregnancy weight is 68 c. Consume less than 1,500 calories per day to
kilograms and she is 5 ’4’’ in height. She is help regulate the weight gain
advised to gain how much additional weight
in her pregnancy? d. Advise to consume protein-rich foods

a. 25 - 35 lbs
b. 15 - 25 lbs 45. Lisa is communicating about the
nutrition of the pregnant woman. She wants
c. 28 - 40 lbs to gather information that will give the most
accurate nutrition history about the patient.
d. 25 - 42 lbs
She will ask:
a. How do you feel after you eat in each meal?
b. What foods should you include in an ideal
food plate?
49. As the nurse is assessing the newborn
c. Can you tell me what you ate yesterday? with a high risk. What of the following
assessment would lead the nurse to suspect
d. In your opinion, are you eating nutritious
cold stress syndrome?
food? How do you say so?
a. Erythema toxicum
b. Acyocyanosis
46. The patient is taking prescribed oral
iron supplements religiously. She was c. Blood glucose of 50mg/dL
informed that it contributes to her
d. Tachypnea
constipation. The nurse advised the
pregnant client to:
a. Use mineral oil to relieve constipation 50. Another neonate, Lucy, born at 28
weeks of gestation, develops respiratory
b. Enemas can be done because it is natural. It
distress syndrome. The doctor prescribed
only uses water
surfactant immediately after birth. The
c. Docusate sodium may be taken if dietary nurse knows it is administered:
measures fail
a. Intravenous
d. Dulcolax may be taken if regular bowel
b. Intramuscular
evacuation fail
c. Endotracheally

47. Nutrition must always form part of the

health education for all pregnant mothers. d. Orally
When counseling a pregnant woman about
nutrition, nurse Nicole makes sure to:
A. Recommend that she weighs herself once a 51. Oxygen administration is necessary for
week Lucy to maintain the correct PO2 and pH
levels following surfactant administration.
B. Tell her to eat double the amount of food However, a possible complication of oxygen
that she takes before her pregnancy therapy in neonate like Lucy, since she is a
preterm baby is
C. Inform her that only very anemic women
need iron/folate supplements a. Bronchopulmonary dysplasia
D. Ask per participating mothers what they eat b. Cystic Fibrosis
in a day to determine if her diet is adequate
c. Laryngomalacia
d. Croup
48. Four babies are in the newborn
nursery. The nurse that is at highest risk for
developing cold stress syndrome is? 52. The nurse heard about the news of
a. Infant with Rh incompatibility increasing hazing in brotherhood, fraternity
or sorority. The law that prohibits this is:
b. Infant with neural tube defect
A. RA 7610
c. Infant born with diabetic mother
B. RA 10630
d. Infant born after 41st week of pregnancy
C. RA 11 053
D. RA 10354 Situation
Doing home follow-ups is common for
nurses and OB - Gyne clients. The following
Situation:
situations
Care of the newborn also places a lot of
56. You visited a breastfeeding mother at
professional nursing practice challenges.
home 2 weeks after delivery. The mother
53. A newborn baby girl was born at 9:15 now has fever with flu-like symptoms. / On
A.M. which of the following findings are assessment you noted a warm, reddened,
normal? painful area over her right breast. Your best
action is:
A. Yellow skin tones at 12 hours of age
A. Tell the mother to stop breastfeeding and
B. Passage of meconium within the first 24 pumping milk from her breast for the child
hours
B. Contact the physician for orders of
C. Respiratory rate of 70/minute at rest antibiotics for her
D. Bleeding from umbilicus C. Further assess the mother's feeding
technique and knowledge of breast care

54. As you were carrying this newborn infa

nt to her mother's room, D. Get a sample of her breast milk for culture
her mother remarked, "I think my baby is
afraid of me. Every time I make a loud nois
e, he jumps". You should:
A. Reassure her that this is a normal reflex
reaction for her baby
B. Wrap the baby more tightly in warm
blankets
C. Take the baby back to the nursery for a
neurologic evaluation
D. Encourage her not to be so nervous with her
baby
57. Nicole just had a vaginal delivery of her
second child 2 days ago. She breastfeeds her
55. While performing the discharge baby without difficulty. You visited her and
assessment on a 2 day old new born, you during your postpartum assessment you
found that after blanching the skin on the EXPECT normal findings to be as:
forehead, the color turns to yellow. You
A. Fundic height at 1 cm above the umbilicus
know that this indicates:
B. Some feeling of after pains
A. An infectious liver condition
C. Voiding frequently, 50-75 mL per episode
B. A normal biologic response
of voiding
C. Jaundice related to breast feeding
D. Pinkish to brownish vaginal discharge
D. an Rh Incompatibility problem
58. Ruthchelle had vaginal delivery of her
first baby 6 weeks ago and you see her for
follow-up postpartum visits. She is feeding
well and is bottle-feeding her infant
successfully. During your physical
assessment, you EXPECT normal findings
as:
A. Having some pink striae but starting to fade
B. Tender breast, some milk expressed
C. Fundus 6cm below the umbilicus on Situation:
palpation
A current initiative of the Department of
D. With creamy, yellow vaginal discharge Health (DOH) is the program called
essential intrapartal Newborn (EINC). This
provides meaningful measures to be
59. In the postpartum period, you should undertaken by healthcare professionals in
instruct your client to perform which of the doing immediate intrapartal maternal care
following exercises to strengthen her pelvis and newborn care management and the
floor muscles? following condition apply.

A. Kegel exercises 61. Nurse Nicole is a member of the

birthing team when Michelle gave birth to
B. lung exercise her first born. Inside the delivery room
C. push-up Nicole assisted the attending obstetrician.
To address the concerns of keeping the baby
D. sit-ups warm, her first step in obtaining thermal
protection for the newborn is to.
A. Dry the baby thoroughly after the cord has
60. Another nursing focus is the monitoring
been cut
of postpartum clients for possible
complications. Postpartum hemorrhage is B. Dry the baby thoroughly immediately after
one of the primary causes of maternal giving birth
mortality associated with child bearing.
Which among the following T’s is the most C. Cover the baby with a clean, dry cloth after
frequent cause of postpartum hemorrhage? the cord has been cut

A. Tissue D. Cover the baby with clean, dry cloth,

immediately after birth
B. Trauma
C. Tone = uterine atony
62. After providing necessary drying and
D. Thrombin warmth and support to the newborn. Nurse
Michelle observed other details as essential
parts of the immediate care of a normal
newborn which includes:
A. Deep suctioning of the airway to remove
mucous
B. Removing used wet cloth, and covering the
baby with clean, dry cloth
C. Stimulation the baby by slapping the soles A. Routine Separation
of the baby’s feet
B. “Unang Yakap”
D. Skin-to-skin contact by placing the baby
C. Properly timed cord clamping
over the mother’s chest
D. Partographing

Situation:
If emergencies occur inside healthcare
facilities where supplies and equipment’s
are expectedly available and assumed
complete, similar healthcare situations are
also present in “pre-hospital” or pre-
institutional” settings requiring the same
degree of nursing care management. The
63. In applying essential new born care
following applies.
(ENC), Nurse Richard keeps in mind that
care of the umbilicus should include: 66. During the second second trimester of
pregnancy, a pregnancy woman is ideally
A. Cleaning with cooled, boiled water and
given her first dose of tetanus toxoid by
leaving it uncovered
intramuscular injection. Which of the
B. Covering with a Sterile compress following is appropriate for the disposition
of used syringes and needles in the pre-
C. Cleaning with alcohol institutional settings?
D. Applying antibiotic cream A. Cap again before throwing in garbage cans
B. Decontaminate before even reusing
64. The vitamin K is administered to the C. Place in puncture – proof container
newborn for which of the following reason?
D. Place in a garbage can
A. Newborns are susceptible to avitaminosis
B. Newborns have no intestinal bacteria
67. The pregnant client with threatened
C. Hemolysis of the fetal red blood cells miscarriage is advised by the nurse to avoid
destroys vitamin K coitus for two weeks which she asks the
D. The newborn’s liver incapable of producing purpose why. The nurse responds correctly:
sufficient vitamin K a. It prevents infection
b. It prevents threatened miscarriage to change
65. Practice like cord clamping and the to imminent
traditional “milking” of the cord c. It pokes the live fetus
immediately post delivery have now been
proven to be beneficial. These can also d. It is unethical and unprofessional
results in more harm and complications
especially in pre-terms and in the fragile
blood vessels in the brain of the newborn. 68. Mrs. Nicole Richards came to you with
Richard NOW modifies and introduces a an obstetric history of three (3) spontaneous
new newborn care practice termed as: abortions, is now 12 weeks pregnant, and
attending her OB’s high rick clinic. 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

69. You are faced with a patient, Mican

who is suspected of having ruptured tubal
pregnancy. In obtaining the history from 71. You are caring for Michelle, a patient
this client you should expect the client to on MgS04 therapy for severe pre-eclampsia.
indicate that her symptoms of pain in the The danger signal prompting alert for the
lower abdomen and vaginal bleeding first sign of excessive blood magnesium level
starting: is:
A. Midway through the second semester A. Disappearance knee – jerk reflex
B. At the beginning of the last trimester B. Increased respiratory rate
C. Immediately after implantation occurred C. Development of cardiac dysrhythmia
D. About the sixth (6th) week of pregnancy D. Disturbance in sensorium

70. You are assessing a client, Michelle with

pregnancy-induced hypertension, you
expect Miles with pregnancy-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
B. Above her baseline BP during her non-
pregnancy state and accompanied by headache
C. 150/100 mmHg while standing and sitting
Situation:
since prior to pregnancy
Nurse Michelle retired early form service as
D. Above her baseline BP during her non-
clinical instructor in a college of nursing in
pregnancy state and fluctuating at each reading
Alfonso Cavite and opened he PRIMARY
HEALTH CARE (PHC) NURSONG
CLINIC. One of her health programs
focused on CHILD SURVIVAL which
includes addressing malnutrition.
Using the IMCI Approach the following 75. Iron deficiency anemia may also be
situations and questions apply prevalent in some areas and in this
condition IRON SUPLEMENTS may be
72. Among the first clients in nurse Michelle’s
given for:
PHC Clinic Raffy, a 6 month’s old child, with
visible severe wasting and severe palmar A. 1 week
pallor which nurse Raffy classified as:
B. 3 weeks
A. Not very weight/No Anemia
C. 30 days
B. Anemia/severe malnutrition
D. 14 days
C. Severe malnutrition/severe anemia
D. Anemia/very low birth weight
76. Vitamin A should also be given to
children EXCEPT for when:
73. Another child, Sam, has some palmar A. There is severe malnutrition
pallor can be classifies as having:
B. Children who has received vitamin A in the
A. Severe anemia last 3 months
B. Low weight for age C. Has normal weight
C. Anemia D. Children 6 months or older
D. No anemia

74. Intestinal parasitism may be a cause of

malnutrition in the case of Sam. Given that
IMCI best practiced beginning at the
primary level of health care, treatment of
parasitism has also been covered. In these
cases, mebendazole is given as a single dose
for:
A. 10 month old children
Situation:
B. Hookworm/Whipworm infection as
problem in specified areas Documentation is an important aspect of
every nursing activity. This is a major area
C. Children who received a dose the previous of responsibility which helps facilitate
month continuity of work within a 24-hour cycle.
D. Children with Feeding problems 77. Nicole, a 26-year old mother was
admitted for hyperemesis gravidarum.
While taking her history it would be MOST
important to report which of the following?
Nicole has:
A. Anxieties over the effect of her condition to
the baby
B. Cool lower extremities, bilaterally
C. Diminished palpable peripheral pulses
D. Allergy to shellfish C. Not to make any entry notes until the day
nurse has been notifies of the problem and
returns to the unit to complete her charting
78. You are on duty and from the
D. Review with the client the activities after
report/endorsements from the previous shift
1PM, and enter what are determined to be the
which client should you attend to FIRST? A
activities after 1 PM
client who is:
A. Schedule to receive heparin and the PTT is
70 seconds Situation:
B. Receiving Ciprofloxacin (Cipro) and Telling and sharing are very important tools
complains of a fine macular rash of transmitting health awareness to clients
particularly during children's growth and
C. Receiving a blood transfusion and
development years. These conditions apply.
complains of a dry mouth
81. A mother asks you when the soft spot on
D. Receiving IV potassium and complains of
the front of the baby's head will close. Your
burning at the IV site
appropriate response is " the anterior
fontanel will close:

79. You are reviewing the nurse's notes in A. By 12 to 18 months of age"

your obstetric client's chart. You would be
B. Shortly after the posterior fontanel; closes"
MOST concerned by which of the following
entries? C. In 6 months”
A. "the client's skin is blanched over the D. By the time the baby is 1 year old"
scapular areas"
B. b.’’Foley catheter draining clear urine and
the pH is 6.5"
C. vital signs are within normal limits"
D. "the client drinks 3 glasses of orange juice
every day"

80. You are the nurse on duty and at

approximately 6 PM you began to open the
82. Another mother asks you to explain
nurses' notes for the evening shift. The last
what fine motor skills are. She has heard
entry is noted for 1PM, and there is no
that it has something? to do with a school-
signature. The MOST appropriate nursing
aged child's ability to draw and color within
response for you is:
the lines, and she wants to know what this
A. Begin charting on the next line below the mean in an infant. You would explain that
last entry, and make a note for the day nurse to fine motor development is the ability to:
make a late entry to complete the chart
A. Write and draw, and that infant do not have
B. To leave approximately 3 or 4 lines for the any fine motor skills yet
day nurse to enter the day information and sign
B. Use all of the fingers of both hands equally
the chart
well in a coordinated manner
C. Picks up items and moves them from place B. "your child probably do not like me or
to place in a voluntary fashion another nurse assigned to him"
D. Coordinates hand to eye movement in an C. "bedwetting and thumb-sucking are the
orderly and progressive manner child's way of getting even for abandonment"
D. " your toddler is angry and this is a way of
telling you of his unhappiness"
83. As you are working with the parents of
Nicole, a 32 months old child was having a
tantrum, becoming aggressive and running
Situation:
away. The nurse knows that the patient is in
which developmental stage? In your area of assignment which is
LABOR AND DELIVERY, you get to
A. Trust vs mistrust
handle varied cases of birthing mothers.
B. Initiative vs guilt The following conditions apply.
C. Autonomy vs shame and doubt 86. You are attending to Nicole, whose
cervix is completely dilated and with the
D. Identity vs role confusion
fetal head is at 2 (-) station. The head of
Nicole's fetus has not descended in the past
hour. What most appropriate initial
84. The parents of Richard, a toddler who assessment should you make?
has intrusive behavior and in need of
redirection asked you how to respond to A. Determine if Nicole's bladder is distended
their child. Your most appropriate response
B. Assess fetal status, fetal heart tones, and
is:
scalp pH
A. Separate Richard from others for him to
C. Submit Nicole for x-rays to determine fetal
think how best he should rightly interact with
size
others"
D. Notify the surgical team so that an
B. "let Richard know the behavior is not
operative delivery can be planned
acceptable by speaking with a firm, loud
voice"
C. Send Richard to his room and set a later 87. A newborn, at 1 minute after vaginal
time for a serious talk" delivery, is pink with blue hands and feet,
has a lusty cry. heart rate of 140, prompt
D. gently touch Richard's shoulder to get his
response to stimulation with crying, and
attention and with a firm eye-to-eye contact
maintains minimal flexion, with sluggish
speak to him with concern"
movement. If you should perform an Apgar
score, how would you score for this
newborn?
85. Nicole, a mother of a 34-month-old boy
is upset that her child begun to wet in bed A. 8
and thumb-- suck after being admitted to
B. 9
the hospital, Nicole asked you to explain
why this happens. Which of the following is C. 10
your best response?
D. 7
A. "this behavior is a defense mechanism
when normal routine changes"
88. A postpartum mother, after giving birth Human development is a lifelong process of
6 hours ago, was checked by the nurse and physical, behavioral, cognitive, and
noted a temperature of 38C. The nurse emotional growth and change. The
knows that the appropriate action to do is: following questions pertains to the pediatric
growth and development.
a. Report immediately to the physician
because it may be a sign of infection 91. When preparing to conduct prenatal
and parenting classes for a group of
b. Encourage the mother to take in fluids.
parents, the clinic's nursing staff will be
c. Inform the mother to be on bed rest without providing childcare for the parents'
bathroom privilege children who range in age from 15 months
to 6 years. The clinic has a playroom. Which
d. Do nothing as this is expected. of the following activities would be most
appropriate to include?

89. A breastfeeding mother has received an a. A group sing-along

advice from the nurse on how to stop b. Drawing and painting projects
engorgement. Which of the following acts
by the mother demonstrates that the c. Free play with adult supervision
instruction was successful?
d. Watching cartoon videos.
a. Every after feeding, she pumps her breast
b. the mother feeds her infant on demand
92. Which of the following would suggest
c. Ten minutes are spent feeding the baby on that the parents of a 6-year-old boy with
each side of the breast. leukemia have age-appropriate expectations
regarding their child's response to his
d. She adds formula as a supplement to each approaching death after the nurse has
feeding. taught them how to talk with their child
about death and dying?

90. A multigravida postpartum mother a. He is too young to comprehend what is

reported having excruciating stomach happening to him
cramps every time she is nursing her infant. b. He might believe that his behavior causes
Which of the nurse's subsequent answers is his own death
appropriate?
c. He will accept that his illness will cause
a. Suggest to the mother to give the baby bottle death
feeding for several days until the pain
subsides. d. He will understand how much his siblings
will miss him.
b. Give the mother instruction on how to
massage her fundus.
c. Give the patient instructions on how to 93. After the nurse instructs the parents of
breastfeed in a different position. a 5-month-old infant about the purpose of
the Denver Developmental Screening Test
d. Describe how hormones in breastfeeding (DDST), which of the following statements
work. by the parents about what the test measures
would indicate that the teaching was
effective?
Situation:
a. Intelligence quotient.
b. Emotional development. D. Shield the baby’s eyes and protect the
gonads
c. Social and physical abilities.
d. Potential for future development
97. Baby yosh, a newborn diagnosed with
erythroblastosis fetalis, was admitted in the
94. While the nurse talks to the mother NICU. Which of the subsequent signs or
about her baby's motor skill development. symptoms should the nurse be looking for?
The nurse should communicate to the
a. Patches of alopecia
mother that a newborn will most likely be
able to do which of the following by the age b. Ruddy complexion
of 7 months?
c. Erythema toxicum
a. Walk with one handheld = 12 -15 months
d. Anasarca
b. Use a spoon to successfully eat = 18
months
98. Which of the following laboratory
c. Stand while holding onto furniture = 10-11
findings would the nurse expect to see in
months
baby yosh that is in congruent with his
d. Sit alone using the hands for support. diagnosis?
95. According to the developmental a. Sodium 125 mEq/L.
theories, which important developmental
b. Hematocrit 24%.
event during a toddler is essential?
c. Potassium 5.5 mEq/L.
a. The child learns to feed himself
d. Leukocyte count 45,000 cells/mm3
b. The child is able to develop friendships
c. The child learns how to walk independently
99. The nurse received the test results of
d. The child participates in being potty-trained.
the mother and her baby. The nurse saw
that the direct Coombs test is positive. The
sample required for the procedure is?
SITUATION:
A. Newborn’s blood
There has been an increasing rate of
neonatal jaundice in the hospital B. Mother’s blood
approximately 60% of term and 80% of
C. Newborn’s urine
preterm newborns. The following questions
are applied: D. Mother’s urine
96. When administering phototherapy to a Direct = Newborn
baby, which of the following safety care
measures should you include? Indirect = maternal

A. Cover the baby with a sheet during therapy

B. Check the baby’s blood glucose before 100. To measure bilirubin levels in a
therapy neonate with jaundice, a heel stick is
required. During the procedure, the nurse
C. Apply a special sunscreen to the baby’s skin should do which action?
prior to the treatment
a. Prior to the procedure, wrap the food in an
ice pack for one full minute
b. Lateral heel should be avoided to prevent
damage on the sensitive structures
c. Let the skin air dry after rubbing the skin
with alcohol
d. Grasping the calf firmly may prevent harm
throughout the procedure.