NCM 209 RLE COMPRE

1 You are assigned to take care of an Pulmonary secretions are abnormally

8-year-old child diagnosed with Cystic thick?
Fibrosis. As a student nurse, you have to
keep in mind in developing a care plan
which includes:
Obstruction of the endocrine glands

CF is an autosomal dominant hereditary

disorder

Elevated levels of potassium are found

in sweat.

Pulmonary secretions are abnormally

thick.

2 You are to discharge a 15-year-old Give the child orange

male child who was recently admitted
due to hypoglycemia. The mother stated
that his child got engrossed in playing
online games that he skipped taking
meals. As a nurse, which of the
following actions you are to instruct the
mother?
Give him punishments

Give the child milk

Ask the mother to contact the doctor

whenever she gives anything to the
child

Give the child orange juice

3 A 10-year-old female was brought to NORMAL SALINE
the Emergency Department with
complaints of nausea and vomiting. As
you continue assessing you noticed that
her breath smells fruity. You called in
the Resident doctor for further
assessment and was then diagnosed the
child having Diabetic Ketoacidosis.
Which of the following are you going to
expect to administer?
Lactated Ringer’s Solution

Dextrose 5% IV infusion

Potassium Chloride infusion

Normal Saline IV Solution

4 You are having your nursing rounds Clear the area

and found a patient in her room having
a seizure. As a competent nurse, what
would be your initial action to take?
Immediately insert a padded tongue
depressor to prevent the patient from
biting her tongue

Call for help to manage the seizure

disorder

Clear the area and position the patient

safely

Ask the watcher to retrain the child to

prevent injuring herself
5 You are gathering cues for your lumbar
nursing care plan and you noticed that
your patient is experiencing a
Temperature 38.3Cfor ; vomited 2x in
your shift; lethargic and exhibits nuchal
rigidity. You concluded that these
findings are suggestive of Meningitis. As
a nurse, you are to expect to prepare the
following test.
Blood culture and sensitivity test

CAT Scan

Throat Culture

Lumbar puncture

6 You are about to give a due Provide literature?

medication to an 11-year-old patient
who was admitted due to loose bowel
movement and vomiting. Patient was
previously diagnosed with Attention
Deficit Hyperactivity Disorder (ADHD),
The parents mentioned that their child
had tantrums and tried everything to
calm the child and nothing has worked.
As a nurse what would be your best
initial action to take?
Encourage the parents to discuss these
issues with the mental health team

Provide literature regarding the

disorder and its management

Actively listen to the parents' concerns

before planning interventions
Tell the parents they are overreacting to
the problem

7 You are assigned to take care of a Sunken anterior

6-month-old infant with a chief
complaint of vomiting and loose, watery
stools for two (2) days. Upon
assessment, you noticed that the
infant’s lips are dry, and the infant
appeared to be lethargic. What are other
findings suggesting that the infant is
having fluid volume deficit?
Decreased pulse rate

Increased blood pressure

A bulging anterior fontanel

A sunken anterior fontanel

8 You are to give discharge teachings to wheezing

your patient who had Bronchial asthma.
Teachings should include awareness of
the side effects of a Bronchodilator drug
which include:
Insomnia, blurred vision, restlessness,
hypertension, chest pain, and muscle
weakness

Tachycardia, blurred vision,

hypertension, headache, insomnia, and
oliguria.

Tachycardia, headache, dyspnea, temp.

38C, and wheezing
Tachycardia, nausea, vomiting, heart
palpitations, inability to sleep,
restlessness, and seizures

Ineffective functioning of the

9 The mother of a patient diagnosed eustachian tubes
with cleft palate asked the nurse why
her baby is prone to develop Otitis
media. As a competent nurse this
typically explains:
Lowered resistance due to malnutrition

Ineffective functioning of the eustachian

tubes

Plugging of the eustachian tubes with

food particles

Constant associated congenital defects

of the middle ear

10You are assigned by your Clinical Projectile vomiting

Instructor to take care of a 6-week-old
infant with Pyloric Stenosis. Based on
your knowledge of the disease. Which of
the following assessment findings is
best associated with such a condition?
Projectile vomiting

Choking cough after feedings

Currant jelly stools

Abdominal distention
11An 8-year-old girl is admitted to the Had an untreated fever?
hospital with a diagnosis of Rheumatic
Fever. Upon history taking, which
among the following are most likely to
be noted?
History of respiratory infection a few
weeks ago

was born with a congenital heart defect

had chickenpox for 1 month

had an untreated fever and sore throat 2

weeks ago

12You are assigned to the following Idiopathic

patients listed below. As a nurse, you
are to suggest Genetic Counselling
except
Sickle cell anemia

Thalassemia

Hemophilia

Idiopathic thrombocytopenic purpura

13Which of the following represents an Rest peroids
effective nursing intervention to reduce
cardiac demands and decrease cardiac
workload?
Scheduling care to provide for
uninterrupted rest periods

Developing and implementing a

consistent plan of care

Feeding the infant over long periods

Allowing the infant to have his or her

way to avoid conflict

14When giving health teachings to minimizing

parents ofpatientst with bronchial
asthma. As a nurse you need to include
the following:
May offer food whatever the child wants

Increasing fluid intake regularly to thin

secretions

Minimizing exercise and activities to

prevent attacks

Using a bronchodilator inhaler before a

steroid inhaler

15You are asked by your Clinical general?

Instructor about tissue damage of Sickle
Cell Disease. As a student nurse, you are
to answer that this typically results
from:
A general inflammatory response due to
an autoimmune reaction from hypoxia

Air hunger and respiratory alkalosis due

deoxygenated RBC

Local tissue damage with ischemia and

necrosis due to obstructed circulation

Hypersensitivity of the central nervous

system due to elevated serum bilirubin
levels

16Following a tonsillectomy, the nurse swallows

suspects hemorrhage postoperatively
when the child:
Snores noisily

Becomes pale

Complains of thirst

Swallows frequently
17The parents of a child with acute The activity must be limited?
glomerulonephritis are very concerned
about activity restrictions after
discharge. The nurse bases the answer
to them on the fact that after the urinary
findings are nearly normal:
The activity must be limited to 1 month

The child must not play active games

The child must remain in bed for 2

weeks

Activity does not affect the course of the

disease

18A 14-year-old male who was Perform postural?

diagnosed with Cystic Fibrosis is
admitted to your department. Upon
assessment the child exhibits shortness
of breath and other manifestations
suggestive of pneumonia. You are to
make a care plan for this patient, which
nursing activity is most important to
include?
Transfer the patient to a private room to
decrease the risk of further infection

Allow the patient to decide whether she

needs aerosolized medications.

Perform postural drainage and chest

physiotherapy every 4 hours.

Plan activities to allow at least 8 hours

of uninterrupted sleep
19A mother was feeding her Stop and knee to chest
2-month-old baby who has Tetralogy of
Fallot, as you conduct your usual
nursing rounds you noticed that the
baby had circum-oral cyanosis and
exhibits fast breathing. What would be
your immediate nursing action?
Tell the mother to stop feeding her baby
and provide suction

Tell the mother to stop feeding her baby

place the infant in the knee-to-chest
position and administer oxygen

Monitor the Vital signs

Continue feeding the infant and place

the infant on oxygen

20The following assessment findings are potass

weight 14 kgs; urine output 10mL/hr;
puffy lids; diagnosis: Acute
glomerulonephritis. As a nurse, what
would be the focus of food restrictions
for the patient?
Potassium-rich foods

Calcium -rich foods

Purine-rich foods

No food restrictions
21You are to evaluate the parents' We’ll wrap him in a blanket shivering
understanding of the home
management of a child who had a
febrile seizure. Which of the following
statements indicates successful
teaching?
We'll wrap him in a blanket if he starts
shivering

We'll add extra blankets when he

complains of being cold

We'll make the bathwater cold enough

to make him shiver

We'll use a solution of half alcohol and

half water when sponging him

22You are to prepare a patient for PRO

Tonsillectomy and this includes
reviewing the laboratory results. Which
of the following laboratory values most
determine significance to review?
Sedimentation rate

Blood Urea Nitrogen Level

Creatinine level

Prothrombin Time

23You are assessing a patient diagnosed Positive kernigs and nuchal?

with bacterial meningitis. Which among
the clinical manifestations would
support diagnosis of such?
Negative Chvostek’s signs and facial
tingling

Positive Babinski sign and peripheral

paresthesia

Positive Kernig’s signs and nuchal

rigidity

Negative Babinski sign

24You are to administer a rectal left sims

paracetamol suppository to a 5-year-old
patient. How will you position the child
to facilitate the insertion of the drug?
Prone

Left sim’s position

Supine

Lithotomy

25A patient had a 1000mL of 5% SLOW THE IV

Dextrose in 0.9% sodium chloride hung
at 3pm. The nurse making rounds at
3:45 pm finds that the client is
complaining of a pounding headache
and is dyspneic, is experiencing chills,
and is apprehensive, with an increased
pulse rate. The IV bag has 400mL
remaining. The nurse should take which
action first?
Call the physician

Sit the patient up on the bed

Slow the IV infusion

Remove the IV catheter

26In the health center, you assess the 50

child aged 3months old who has fast
breathing. you will consider the child
has fast breathing if his respiratory rate
is _________.
60 bpm or more

50 bpm or more

40 bpm or more

30 bpm or more

Pneumonia
27Baby Mahinahon, 4 months old is not
able to breastfeed and chest indrawing
is present. This can be classified as
___________.
Pneumonia

Severe Pneumonia

No Pneumonia: cough or cold

Mild Pneumonia
 Yellow
28Upon assessment, you classified the
child as having Pneumonia. What color
is PNEUMONIA in IMCI classification?
Green

Pink

Yellow

Red

Give a trial acting inhaled

29During your exposure in the
Community, you observed the child has bronchodilator up to 3 times
wheezing with chest indrawing present,
the student nurse action should first
__________before classify the child.
Refer URGENTLY to the hospital

Give a trial acting inhaled

bronchodilator up to 3 times

Assess vital signs

Give Vitamin A

There is blood in the stool

30 .As student nurses, we classify
Dysentery according to IMCI guidelines
if the child has ______.
There is Dehydration

Stools are watery

Fast breathing is present

There is blood in the stool

Abnormally sleepy
31 Upon assessment of a child, all of
these signs are classified as SEVERE
DEHYDRATION according to IMCI
booklet, except ___________.
Restlessness

Sunken eyes

Skin pinch goes back very slowly

Abnormally sleepy

32 According to IMCI, which type of C

plan would the student nurse instruct
the mother of the child who was
classified with severe dehydration?
Plan A

Plan B

Plan C

Plan D

33 n the IMCI guidelines Vit. A 1

supplementation, the appropriate
amount of Vitamin A capsules (200,000
IU)to be given to the child aged 12
months to 5 years would be
_______softgel/s.
3

Artemether
34 The child is classified as MALARIA,
which is the first line of oral
antimalarial medication according to
IMCI guidelines?
Chloroquine

Sulfadoxine

Pyrimethamine

Artemether

35 After giving the first line of Oral 1

Antimalarial meds, how many hours are
you going to observe the patient?
1 hr.

2 hrs.

3 hrs.

4 hrs.

Amoxicillin
36 According to IMCI treatment, the
first-line antibiotic for pneumonia,
mastoiditis, or very severe disease
would be ________________.
Cotrimoxazole

Amoxicillin

Penicillin

Ciprofloxacin

6 months from the age of one year

37 According to IMCI child's
immunization deworming schedule,
every child should be given
ALBENDAZOLE/MEBENDAZOLE
every ________.
2 months from the age of one year

9 months from the age of one year

6 months from the age of one year

9 weeks from the age of one year

Anemia
38 The student nurse is caring for Baby
MM, she observed to have some palmar
pallor on both hands. Base on IMCI,
this can be classified as ___________.
No Anemia

Malnutrition

Severe Anemia

Anemia

Severe dehydration
39 During a consultation at the health
center, the 2weeks old baby has
diarrhea with a difficult awakening, has
sunken eyes, and skin pinch goes back
very slowly. How will you classify it?
No dehydration

Severe dehydration

Some dehydration

Severe, persistent diarrhea

Refer the infant urgently to a hospital,

40 During assessment baby KZ has 4 with the mother giving the infant
days diarrhea with the following frequent sips of ORS on the way.
symptoms: restless, irritable, sunken
eyes and when skin pinch it goes back
very slowly. What will be the
appropriate treatment to give?
Refer the infant to a hospital.

Give the infant fluid to treat diarrhea at

home (Plan A).

Give the infant fluid and food for some

dehydration (Plan B).

Refer the infant urgently to a hospital,

with the mother giving the infant
frequent sips of ORS on the way.

41 If the child has only one of the PINK

danger signs implicitly stated in the
IMCI guideline, this child
will be classified under what color?

Pink

Yellow
Blue.

Green

Difficulty in breathing
42You are assessing a child for the first
time, according to the IMCI guidelines,
which of the following is not a danger
sign?
Convulsion

Lethargy/ unconsciousness

Inability to drink or breastfeed.

Difficulty in breathing

Severe pneumonia or very severe

43 A 10-month-old observed child has disease
had a cough for 2 days with a
respiratory rate of 46 breaths per
minute and observed to have stridor.
What is the child’s classification?
No pneumonia: cough or cold

Pneumonia

Severe pneumonia or very severe

disease

Very severe febrile disease

44 In the Expanded Program of Dipth, pert, teta

Immunization Which among the
deceases does the DPT vaccine protect
against?
Diphtheria, Polio, Tetanus

Diphtheria, Polio, Tuberculosis

Diphtheria, Pertussis, Tetanus

Diphtheria, Pertussis, Tuberculosis

Pneumonia
45 The world health organization is
concerned of the unnecessary deaths of
children below
5 years old in developing countries.
Integrated management for childhood
illness is

trying to fight these unnecessary deaths.

According to WHO, the most common
cause of

death among these under 5 children is:

Diarrhea

Malaria

Pneumonia

Malnutrition

Discontinue feeding
46 In-home management of a child with
pneumonia, the mother is counseled on
how to manage, the child except:
Give oral drugs

When to return

Treat local infection at home

Discontinue feeding

Severe Dehydration
47 A 5-month-old baby boy was brought
by his mother to the health center
because of diarrhea occurring 4 to 5
times a day. His skin goes back slowly
after a skin pinch and his eyes are
sunken. Using the IMCI guidelines, you
will classify this infant in which
category?
No Signs of Dehydration

Some Dehydration

Severe Dehydration

Persistent Dehydration

48 A child who is being referred because NO

of a severe Pneumonia and is due for
immunization. Should he or she be
immunized today?

A. Yes

B. No

49 A child who is 24 months and was YES

able to receive a dose of deworming
tablet 6 months ago. Should the child be
given with a dose of deworming today?

A. Yes

B. No
50 Upon determining the nutritional uncompli
status of a 3-month-old child with less
than -3z score and able to finish RUTF
(Ready To Use Therapeutic Food). As a
student nurse, how will you classify the
child?
COMPLICATED SEVERE ACUTE
MALNUTRITION

MODERATE ACUTE MALNUTRITION

NO ACUTE MALNUTRITION

UNCOMPLICATED SEVERE ACUTE

MALNUTRITION

51 Nurse Tumbalata asks a nursing I will flush

student to describe the procedure for
administering erythromycin ointment
to the eyes of a newborn. Which student
statement indicates that further
teaching is needed about the
administration of the eye medication?
“I will flush the eyes after instilling the
ointment.”

“I will clean the newborn’s eyes before

instilling ointment.”

“I need to administer the eye ointment

within 1 hour after delivery.”

“I will instill the eye ointment into each

of the newborn’s conjunctival sacs.”
52 A client in preterm labor (31 weeks) betame
who is dilated to 4 cm has been started
on magnesium sulfate and contractions
have stopped. If the client’s labor can be
inhibited for the next 48 hours, the
nurse anticipates a prescription for
which medication?
Nalbuphine

Betamethasone

Rho(D) immune globulin

Dinoprostone vaginal insert

53 Methylergonovine is prescribed for a Blood pressure

woman to treat postpartum
hemorrhage. Before administration of
methylergonovine, what is the priority
assessment?
Uterine tone

Blood pressure

Amount of lochia

Deep tendon reflexes

54. A Nurse is preparing to administer intratracheal

exogenous surfactant to a premature
infant who has respiratory distress
syndrome. The nurse prepares to
administer the medication by which
route?
Intradermal

Intratracheal

Subcutaneous

Intramuscular

55 An opioid analgesic is administered naloxone

to a client in labor. The nurse assigned
to care for the client ensures that which
medication is readily accessible should
respiratory depression occur?
Naloxone

Morphine sulfate

Betamethasone

Hydromorphone hydrochloride

56 Rho(D) immune globulin is posi

prescribed for a client after delivery and
the nurse provides information to the
client about the purpose of the
medication. The nurse determines that
the woman understands the purpose if
the woman states that it will protect her
next baby from which condition?
Having Rh-positive blood

Developing a rubella infection

Developing physiological jaundice

Being affected by Rh incompatibility

57 Methylergonovine is prescribed for a peripheral
client with postpartum hemorrhage.
Before administering the medication,
the nurse should contact the health care
provider who prescribed the medication
if which condition is documented in the
client’s medical history?
Hypotension

Hypothyroidism

Diabetes mellitus

Peripheral vascular disease

58 Nurse OZ is monitoring a client in 145

preterm labor who is receiving
intravenous magnesium sulfate. The
nurse should monitor for which adverse
effects of this medication? Select all that
apply.

1. Flushing 4. Depressed
respirations
2. Hypertension 5. Extreme muscle
weakness
3. Increased urine output 6.
Hyperactive deep tendon reflexes

A. 2 3 6 4 B. 145 C. 1236 D. 1234567

59 The nurse is monitoring a client in Increase in pulse rate

the immediate postpartum period for
signs of hemorrhage. Which sign, if
noted, would be an early sign of
excessive blood loss?
A temperature of 100.4°F(38°C)

An increase in the pulse rate from 88 to

102 beats/minute

A blood pressure change from 130/88

to 124/80 mm Hg

An increase in the respiratory rate from

18 to 22 breaths/minute

60 The nurse is preparing a list of 1234

self-care instructions for a postpartum
client who was diagnosed with mastitis.
Which instructions should be included
on the list? Select all that apply.

1. Wear a supportive bra.

2. Rest during the acute phase.

3. Maintain a fluid intake of at least

3000 mL/day.

4. Continue to breast-feed if the breasts

are not too sore.

5. Take the prescribed antibiotics until

the soreness subsides.

6. Avoid decompression of the breasts

by breast-feeding or breast pump.

61 . Nurse CZ is providing instructions I should wash my

about measures to prevent postpartum
mastitis to a client who is breastfeeding
her newborn. Which client statement
would indicate a need for further
instruction?
A. “I should breastfeed every 2 to 3
hours.”

B “I should change the breast pads

frequently.”

C. “I should wash my hands well before

breastfeeding.”

D.“I should wash my nipples daily with

soap and water.”

62 Nurse SS is assessing a client who enlarged

delivered a healthy infant by cesarean
section for signs and symptoms of
superficial venous thrombosis. Which
sign should the nurse note if superficial
venous thrombosis were present?

Paleness of the calf area

Coolness of the calf area

Enlarged, hardened veins

Palpable dorsalis pedis pulses

63A client in a postpartum unit administer

complains of sudden sharp chest pain
and dyspnea. The nurse notes that the
client is tachycardic and the respiratory
rate is elevated. The nurse suspects a
pulmonary embolism. Which should be
the initial nursing action?
Initiate an intravenous line.

Assess the client’s blood pressure.

Prepare to administer morphine sulfate.

Administer oxygen, 8 to 10 L/minute,
by face mask.

64 Nurse CD is assessing a client in the notify

fourth stage of labor and notes that the
fundus is firm, but that bleeding is
excessive. Which should be the initial
nursing action?

Record the findings.

Massage the fundus.

Notify the health care provider (HCP).

Place the client in Trendelenburg’s

position

65 Nurse MK is preparing to care for Oxytocin induction

four assigned clients. Which client is at
most risk for hemorrhage?

A primiparous client who delivered 4

hours ago

A multiparous client who delivered 6

hours ago

A multiparous client who delivered a

large baby after oxytocin induction

D. A primiparous client who delivered 6

hours ago and had epidural anesthesia

66 A postpartum client is diagnosed Fluid int

with cystitis. The nurse should plan for
which priority action in the care of the
client?
Providing sitz baths

Encouraging fluid intake

Placing ice on the perineum

Monitoring hemoglobin and hematocrit

levels

67 A Nurse is monitoring a postpartum VS

client who received epidural anesthesia
for delivery for the presence of a vulvar
hematoma. Which assessment finding
would best indicate the presence of a
hematoma?

A. Changes in vital signs

B. Signs of heavy bruising

C. Complaints of intense pain

D.Complaints of a tearing sensation

68 A novice nurse is creating a plan of icepack

care for a postpartum client with a small
vulvar hematoma. The nurse should
include which specific action during the
first 12 hours after delivery?
Encourage ambulation hourly.

Assess vital signs every 4 hours.

Measure fundal height every 4 hours.

Prepare an ice pack for application to

the area
69 Onthe assessment of a postpartum massage
client, the nurse notes that the uterus
feels soft and boggy. The nurse should
take which initial action?

Document the findings.

Elevate the client’s legs.

Massage the fundus until it is firm.

Push on the uterus to assist in

expressing clots.

70 The normal female pelvis is well round

suited for labor and birth and has:
A rounded inlet, nonprominent ischial
spines, straight side walls, and a deep
and roomy posterior segment

A heart-shaped inlet, prominent ischial

spines, convergent side walls, and a
shallow posterior segment

An oval inlet, variable ischial spines,

straight side walls, a deep posterior
segment

A transversely oval inlet, variable ischial

spines, parallel side walls, and a wide
transverse diameter

71 The layer of the nonpregnant uterus endo

that sloughs off during menstruation is
the:

Myometrium
Endometrium

Decidua

Parametrium

72 . A 39-year-old multigravida at 12 21
weeks gestation tells the nurse that her
last child was born with Down
syndrome. The nurse should explain to
the patient that Down syndrome is most
often due to a chromosomal disorder
termed:

Trisomy 13

Trisomy 21

Trisomy 18

Trisomy 25

73 Autosomal recessive inheritance is sickle

responsible for which of the following
disorders?

Dwarfism

Sickle cell anemia

Polydactyly
Hemophilia

74 When teaching an adolescent about luteinizing

ovulation, you would include that
ovulation is initiated by a surge in which
of the following?

Luteinizing hormone.
Follicle-stimulating hormone.

Progesterone. Estrogen

75 A client with a history of toxic shock CERVICAL CAP

syndrome comes to the reproductive
clinic seeking contraception. Based on
this information, which method should
the nurse avoid recommending for this
client?

Cervical cap

Spermicide

Female condom

Norplant

76 Which of the following is done to PAP SMEAR

screen for the presence of cellular
anomalies of the cervix and
endocervical canal?

Pap smear

Amniocentesis

Physical examination
Speculum exam

77 Maternal health refers to a woman's Marriage counseling

health and well-being before, during,
and after pregnancy and encompasses
aspects of physical, mental, emotional,
and social health. The following are
branches of maternal health EXCEPT:

Marriage counseling

Nutrition

Prenatal Care

Family planning

Variable deceleration
78 78-79 SITUATION
Fetal heart rate should be monitored
every now and then since we are
checking for signs of distress.

Sarah G, a pregnant woman felt

something strange about her pregnancy.
The OB nurse then assesses the FHT of
the baby.

Nuchal cord coil would lead to what

type of deceleration?

a. Variable deceleration

b. Early deceleration

c. Late deceleration

d. No deceleration
 Early deceleration
79 Fetal head compression is an
implication of this type of deceleration:
a. Fetal head compression is an
implication of this type of deceleration:

a. Early deceleration

b. Variable deceleration

c. Late deceleration

d. No deceleration

80 . A pregnant woman was admitted sedentary

with a diagnosis of Pregnancy Induced
Hypertension (PIH). She asked the
nurse about how she got such condition.
The nurse’s best response would be
based on the which of the following
facts about PIH?

a. Increased blood volume during

pregnancy contributed to the
development of PIH

b. Patients with babies that are large for

gestational age commonly develop PIH

c. PIH is due to decreased estrogen and

progesterone

d. Pregnant women are prone for

developing hypertension due to
sedentary lifestyle

81 A 30-week pregnant client is any distress

scheduled for biophysical profiling
(BPP) to evaluate the health of her
fetus. Her BPP score is 8. What does
this score indicate?

a. The fetus is not experiencing any

distress

b. The fetus should be delivered

immediately

c. The client should repeat the test after

24 hours

d. The test should be repeated after a

week

82 . Preeclampsia is a complication of seizures

pregnancy. With preeclampsia, you
might have high blood pressure, high
levels of protein in urine that indicate
kidney damage (proteinuria), or other
signs of organ damage. The following
are signs and symptoms of
preeclampsia except:

a. Seizures

b. BP of 150/90mmHg

c. Traces of albumin in the urine

d. Weight gain

83 A pregnant woman is admitted under Give digoxin

your care. Which of the following is the
appropriate nursing management of
patient with cardiac disorders?

a. Provide an environment conducive

for rest
b. Give digoxin immediately

c. Administer diuretics

d. Provide antibiotics

84 The nurse is caring for a neonate Hypo, large

whose mother is diabetic. The nurse will
expect the neonate to be:

Hypoglycemic, Large for Gestational

Age

Hyperglycemic, Small for Gestational

Age

Hypoglycemic, Small for Gestational

Age

Hyperglycemic, Large for Gestational

Age

85 Which of the following fetal hyperinsulinemia

conditions would most likely develop of
the mother has Gestational Diabetes
Mellitus?

Fetal hyperinsulinemia

Fetal hypoglycemia

Fetal growth restriction

Fetal oliguria

86 It is the stage of HIV infection when seroconversion

the infected patient experiences flu-like
symptoms and HIV test is positive:

Seroconversion
AIDS

Window period

Asymptomatic period

87 Bloodborne pathogens are breastfeeding

preventable but incurable. It is very
important for the nurse to understand
that the mother-child transmission of
HIV is at higher risk during which of the
following events?

Labor and delivery

Intrauterine period

Newborn care

Breastfeeding

89 Rh incompatibility is fatal, especially Ab- o+?

to the next pregnancy. In order to
develop RH Incompatibility, the
following condition should be present:

Mother: AB- , Father O+

Mother: B- , Father: A-

Mother: O+ , Father: AB+

Mother AB- , Father: O

89. The nurse educates the pregnant hemolysis

mother about complications. The next
pregnancy from a mother who is
positive for RH incompatibility. A fetus
experiencing RH incompatibility
develops anemia due to:
a. Hemolysis

b. Hypoxia

c. Hyperbilirubinemia

d. Erythroblastosis fetali

90. The nurse educates the pregnant Low salt low fat?
mother about complications. The next
pregnancy from a mother who is
positive for RH incompatibility. A fetus
experiencing RH incompatibility
develops anemia due to:

a. Hemolysis

b. Hypoxia

c. Hyperbilirubinemia

d. Erythroblastosis fetali

91. The nurse is formulating a nursing Alteration in comfort: pain

care plan for a patient experiencing
ectopic pregnancy. Which of the
following is the priority nursing
diagnosis?

Alteration in comfort: Pain

Risk for infection

Activity intolerance

Deficient knowledge

92. Which of the following Less fetal movement

manifestations DO NOT support the
diagnosis of Hydatidiform mole?
Less fetal movement

Vaginal spotting

Hyperemesis gravidarum

Absent FHT

93. A client at 36 weeks gestation is Locate a packet/pool of amniotic fluid?

scheduled for a routine ultrasound prior
to amniocentesis. After teaching the
client about the purpose of the
ultrasound (USD), which of the
following client statements would
indicate to the nurse in charge that the
client needs further instruction?

USD identifies blood flow through the

cord

USD helps determine where to insert

the needle

USD helps locate a packet/pool of

amniotic fluid

USD aids in the location of the placenta

94. A hypertensive client is undergoing Calcium gluconate

Magnesium Sulfate therapy. Which of
the following drugs should the nurse
prepare to administer in case of
development of complications related to
the said therapy?

a. Calcium Gluconate

b. Protamine Sulfate

c. Methergine
d. Nitrofurantoin

95. The goal of care of a patient with Fluid vol?

uterine rupture is to prevent
hypovolemic shock. This warrants the
nurse to formulate which appropriate
nursing diagnosis?

a. Fluid volume deficit

b. Risk for infection

c. Altered tissue perfusion

d. Alteration in comfort: pain

96. Which of the following fetal 10x/min

conditions should alarm the mother and
the health care providers?

a. Fetal movements more that 10x/min

b. Fetal movements of 10x/3hrs

c. Transient increase in FHT pattern

d. FHT acceleration per fetal movement

97. It is a maternal condition where the Cephalopelvic disproportion

fetal presenting part does not fit into
the mother's pelvis:

Cephalopelvic disproportion

Dystocia

Precipitate labor

Incompetent cervix
98. A patient is admitted due to onset Arrest labor?
of uterine contraction. Internal
examination revealed 1-centimeter
cervical dilatation. One hour later, the
patient becomes hysterical due to severe
labor pains. Internal examination
revealed a fully dilated cervix. The nurse
understands that the patient is
experiencing what type of complication?

Precipitate labor

Arrest labor

Preterm labor

dystocia

99. The post partum woman asks you protruding

about several question. If a postpartum
patient is having uterine prolapsed
stage I, this means that the uterus:

Descends above the hymen

Is at the level of the hymen

Descends beyond the hymen

Is protruding outside the vaginal orifice

100. Which of the following findings anteverted

during a woman physical examination
would require additional assessment
when seeking the etiology of the
couple’s infertility?

Presence of scar on the right lower

quadrant of the abdomen

Clitoral size of 0.5cm

An anteverted uterus

Thick pubic hair