Prelims Reviewer

Maria, a first-time pregnant woman visited

the clinic and is concerned about gaining

weight and becoming fat. She asked you what

she should do to not gain so much weight.

What would be your response?

"Average women should gain 25-35 lb

during pregnancy"

Mr and Mrs Jones, 8 weeks pregnant, come in

for their first prenatal examination. This is their

first child, and they are excited about it. They

are eager to know about fetal heart sounds

and ultrasonography.

Mrs. Jones asks you (the nurse) at what

week can I hear the heartbeat of my child via

Doppler. What would be your answer?

10-12th week

Mr and Mrs Jones, 8 weeks pregnant, come in

for their first prenatal examination. This is their

first child, and they are excited about it. They

are eager to know about fetal heart sounds

and ultrasonography.

They also want to know when the mother

can feel the fetal movements in the womb.

What is the best nursing response? "You will

have to wait for another:

8 to 12 weeks

They are now ready for ultrasonography.

Before conducting the ultrasound scan, you

instruct them on the procedure. Which

statement by Mrs. Jones indicates the need for

further teaching?

A needte is inserted in the abdomen during

the scan

A sonographer in the clinic has seen a

gestational sac and told Mrs. Jones that this is

a diagnosis of pregnancy. At what gestational

week can the gestational sac be seen?

End of 6th gestational week

Mary is pregnant for the 3rd time however

she is concerned because whenever she lies

on her back her blood pressure becomes low.

What would be the best nursing intervention to

maintain normal blood pressure in the patient?

Position the patient to lie on the left side

and rest.

This is the first placental hormone

produced. It can be found in the maternal

blood and urine as early as the first missed

menstrual period.

Human chorionic gonadotropin

This hormone is produced as a second

product of synctial cells of the placenta. It

contributes to the woman's mammary gland

development

Estrogen

This hormone appears to reduce the

contractility of the uterus during pregnancy,

thus preventing premature labor.

Progesterone

This hormone has both growth-promoting

and lactogenic properties and is produced by

the placenta beginning as early as the sixth

week of pregnancy, increasing to a peak level

at term.

Human placental lactogen

This fetal movement can be felt by the

mother and occurs at approximately 18 weeks

of pregnancy and peaks in intensity at 28 to 38

weeks

Quickening

You are measuring the fundal height of a

patient who is 20 weeks pregnant. Where do

you expect to locate the fundus of the uterus?

Umbilicus

Obesity during pregnancy becomes a

problem because of the following reasons

Many overweight women are normotensive

when they enter pregnancy and do not

develop severe. gestational hypertension.

Many overweight women are normotensive

when they enter pregnancy and do not

develop severe. gestational hypertension.

D. Eat at the time nausea seems to persist

The nurse is completing a physical

assessment with a patient who has just

learned of being pregnant. The patient's last

menstrual period was August 15, 2024. When

should the nurse instruct the patient that the

baby will be due?

May 22, 2025

A patient makes an appointment at the

prenatal clinic because she thinks she might

be pregnant. Which assessment is a probable

sign of pregnancy?

A positive pregnancy test

During a physical assessment the nurse

palpates a pregnant patient's fundus at the

level of the umbilicus. What statement should

you make to the patient about this assessment

finding?

You are at 20 weeks of your pregnancy

Jenny, a pregnant patient, is concerned

that the baby is going to drown in the uterus

because of the fluid. What should the nurse

respond to about fetal respiration?

Oxygen is provided to the baby through the

placenta.

A father is preparing a 4-year-old son for

the arrival of a new baby. Which statement

should the nurse suggest the father used to

explain this to the child?

A new baby will make our family bigger but

not change our love for you.

How should the nurse record the static

history of a pregnant patient who previously

delivered live infants at term and had one

abortion and 12 weeks gestation?

Gravida 4, para 2

A pregnant patient is concerned that

orgasms will be harmful to the developing

fetus. What should the nurse include when

responding to this patient's concern?

Some women experience orgasm intensely

during pregnancy.

After an examination an advanced practice

nurse confirms that a patient is pregnant. What

did the nurse assess in this patient?

1. positive pregnancy test

2. fetal movement spelled by the nurse

3. visualization of the fetus by ultrasound

4. fetal heart rate separates from the patients

2, 3, 4

How should the nurse document a

pregnant patient's gestational status using the

GTPAL system after collecting the following

data?

1. Currently 18 weeks pregnant.

2. Patient 4th pregnancy.

3. Delivered one nonviable fetus at 26 weeks..

4. Experience one miscarriage.

4, 1,1,1,1

The nurse is assessing a patient who is 3

months pregnant. Which breast changes

would the nurse expect to assess in this

patient?

Darkened breast areola

A patient who is 2 months pregnant is

concerned about frequent urination. What

should the nurse instruct the patient about the

occurrence?

It is caused by pressure on the bladder

from the uterus.

The nurse is concerned that a pregnant

patient is not adjusting emotionally to being

pregnant. Which statement indicates that the

patient may need additional counseling?

I need to get right back to work after

delivery.

A pregnant patient asks if an

over-the-counter vitamin can be taken during

pregnancy instead of the prescribed prenatal

vitamin. What should the nurse explain as the

chief ingredient in prenatal vitamins that

makes them important for pregnancy nutrition?

Folic Acid

When explaining what will occur during the

first prenatal visit physical examination, a

pregnant patient asks why a Papanicolaou

smear is being done now? How should you

respond?

It detects cancer cells of the cervix, vulva or

vagina.

The nurse is visiting the family of a newly

pregnant patient whose spouse was

ambivalent about the pregnancy during the

first prenatal visit. Which observation indicates

that the spouse is accepting the pregnancy?

Spouse sits with the patient during the

nurse's visit.

A pregnant patient is concerned that she is

allergic to something because her hands have

been red and itchy since becoming pregnant.

What should the nurse explain as the cause of

the patient's symptoms?

Increased estrogen level

Rianne has done some research about the

ankle edema that she typically experiences by

the end of each day. Which statement would

reveal that she had read accurate information

about the cause of this?

"I'll rest with my feet up to take pressure off

my leg veins.

When a pregnant woman experiences leg

cramps, what is the correct nursing

intervention to relieve the muscle cramps?

Let the woman lie down and dorsiflex the

foot.

Which of the following is the recommended

interventions for pregnancy women

experiencing nausea and vomiting?

Eat small, frequent meals.

What is the best sleeping position of a

pregnant woman during pregnancy?

Left side-lying position

Which of the following BEST defines a

teratogen?

Any agent that can cause birth defects.

A pregnant woman reported experiencing

heart palpitations. What APPROPRIATE

advice a nurse should give her?

Move slowly from one position to another.

What important nursing management can

be advised for pregnant woman who is

complaining of backache?

Wear low to moderate heel shoes

The following are factors that may

influence the amount of damage a teratogen

can cause, EXCEPT?

Environmental teratogenic factors

Pregnant women are advised to avoid cat

litter because of the risk of which of the

following teratogenic infections?

Toxoplasmosis

Which of the following statement would

you rate the safest practice when taking drugs

during pregnancy?

"I ask my doctor what medication to take for

my headache"

Student Nurse Nikka is reviewing the

danger signs of pregnancy. Which of the

following would she tell the pregnant woman to

report if it should occur?

She gains more than 3 lbs. a week

beginning at 20 weeks.

Which of the following is considered a

danger sign during pregnancy that requires

immediate medical attention?

Severe headache with visual disturbances

If a pregnant woman experiences sudden

swelling of the hands, face, or feet, it may

indicate

Preeclampsia

A pregnant woman reports a sudden gush

of fluid from her vagina before labor begins.

What is the most likely explanation?

Premature rupture of membranes (PROM)

Severe, persistent vomiting in pregnancy

may indicate which of the following conditions?

Hyperemesis gravidarum

Which of the following is a danger sign

related to fetal wellbeing during pregnancy?

Decreased fetal movements

Which of the following nutrients is essential

for preventing neural tube defects in the fetus?

Folic acid

Which of the following micronutrients is

essential for preventing maternal anemia and

promoting fetal growth during pregnancy?

Iron

Which of the following foods should a

pregnant woman AVOID helping reduce the

risk of foodborne illnesses?

Unpasteurized cheeses

Which statement would alert the nurse that

there is NEED to review self-care practices

during pregnancy with the patient?

.

"I know if my partner uses a condom, it can

tear fetal membranes.“

Which type of childbirth preparation class

focuses on breathing techniques and

relaxation exercises?

Lamaze method

Which of the following is a key benefit of

involving a partner or family in the pregnancy

and birth process?

Improving emotional support and

connection

When preparing for childbirth, which factor

is MOST important to discuss with the

healthcare provider in advance?

Preferred method of delivery and pain

management options.

What is the primary goal of breastfeeding

classes for expectant mothers?

To promote exclusive breastfeeding and

proper techniques.

The patient is thought of as the source of

control and full partner in the provision of compassionate and coordinated care based on respect for the patient's preferences,

values, and needs. What nursing competency

is being described?

Patient-Centered Care

Nurses minimize the risk of harm to

patients and providers through both system

effectiveness and individual performance.

What nursing competency is being described?

Safety

Nurses use information and technology to

communicate, manage knowledge, mitigate

error, and support decision making. What

nursing competency is being described?

Nursing Informatics

What nursing competency is described as

the systematic investigation of problems that

have implications for nursing practice is

usually carried out by nurses?

Nursing Research

What is the primary goal of maternal and

child health nursing?

The promotion and maintenance of optimal

family health to ensure cycles of optimal

childbearing and childrearing.

What type of phases of health care use

conscientious assessment to be certain that

symptoms of illness were identified, and

interventions are begun to return patient to

wellness most rapidly.

Health restoration

Helping prevents complications from

illness; helping a patient with residual effects

achieve an optimal state of wellness and

independence; helping a patient to accept

inevitable death. What phases of health?

Health rehabilitation

T eaching women the importance of rubella

immunization before pregnancy; providing

preteens with information about safer sex

practices well before they are likely to become

sexually active, is an example of what phases

of health?

Health promotion

The goal of Quality & Safety Education for

Nurses (QSEN) is to address the challenge of

preparing future nurses with the abilities

necessary to continuously improve the quality

and safety of the healthcare systems in which

they work. All are the competencies of QSEN,

EXCEPT?

Nursing Research

What nursing theory stresses the important

role of a nurse is to help patients adapt to

changes caused by illness or other stressors.

What nursing theory?

Roy's Theory

What nursing theory describes the way

nurses move from novice to expert as they

become more experienced and prepared to

give interprofessional care?

Benner's Theory

This is the ability of nurses in the

designated organization to convert their

organization's values, beliefs, and behaviors in

order to create a high professional level of

nursing care. What major category of the

Magnet Status defines it?

Transformational leadership.

It is a nursing care that is guided by

cultural aspects and respects individual

differences.

Transcultural Nursing

They form early in life and strongly

influence the way people plan for childbearing

and childrearing as well as the way they

respond to health and Illness.

Cultural values

When planning nursing care to different

level of cultural ethnicity, the nurse should not

only respect cultural differences but also help

people share the cultural beliefs to the entire

care team so that the preferences will be

considered and respected. Among are the

factors to consider in understanding cultural

diversity, EXCEPT?

Nursing process

Which is the process in which embryo or

fetus gestates during pregnancy from

fertilization birth?

Prenatal development

Fertilization is also known as a conception

in which the fusion of the sperm cell with

secondary oocyte to form the zygote.

Approximately how many hours will it take to

process the fertilization?

24 hours

Which term refers to the duration of

pregnancy calculated from the first day of last

menstrual period (LMP)

Gestational age

In what week of the intrauterine growth

and development of the fetus will the

partitioning of the primitive heart begin, in

which chambers are formed and the presence

of the heartbeat?

4 weeks

During pregnancy, the body supplies

hormones and nutrients to the developing

fetus that help the fetus grow. Most

miscarriages happen because the fetus does

not develop normally. In what stage of

pregnancy commonly does miscarriage occur?

First trimester

On physical examination, a patient is found to have a cystocele. The nurse should confirm that the vocational nurse contributing to patient's care knows that a cystocele can cause the following?

Urinary infection from the pocket caused by

pressure against the anterior vaginal wall

Many uterine deviations can interfere with

fertility or pregnancy, so it is helpful if

recognized early. Malformations may decrease

the ability to conceive or to carry a pregnancy

to term. A uterus with oddly shaped "horns" at

the junction of the fallopian tubes is called:

A bicornuate uterus

The uterus is suspended in the pelvic

cavity by several ligaments that also support

the bladder. It is further supported by a

combination of fascia and muscle. When

ligaments become overstretched during

pregnancy, it is unable to support the bladder

well. The bladder that herniates into the

anterior vagina is called:

Cystocele

Between 5 and 7 million ova form in utero.

The following are TRUE in the maturation of

oocytes, EXCEPT :

In intrauterine life, oocytes divide by one

typical mitotic division. Division activity then

halts until adulthood, when a second type of

cell division, meiosis occurs.

Reproductive development begins at the

moment of conception and continues through

life. The body organ that produces the cells

necessary for reproduction is called:

Gonad

A menstrual cycle (the female reproductive

cycle) is episodic uterine bleeding in response

to cyclic hormonal changes. The four body

structures that are involved in the physiology

of the menstrual cycle with proper sequence

according to its functions is:

The hypothalamus, the pituitary gland, the

ovaries, and the uterus

The nurse documents the fact that a

patient typically has a menstrual cycle of 28

days. If she has had coitus on days 8, 10, 14,

and 20 of her last cycle, which is the day on

which she most likely conceived?

Day 14

The female reproductive system, like the

male, has both external and internal

components. The study of the female

reproductive organs is gynecology. The

following are the Internal female reproductive

organs:

The ovaries, the fallopian tube, the uterus,

the cervix

The patient tells the nurse he is planning to have a vasectomy after the birth of his new child but is worried about having his testes removed this way. The nurse would want the educational material on vasectomy to clearly state that this procedure involves which of the following structures?

The vas deferens

Diagnoses relevant to sexual health may

include the following EXCEPT :

Disturbance in body image related to early

development of secondary sex Characteristics

Reproductive life planning includes all the

decisions an individual or a couple makes

about whether and when to have children, how

many children to have, and how they are

spaced. A natural method of contraception that

offers 100% protection or 0% failure rate

against pregnancy is:

Abstinence

The guiding principles of the Family

Planning program, also called the four pillars

of the Philippine Family Planning Program

includes the following are EXCEPT :

Uninformed Choice

Hormonal Methods of contraceptives

includes all, except.

Diaphragm

Hannah, 17 years old, tells the nurse she wants to use a fertility awareness method of contraception. How should the nurse best meet Dena's learning needs?

The nurse should teach her to assess whether her canvical mucus is thin and watery.

A 17 years old female, chooses

intramuscular injections of DMPA as her

method of reproductive life planning. What

instructions would the nurse want members of

the care team to give her about this method?

"Encourage Dana to drink a glass of milk or

take a calcium supplement deity.

A female patient e-mails the nurse to ask

how a tubal ligation prevents pregnancy. To be

certain she's fully informed, which would be

the nurse's best answer?

Sperm can no longer reach the ove because fallopian tubes are blocked.

Sheena, wants to try female condoms as

her reproductive planning method. If the nurse

was creating a relevant educational handout, it

should include which of the following

directives?

Female condoms should be inserted before

any penile penetration.

Suppose Liza chooses to use a COC as

her family planning method. What is a danger

sign of COCs the nurse would ask her to

report?

Severe migraine headache

Many women cannot use cervical caps

because their cervix is too short for the cap to

fit property. Like diaphragms, they must be

fitted individually by a healthcare provider.

They are contraindicated in any woman who

has the following except:

Do not use a diaphragm during a menstrual

period and do not leave a diaphragm in place

longer than 24 hours.

The ridge of tissue formed by the joining

of labia majora and labia minora, sometimes

lacerated or cut during childbirth is called:

Fourchette