Recalls 3 NP2

A. Ductus deferens, arteries and veins

The spermatic cord, protected by a thick fibrous coating that serves as the pathway for sperm is comprised of:

A. Ductus deferens, arteries and veins

B. Prostate gland, cowper’s gland and vas deferens

C. Seminal vesicle, epididymis and vas deferens 

D. Vas deferens, cowper’s gland and seminal vesicle

B. Oligospermia

Patient XYZ went for a laboratory test to check for his sperm count. Analysis revealed that the number of his sperm in one ejaculation is approximately 15 million. The nurse knows that is:

A. Aspermia

B. Oligospermia

C. Normal

D. Hyperspermia

A. Ectoderm

Which among the Germ layers that forms the brain and spinal cord?

A. Ectoderm

B. Mesoderm

C. Endoderm

D. Epidermis

C. Endoderm

The trachea and esophagus arise from the same germ layer which makes it common for a birth anomaly such as fistula to occur between them. Which germ layer it arises from?

A. Ectoderm

B. Mesoderm

C. Endoderm

D. Epidermis

B. 6 hours

Jana went to the clinic and confirmed with the nurse about the use of diaphragm. She should be instructed to leave it in place after coitus for at least how many hours?

A. 1 hour 

B. 6 hours

C. 12 hours

D. 24 hours

B. Take two pills now then continue tomorrow with your usual schedule

Carla, a 19-year-old working student, was trembling. She told the nurse she forgot to take her prescribed active contraceptive pills for two consecutive days. She started crying and asked the nurse what to do. The nurse should instruct:

A. Ignore it, take one now and use other contraceptive such as spermicide for a month

B. Take two pills now then continue tomorrow with your usual schedule

C. Throw out the rest of the pack and start a new pack of pills - only if 3 consecutive days

D. Let’s inform the physician.

D. “Kapag paiba-iba ang oras ng gising ko, makakaapekto ito sa BBT method”

The nurse is teaching the client about a natural family planning method which is the basal body temperature method. The woman does not need any further teaching when she states that:

A. “Sa araw ng ovulation ko ay tataas ng 1°C ang temperature ko” - dapat F

B. “Iche-check ko ang temperature ko sa umaga pagkatapos ko mag exercise”

C. “Kapag bumaba po ang temperature ko tapos kinabukasan biglang tumaas, dapat hindi ako makipagtalik hanggang dalawang araw pagkatapos ito tumaas”

D. “Kapag paiba-iba ang oras ng gising ko, makakaapekto ito sa BBT method”

B. Void immediately before the procedure

Maryrose, a 22-week pregnant client, is scheduled for an amniocentesis. Which of the following nursing instructions should be given to the client?

A. Position the patient in a sitting position to better access the fluid

B. Void immediately before the procedure

C. Drink 2-3 full glasses of water prior to the amniocentesis and void after the procedure 

D. X-ray will be used to guide the procedure

D. Chromosomal Defects

Judy, a 23-year old primigravida is scheduled for an alpha-fetoprotein test. She asks the nurse for the indication of the test and what the medical professional is trying to detect. The nurse correctly answers:

A. Kidney defects 

B. Respiratory Defects

C. Cardiac Defects

D. Chromosomal Defects

C. Maternal blood sample

Judy, still being anxious, feels sorry and says it is her first time. She is curious on how AFP is being obtained?

A. Cervical secretions

B. Chorionic villi blood sample 

C. Maternal blood sample

D. Abdominal ultrasound

C. Fetal Heart reactivity

Biophysical profile scoring combines five parameters in checking the overall well-being of the fetus. Among the parameters, which is not assessed using a sonogram?

A. Fetal breathing

B. Fetal Tone

C. Fetal Heart reactivity

D. Amniotic fluid volume

D. "the ultrasound identifies blood flow through the umbilical cord"

Pretchelle, a 36 weeks in gestation is scheduled for a routine ultrasound prior to an amniocentesis. After teaching Pretchelle about the purpose for the ultrasound, when you were validating her understanding which of the following statements would indicate that Pretchelle needs further instruction?

A. “the test will determine where to insert the needle" 

B. "the ultrasound locates a pool of amniotic fluid"

C. "the ultrasound will help to locate the placenta"

D. "the ultrasound identifies blood flow through the umbilical cord"

D. The pockets of amniotic fluid is around 20-24

The mother received the results of her ultrasound and it indicates that there is a less than the usual amount of amniotic fluid present. The nurse knows that oligohydramnios is not related to:

A. It suggests extreme prematurity

B. It may result to umbilical cord compression

C. It is related to poor flexion in fetal attitude

D. The pockets of amniotic fluid is around 20-24

B. 15 lbs 

 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:

A. 11.25lbs

B. 15 lbs 

C. 7.5 lbs

D. 16.5 lbs

D. Amniotic fluid may contain harmful viruses

  When the nurse is assigned to admit neonates in the nursery. She makes it into a point to wear her gloves carefully. This action is based on what scientific knowledge?

A. Meconium contains enteric bacteria, which may be a cause for infection

B. The urine of infant is so alkaline which is very harmful to the skin

C. The baby is at high risk for infection and must be protected at all times 

D. Amniotic fluid may contain harmful viruses

B. A statement from the DOH asserts that circumcision is highly personal

The postpartum mother asks the nurse if she should have their son circumcised. Which piece of scientific information should the nurse base her answer on?

A. Boys should be circumcised because it is in the Philippine culture

B. A statement from the DOH asserts that circumcision is highly personal

C. Centers for Disease Control and Prevention (CDC) experts endorse circumcision for every male newborns.

D. Circumcision is not yet allowed in newborns and should not be talked about.

b. Swaddle the baby in a blanket

When the nurse checked the 8-hour-old neonate, she assessed the hands and feets bluish in color. The nurse is knowledgeable when she does what action?

a. administer oxygen via nasal cannula

b. Swaddle the baby in a blanket

c. Inform the physician and ask for a possible incubator

d. Apply pulse oximeter to check for o2 sat

C. Choanal atresia

  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?

A. Harlequin sign

B. Erythema Toxicum 

C. Choanal atresia

D. Epstein pearls

D. Blow a pinwheel

Casey, a 4-year-old child is scheduled for breathing exercises. The goal is for her to increase her expiratory phase? What is the appropriate task?

A. Use an incentive spirometer

B. Taking several deep breaths

C. Breathe into a paper bag

D. Blow a pinwheel

D. Albuterol

The mother of a child with asthma is confused with the prescription given by the doctor and says there are a lot of medications for asthma. She asks which of the following medications has a quick relief when there is an asthma attack?

A. Fluticasone

B. Prednisone

C. Montelukast 

D. Albuterol

B. When was the child’s last dose of medication?

  A 6-year-old child was rushed to the emergency department due to difficulty breathing. The most important piece of information that would indicate that a child is in status asthmaticus is?

A. When is the child’s last meal?

B. When was the child’s last dose of medication?

C. What was the child’s last activity when asthma triggers? 

D. When was the child last admitted?

Four primigravida clients went to the clinic and were assessed accordingly by the nurse on duty. Which among the gravid clients should the nurse refer for further assessment?

A. 30 weeks’ gestation complains of supine hypotension

B. 9 weeks’ gestation complains of pyrosis with nausea and vomiting

C. 36 weeks’ gestation complains of hemorrhoids and bleeding gums 

D. 34 week’s gestation complains of epigastric pain and oliguria

A. IUGR

 Nilda is diagnosed with mild preeclampsia. The pediatrician was worried for the fetus and asked for diagnostic tests. The nurse knows that preeclamptic gravid clients may cause what effect on the fetus?

A. IUGR

B. HELLP - mother

C. DIC - mother

D. PDA

D. Consume a well-balanced diet

Nilda became conscious on her diet and asks the nurse on what she should consume to manage her diagnosis of mild-preeclampsia. The nurse is correct when she states:

A. Restrict sodium intake - never restrict

B. Avoid foods high in sugar - sugar is needed to maintain energy

C. Increase oral fluid intake

D. Consume a well-balanced diet

D. Residual volume is increased up to 20% because of the pressure from the diaphragm

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 pregnancy except:

A. Vital capacity does not decrease and has no change during pregnancy

B. Gravid client develops chronic respiratory alkalosis fully compensated by a chronic metabolic acidosis 

C. Tidal volume is increased up to 40% as a woman draws in deeper breaths

D. Residual volume is increased up to 20% because of the pressure from the diaphragm

iii.  It usually subsides after the first 3 trimester

Luna, a 9th week pregnant client, is experiencing morning sickness. All of the following is related to the normal nausea and vomiting in early pregnancy. Which is not included?

i.  Due to Increasing hCG levels

ii. Due to decreasing glucose levels being used by growing fetus

iii.  It usually subsides after the first 3 trimester

iv.  Eating a snack before bedtime may help in preventing nausea

v.  Notify physician if vomits more than once daily

A. i, ii, v 

B. i only

C. i, ii, iii, iv, v

D. i, ii, iv, v

B. 15 - 25 lbs

Marga’s pre-pregnancy weight is 68 kilograms and she is 5 ’4’’ in height. She is advised to gain how much additional weight in her pregnancy?

A. 25 - 35 lbs 

B. 15 - 25 lbs

C. 28 - 40 lbs

D. 25 - 42 lbs

A. 25 - 35 lbs

Genesis went together with her BFF, Cassy, who is also pregnant with a pre-pregnancy weight of 121 lbs with 5’7 in height. In Cassy’s case, she is to gain weight how much additional weight, as advised, in her pregnancy?

A. 25 - 35 lbs

B. 15 - 25 lbs 

C. 28 - 40 lbs

D. 25 - 42 lbs

A. 0.4 mg daily

Marga asks if she is taking enough vitamins for the growth and health of her baby and raised a concern about folic acid. The Recommended amounts of folic acid daily to be taken during pregnancy is?

A. 0.4 mg daily

B. 40 µg daily 

C. 400 mg daily

D. 4 g daily

D. Ask per participating mothers what they eat in a day to determine if her diet is adequate

Nutrition must always form part of the health education for all pregnant mothers. When counseling a pregnant woman about nutrition, nurse Nicole makes sure to:

A. Recommend that she weighs herself once a week

B. Tell her to eat double the amount of food that she takes before her pregnancy

C. Inform her that only very anemic women need iron/folate supplements

D. Ask per participating mothers what they eat in a day to determine if her diet is adequate - 24 hr recall

D. Tachypnea

As the nurse is assessing the newborn with a high risk. What of the following assessment would lead the nurse to suspect cold stress syndrome?

A. Erythema toxicum 

B. Acyocyanosis

C. Blood glucose of 50mg/dL

D. Tachypnea

C. Endotracheally

 Another neonate, Lucy, born at 28 weeks of gestation, develops respiratory distress syndrome. The doctor prescribed surfactant immediately after birth. The nurse knows it is administered:

A. Intravenous

B. Intramuscular

C. Endotracheally

D. Orally

A. Bronchopulmonary dysplasia

Oxygen administration is necessary for Lucy to maintain the correct PO2 and pH levels following surfactant administration. However, a possible complication of oxygen therapy in neonate like Lucy, since she is a preterm baby is:

A. Bronchopulmonary dysplasia

B. Cystic Fibrosis

C. Laryngomalacia

D. Croup

C. RA 11053

The nurse heard about the news of increasing hazing in brotherhood, fraternity or sorority. The law that prohibits this is:

A. RA 7610 - child abuse

B. RA 10630 - juvenile system

C. RA 11053

D. RA 10354 - RH law

A. Reassure her that this is a normal reflex reaction for her baby

As you were carrying this newborn infant to her mother's room, her mother remarked, "I think my baby is afraid of me. Every time I make a loud noise, he jumps". You should:

A. Reassure her that this is a normal reflex reaction for her baby - moro reflex

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

B. Head circumference 32 cm, chest 34 cm

You are assessing another 3-hour old, full-term newborn baby boy. Which of the following findings would you record as abnormal when assessing his head?

A. Asymmetry of the head with overriding bones.

B. Head circumference 32 cm, chest 34 cm

C. A sharply outlined, spongy area of edema 

D. Two" soft spots" between the cranial bones

B. Some feeling of after pains

Nicole just had a vaginal delivery of her second child 2 days ago. She breastfeeds her baby without difficulty. You visited her and during your postpartum assessment you EXPECT normal findings to be as:

A. Fundic height at 1 cm above the umbilicus 

B. Some feeling of after pains

C. Voiding frequently, 50-75 mL per episode of voiding

D. Pinkish to brownish vaginal discharge

A. Having some pink striae but starting to fade

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 palpation

D. With creamy, yellow vaginal discharge

A. Cleaning with cooled, boiled water and leaving it uncovered 

In applying essential new born care (ENC), Nurse Richard keeps in mind that care of the umbilicus should include:

A. Cleaning with cooled, boiled water and leaving it uncovered 

B. Covering with a Sterile compress

C. Cleaning with alcohol

D. Applying antibiotic cream

B. Newborns have no intestinal bacteria

The vitamin K is administered to the newborn for which of the following reason?*

A. Newborns are susceptible to avitaminosis

B. Newborns have no intestinal bacteria

C. Hemolysis of the fetal red blood cells destroys vitamin K

D. The newborn’s liver incapable of producing sufficient vitamin K

A. It prevents infection

The pregnant client with threatened miscarriage is advised by the nurse to avoid coitus for two weeks which she asks the purpose why. The nurse responds correctly:

A. It prevents infection

B. It prevents threatened miscarriage to change to imminent 

C. It pokes the live fet us

D. It is unethical and unprofessional

A. Disappearance knee – jerk reflex

You are caring for Michelle, a patient on MgS04 therapy for severe pre-eclampsia. The danger signal prompting alert for the first sign of excessive blood magnesium level is:

A. Disappearance knee – jerk reflex

B. Increased respiratory rate - should be decreased

C. Development of cardiac dysrhythmia - late

D. Disturbance in sensorium - late

D. 14 days

Iron deficiency anemia may also be prevalent in some areas and in this condition IRON SUPLEMENTS may be given for:

A. 1 week

B. 3 weeks

C. 30 days 

D. 14 days

A. There is severe malnutrition

Vitamin A should also be given to children EXCEPT for when:

A. There is severe malnutrition

B. Children who has received vitamin A in the last 3 months

C. Has normal weight

D. Children 6 months or older

C. Diminished palpable peripheral pulses

Nicole, a 26-year old mother was admitted for hyperemesis gravidarum. While taking her history it would be MOST important (A,B,C) 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

B. Receiving Ciprofloxacin (Cipro) and complains of a fine macular rash

You are on duty and from the report/endorsements from the previous shift which client should you attend to FIRST? A client who is:

A. Schedule to receive heparin and the PTT is 70 seconds

B. Receiving Ciprofloxacin (Cipro) and complains of a fine macular rash

C. Receiving a blood transfusion and complains of a dry mouth 

D. Receiving IV potassium and complains of burning at the IV site

A. "the client's skin is blanched over the scapular areas" 

You are reviewing the nurse's notes in your obstetric client's chart. You would be MOST concerned by which of the following entries?

A. "the client's skin is blanched over the scapular areas" 

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"

C. Picks up items and moves them from place to place in a voluntary fashion

Another mother asks you to explain what fine motor skills are. She has heard that it has something? to do with a school-aged child's ability to draw and color within the lines, and she wants to know what this mean in an infant. You would explain that fine motor development is the ability to:

A. Write and draw, and that infant do not have any fine motor skills yet

B. Use all of the fingers of both hands equally well in a coordinated manner 

C. Picks up items and moves them from place to place in a voluntary fashion

D. Coordinates hand to eye movement in an orderly and progressive manner

C. Autonomy vs shame and doubt

As you are working with the parents of Nicole, a 32 months old child was having a tantrum, becoming aggressive and running away. The nurse knows that the patient is in which developmental stage?

A. Trust vs mistrust

B. Initiative vs guilt

C. Autonomy vs shame and doubt

D. Identity vs role confusion

A. Determine if Nicole's bladder is distended

You are attending to Nicole, whose cervix is completely dilated and with the fetal head is at 2 (-) station. The head of Nicole's fetus has not descended in the past hour. What most appropriate initial assessment should you make?

A. Determine if Nicole's bladder is distended

B. Assess fetal status, fetal heart tones, and scalp pH 

C. Submit Nicole for x-rays to determine fetal size

D. Notify the surgical team so that an operative delivery can be planned

A. 8

A newborn, at 1 minute after vaginal delivery, is pink with blue hands and feet (1), has a lusty cry(2). heart rate of 140(2), prompt response to stimulation with crying(2), and maintains minimal flexion, with sluggish movement(1). If you should perform an Apgar score, how would you score for this newborn?

A. 8

B. 9

C.10 

D. 7

B. Encourage the mother to take in fluids.

A postpartum mother, after giving birth 6 hours ago, was checked by the nurse and noted a temperature of 38C. The nurse knows that the appropriate action to do is:

A. Report immediately to the physician because it may be a sign of infection - 24 hours

B. Encourage the mother to take in fluids.

C. Inform the mother to be on bed rest without bathroom privilege

D. Do nothing as this is expected.

B. the mother feeds her infant on demand

A breastfeeding mother has received an advice from the nurse on how to stop engorgement. Which of the following acts by the mother demonstrates that the instruction was successful?

A. Every after feeding, she pumps her breast

B. the mother feeds her infant on demand

C. Ten minutes are spent feeding the baby on each side of the breast. 

D. She adds formula as a supplement to each feeding.

D. Sit alone using the hands for support.

While the nurse talks to the mother about her baby's motor skill development. The nurse should communicate to the mother that a newborn will most likely be able to do which of the following by the age of 7 months?

A. Walk with one handheld

B. Use a spoon to successfully eat

C. Stand while holding onto furniture 

D. Sit alone using the hands for support.

D. Anasarca

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 - not related

B. Ruddy complexion - polycythemia

C. Erythema toxicum 

D. Anasarca

B. Hematocrit 24%. 

SITUATION: There has been an increasing rate of neonatal jaundice in the hospital approximately 60% of term and 80% of preterm newborns. The following questions are applied:

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%. 

C. Potassium 5.5 mEq/L.

D. Leukocyte count 45,000 cells/mm3

A. Newborn’s blood 

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 coomb’s

C. Newborn’s urine

D. Mother’s urine

C. Let the skin air dry after rubbing the skin with alcohol

To measure bilirubin levels in a neonate with jaundice, a heel stick is required. During the procedure, the nurse should do which action?

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.