sabrina carpenter PM1 (copy)

1. Pregnancy is divided into 3 periods namely antepartum, intrapartum and post-partum. How ill a nurse best defines antepartum.

A. Antepartum is where prenatal care begins and ends up to labor
B. Antepartum is up to 6 weeks after delivery of neonate & placenta
C. Antepartum is the beginning of conception to the first 4 hours after birth of neonate & placenta
D. Antepartum is the period from conception to onset of contractions that cause cervical dilatation.

D. Antepartum is the period from conception to onset of contractions that cause cervical dilatation.

2. Which of the following lists are all probable signs and symptoms of pregnancy

A. Chadwick’s sign, serum laboratory tests, frequent urination, quickening B. Ballottement, fetal heart beat audible, quickening, striae gravidarum, linea nigra
C. Ballottement, uterine enlargement, quickening, striae gravidarum, linea nigra
D. Braxton hicks’ contractions, ballottement, hegar’s sign, serum laboratory tests.

C. Ballottement, uterine enlargement, quickening, striae gravidarum, linea nigra

3. Which of the following lists are all positive signs and symptoms of pregnancy?
A. Audible fetal heat beat, fetal movement felt by mother, UTZ of fetal outline
B. UTZ of fetal outline, audible fetal heartbeat, fetal movement felt by examiner
C. Fetal movement felt by examiner, UTZ of gestational sac, audible fetal heart beat
D. Evidence on UTZ of fetal outline, audible fetal heartbeat, UTZ of gestational sac

B. UTZ of fetal outline, audible fetal heartbeat, fetal movement felt by examiner

4. Cedrick, a sophomore nursing student, was asked by one of his friends about the difference of Goodell’s sign from Hegar’s sign during pregnancy. How should he answer this question correctly?

A. Goodell’s sign is the softening of the cervix, while hegar’s sign is the softening of the lower uterine segment.
B. Goodell’s sign is the softening of the cervix while hegar’s sign is the color change of cervix from light pink to deep violet
C. Goodell’s sign is the softening of the lower uterine segment while hegar’s sign is the color change of cervix from light pink to deep violet
D. Goodell’s sign is the color change of cervix from light pink to deep violet while hegar’s sign is the softening of the lower uterine segment.

A. Goodell’s sign is the softening of the cervix, while hegar’s sign is the softening of the lower uterine segment.

5. Which of the following are all in the category of local changes?
A. Amenorrhea, uterine, cervical and ovarian changers
B. Ovarian, Gastrointestinal, urinary and skeletal system changes
C. Vaginal, breast, integumentary, and respiratory system changes
D. Temperature, cervical, ovarian and cardiovascular system changes

A. Amenorrhea, uterine, cervical and ovarian changers

6. Which of the following are all in the category of systemic changes?
A. Amenorrhea, uterine, cervical and ovarian changers
B. Ovarian, cervical, ovarian and cardiovascular system changes
C. Breast, gastrointestinal system, amenorrhea and, uterine changes
D. Temperature, integumentary, respiratory and cardiovascular system changes

D. Temperature, integumentary, respiratory and cardiovascular system changes

7. Which of the following signs are related to uterine changes?
A. Operculum and leukorrhea
B. Hegar’s sign and ballottement
C. Goodell’s sign and Chadwick’s sign
D. A and B are correct

B. Hegar’s sign and ballottement

8. A pregnant woman may have beliefs and taboos that will possibly put restrictions on her behavior and activities. What do you call this factor that influences the woman’s attitude towards pregnancy?
A. Social
B. Family
C. Cultural
D. Individual

C. Cultural

9. What is the psychological task of pregnancy in the 2nd trimester?
A. Accepting the baby
B. Accepting the pregnancy
C. Preparing for parenthood
D. Accenting parenthood

A. Accepting the baby

10. How can a nurse best promote acceptance of pregnancy?
A. Give them education about baby’s bath and diapering.
B. Tell them that they should be happy because a baby is a gift from God. C. Encourage the woman and her partner to accept the reality that they will soon be parents
D. Let the pregnant woman see the beating heart or fetal outline on the monitor screen during utz

D. Let the pregnant woman see the beating heart or fetal outline on the monitor screen during utz

11. W/c of the ff most accurately reflects the psychological tasks associated w/ pregnancy?
A. During the 3rd trimester the father-to-be begins preparing for parenthood.
B. During the 1st trimester “quickening” contributes to acceptance of the body
C. During the 2nd trimester woman and partner begin “nest building” activities
D. During the 3rd trimester the father-to-be usually begins the process of accepting the pregnancy

B. During the 1st trimester “quickening” contributes to acceptance of the body

12. As a nurse how will you explain the couvade syndrome
A. It is when the pregnant woman feels happy and sad at the same time B. It is men experience extreme sadness when he heard the news that his partner is pregnant
C. It is when men experience physical symptoms w/ the same degree or even more intensely than pregnant woman
D. It is when the pregnant woman becomes so self-centered that she is unconsciously doing things to protect her unborn child

C. It is when men experience physical symptoms w/ the same degree or even more intensely than pregnant woman

13. Para

A. Woman who is pregnant for the 1st time
B. Number of times woman has been pregnant
C. Number of pregnancies that reached viability
D. Woman who has never been and is not currently pregnant
E. Woman who has carried 2 or more pregnancies to viability

C. Number of pregnancies that reached viability

Gravida

A. Woman who is pregnant for the 1st time
B. Number of times woman has been pregnant
C. Number of pregnancies that reached viability
D. Woman who has never been and is not currently pregnant
E. Woman who has carried 2 or more pregnancies to viability

B. Number of times woman has been pregnant

Multipara

A. Woman who is pregnant for the 1st time
B. Number of times woman has been pregnant
C. Number of pregnancies that reached viability
D. Woman who has never been and is not currently pregnant
E. Woman who has carried 2 or more pregnancies to viability

E. Woman who has carried 2 or more pregnancies to viability

Primigravida

A. Woman who is pregnant for the 1st time
B. Number of times woman has been pregnant
C. Number of pregnancies that reached viability
D. Woman who has never been and is not currently pregnant
E. Woman who has carried 2 or more pregnancies to viability

A. Woman who is pregnant for the 1st time

Nulligravida

A. Woman who is pregnant for the 1st time
B. Number of times woman has been pregnant
C. Number of pregnancies that reached viability
D. Woman who has never been and is not currently pregnant
E. Woman who has carried 2 or more pregnancies to viability

E. Woman who has carried 2 or more pregnancies to viability

Janice, a 39-year-old multi gravida pt, was confirmed to be 8 weeks pregnant, on her 1st prenatal checkup. When asked about her obstetric hx, she replied that her 1st child was born at 39 weeks and 5 day and her last child was born at 40 weeks. She also experienced a miscarriage at 12 weeks, with her 3 rd pregnancy.

18. How will a nurse document Janice pregnancy status?
A. G- 7, P-4
B. G- 7, P-5
C. G- 6, P-4
D. G- 6, P-5

C. G- 6, P-4

Janice, a 39-year-old multi gravida pt, was confirmed to be 8 weeks pregnant, on her 1st prenatal checkup. When asked about her obstetric hx, she replied that her 1st child was born at 39 weeks and 5 day and her last child was born at 40 weeks. She also experienced a miscarriage at 12 weeks, with her 3 rd pregnancy.

19. How will a nurse document Janice pregnancy status comprehensively?
A. G-7, T-3, P-4, A-1, L-4, M -1
B. G-6, T-2, P-2, A-0, L-4, M -3
C. G-6, T-2, P-4, A-1, L-6, M -1
D. G-7, T-3, P-2, A-0, L-6, M -3

C. G-6, T-2, P-4, A-1, L-6, M -1

Beth, a primigravid pt, went to Gavino Lying-in center on August 24, 2018 for her final prenatal check-up. The midwife noted that her LMP was on January 24, 2018.
20. What is the meaning of LMP?
A. It is the last day of the menstrual period
B. It is the first day of the menstrual period
C. It is any day of the last menstrual period
D. All of the above

B. It is the first day of the menstrual period

Beth, a primigravid pt, went to Gavino Lying-in center on August 24, 2018 for her final prenatal check-up. The midwife noted that her LMP was on January 24, 2018.

21. What is Beth’s age of gestation in weeks?
A. 33 weeks, 1 day B.
37 weeks and 5 days
C. 30 weeks, and 2 days
D. None of the above

C. 30 weeks, and 2 days

Beth, a primigravid pt, went to Gavino Lying-in center on August 24, 2018 for her final prenatal check-up. The midwife noted that her LMP was on January 24, 2018.

22. What is Beth’s age of gestation in months?
A. 6 months and 3 days
B. 7 months and 2 weeks
C. 8 months and 2 weeks
D. None of the above

B. 7 months and 2 weeks

Beth, a primigravid pt, went to Gavino Lying-in center on August 24, 2018 for her final prenatal check-up. The midwife noted that her LMP was on January 24, 2018.

23. What is Beth’s EDD?
A. October 31, 2018
B. November 5, 2018
C. November 1, 2018
D. September 31, 2018

A. October 31, 2018

Vanessa, a multigravida pt, went to AMCM on Sept 15, 2018 for her 1st prenatal checkup. The midwife noted that her LMP was on April 29,2018.

24. What is Vanessa’s age of gestation in weeks?
A. 19 weeks and 6 days
B. 18 weeks and 5 days
C. 17 weeks and 6 days
D. 16 weeks and 5 days

A. 19 weeks and 6 days

Vanessa, a multigravida pt, went to AMCM on Sept 15, 2018 for her 1st prenatal checkup. The midwife noted that her LMP was on April 29,2018.

25. What is Vanessa’s age of gestation in months?
A. 3 months and 3 days
B. 4 months and 3 weeks
C. 5 months and 2 weeks
D. None of the above

B. 4 months and 3 weeks

Vanessa, a multigravida pt, went to AMCM on Sept 15, 2018 for her 1st prenatal checkup. The midwife noted that her LMP was on April 29,2018.

26. What is Vanessa’s EDD?
A. February 5, 2019
B. February 6, 2019
C. January 31, 2019
D. January 30, 2019

B. February 6, 2019

27. Which of the following is NOT true about McDonald’s Rule?
A. It is an easy method of determining midpregnancy fetal growth
B. The fundic height in cm is also the same with the AOG
C. Not documented to be thoroughly reliable in the 3rd trimester of pregnancy
D. Inaccurate in the 2nd trimester because the fetus grows more in weight than height

D. Inaccurate in the 2nd trimester because the fetus grows more in weight than height

28. When assessing a pregnant woman at 20 weeks gestation, at what level does she expect the client’s uterine height to be?
A. At the umbilicus
B. 2 finger-breadths above the umbilicus
C. 2 finger-breadths above the symphysis pubis
D. Halfway between the symphysis pubis and the umbilicus

A. At the umbilicus

29. How will a nurse measure the fundic height of a pregnant woman?
A. From the top of the uterine fundus to the xyphoid process
B. From the top of the symphysis pubis to the xyphoid process
C. From the top of the uterine fundus to over the top of the symphysis pubis
D. From the top of the symphysis pubis to over the top of the uterine fundus

B. From the top of the symphysis pubis to the xyphoid process

30. Fetal heart sound is best heard over the fetus back at 10th – 12th week using the Doppler utz and 18th to 20th week with the use of a stethoscope. What is the normal range of FHB?
A. 60 – 100 bpm
B. 80 -130 bpm
C. 110 -160 bpm
D. 100-130 bpm

C. 110 -160 bpm

31. Samantha Reyes, 20 years of age, asks nurse Andrea on how much longer her doctor will refer to the baby inside her as an embryo. The nurse is correct if she states that it is called an embryo:
A. When the placenta forms
B. When egg and sperm meet
C. From implantation until 20 weeks
D. From implantation until 5-8 weeks

D. From implantation until 5-8 weeks

32. W/c of the ff is the most common site of implantation in the uterus?
A. Mid-uterine area
B. Uppter uterine portion
C. Lower uterine segment
D. Lower cervical segmen

B. Uppter uterine portion

33. A mother in the lying-in is worried her baby will be born with a congenital heart disease. What assessment at birth would be MOST important to check a normal umbilical cord?
A. A length of 3ft
B. A pH higher than 7.2
C. Two arteries and one vein
D. Neither green nor yellow stained

C. Two arteries and one vein

34.What hormones prepares the breast for breastfeeding and regulates maternal glucose, protein and fat levels that can be helpful for fetal growth?
A. Estrogen
B. Progesterone
C. Human Placental Lactogen
D. Human Chorionic Gonadotropin

C. Human Placental Lactogen

35. W/c of the following are the functions of the amniotic fluid?
1. Facilitates fetal movement
2. Serves as the fluid for the fetus
3. Maintains the internal temperature
4. Cushions the fetus from abdominal trauma
A. 1 and 3
B. 1,2,3
C. 1,3,4
D. All of the above

D. All of the above

36. Mother Loida asks student nurse Gia why her doctor is concerned whether her baby’s lungs are producing surfactant. What is the nurse’s BEST answer? Surfactant is:
A. Necessary for antibody production, so it helps prevent infection
B. Produced by the fetal liver, so its presence reveals liver maturity
C. Used to show mature kidney function, as it is important for fetal growth D. Essential that keeps lungs from collapsing at birth, so it aids newborn breathing.

D. Essential that keeps lungs from collapsing at birth, so it aids newborn breathing.

37. What is the opening in the fetal heart that allows blood to move directly from the right atrium to the left atrium?
A. Umbilical vein
B. Foramen ovale
C. Ductus venosus
D. Ductus arteriosus

B. Foramen ovale

38. What event occurring in the 2nd trimester helps the expected mother to accept the pregnancy?
A. Lightening
B. Ballottement
C. Quickening
D. Pseudocyesis

C. Quickening

39. W/c of the following statement would you rate the safest practice when taking drugs during pregnancy?
A. “I ask my doctor what medication to take for my headache”
B. “Over the counter drugs for headache are all safe during pregnancy” C. “I’ll take my sister’s medication for headache since she said it’s effective”
D. “I will take herbs to relieve headache since I know that it’s natural and safe'“

A. “I ask my doctor what medication to take for my headache”

40. W/c of the following signs will require a mother to seek immediate medical attention?
A. Mild uterine contraction
B. 1st fetal movement is felt
C. No fetal movement is felt in the 6th month
D. Slight dyspnea on the last month of gestation

C. No fetal movement is felt in the 6th month

41. What is the importance of UTZ to a pregnant woman?
1. It documents fetal growth
2. It predicts AOG
3. It measures the response of the fetal heart rate to fetal movement
4. It confirms the presence, size & location of placenta & amniotic fluid

A. 1,2,3
B. 1,2,4
C. 1,3,4
D.2,3,

B. 1,2,4

60. As the head of the family, Mr John Doe is responsible is providing food and shelter. He is performing what family task?
A. Physical maintenance
B. Maintenance of order
C. Socialization of family member
D. Placement of members to a larger community

A. Physical maintenance

61. To avoid chaos, he is also responsible in making the rules and regulations of the home. What
A. Physical maintenance
B. Maintenance of order
C. Socialization of family member
D. Maintenance of motivation and morale

B. Maintenance of order

62. The school nurse is conducting a health lecture on the male and female reproductive organs. W/c of the ff statements made by attended NEED FURTHER TEACHING?
A. The penis has erectile tissues
B. The testes produce testosterone
C. The breast starts to engorge when the level of estrogen increases
D. Male and female has the same organs for reproductive and urinary system

D. Male and female has the same organs for reproductive and urinary system

63. A pt verbalized that she needs to undergo surgery from female to male. She told the nurse and the surgeon that she should have been born a man? The pt has chosen what sexual orientation?
A. Bisexual
B. Pansexual
C. Transsexual
D. Homosexual

C. Transsexual

64. A mother of a 3-year old child is worried and expressed her concern to the nurse that she saw her child fondling his penis What is the BEST response of the nurse?
A. “your son is imitating his dad”
B. “your son is ready for toilet training”
C. “This is a normal behavior for a child his age”
D. “You have to discourage this behavior before it worsens”

C. “This is a normal behavior for a child his age”

65. A male pt inform the urology nurse that he is embarrassed because his wife rarely has time to reach sexual satisfaction because he experiences orgasm as soon as he enters the vagina. What do you call this condition?
A. Impotence
B. Erectile failure
C. Retarded ejaculation
D. Premature ejaculation

D. Premature ejaculation

66. A female client verbalizes that she experienced sexual harassments when she was 15 years old. Now that she is married, she tries avoiding sexual contact with her husband. The nurse understands that she is psychologically affected, and she is using what type of sexual expression?
A. Masturbation
B. Self-stimulation
C. Sexual abstinence
D. Sexual intercourse

C. Sexual abstinence

67. What area of the vaginal orifice laceration often occurs during childbirth?
A. Anus
B. Fourchette
C. Labia Majora
D. Bartholin’s Gland

B. Fourchette

68 W/c of the ff BEST describes the type of sexuality disorder when a person peeps through a hole while 2 unsuspecting individuals are having intercourse?
A. Fetishism
B. Voyeurism
C. Transvestism
D. Exhibitionism

B. Voyeurism

69 W/c of the following is referred to as oedipal complex
A. Girl attached to father
B. Girl attached to sibling
C. Boy attached to sibling
D. Boy attached to mother

D. Boy attached to mother

70. In toddler, w/c injury is most likely the result of child abuse?
A. A 1-inch forehead laceration
B. A hematoma on the occipital region
C. A small, isolated bruise on the right leg
D. Several small, circular burns on the child’s back

D. Several small, circular burns on the child’s back

71.Which of the following BEST describes the type of sexuality disorder when a person shows his genitalia to the public?
A. Pedophiles
B. Masochism
C. Voyeurism
D. Exhibitionism

D. Exhibitionism

72. W/c of the ff is NOT TRUE on the orgasmic phase in the sexual response cycle?
A. Increase muscle spasm
B. Blood pressure is increased
C. Increase sensory awareness
D. Heart rate would range to 100-180 bpm

D. Heart rate would range to 100-180 bpm

73. The nurse is teaching HS girls about the female reproductive tract. W/c statements by the nurse are accurate?
1. The vagina has an acidic environment
2. The cervix is where the Pap smear is taken from
3. The ovum is fertilized in the uterus
4. Ovaries produce sex steroid hormones
5. The breast contain fat tissue
A.1,2,3 and 4
B. 2,3,4 and 5
C.1,2,4 and 5
D. 1,2,3 and 5

C.1,2,4 and 5

74. When performing a pelvic examination, the nurse observes red swollen area on the right side of the vaginal orifice. The nurse would document this as enlargement of which of the following?
A. Clitoris
B. Parotid gland
C. Skene’s gland
D. Bartholin’s gland

D. Bartholin’s gland

75. Which of the following is NOT a function of the ovaries?
A. They store eggs (ova)
B. They produce and release eggs
C. They stimulate the start of labor contractions
D. They produce estrogen and progesterone

C. They stimulate the start of labor contractions

76. At about what age does andropause typically begin?
A. 20-29 years old
B. 30-39 years old
C. 39-49 years old
D. 40-55 years old

D. 40-55 years old

77.A woman is considered to be in menopause after she has missed how many menstrual cycles?
A. 3
B. 6
C. 9
D. 12

D. 12

78. What is the most serious adverse effect of menopause?
A. Hot flashes
B. Osteoporosis
C. Heart Disease
D. Both B and C

D. Both B and C

79. If GnRH production were blocked, which of the following would NOT occur?
A. sperm production would increase
B. Testosterone production would decrease
C. LH levels decrease
D. FSH levels would increase

A. sperm production would increase

80. What would happen if testosterone levels get too high?
A. Testosterone feeds back to directly inhibit FSH
B. Testosterone feeds back to directly inhibit GnRH production
C. FSH production increases to counteract high testosterone
D. Inhibin is released in the blood stream to counteract high testosterone levels

B. Testosterone feeds back to directly inhibit GnRH production

81. What body organ produces the cell necessary for reproduction?
A. Gonad B. Zygote C. Gamete D. Primordial follicle

A. Gonad

82. What fertilized female egg will grow into a baby?
A. Gonad B. Zygote C. Gamete D. Primordial follicle

B. Zygote

83. W/c 2 hormones stimulate the processes of spermatogenesis and maturation of the ova
A. FSH and LH
B.FSH and HCG
C. Testosterone and Estrogen
D. Testosterone and Progesterone

A. FSH and LH

84. W/c of the ff is the location where fertilization occurs?
A. Uterus B. Vagina C. Ovaries D. Fallopian Tubes

D. Fallopian Tubes

85. In both males and females, gonadotropin secretion by anterior pituitary is stimulated by w/c of the following?
A. FSH B. GnRH C. Inhibin D. Androgens

B. GnRH

86.Which of the reproductive system organ produces both estrogen and progesterone?
A. Ovary B. Testes C. Pancreas D. Hypothalamus

A. Ovary

87. Which part of the reproductive system is where the embryo develops into a fetus?
A. Uterus B. Vagina C. Ovaries D. Fallopian tubes

A. Uterus

88. Which of the following symptoms do women commonly experience during the menstrual cycle?
A. Nausea
B. Irritability
C. Abdominal Pain
D. Widespread vesicular rash

C. Abdominal Pain

89. Ovarian follicles respond to gonadotropin hormones, FSH, and LH. Which of the following proteins inhibit the secretion of FSH and LH?
A. HCG B. Inhibin C. Activin D. Progesterone

B. Inhibin

90. The dominant follicle is likely selected during the preceding menstrual cycle, and then grows prolifically during the proliferative phase of the next cycle. You want to administer a receptor antagonist designed to block growth of dominant follicle. Inhibition of which receptor would most likely result in suppressed growth and development of the dominant follicle?
A. LH receptor
B. FSH receptor
C. GnRH receptor
D. Estrogen receptor

B. FSH receptor

91. Which of the following accurately described the chronological set of descriptive changes that occur in the endometrium during menstrual cycle?
1. Proliferative/Follicular
2. Ovulation
3. Menstrual
4. Luteal

A. 1,2,3,4
B. 2,3,1,4
C. 3,1,2,4
D. 4,3,2,1

C. 3,1,2,4

92. Blood, mucus and tissue are expelled from the female body once a month due to which of the following condition?
A. Intercourse had occurred
B. Testosterone has been released
C. Pregnancy has occurred and the uterus needs to make room for the baby
D. Pregnancy has not occurred and these tissues are not needed in the uterus

D. Pregnancy has not occurred and these tissues are not needed in the uterus

93.Maria typically has a menstrual cycle 34 days. If she had coitus on days 8,10,15 and 20 f her last cycle, which is the day on which she most likely conceived?
A. Day 15
B. Day 20
C. The 8th day
D. The 10th day

A. Day 15

94. Upon checking the chart of Bianca her last menstrual period was dated. August 15, 2019. Her doctor informed her that the EDD is on what date?
A. May 22, 2020
B June 25, 2020
C. February 22, 2020
D. December 25, 2019

A. May 22, 2020

95. Where is GnRH produced?
A. Hypothalamus
B. Adrenal glands
C. Anterior Pituitary
D. Posterior Pituitary

A. Hypothalamus

96.Which hormone is the corpus luteum responsible for producing
A. LH B. FSH C. Estrogen D. Progesterone

D. Progesterone

97. Which of the following are effects of increased levels of estrogen in the follicular phase of te menstrual cycle?
A. Thinning
B. Thinning of cervical mucous
C. Thickening of cervical mucous
D. Thickening of the endometrium

D. Thickening of the endometrium

98. Corpus Luteum, which is essentially a dead cell that degenerates, produces three types of hormone, which are:
1. Inhibin
2. Progesterone
3. Estrogen
4. FSH and LH

A. 1,2,3
B. 1,2,4
C. 2,3,4
D. 3,4,1

A. 1,2,3

99. Which of the following are myths of menstruation?
A. Exercise has no effect to menstruation cycle
B. There is increase sexual arousal during menstruation
C. Eating sour food like “hilaw na manga” can cause bloating
D. All of the above

D. All of the above

100. What factor/s can cause premature menopause?
A. Smoking
B. Autoimmune disorders
C. A woman’s mother had early menopause
D. All of the above

D. All of the above