2nd year Quali

Part 1

To obtain information about a 17-year-old female client's sexual activity, an APPROPRIATE question for the nurse to ask is:

Select one: a. How many boyfriends have you had?

b. What is your gender preference?

c. Do you know the signs and symptoms of pregnancy?

d. Are you sexually active?

d. Are you sexually active?

The nurse is teaching high school girls about the female reproductive system. Which statements by the nurse are accurate?

1. The vagina has an acidic environment.

2. The cervix is where the Pap smear specimen is taken from.

3. The ovum is fertilized in the uterus.

4. Ovaries produce sex steroid hormones.

5. The breasts contain fat tissue.

Select one:

1, 2, 3 and 5

2, 3, 4 and 5

1, 2, 4 and 5

1, 2, 3 and 4

1, 2, 4, 5

You are counselling a woman on proper attachment and sucking during breastfeeding. FURTHER INSTRUCTION is needed if the mother makes which of the following statement?

Select one:

a. "The upper lip should be turned outwards, with the lower lip inwards."

b. "Pauses between sucking is normal."

c. "My baby's mouth should open wide."

d. "The baby's chin should be touching my breast."

a. "The upper lip should be turned outwards, with the lower lip inwards."

You are instructing a male patient about spermatozoa, which of the following statements indicate that the patient understood the teaching? Spermatozoa are produced in the:

Select one:

a. prostate gland.

b. seminal vesicles.

c. testicle.

d. epididymis

c. testicle

Ken, 6-year-old, was diagnosed to have Acute Glomerulonephritis (AGN). Which information on his medical history would aid in tracing the origin of his disease? Select one:

a. Late onset sepsis a week after birth

b. Impetigo last 3 weeks ago

c. Green-stick fracture last year

d. Anemia when he was 4

b. Impetigo last 3 weeks ago

When the infant's needs are met, what developmental task is met?

Select one:

a. Trust vs. mistrust

b. Industry vs. inferiority

c. Autonomy vs. shame and doubt

d. Initiative vs. guilt

a. Trust vs. mistrust

Which kind of development is measured by intelligence test?

Select one:

a. Psychosocial development

b. psychosexual development

c. Cognitive development

d. Moral development

c. Cognitive development

Which of the following is referred to as oedipal complex? Select one:

a. Attachment to siblings

b. Attachment to objects

c. Attachment to father A

d. attachment to mother

d. attachment to mother

Patient Loida asks student nurse Gia why her doctor is concerned whether her fetus lungs are producing surfactant. What is the nurse's BEST answer regarding surfactant? Surfactant is:

Select one:

a. Essential in keeping the lungs from collapsing at birth, to help establish newborn breathing.

b. Necessary for antibody production, so it helps prevent infection.

c. Produced by the fetal liver, so its presence reveals liver maturity.

d. Used to show mature kidney function, as it is important for fetal growth.

a. Essential in keeping the lungs from collapsing at birth, to help establish newborn breathing.

Which of the following congenital heart disease has continuous "machine"-like murmur at the left upper sternal border?

Select one:

a. Atrial Septal Defect

b. Coarctation of Aorta

c. Ventricular Septal Defect

d. Patent Ductus Arteriosus

d. Patent Ductus Arteriosus

Nurse Daniella is caring for a client in labor. She determines that the client is in the beginning of the second stage of labor. Which of the following assessment should be noted at the beginning of second stage of labor?

Select one:

a. Crowning of the fetal head is observed

b. Bag of water has ruptured

c. The cervix is completely dilated.

d. Contractions are regular, increasing in intensity

c. The cervix is completely dilated.

Early ambulation is encouraged to postpartum patients. But your client tells you that she prefers to stay on bed than ambulate. Which of the following options reflect the best way to manage this situation?

Select one:

a. Call the client's primary care provider for advice.

b. Explain the importance of early ambulation and offer to assist her.

c. Let the client sign a waiver if she does not follow.

d. Inquire from the nursing supervisor what you should do.

b. Explain the importance of early ambulation and offer to assist her.

The nurse is caring for a child with a diagnosis of Kawasaki disease. The child's parent asks the nurse, "How does Kawasaki disease affect my child's heart and blood vessels?" What will be the nurse's APPROPRIATE response?

Select one:

a. Untreated disease causes mitral valve stenosis

b. Increased lipid levels lead to the development of atherosclerosis.

c. Inflammation weakens blood vessels, leading to aneurysm.

d. Altered blood flow increases cardiac workload.

c. Inflammation weakens blood vessels, leading to aneurysm.

EINC was created for what purpose?

Select one:

a. To reduce child mortality and the improve maternal health by reducing maternal deaths.

b. To foster integration into other existing programs addressing reproductive health issues.

c. To ensure that constituents most in need of health care will have access to healthcare providers.

d. To champion the cause of women and children

a. To reduce child mortality and the improved maternal health by reducing maternal deaths.

Which of the following options BEST defines the term physical development? Select one:

a. An increase in size or bodily changes.

b. Ability to learn and understand from experience.

c. An increase in skill or ability to function.

d. Development of instincts and sensual pleasure

a. An increase in size or bodily changes.

Which of the following suggestions will the nurse give to prevent accidental poisoning in toddler?

Select one:

a. Lock all medications in a cabinet

b. Label medications properly

c. Store syrup in the refrigerator

d. Indicate whether the medication is for child or adult

a. Lock all medications in a cabinet

Which of these is NOT recommended anymore as a newborn care practice in Essential Intrapartum and Newborn Care (EINC)?

Select one:

a. Immediate drying

b. Skin to skin contact

c. Initiation of early breastfeeding

d. Immediate cord clamping

d. Immediate cord clamping

Nursing care of a neonate receiving phototherapy for hyperbilirubinemia would include which of the following?

Select one:

a. IVF monitored every 6 hours

b. Mask over the eyes to prevent retinal damage

c. Tube feeding

d. Feeding the neonate under phototherapy lights

b. Mask over the eyes to prevent retinal damage

Which of these is NOT a recommended practice in Essential Intrapartum and Newborn Care (EINC) during intrapartal period?

Select one:

a. Spontaneous pushing

b. Administration of oxytocin before placental delivery

c. Perineal shaving prior to delivery

d. Continuous support during childbirth

a. Spontaneous pushing

After normal spontaneous delivery, the mother complains of uncomfortable uterine cramps similar to the ones experienced during menstruation. What do you call this postpartum discomfort?

Select one:

a. Afterpains

b. Deviated uterus

c. Diuresis

d. Distended bladder

a. Afterpains

Which of the following BEST describes the type of sexuality disorder when a person peeps through a hole while two unsuspecting individuals are having intercourse?

Select one:

a. Transvestism

b. Fetishism

c. Voyeurism

d. Exhibitionism

c. Voyeurism

Which of the following suggestions would be most helpful for parents preparing to toilet train their child?

Select one:

a. Follow a regular schedule for using a potty.

b. Flush the toilet while the child is still sitting there.

c. Assess the child's readiness between 18 months to 3 years.

d. Have the child sit on the potty until he urinates or defecate.

a. Follow a regular schedule for using a potty

The physician asks Nurse Kevin the interval of the contractions of a laboring client. Nurse Kevin assessed the client's contractions by timing from the:

Select one:

a. Beginning of a contraction to the beginning of the next contraction.

b. End of a contraction to the end of the next contraction.

c. End of a contraction to the beginning of the next contraction.

d. Beginning of a contraction until the time it is over

c. End of a contraction to the beginning of the next contraction.

In assessing blood loss to patient with postpartum hemorrhage, of what significance is monitoring the urine output?

1) Decreasing urine output signifies declining blood supply to the vital organs.

2) A urine output of 30 ml/kg per hour suggests that not only is the kidney receiving adequate blood supply, but the other organs as well.

3) Increasing urine output signifies declining blood supply to the vital organs.

4) A urine output of 10 ml/kg per hour suggests that not only is the kidney receiving adequate blood supply, but the other organs as well.

Select one:

a. 1, 4

b. 1, 2

c. 2, 4

d. 2, 3

b. 1, 2

What would be the BEST health teaching for adolescents experiencing changes in their sebaceous and sweat glands?

Select one:

a. Provide instructions regarding use of medications for over sweat production

b. Practice hygienic activities to reduce body odor and acne.

c. Do exercises that will minimal production of sweat.

d. Give information about the need for increased consumption of fat-soluble vitamins

b. Practice hygienic activities to reduce body odor and acne.

A two-year-old girl answers every request of her mother by saying "NO". What would you suggest minimizing this?

Select one:

a. "Answer all her questions with a 'NO'".

b. "Focus on the good behavior of the two-year-old girl."

c. "Limit the number of questions you ask her."

d. "Tell her you don't want her to say 'NO' anymore

c. "Limit the number of questions you ask her."

When describing the social activities of a nine year-old child, which of the following would MOST likely apply?

Select one:

a. Peer group is not important

b. Readiness for away-from-home camps

c. Joining all boy or all girl clubs

d. Intense need for privacy

c. Joining all boy or all girl clubs

To prevent postpartum infection, which of the following discharge instructions is the MOST IMPORTANT?

Select one:

a. “Tampons are better than sanitary napkins for inhibiting bacteria during the postpartum period”.

b. “Don’t take tub baths for at least 6 weeks after delivery”.

c. “Wash your hands before and after changing your sanitary napkins”.

d. "Douche gently with betadine solution twice a day for a week or more after delivery”

c. “Wash your hands before and after changing your sanitary napkins”.

When assessing a 12-year-old child with Wilm's tumor, the nurse should keep in mind that it is most important to AVOID which of the following?

Select one:

a. Inspecting the abdominal area

b. Measuring the child's abdominal circumference

c. Placing the child in an upright position

d. Palpating the child's abdomen

d. Palpating the child’s abdomen

Which of the following vital signs changes are the most significant parameters in postpartum hemorrhage?

Select one:

a. Hyperthermia and hypotension

b. Tachycardia and hypotension

c. Tachypnea and bradypnea

d. Bradychardia and hypertension

b. Tachycardia and hypotension

Which of the following assessments result is expected when assessing a child with Tetralogy of Fallot?

Select one:

a. Higher pressure in the upper extremities than with the lower extremities

b. Increasing cyanosis while crying or with activity

c. Machine-like murmur

d. Normal blood pressure

b. Increasing cyanosis while crying or with activity

Which among the following nursing diagnoses will be given priority during a seizure attack?

Select one:

a. Ineffective airway clearance

b. Impaired breathing pattern

c. Impaired Physical mobility

d. Ineffective tissue perfusion

a. Ineffective airway clearance

Upon taking the blood pressure of a patient with congenital heart defect, nurse Ivan notices the blood pressure is higher in the upper extremities than the lower extremities. What does this indicate?

Select one:

a. Patent Ductus Arteriosus

b. Coarctation of Aorta

c. Tetralogy of Fallot

d. Atrial Septal Defect

b. Coarctation of Aorta

In assessing toddler, which injury is most likely the result of child abuse?

Select one:

a. A 1-inch forehead laceration

b. A small, isolated bruise on the right leg

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

d. A hematoma on the occipital region

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

You are on duty when a 13-year-old girl came and asked you, "What will be the body changes that will occur during my puberty stage?" As a student nurse what statements below will be your most appropriate answers?

1) Stunted growth

2) Development of the breasts

3) Appearance of hair in the armpit

4) Widening of the hips and appearance of pubic hair

Select one:

a. 1, 2, 3

b. 2, 3, 4

c. 1, 2, 4

d. 1, 3, 4

b. 2, 3, 4

A primipara client who was diagnosed with hydramnios, and breech presentation is manifesting early postpartum hemorrhage at 1 hour after cesarean delivery. When recuperating back in the room, the patient asks, “Why am did I bleed so much?” The nurse responds that the most likely cause of uterine atony is which of the following?

Select one:

a. Moderate fundal massage after delivery.

b. Lengthy and prolonged 2 stage of labor.

c. Trauma during labor and delivery.

d. Overdistension of the uterus from hydramnios

d. Overdistension of the uterus from hydramnios

Which of the following manifestation would a nurse assess from a three-year-old child who has Hirschsprung disease (HD)?

Select one:

a. Mucoid stool

b. Ribbon-like stool

c. Clay-colored stool

d. Currant jelly stool

b. Ribbon-like stool

A male patient informs the urology nurse that he is embarrassed because his wife rarely has time to reach sexual satisfaction because he experiences an orgasm as soon as he enters the vagina. What is this condition best known?

Select one:

a. Erectile failure

b. Impotence

c. Retarded ejaculation

d. Premature ejaculation

d. Premature ejaculation

The Essential Intrapartum and Newborn Care (EINC) is composed of standards and products that are evidence-based and suggested to be adopted by the hospitals and other birthing facilities in the country. As per the EINC, when will a newborn be bathed or washed to prevent hypothermia?

Select one:

a. Immediately after delivery

b. At least 24 hours after delivery

c. 12 hours after delivery

d. Within 6 hours after delivery

b. At least 24 hours after delivery

Which of the following definitions BEST describe pyloric stenosis?

Select one:

a. Herniation of the umbilical content into the umbilical ring

b. Connection that forms between the trachea and esophagus

c. Telescoping of one portion of the bowel into another

d. Narrowed pathway between stomach and duodenum

d. Narrowed pathway between stomach and duodenum

Nurse Charlie is reviewing the record of a client in the labor room and notes that the resident physician has documented that the fetus is at 0 station. The nurse determines that the fetal presenting part is:

Select one:

a. 1 cm below the ischial spines

b. 1 cm above the ischial spines

c. At the perineum

d. At the level of the ischial spines

d. at the level of the ischial spines

Which among the following abnormal uterine contraction, is characterized by infrequent, weak and of short duration contractions?

Hypotonic uterine contraction

Anne was diagnosed with Left-sided heart failure. Her husband asks the nurse the difference between Right sided heart failure and left sided heart failure. What is an appropriate response of the nurse?

a. Right sided causes decrease in blood pressure of the circulatory system while left sided causes an increase in blood pressure in lungs

b. Left sided causes a decrease in blood pressure of the circulatory system while right sided causes an increase of bp in lungs

c. Right sided causes back pressure to the lungs while left sided causes back pressure to the circulatory system

d. Left sided causes back pressure to lungs while right sided causes back pressure to circulatory system

d. Left sided causes back pressure to lungs while right sided causes back pressure to circulatory system

MMDST is an early detection model that is applied to detect developmental disabilities in children. Until what age is MMDST applicable?

A. 6 ½ years old

B. 5 ½ years old

C. 6 years old

D. 5 years old

A. 6 ½ years old

The school nurse is conducting a health lecture about the reproductive system. Which of the following statements made by the attendees need further teaching?

A. The breast starts to engorge when the level of estrogen increases

B. The penis has erectile tissues

C. Male and female has the same organs for reproductive and urinary purposes

D. The testes produce testosterone

C. Male and female has the same organs for reproductive and urinary purposes

Which of the following hormones are responsible for milk production and let down reflex?

A. Progesterone and Oxytocin

B. Prolactin and Oxytocin

C. Estrogen and Prolactin

D. Progesterone and estrogen

B. Prolactin and Oxytocin

The nurse was assessing a pregnant woman and noted the difference of Goodell’s sign from Hegar’s sign. Which of the following statements is correct?

A. Goodells 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

B. Goodells sign is the color change of cervix from light to pink deep violet, while Hegar sign is the softening of the Lower uterine Segment

C. Goodells sign is the softening of the cervix, while Hegar’s sign is the softening of the Lower Uterine Segment

D. Goodells sign is the softening of the cervix while Hegar’s sign is the color change of cervix from light pink to deep violet.

C. Goodells sign is the softening of the cervix, while Hegar’s sign is the softening of the Lower Uterine Segment

An example of an activity that develops fine motor skills in the school age child is

A. Playing the guitar

B. Rollerblading

C. Swimming

D. Playing chess

A. Playing the guitar

When caring for a 15-year-old client receiving chemotherapy for leukemia, the nurse should keep in mind that an adolescent of this age will:

A. Be most bothered by having to limit activities

B. Be preoccupied by concerned about missed schoolwork

C. Feel different because of an altered body image

D. Feel dependent and enjoy the sick role

C. Feel different because of an altered body image

Nurse Cedric was assessing a couple and noted that they already achieved all the psychological tasks of pregnancy. Which of the following did the couple manifest? A. During the 3rd trimester the father-to-beverbalized that he already accepted her partners changes during pregnancy

B. During the third trimester the couple begins activities such as buying clothes for their baby

C. During the second trimester the couple verbalized accepting the baby after the viewing the ultrasound screen

D. During the first trimester the couple verbalized that their baby’s movement contributes to their acceptance of the baby.

B. During the third trimester the couple begins activities such as buying clothes for their baby

Which of the following nursing action would help the nation achieve the number one health goal of reducing maternal mortality rate?

Select one:

a. Checking the body temperature for possibility of infection

b. Checking for Homan's sign

c. Checking for milk production

d. Checking for excessive bleeding

d. Checking for excessive bleeding

Which of the following options best describes play among school-aged children? Select one:

a. Associative play

b. Cooperative play

c. Solitary play

d. Parallel play

b. Cooperative play

Which of the following options best reflect the moral developmental milestone of an adolescent?

Select one:

a. Adolescents are capable of thinking in terms of possibility.

b. Adolescents are capable of abstract thought, internalizing standards of conduct. c. Learning to establish satisfactory relationship with the opposite sex.

d. Adolescents learn who they are and what kind of person they will be.

b. Adolescents are capable of abstract thought, internalizing standards of conduct.

A male client confided that he enjoys dressing in clothes of the opposite gender for sexual arousal. This client is referred to as which of the following?

a. Heterosexual

b. Transvestism

c. Transexual

d. Bisexual

b. Transvestism

Which of the following is a reproductive disorder wherein a woman may lack vagina, cervix, fallopian tube, or the entire uterus and whose treatment is hysteroscopic metroplasty, a surgical procedure to enlarge the uterus?

a. Vesicouterine Fistula

b. Rectovaginal Fistula

c. Unicornuate

d. Hypoplasia/Agenesis

d. Hypoplasia/Agenesis

In assessing the total amount of fluid that's ejaculated from the penis, which of the following is the single most useful criterion?

a. Sperm count b. Sperm maturity c. Semen volume d. Sperm motility

d. Sperm motility

Close fetal monitoring is needed with a woman diagnosed with Diabetes. The following are included in the fetal monitoring,

EXCEPT:

a. Weekly nonstress test is done if her regulation of glucose is poor.

b. Creatinine clearance test is done every trimester to assess uterine perfusion.

c. Lecithin/ Sphingomyelin ratio by amniocentesis is done to assess fetal maturity. d. Ultrasound examination is done at 18-20 weeks to detect gross fetal abnormalities.

a. Weekly nonstress test is done if her regulation of glucose is poor.

Jewel asks her friend Vina on how she can prevent cardiovascular diseases. Which of the following response is INAPPROPRIATE? O

a. Exercise regularly at least 2 hours and 30 minutes a week.

O b. Avoid eating too salty foods, to lower your blood pressure.

O c. Limit alcohol consumption to avoid high blood pressure.

O d. Limit smoking to at least 1 stick per day to avoid damaging the arteries

O d. Limit smoking to at least 1 stick per day to avoid damaging the arteries

Which disorder has a complete duplication of the uterus and cervix without fusion of the two cavities and wherein one fallopian tube joins each fundal cavity?

O a. Bicornuate

O b. Didelphus

O c. Septate

O d. Arcuate

O b. Didelphus

Mercy was diagnosed with cardiovascular disease and was experiencing extreme exhaustion, palpitations, and shortness of breath during less than ordinary activity. She plans to get pregnant and asks a nurse if it is possible, and what Will happen to her pregnancy.

Which of the following is an appropriate response of a nurse?

O a. It is not possible; she is a poor candidate for pregnancy.

O b. It is possible and she is expected to experience normal pregnancy and delivery.

O c. It is possible yet she should maintain special precaution during pregnancy.

d. It is not possible, she is advised to avoid pregnancy

O c. It is possible yet she should maintain special precaution during pregnancy.

What treatment retrieves sperm and ovum and directly implants it into the fallopian tubes where fertilization takes place?

O a. ZIFT

O b. GIFT

O c. IVF

O d. Artificial insemination

O b. GIFT

Which is a disorder defect of the dorsal wall of the urethra and is seen both in males and females, wherein in males, the opening is on top of the penis while in females, towards the clitoris or even below it?

O a. Phimosis

O b. Epispadias

O c. Paraphimosis

O d. Hypospadias

b. Epispadias

What is this intersex condition in which there are some male structures (gonad, testis), as well as a uterus, vagina, and fallopian tubes?

a. Pseudo hermaphroditism

O b. Congenital adrenal hyperplasia/Chromosomal abnormalities

O c. True hermaphroditism

O d. Mixed gonadal dysgenesis

c. True hermaphroditism

Which alteration in sexual response behavior is characterized by being sexually attracted to the corpse?

O a. Necrophilia

O b. Klishmaphilia

O c. Coprophilia

O d. Kennelism

a. Necrophilia

Marissa Gomez is a 35-year-old primipara. On her 20th week of pregnancy, she reported that she has cravings for ice cubes or chalk. What type of anemia is associated with pica?

O a. Sickle cell anemia

O b. Iron-deficiency anemia

O c. All the choices are correct

d. Folic acid-deficiency anemia

b. Iron-deficiency anemia

An adolescent, 15 years of age, had undergone diagnostic testing and been diagnosed with precocious puberty. What advice would a nurse give her parents?

O a. Do not allow her to eat processed meats, which contain growth hormones.

O b. Treat her appropriately for her chronologic age rather than her physical appearance.

O c. Restrict the amount of physical and mental stimulation she receives daily to halt abnormal growth.

O d. Although her sexual appearance is advanced, she is not able to conceive

O b. Treat her appropriately for her chronologic age rather than her physical appearance.

This indicates endocrine disturbance cycles longer than 6-7 wks.

O a. Metrorrhagia

O b. Polymenorrhea

O c. Menoretrorrhagia

O d. Oligomenorrhea

d. Oligomenorrhea

A neonate's cord measures 55 cm with two arteries and one vein. You know that this indicates

a. A normal cord

b. An unusually short cord

c. A two-vessel cord

d. An unusually long cord

a. A normal cord

When bright red blood continues to ooze from the vagina despite of a firmly contracted uterus, which of the following would you suspect as a cause of bleeding?

A. Uterine laceration

B. Vaginal laceration

C. Cervical laceration

D. Perineal laceration

C. Cervical laceration

. You delivered a placenta with chorion covering its fetal side. What type of placenta is this?

a. Placenta Succenturiata

b. Placenta Circumvallata

c. Battledore Placenta

d. Placenta Accreta

b. Placenta Circumvallata

Which of the following is a complication of cocaine abuse during pregnancy?

a. Hydatidiform mole

b. Placenta previa

c. Abruptio placenta

d. Polyhydramnios

c. Abruptio placenta

How will a nurse measure the fundic height of a pregnant woman? Select one:

a. From the top of the symphysis pubis to over the top of the uterine fundus

b. From the top of the uterine fundus to the xyphoid process

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

d. From the top of the uterine fundus to over the top of the symphysis pubis

a. From the top of the symphysis pubis to over the top of the uterine fundus

What term related to pregnancy status means the woman who is pregnant for the first time? Select one:

a. Primigravida

b. Para

c. Gravida

d. Nulligravida

a. Primigravida

Which of the following are all in the category of systemic change?

Select one:

a. Breast, Gastrointestinal system, Amenorrhea, and Uterine changes (local)

b. Temperature, Integumentary, Respiratory, and Cardiovascular system changes

c. Cervical, Immune System, Amenorrhea, and Vaginal changes

d. Ovarian, Cervical, Ovarian, and Cardiovascular system changes

Which of the following lists are all probable signs and symptoms of pregnancy? Select one:

a. Ballottement, Uterine Enlargement, Quickening, Striae Gravidarum, Linea Nigra

b. Braxton Hicks contractions, Ballottement, Hegars Sign, Serum Laboratory Tests

c. Ballottement, Fetal heart audible, Quickening, Striae Gravidarum, Linea Nigra

d. Chadwicks sign, Serum Laboratory Tests, Frequent Urination, Quickening

a. Ballottement, Uterine Enlargement, Quickening, Striae Gravidarum, Linea Nigra

Which of the following lists are all presumptive symptoms of pregnancy?

a. Braxton Hicks contractions, Ballottement, Hegar's Sign, Serum Laboratory Tests

b. Chadwick's sign, Serum Laboratory Tests, Frequent Urination, Quickening

c. Ballottement, Fetal heart audible, Quickening, Striae Gravidarum, Linea Nigra

d. Fatigue, Uterine Enlargement, Quickening, Striae Gravidarum, Linea Nigra

d. Fatigue, Uterine Enlargement, Quickening, Striae Gravidarum, Linea Nigra

Which of the following measurements are the three most important determinants used to confirm that a newborn is healthy?

a. Head circumference, chest circumference and abdominal circumference

b. Height, head circumference and chest circumference

c. Weight, chest circumference and abdominal circumference

d. Weight, height and head circumference

d. Weight, height and head circumference

Upon assessment, the nurse knew that the mother is experiencing a taking-hold phase. Which of the following manifestations BEST describes taking-in phase?

a. Gives up fantasy image of the baby

b. Accepts the real child

c. Takes on the decision-making role

d. Recounts about her birth experience

c. Takes on the decision-making role

Baby Kyla had an Apgar score of 9 at 5 minutes after birth. Which of the following are the 5 areas assessed with Apgar scoring?

a. Abdominal tone, reflexes, blood pressure and response to pain

b. Color, breathing rate, cry, amount of brown fat, and response to loud noise.

c. Heart rate, respiratory effort, muscle tone, reflex irritability, and color

d. Respiratory rate, abdominal tone, reflexes, color and head circumference.

c. Heart rate, respiratory effort, muscle tone, reflex irritability, and color

Which of the following would the nurse identify as a retrogressive physiological change in postpartum period?

a. Involution of the uterus

b. Beginning of a parenting role

c. Return of menstrual cycle

d. Lactation

a. Involution of the uterus

A mother asks, "Is it true breastmilk will prevent my baby from catching colds and other infections?" The nurse should make which of the following replies based on current research findings?

a. "Breastmilk will give your baby protection from all illnesses to which you are immune."

b. "Your baby will have increased resistance to illness caused by bacteria and viruses, but she may still contract infections."

c. "You shouldn't have to worry about your baby's exposure to contagious diseases until she stops breastfeeding."

d. "Breastmilk offers no greater protection to your baby than formula feeding."

b. "Your baby will have increased resistance to illness caused by bacteria and viruses, but she may still contract infections."

Which of the following would the nurse identify as a progressive physiological change in postpartum period?

a. Involution of the uterus

b. Beginning of a parenting role

c. Return of menstrual cycle

d. Lactation

d. Lactation

the most vital factor in the immediate care of an infant after repair of the cleft lip would be:

a. Administration of parenteral fluids

b. Administration of drugs to reduce oral secretions

c. Prevention of vomiting

d. Maintenance of a patent airway

d. Maintenance of a patent airway

During lunch, a female client with anorexia nervosa tells the nurse, “You can sit with me, but you’re just wasting your time. After you had sat with me yesterday, I was still able to purge. Today, my goal is to do it twice.”

What is the nurse’s BEST response?

a. “Don’t worry. I won’t allow you to purge today.”

b. “How are you purging and when do you do it?”

c. “I trust you not to purge.”

d. “I know it’s important for you to feel in control, but I’ll monitor you for 90 minutes or more after you eat.”

d. “I know it’s important for you to feel in control, but I’ll monitor you for 90 minutes or more after you eat.”

Miguel is under evaluation for impending suicide risk. Which information given by him would be most significant?

a. Feeling loss of energy and appetite

b. Reference to suicide as best solution

c. At least 2-year history of feeling depressed

d. Break up from girlfriend 1 month ago

c. Reference to suicide as best solution

Carla Hernandez was admitted in the delivery room with ruptured bag of water. Upon assessment, the nurse found out that she has an umbilical cord prolapsed. Which of the following is the highest priority intervention?

a. Relieve pressure on the umbilical cord.

b. Call charge nurse for help to inform the provider.

c. Place in Knee-chest position

d. Place in Trendelenburg position

d. Place in a Trendelenburg position

Nurse May was caring for a mother who has AIDS. She was asked about breastfeeding by the patient. What health teaching is correct about breastfeeding of infant by a mother with AIDS?

a. Breastfeeding is not recommended for mothers who have AIDS.

O b. Breastfeeding is not important O

c. WHO recommends Breastfeeding for mothers who have AIDS.

O d. They can choose whether to breastfeed or not depending on their availability

c. WHO recommends Breastfeeding for mothers who have AIDS.

Which of the following is NOT TRUE on the orgasmic phase in the sexual response cycle? Select one:

a. Increase sensory awareness.

b. Increase muscle spasm.

c. Heart Rate would range to 100-180 bpm.

d. Blood pressure is increased.

a. Increase sensory awareness

Which exercise is good in relieving backache in pregnant women?

a. Squatting

b. Pelvic rocking

c. Tailor sitting

d. Kegel’s exercise?

b. Pelvic rocking

initial newborn bath should be given:

a. After 12 hours

b. After 24 hours

c. After 3 hours

d. After 6 hours

b. After 24 hours

Which of the following terms is the shortening and thinning of the cervical canal?

a. Dilatation

b. Show

c. Effacement

d. Ripening

c. Effacement

A parent asks you how he can prepare his child for a health exam. As the nurse, you suggest the following EXCEPT:

a. Walk the child through what can take place during the visit

b. Promote the attitude that a health visit will be a positive experience

c. Allow the child to bring his favorite toy

d. Tell the child if he misbehaves, the doctor or nurse will inject him

d. Tell the child if he misbehaves, the doctor or nurse will inject him

Which of the following statements is correct about the difference between quickening and fetal movement?

a. Fetal movement felt by the examiner is more reliable than quickening because fetal movement felt by the mother can be present also in any growing uterine mass

b. Fetal movement felt by the examiner is more reliable than quickening because abdominal gas can be mistaken by the mother as fetal movement

c. Quickening is more reliable than fetal movement felt by the examiner because fetal movement felt by the examiner can be present in any growing uterine mass

d. Quickening is more reliable than fetal movement felt by the examiner because abdominal gas can be mistaken by the examiner as fetal movement

b. Fetal movement felt by the examiner is more reliable than quickening because abdominal gas can be mistaken by the mother as fetal movement

Elizabeth, a 28 year old multigravida patient, was confirmed to be 4 weeks pregnant, on her first prenatal check-up. When asked about her obstetric history, she replied that her first child was born at 36 weeks AOG, followed by her twin who was born at 29 weeks AOG. After 2 years, another one was born at 35 weeks and 5 days and her last child before the current pregnancy was born at 40 weeks. She also experienced miscarriages at 12 weeks, and another one at 6 weeks AOG. How will a nurse document Elizabeth's pregnancy status comprehensively?

a. G-6, T-2, P-2, A-0, L-4, M-3

b. G-7, T-1, P-4, A-2, L-5, M-1

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

b. G-7, T-1, P-4, A-2, L-5, M-1

Which among the stages of labor should the partograph monitoring or recording be started?

a. Third stage of labor

b. Second stage of labor

c. At active phase to transition phase of first stage of labor (4cm-10 cm).

d. At latent phase of first stage of labor (1cm-3cm

c. At active phase to transition phase of first stage of labor (4cm-10 cm).

Susie brought her 4 years old daughter to the RHU because of cough and colds. Following the IMCI assessment guide, which of the following is a danger sign that indicates the need for urgent referral to a hospital?

a. Inability to drink

b. High grade fever

c. Signs of severe dehydration

d. Cough for more than 30 days

a. Inability to drink

Which one of the following is a natural contraceptive method?

a. Condom

b. Spinnbarkeit method

c. IUD

d. Pills

b. Spinnbarkeit method

Retained placental fragments have been associated with pregnancy complications, this is the most common cause of bleeding in which of the following types of postpartum hemorrhage?

a. Class IV hemorrhage

b. Late postpartum hemorrhage

c. Class III hemorrhage

d. Early postpartum hemorrhage

b. Late postpartum hemorrhage

At what specific age do children learn how to say 1500 – 2000 words?

a. 5 years old

b. 4 years old

c. 3 years old

d. 6 years old

b. 4 years old

A 12-year-old male with facial burns asks the nurse if he will ever look the same. Which response is best for the nurse to provide?

a. “You will not look exactly the same.”

b. “You shouldn’t start worrying about your appearance right now.”

c. “We can remove the scars with the use of a pressure dressing.”

d. “With reconstructive surgery, you can look the same

a. “You will not look exactly the same.”