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Introduction: The questions are coded according to their sources and will only be for my personal reference.

RED questions are original questions I created. FATIMA studentsREAD and DIGEST each of these questions carefully. Goodluck. SITUATION : [ND89] Aling Julia, a 32 year old fish vendor from baranggay matahimik came to see you at the prenatal clinic. She brought with her all her three children. Maye, 1 year 6 months; Joy, 3 and Dan, 7 years old. She mentioned that she stopped taking oral contraceptives several months ago and now suspects she is pregnant. She cannot remember her LMP.

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

Which

of

the

following

would

be

useful FHT of

in

calculating by pulse of

Aling linea

Julia's

EDC?

[3]

Appearance First Increase Presence


Which hormone is necessary

negra fetoscope rate edema


test? [1]

for

positive

pregnancy

Placental With this pregnancy, P3 P3 P0 Aling Julia is

Progesterone HCG Estrogen Lactogen a [1] G3 Primigravida G4 G3

4. In explaining the development of her baby, you identified in chronological order of growth of the fetus as it occurs in pregnancy as [1] A. B. C. D. Ovum, Zygote, Ovum, Zygote, embryo, ovum, zygote, ovum, zygote, embryo, embryo, fetus, fetus, fetus, fetus, embryo, infant infant infant infant

5. Aling Julia states she is happy to be pregnant. Which behavior is elicited by her during your assessment that would lead you to think she is stressed? [3] A. B. C. D. She She She told states she laughs at every She has you has advise about her drunk husband very meager income from selling you give even when its not funny difficulty following instructions

6. When teaching Aling Julia about her pregnancy, you should include personal common discomforts. Which of the following is an indication for prompt professional supervision? [2] A. B. C. D. Constipation Facial frequent and hemorrhoids Backache edema urination

7. Which of the following statements would be appropriate for you to include in Aling Julia's prenatal teaching plan? [1] A. B. C. D. 8. A. B. C. D. 9. is Limit Smoking has no Avoid unnecessary The Raise best advise you Exercise very harmful fatigue, can give tiresome, it your effect on the growth rest periods should be to Aling Julia regarding should be avoided food intake and development of fetus included in you schedule prevention of varicosities is [3]

the legs while in Lay flat Use a 32 day

upright position and put it against the for most hours garters with Wear support menstrual cycle, ovulation usually

wall several times a day of the day nylon stocking hose occurs on the [2]

In

A. B. C. D.

14th 18th 20th 24th

day day day day

after after after after

menstruation menstruation menstruation menstruation

10. Placenta is the organ that provides exchange of nutrients and waste products between mother and fetus. This develops by [4] A. B. C. D. First Third Fifth Seventh month month month month

11. In evaluating the weight gain of Aling Julia, you know the minimum weight gain during pregnancy is [3] A. B. C. D. 12. A. B. C. D. 13. A. B. C. D. To determine fetal position degree part what using of of Leopold's maneuvers, the first maneuver The more accurate method 2 5 7 10 of measuring fundal height is lbs/wk lbs/wk lbs/wk lbs/wk [2]

Millimeter Centimeter Inches Fingerbreadths is to [1]

Determine Determine Locate Determine

the part

cephalic flexion and fetus presenting into back,arms and of fetus is in the

engagement pelvis legs fundus

14. Aling julia has encouraged her husband to attend prenatal classes with her. During the prenatal class, the couple expressed fear of pain during labor and delivery. The use of touch and soothing voice often promotes comfort to the laboring patient. This physical intervention is effective because [2] A. B. C. D. 15. A. B. C. D. Pain Gate It distracts Empathy is Which of the following perception control the client communicated could be considered as fibers away by a is a from sign are interrupted open pain person ? [1]

the caring

positive

of

pregnancy

Fetal

Amenorrhea, Frequency Braxton

outline

nausea, of hicks

by

vomiting urination contraction sonography

SITUATION : [FFC] Maternal and child health is the program of the department of health created to lessen the death of infants and mother in the philippines. [2] 16. A. B. C. D. 17. A. B. C. D. 18. A. To What Promote Direct Health One is the goal of this program? stage hilots delivery care is [1]

mother and infant health especially Training of supervision of midwives teaching to mother regarding philosophy of the maternal and child

during the gravida local during home proper newborn health nursing

All pregnancy Culture and religious Pregnancy is a The father In secure maternal all

experiences are the practices have little effect part of the life cycle is as important care, the that would PHN be

same for all on pregnancy of a but provides no as the responsibility needing in birth is

woman woman meaning mother [2] certificate

information

B. C. D.

To

protect To

the To

baby assess

against tetanus reach nutritional

neonatorum by all status

immunizing the mother pregnant of existing

with DPT woman children

19. This is use when rendering prenatal care in the rural health unit. It serves as a guide in Identification of risk factors [1] A. B. C. D. 20. A. B. C. D. Home Underfive list list of of of prenatal based mother woman visit in clinic mother's under under the RHU chart record care vaccination is [4]

Client Target The

prenatal TT unit

schedule

Once from Twice in Once in Frequent as

1st up to 8th month, weekly on the 9th month 1st and second trimester, weekly on third trimester each trimester, more frequent for those at risk possible to determine the presence of FHT each week

SITUATION : Knowledge of the menstrual cycle is important in maternal health nursing. The following questions pertains to the process of menstruation 21. Menarche occurs during the pubertal period, Which of the following occurs first in the development of female sex characteristics? [2] A. B. C. D. 22. A. B. C. D. 23. A. B. C. D. 24. A. B. C. D. 25. A. B. C. D. 26. A. B. C. D. 27. A. B. C. D. The To correctly When is the serum estrogen level 3rd 13th 14th of the the what mid highest in the menstrual cycle? Which hormone stimulates oocyte maturation? The hormone that stimulates the ovaries to produce Which gland Accelerated Growth is Linear of initiating the pubic menstrual Menarche Growth development hair cycle? [3]

Breast

responsible

for

Ovaries APG PPG Hypothalamus estrogen is [1] GnRH LH LHRF FSH [2] GnRH LH LHRF FSH [4] day day day cycle nurse of must [2] cycle end cycle cycle cycle? [4] day day day cycle

End determine days two days days is the

of

menstrual ovulation, mid at end of the

day at from

Deduct 14 Subtract Add 7 Add 14 serum

weeks from

the cycle's of the of the the menstrual

progesterone

lowest

during 3rd 13th 14th

day

End

of

menstrual

28. A. B. C. D. 29. A. B. C. D. 30. A. B. C. D.

How

much

blood

is

loss

on 4

the Half 3 1/3 of

average

during

menstrual

period?

[4]

cup tablespoon ounces cup which the of day the the the the following and hormone cycle, 16th 16th 16th 14th day day day day mechanism? [2]

Menstruation

occurs

because of vascularity of of a woman days days days days of

Increase level Degeneration Increase Surge If the on on on on menstrual the the the the 21st 21st 22st 22st cycle day day day day with with with with

estrogen

progesterone level corpus luteum the endothelium progesterone she to to to to will the the the the approximately day day day day of of of of her her her her [2] cycle cycle cycle cycle

is

35 on on on on

Ovulate Ovulate Ovulate Ovulate

fertile fertile fertile fertile

beginning beginning beginning beginning

26th 21th 26th 30th

SITUATION : Wide knowledge about different diagnostic tests during pregnancy is an essential arsenal for a nurse to be successful. 31. A. B. C. D. The Biparietal diameter of a fetus is 9.8 8.5 7.5 6 considered matured if it is atleast [4] cm cm cm cm

32. Quickening is experienced first by multigravida clients. At what week of gestation do they start to experience quickening? [4] A. B. C. D. 16th 20th 24th 28th

33. Before the start of a non stress test, The FHR is 120 BPM. The mother ate the snack and the practitioner noticed an increase from 120 BPM to 135 BPM for 15 seconds. How would you read the result? [3] A. B. C. D. 34. A. B. C. D. 35. A. B. C. D. When should the nurse expect When should the Non Inconclusive, nurse expect to 2nd 8th 2nd 4th to 8th 8th 2nd 4th hear FHR using doppler Ultrasound? hear the needs FHR using a Abnormal reactive Reactive repeat fetoscope? [4] week week month month [4] week month week month

36. The mother asks, What does it means if her maternal serum alpha feto protein is 35 ng/ml? The nurse should answer [4] A. B. C. D. 37. It It ng/ml ng/ml the is indicates indicates following mothers not chromosomal neural tube needs RHOGAM? is normal normal abberation defect [1]

35 35 Which

of

A. B. C. D.

RH RH RH RH

+ + -

mother mother mother mother

who who who who

delivered delivered delivered delivered

an an an an

RH RH RH RH

+ + -

fetus fetus fetus fetus

38. Which family planning method is recommended by the department of health more than any other means of contraception? [4] A. B. C. D. 39. A. B. C. D. How much booster Fertility Tubal dose does tetanus toxoid vaccination for pregnant women Awareness Method Condom Ligation Abstinence has? [4] 2 5 3 4

40. Baranggay pinoybsn.tk has 70,000 population. How much nurse is needed to service this population? [4] A. B. C. D. 5 7 50 70

SITUATION : [ND2I246] Reproductive health is the exercise of reproductive right with responsibility. A married couple has the responsibility to reproduce and procreate. 41. A. B. C. D. 42. A. B. C. D. 43. A. B. C. D. In Which To To To Which of the following is ONE of the goals of the reproductive health concept? [3]

achieve prevent Provide practice RH of the

healthy sexual development and specific RH problem through care, treatment and as a way of life of every man is NOT an element of the reproductive and abortion and the

maturation counseling rehabilitation and woman health? [4]

following and and

Maternal Prevention Healthy the international

sexual

child health Family management of development which health of of one of the

nutrition planning complication nutrition ultimate goal? [3]

framework of RH,

following is in optimum women's

Women's Attainment Achievement Quality

of

reproduction health status life

44. Which one of the following is a determinant of RH affecting woman's ability to participate in social affairs? [3] A. B. C. D. 45. A. B. C. D. In the Gender Socio-Economic and which major issues condition factors women RH status? [4]

Cultural philippine

Status RH

psychosocial of factor delivery lead exposed affects of to to

Framework.

Women's Health Poor Commercial

living sex

lower level service conditions workers are

literacy mechanism illness AIDS/STD.

46. Which determinant of reproductive health advocates nutrition for better health promotion and maintain a healthful life? [4] A. B. Status Socio-Economic of conditions women

C. D. 47. A. B. C. D. 48. A. B. C. D. 49. A. B. C. D. Which

Social Biological, of Increase Care Prevent Which the

Cultural following and

and is

and NOT a

gender Psychosocial strategy contraceptive with RH information goal of of RH?

issues factors [3]

Achieve provision specific the

improve

focused on RH problem following is

reproductive people through a

methods intentions problems dessemination RH? [3]

of

NOT

Achieve healthy sexual Avoid illness/diseases, injuries, disabilities Receive appropriate counseling Strengthen outreach activities What Practice Health is Attain Prevent in RH the the as VISION QUALITY specific

development and related to sexuality and and care of RH and the referral of a the WAY RH of OF RH? OF the

maturation reproduction problems system [2] LIFE LIFE problem filipino

hands

SITUATION : [SORANGE19] Baby G, a 6 hours old newborn is admitted to the NICU because of low APGAR Score. His mother had a prolonged second stage of labor 50. Which of the following is the most important concept associated with all high risk newborn? [1] A. Support the high-risk newborn's cardiopulmonary adaptation by maintaining adequate airway B. Identify complications with early intervention in the high risk newborn to reduce morbidity and mortality C. Assess the high risk newborn for any physical complications that will assist the parent with bonding D. Support mother and significant others in their request toward adaptation to the high risk newborn 51. Which of the following would the nurse expect to find in a newborn with birth asphyxia? [1] A. B. C. D. Hyperoxemia Acidosis Hypocapnia Ketosis

52. When planning and implementing care for the newborn that has been successfully resuscitated, which of the following would be important to assess? [1] A. B. C. D. SITUATION 53. A. B. C. D. : [P-I/46] is Muscle Decreased Nurses the Spontaneous should best be aware time after of to intracranial the different achieve menses period the flaccidity Hypoglycemia pressure respiration reproductive pregnancy? problems. [2] periods end expected period

When

14 14

Midway Immediately days before days after

between of

the

the

next beginning

is next

54. A factor in infertility maybe related to the PH of the vaginal canal. A medication that is ordered to alter the vaginal PH is: [2] A. B. C. D. 55. A. B. C. A diagnostic test 1 Just used Estrogen Sulfur therapy insufflations douches Douches test. It is best timed [2]

Lactic Na to evaluate

acid HCO3 is the postcoital

fertility week the

Immediately before

next

after after

menstrual

ovulation menses period

D.

Within

to

days

of

presumed

ovulation

56. A tubal insufflation test is done to determine whether there is a tubal obstruction. Infertility caused by a defect in the tube is most often related to a [3] A. B. C. D. Past Fibroid Congenital injury infection Tumor Anomaly tube

Previous

to

57. Which test is commonly used to determine the number, motility and activity of sperm is the [2] A. B. C. D. 58. A. B. C. D. 59. A. B. C. D. 60. A. B. C. D. When is the fetal 1st 2nd 3rd weight gain In the female, Evaluation of the Rubin Huhner Friedman Papanicolau pelvic organs of reproduction is accomplished by test test test test [2]

Biopsy Cystoscopy Culdoscopy Hysterosalpingogram greatest? [3] trimester trimester trimester pregnancy highest? [3]

from In fetal

4th blood

week vessel,

up

to is the

16th oxygen

week content

of

where

Umbilical Ductus Ductus Pulmonary

artery Venosus areteriosus artery

61. The nurse is caring for a woman in labor. The woman is irritable, complains of nausea and vomits and has heavier show. The membranes rupture. The nurse understands that this indicates [1] A. B. C. D. The woman is in The woman is having a complication Labor is slowing down and The woman is emotionally distraught and transition stage of labor and the doctor should be notified the woman may need oxytocin needs assistance in dealing with labor

SITUATION : [J2I246] Katherine, a 32 year old primigravida at 39-40 weeks AOG was admitted to the labor room due to hypogastric and lumbo-sacral pains. IE revealed a fully dilated, fully effaced cervix. Station 0. 62. She is immediately transferred to the DR table. Which of the following conditions signify that delivery is near? [2] I II III IV A. B. C. D. Uterine Begins to A occur bear 2-3 desire down minutes with Perineum intervals to at uterine 50 defecate contraction bulges seconds duration I,II,III I,II,III,IV I,III,IV II,III,IV

contraction

63. Artificial rupture of the membrane is done. Which of the following nursing diagnoses is the priority? [2] A. B. C. D. High risk for infection Potential for injury Alteration in comfort related to Anxiety related related related increasing to to membrane to prolapse strength of uterine unfamiliar rupture cord contraction procedure

64. Katherine complains of severe abdominal pain and back pain during contraction. Which two of the following measures will be MOST effective in reducing pain? [4]

I IIIII-Imagery IV-Breathing A. B. C. D.

Rubbing

the

back

with

tennis

ball Effleurage techniques II,IV II,III I,IV I,II

65. Lumbar epidural anesthesia is administered. Which of the following nursing responsibilities should be done immediately following procedure? [1] A. B. C. D. 66. A. B. C. D. Which Reposition Increase Assess is NOT the IV from Administer for of side fluid choice maternal for as to side oxygen indicated hypotension anesthesia? [4]

drug

epidural

Sensorcaine Xylocaine Ephedrine Marcaine

SITUATION : [SORANGE217] Alpha, a 24 year old G4P3 at full term gestation is brought to the ER after a gush of fluid passes through here vagina while doing her holiday shopping. 67. She is brought to the triage unit. The FHT is noted to be 114 bpm. Which of the following actions should the nurse do first? [2] A. B. C. D. Monitor Ask Place the Administer charge her FHT on nurse the ever oxygen to notify left 15 the lateral minutes inhalation Obstetrician position

68. The nurse checks the perineum of alpha. Which of the following characteristic of the amniotic fluid would cause an alarm to the nurse? [1] A. B. C. D. Greenish Scantly Colorless tinged

Blood

69. Alpha asks the nurse. "Why do I have to be on complete bed rest? I am not comfortable in this position." Which of the following response of the nurse is most appropriate? [3] A. B. C. D. Keeping Completed You need Let us you on bed rest will prevent possible cord prolapse bed rest will prevent more amniotic fluid to escape to save your energy so you will be strong enough to push later ask your obstetrician when she returns to check on you

70. Alpha wants to know how many fetal movements per hour is normal, the correct response is [4] A. B. C. D. Twice Thrice times times

Four 10-12

71. Upon examination by the obstetrician, he charted that Alpha is in the early stage of labor. Which of the following is true in this state? [1] A. B. C. D. Effacement is Self-focused 100% hours cm

Last Cervical

for dilation

1-3

SITUATION : Maternal and child health nursing a core concept of providing health in the community. Mastery of MCH Nursing is a quality all nurse should possess.

72. A. B. C. D. 73. A. B. C. D. 74. A. B. C. D. 75. A. B. C. D. 76. A. B. C. D. 77. A. B. C. D. 78. A. B. C. D. 79. A. B. C. D.

When

should

be As

the Before

2nd

visit

of

pregnant getting

mother in

to

the

RHU?

[2]

early Second Third is the of of NOT a standard

pregnant pregnancy trimester trimester physical examination? for [1]

Which

of

the

following

prenatal

Neck Examination of Edema examination Examination Which of the following is

examination palms of the the face hands, the legs a / basic prenatal service

for hands and lower for done check in

goiter pallor extremeties varicosities BHS? [2]

NOT

delivery

the

Oral Treatment How many days 365 210 50 When 5th 1st As From In should the and how

Laboratory Iron dosage will

Dental of the / / / starts to to to IRON

up examination diseases supplementation be taken? [4]

much

supplementation 300 200 50 when should

100 iron of of

days days days supplementation

days/ and 2nd 5th 9th 6 given

mg mg 100mg mg it post post of post ends? [4]

month month early 1st

in

pregnancy pregnancy pregnancy up trimester up area, how is

to

month month month weeks to

partum partum pregnancy partum [4]

malaria

infested mg mg / / the

chloroquine

pregnant 9 5 of of

women?

300 200 150 mg 100 mg Which of

/ / twice twice a following

twice a once a a week week for mothers are

month week for the the last qualified

for for duration trimester for home

months months pregnancy pregnancy [2]

delivery?

2nd

Has a pregnancy, of the

Has

Pre 6th history of a history of is not

20

hemorrhage hours of on the 3

last labor last Cs of

term pregnancy pregnancy pregnancy. [2]

Which

following

included

delivery?

Clean Clean Clean Clean

Surface Hands Equipments Cord

80. Which of the following is unnecessary equipment to be included in the home delivery kit? [4] A. B. C. D. Boiled 70% Rectal and razor Isopropyl oral blade Alcohol Flashlight thermometer

SITUATION : [NBLUE166] Pillar is admitted to the hospital with the following signs : Contractions coming every 10 minutes, lasting 30 seconds and causing little discomfort. Intact membranes without any bloody shows. Stable vital signs. FHR = 130bpm. Examination reveals cervix is 3 cm dilated with vertex presenting at minus 1 station. 81. A. On the basis of the data In provided above, You can conclude false the pillar is in the [1] labor

B. C. D.

In In In

the the the

active latent transitional

phase phase phase

of of of

labor labor labor

82. Pitocin drip is started on Pilar. Possible side effects of pitocin administration include all of the following except [3] A. B. C. D. 83. A. B. C. D. 84. A. B. C. D. 85. A. B. C. D. 86. A. B. C. D. 87. A. B. C. D. 88. A. B. C. D. Which sign would alert the nurse that Pillar is entering the second stage of Which Contraction Contraction Who's Theory A The normal 90 120 100 140 negative Fetus Fetus Fetus is the following regular in the pain that 1 range Diuresis Hypertension intoxication hemorrhage FHR is 140 160 140 180 station is is is the characteristics increase in and radiates PAIN in of means that approximately [3] bpm bpm bpm bpm [1] crowning floating engaged spine labor and the by [1]

Water Cerebral of to to to to [-1]

Fetus of

at is Bloody and back of states

ischial false

that are are felt None of labor

frequency towards the is cause

show duration abdomen above FEAR [4]

that

labor

Bradley Simpson Lamaze Dick-Read labor? [1]

Increase frequency Perineum bulges Effacement of Vulva encircles the Nursing Coach care Careful breathing, Administer during the

and and internal largest second

intensity anal OS diameter of

of

of contraction orifice dilates is 100% presenting part should include [1]

stage each of

labor

evaluation Bear down with Shave enema

contraction the to

prenatal and encourage the

history patient. perineum patient

SITUATION : [NBLUE170] Baby boy perez was delivered spontaneously following a term pregnancy. Apgar scores are 8 and 9 respectively. Routine procedures are carried out. 89. A. B. C. D. 90. A. B. C. D. When is the birth after after birth a APGAR and at birth and birth and and at during his with the head his head head at at first 30 5 Score 30 5 minutes minutes minutes minutes of life is to taken? after after after after lay him [1] birth birth birth birth [3]

Immediately after At 5 minutes At 1 minute Immediately after The best way Prone On On his to position On his

newboarn with

week

side

back

with

slightly back, flat slightly

on

elevated flat bed elevated

91. Baby boy perez has a large sebaceous glands on his nose, chin, and forehead. These are known as [1] A. B. C. D. 92. A. B. C. D. 93. A. B. C. D. According to Baby boy perez must be Milia Lanugo Hemangiomas spots for the of first 24 hours for [2]

Mongolian carefully observed

Range the

Duration Frequency , when 30 12 a

Respiratory in should the mother minutes hours day

of body starts breastfeeding after after after the

distress cry voiding temperature infant? [4]

WHO

Within Within Within After

infant's

condition

birth birth birth stabilizes

94. What is the BEST and most accurate method of measuring the medication dosage for infants and children? [3] A. B. C. D. 95. A. B. C. D. 96. A. B. C. D. The major cause of The first Weight Height Nomogram Height the mother within [4] hours days week month mortality in the philippines is [3]

Weight postpartum visit should 24 3 a a maternal be done

and by

Other

complications

related

to

labor,delivery

and

Infection Hemorrhage Hypertension puerperium

97. According to the WHO, what should be the composition of a commercialized Oral rehydration salt solution? [4] A. A. A. A. 98. A. B. C. D. Potassium Potassium Potassium Potassium In 1 1 1 1 : : : : 1.5 1.5 2.5 2.5 g. g. g. g. ; ; ; ; Sodium Sodium Sodium Sodium at home, 1 2 3 1 Bicarbonate Bicarbonate Bicarbonate Bicarbonate The 2.5g ; Sodium Chloride 3.5g; Glucose 20 g. 2.5g ; Sodium Chloride 3.5g; Glucose 10 g. 3.5g ; Sodium Chloride 4.5g; Glucose 20 g. 3.5g ; Sodium Chloride 4.5g; Glucose 10 g. composition of of of of salt salt salt salt recommnded and and and and 2 2 4 1 by the tsp tsp tsp tsp DOH of of of of is [4]

preparing glass glass glass glass

ORESOL of of of of

correct pinch pinch pinch pinch

water, water, water, water,

sugar sugar sugar sugar

99. Milk code is a law that prohibits milk commercialization or artificial feeding for up to 2 years. Which law provides its legal basis? [4] A. B. C. D. 100. A. B. C. A 40 year Senate Presidential old mother in RA EO her bill Proclamation third trimester should avoid 1044 7600 147 51 [4]

Traveling Climbing Smoking

D. Passing CLICK Question? HERE Comments? FOR Comment up : ANSWERS below or email AND me

Exercising 60/100 RATIONALE : pinoybsn@yahoo.com

Budek http://www.pinoybsn.tk

Posted by Budek on Sunday, July 09, 2006 at 3:59 PMPermalink

SITUATION : [ND89] Aling Julia, a 32 year old fish vendor from baranggay matahimik came to see you at the prenatal clinic. She brought with her all her three children. Maye, 1 year 6 months; Joy, 3 and Dan, 7 years old. She mentioned that she stopped taking oral contraceptives several months ago and now suspects she is pregnant. She cannot remember her LMP. 1. Which of the following would be useful in calculating Aling Julia's EDC? [3]B. First FHT by fetoscope

2. Which hormone is necessary for a positive pregnancy test? [1]B. HCG 3. With this pregnancy, Aling Julia is a [1]C. P3 G4 4. In explaining the development of her baby, you identified in chronological order of growth of the fetus as it occurs in pregnancy as [1]C. Ovum, zygote, embryo, fetus, infant

5. Aling Julia states she is happy to be pregnant. Which behavior is elicited by her during your assessment that would lead you to think she is stressed? [3]C. She laughs at every advise you give even when its not funny 6. When teaching Aling Julia about her pregnancy, you should include personal common discomforts. Which of the following is an indication for prompt professional supervision? [2] C. Facial edema 7. Which of the following statements would be appropriate for you to include in Aling Julia's prenatal teaching plan? [1] D. Avoid unnecessary fatigue, rest periods should be included in you schedule 8. The best advise you can give to Aling Julia regarding prevention of varicosities is [3] D. Wear support hose 9. In a 32 day menstrual cycle, ovulation usually occurs on the [2] B. 18th day after menstruation 10. Placenta is the organ that provides exchange of nutrients and waste products between mother and fetus. This develops by [4] B. Third month 11. In evaluating the weight gain of Aling Julia, you know the minimum weight gain during pregnancy is [3] A. 2 lbs/wk 12. The more accurate method of measuring fundal height is [2]

B. Centimeter 13. To determine fetal position using Leopold's maneuvers, the first maneuver is to [1] D. Determine what part of fetus is in the fundus 14. Aling julia has encouraged her husband to attend prenatal classes with her. During the prenatal class, the couple expressed fear of pain during labor and delivery. The use of touch and soothing voice often promotes comfort to the laboring patient. This physical intervention is effective because [2] D. Empathy is communicated by a caring person 15. Which of the following could be considered as a positive sign of pregnancy ? [1] D. Fetal outline by sonography SITUATION : [FFC] Maternal and child health is the program of the department of health created to lessen the death of infants and mother in the philippines. [2] 16. What is the goal of this program? A. Promote mother and infant health especially during the gravida stage 17. One philosophy of the maternal and child health nursing is [1] D. The father is as important as the mother 18. In maternal care, the PHN responsibility is [2] C. To reach all pregnant woman 19. This is use when rendering prenatal care in the rural health unit. It serves as a guide in Identification of risk factors [1] B. Home based mother's record 20. The schedule of prenatal visit in the RHU unit is [4] C. Once in each trimester, more frequent for those at risk SITUATION : Knowledge of the menstrual cycle is important in maternal health nursing. The following questions pertains to the process of menstruation 21. Menarche occurs during the pubertal period, Which of the following occurs first in the development of female sex characteristics? [2] B. Accelerated Linear Growth 22. Which gland is responsible for initiating the menstrual cycle? [3] D. Hypothalamus 23. The hormone that stimulates the ovaries to produce estrogen is [1] A. GnRH

24. Which hormone stimulates oocyte maturation? [2] D. FSH 25. When is the serum estrogen level highest in the menstrual cycle? [4] B. 13th day 26. To correctly determine the day of ovulation, the nurse must [2] D. Add 14 days from the end of the cycle 27. The serum progesterone is lowest during what day of the menstrual cycle? [4] B. 13th day 28. How much blood is loss on the average during menstrual period? [4] B. 4 tablespoon 29. Menstruation occurs because of which following mechanism? [2] B. Degeneration of the corpus luteum 30. If the menstrual cycle of a woman is 35 day cycle, she will approximately [2] A. Ovulate on the 21st day with fertile days beginning on the 16th day to the 26th day of her cycle SITUATION : Wide knowledge about different diagnostic tests during pregnancy is an essential arsenal for a nurse to be successful. 31. The Biparietal diameter of a fetus is considered matured if it is atleast [4] B. 8.5 cm 32. Quickening is experienced first by multigravida clients. At what week of gestation do they start to experience quickening? [4] A. 16th 33. Before the start of a non stress test, The FHR is 120 BPM. The mother ate the snack and the practitioner noticed an increase from 120 BPM to 135 BPM for 15 seconds. How would you read the result? [3] C. Reactive 34. When should the nurse expect to hear the FHR using a fetoscope? [4] B. 8th week 35. When should the nurse expect to hear FHR using doppler Ultrasound? [4] C. 2nd week

36. The mother asks, What does it means if her maternal serum alpha feto protein is 35 ng/ml? The nurse should answer [4] D. 35 ng/ml indicates neural tube defect 37. Which of the following mothers needs RHOGAM? [1] B. RH - mother who delivered an RH + fetus 38. Which family planning method is recommended by the department of health more than any other means of contraception? [4] D. Abstinence 39. How much booster dose does tetanus toxoid vaccination for pregnant women has? [4] C. 3

40. Baranggay pinoybsn.tk has 70,000 population. How much nurse is needed to service this population? [4] B. 7

SITUATION : [ND2I246] Reproductive health is the exercise of reproductive right with responsibility. A married couple has the responsibility to reproduce and procreate. 41. Which of the following is ONE of the goals of the reproductive health concept? [3] A. To achieve healthy sexual development and maturation 42. Which of the following is NOT an element of the reproductive health? [4] B. Family planning 43. In the international framework of RH, which one of the following is the ultimate goal? [3] D. Quality of life 44. Which one of the following is a determinant of RH affecting woman's ability to participate in social affairs? [3] A. Gender issues 45. In the philippine RH Framework. which major factor affects RH status? [4] C. Poor living conditions lead to illness 46. Which determinant of reproductive health advocates nutrition for better health promotion and maintain a healthful life? [4] A. Socio-Economic conditions 47. Which of the following is NOT a strategy of RH? [3]

A. Increase and improve contraceptive methods 48. Which of the following is NOT a goal of RH? [3] D. Strengthen outreach activities and the referral system 49. What is the VISION of the RH? [2] A. Attain QUALITY OF LIFE SITUATION : [SORANGE19] Baby G, a 6 hours old newborn is admitted to the NICU because of low APGAR Score. His mother had a prolonged second stage of labor 50. Which of the following is the most important concept associated with all high risk newborn? [1] B. Identify complications with early intervention in the high risk newborn to reduce morbidity and mortality rn 51. Which of the following would the nurse expect to find in a newborn with birth asphyxia? [1] B. Acidosis 52. When planning and implementing care for the newborn that has been successfully resuscitated, which of the following would be important to assess? [1] D. Spontaneous respiration SITUATION : [P-I/46] Nurses should be aware of the different reproductive problems. 53. When is the best time to achieve pregnancy? [2] C. 14 days before the next period is expected 54. A factor in infertility maybe related to the PH of the vaginal canal. A medication that is ordered to alter the vaginal PH is: [2] D. Na HCO3 Douches 55. A diagnostic test used to evaluate fertility is the postcoital test. It is best timed [2] B. Immediately after menses 56. A tubal insufflation test is done to determine whether there is a tubal obstruction. Infertility caused by a defect in the tube is most often related to a [3] D. Previous injury to a tube 57. Which test is commonly used to determine the number, motility and activity of sperm is the [2] B. Huhner test 58. In the female, Evaluation of the pelvic organs of reproduction is accomplished by [2] D. Hysterosalpingogram

59. When is the fetal weight gain greatest? [3] C. 3rd trimester 60. In fetal blood vessel, where is the oxygen content highest? [3] B. Ductus Venosus 61. The nurse is caring for a woman in labor. The woman is irritable, complains of nausea and vomits and has heavier show. The membranes rupture. The nurse understands that this indicates [1] A. The woman is in transition stage of labor SITUATION : [J2I246] Katherine, a 32 year old primigravida at 39-40 weeks AOG was admitted to the labor room due to hypogastric and lumbo-sacral pains. IE revealed a fully dilated, fully effaced cervix. Station 0. 62. She is immediately transferred to the DR table. Which of the following conditions signify that delivery is near? [2] I - A desire to defecate II - Begins to bear down with uterine contraction III - Perineum bulges IV - Uterine contraction occur 2-3 minutes intervals at 50 seconds duration B. I,II,III,IV 63. Artificial rupture of the membrane is done. Which of the following nursing diagnoses is the priority? [2] A. High risk for infection related to membrane rupture 64. Katherine complains of severe abdominal pain and back pain during contraction. Which two of the following measures will be MOST effective in reducing pain? [4] I - Rubbing the back with a tennis ball II- Effleurage III-Imagery IV-Breathing techniques D. I,II 65. Lumbar epidural anesthesia is administered. Which of the following nursing responsibilities should be done immediately following procedure? [1] D. Assess for maternal hypotension 66. Which is NOT the drug of choice for epidural anesthesia? [4] C. Ephedrine SITUATION : [SORANGE217] Alpha, a 24 year old G4P3 at full term gestation is brought to the ER after a gush of fluid passes through here vagina while doing her holiday shopping. 67. She is brought to the triage unit. The FHT is noted to be 114 bpm. Which of the following actions should the nurse do first? [2]

A. Monitor FHT ever 15 minutes 68. The nurse checks the perineum of alpha. Which of the following characteristic of the amniotic fluid would cause an alarm to the nurse? [1] A. Greenish 69. Alpha asks the nurse. "Why do I have to be on complete bed rest? I am not comfortable in this position." Which of the following response of the nurse is most appropriate? [3]

C. You need to save your energy so you will be strong enough to push later 70. Alpha wants to know how many fetal movements per hour is normal, the correct response is [4] C. Four times 71. Upon examination by the obstetrician, he charted that Alpha is in the early stage of labor. Which of the following is true in this state? [1] D. Cervical dilation 1-3 cm SITUATION : Maternal and child health nursing a core concept of providing health in the community. Mastery of MCH Nursing is a quality all nurse should possess. 72. When should be the 2nd visit of a pregnant mother to the RHU? [2] C. Second trimester 73. Which of the following is NOT a standard prenatal physical examination? [1] D. Examination of the legs for varicosities 74. Which of the following is NOT a basic prenatal service delivery done in the BHS? [2] A. Oral / Dental check up 75. How many days and how much dosage will the IRON supplementation be taken? [4] B. 210 days / 200 mg 76. When should the iron supplementation starts and when should it ends? [4] A. 5th month of pregnancy to 2nd month post partum 77. In malaria infested area, how is chloroquine given to pregnant women? [4] C. 150 mg / twice a week for the duration of pregnancy 78. Which of the following mothers are qualified for home delivery? [2] D. 2nd pregnancy, Has a history of 20 hours of labor last pregnancy.

79. Which of the following is not included on the 3 Cs of delivery? [2] C. Clean Equipments 80. Which of the following is unnecessary equipment to be included in the home delivery kit? [4] C. Flashlight SITUATION : [NBLUE166] Pillar is admitted to the hospital with the following signs : Contractions coming every 10 minutes, lasting 30 seconds and causing little discomfort. Intact membranes without any bloody shows. Stable vital signs. FHR = 130bpm. Examination reveals cervix is 3 cm dilated with vertex presenting at minus 1 station. 81. On the basis of the data provided above, You can conclude the pillar is in the [1] C. In the latent phase of labor 82. Pitocin drip is started on Pilar. Possible side effects of pitocin administration include all of the following except [3] A. Diuresis 83. The normal range of FHR is approximately [3] B. 120 to 160 bpm 84. A negative 1 [-1] station means that [1] B. Fetus is floating 85. Which of the following is characteristics of false labor [1] D. None of the above 86. Who's Theory of labor pain that states that PAIN in labor is cause by FEAR [4] A. Bradley 87. Which sign would alert the nurse that Pillar is entering the second stage of labor? [1] D. Vulva encircles the largest diameter of presenting part 88. Nursing care during the second stage of labor should include [1] B. Coach breathing, Bear down with each contraction and encourage patient. SITUATION : [NBLUE170] Baby boy perez was delivered spontaneously following a term pregnancy. Apgar scores are 8 and 9 respectively. Routine procedures are carried out. 89. When is the APGAR Score taken? [1] C. At 1 minute after birth and at 5 minutes after birth 90. The best way to position a newboarn during the first week of life is to lay him [3] B. On his back, flat

91. Baby boy perez has a large sebaceous glands on his nose, chin, and forehead. These are known as [1] A. Milia 92. Baby boy perez must be carefully observed for the first 24 hours for [2] A. Respiratory distress 93. According to the WHO , when should the mother starts breastfeeding the infant? [4] A. Within 30 minutes after birth 94. What is the BEST and most accurate method of measuring the medication dosage for infants and children? [3] C. Nomogram 95. The first postpartum visit should be done by the mother within [4] A. 24 hours B. 3 days C. a week D. a month 96. The major cause of maternal mortality in the philippines is [3] D. Other complications related to labor,delivery and puerperium 97. According to the WHO, what should be the composition of a commercialized Oral rehydration salt solution? [4] A. Potassium : 1.5 g. ; Sodium Bicarbonate 2.5g ; Sodium Chloride 3.5g; Glucose 20 g. 98. In preparing ORESOL at home, The correct composition recommnded by the DOH is [4] A. 1 glass of water, 1 pinch of salt and 2 tsp of sugar 99. Milk code is a law the prohibits milk commercialization or artificial feeding for up to 2 years. Which law provides its legal basis? [4] D. EO 51 100. A 40 year old mother in her third trimester should avoid [4] C. Smoking (darn! i got tired of answering those CHN questions! kindly check my answers, dervid) Posted by at 5 mos. 3 mos. - Doppler 4 mos. - Fetoscope 5 mos. - Stethoscope jr_robis | 12:16 PM im going to change my answer... hehehe, fetoscope can be used to hear FHT at 4 mos. doppler at 3 mos. and stethoscope

Posted by

jr_robis | 12:19 PM

Is this the exam leakage that they were talking about?

thanks Posted by rn_crucial | 5:17 PM about question #95 the answer should be ONE WEEK AFTER POSTPARTUM and on number #98, the answer should be i tsp of sugar, 1 pinch of salt in a glass of water. Posted by Anonymous | 1:27 PM 86. Who's Theory of labor pain that states that PAIN in labor is cause by FEAR [4] I think it is dick-read's theory. Posted by Anonymous | 2:31 PM pls check answer # 26 ovulation is 14 days before the next cyle (MCN by Olds) so di ba dapat subtract 14 days kaya nga sa ques 30 if cycle is 35 days ovulation is on the 21st day and also pls check answer # 42, elements of RH, I checked the DOH book and family planning is included. Posted by Anonymous | 9:19 PM Pls. check answer # 49 vision of RH (DOH book) is : Reproductive health practice as a way of life for every man and woman throughout life. Also # 38 Strategy of DOH is to increase andd improve use of more effective or modern contraceptive methods. Increase the type of methods offered available in the program.