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Introduction: The questions are coded according to their sources and will only be for my personal
reference. RED questions...
A.
B.
C.
D.

14th
18th
20th
24th

day
day
day
day

after
after
after
after

menstruation
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B. To
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protect

the

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reach
nutritional

assess

neonatorum
all
status

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immunizing the m...
28.

How

much

blood

is

loss

on

A.
B.
C.
D.

the

Menstruation

A.
B.
C.
D.

occurs

30.

If

the

A.
B.
C.
D.

Ovula...
A.
B.
C.
D.

RH
RH
RH
RH

+
+
-

mother
mother
mother
mother

who
who
who
who

delivered
delivered
delivered
delivered

an...
C.
D.

Social
Biological,

47.

Which

of

A.
B.
C.
D.

Care
Prevent

48.

Which

A.
B.
C.
D.

the

following

Increase

A...
D.

Within

1

to

2

days

of

presumed

ovulation

56. A tubal insufflation test is done to determine whether there is a...
I
IIIII-Imagery
IV-Breathing

Rubbing

the

back

with

a

tennis

ball
Effleurage
techniques

A.
B.
C.
D.

II,IV
II,III
I...
72.

When

should

be

the

A.
B.As
C.Second
D.
73.
A.
B.
C.
D.
74.

Which

of

the

following

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pregnant

mother

to

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B.In
C.In
D.In

the
the
the

active
latent
transitional

phase
phase
phase

of
of
of

labor
labor
labor

82. Pitocin drip ...
91. Baby boy perez has a large sebaceous glands on his nose, chin, and forehead. These are known as [1]
A.
B.
C.
D.

Milia...
D.

Exercising

Passing
CLICK

:
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Question?

Comments?

FOR
Comment

60/100
ANSWERS

up

below

or

AND
email

me

RA...
B. Centimeter
13. To determine fetal position using Leopold's maneuvers, the first maneuver is to [1]
D. Determine what pa...
24. Which hormone stimulates oocyte maturation? [2]
D. FSH
25. When is the serum estrogen level highest in the menstrual c...
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. Increase and improve contraceptive methods
48. Which of the following is NOT a goal of RH? [3]
D. Strengthen outreach a...
59. When is the fetal weight gain greatest? [3]
C. 3rd trimester
60. In fetal blood vessel, where is the oxygen content hi...
A. Monitor FHT ever 15 minutes
68. The nurse checks the perineum of alpha. Which of the following characteristic of the am...
79. Which of the following is not included on the 3 Cs of delivery? [2]
C. Clean Equipments
80. Which of the following is ...
91. Baby boy perez has a large sebaceous glands on his nose, chin, and forehead. These are known as [1]
A. Milia
92. Baby ...
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Maternal

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Maternal

  1. 1. 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 baranggaymatahimik 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 A. B. C. D. 2. following be Appearance First Which would is in calculating necessary A. B. C. D. Aling Julia's for a positive With this pregnancy, pregnancy test? [1] Progesterone HCG Estrogen Lactogen Aling A. B. C. D. [3] lineanegra fetoscope rate edema by pulse of Placental 3. EDC? of FHT Increase Presence hormone useful Julia is a P3 [1] G3 Primigravida G4 G3 P3 P0 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 and hemorrhoids Backache edema urination Facial frequent 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. Exercise is Limit Smoking has no Avoid unnecessary 8. The A. B. C. D. Raise 9. In best advise you very harmful fatigue, can the legs while in Lay flat Use a 32 day tiresome, it your effect on the growth rest periods should be give to Aling Julia regarding should be avoided food intake and development of fetus included in you schedule prevention upright position and put it against the for most hours garters with Wear support menstrual cycle, ovulation usually of varicosities is [3] wall several times a day of the day nylon stocking hose occurs on the [2]
  2. 2. 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. 2 5 7 10 12. The more accurate method lbs/wk lbs/wk lbs/wk lbs/wk of measuring fundal height A. B. C. D. 13. is [2] Millimeter Centimeter Inches Fingerbreadths To A. B. C. D. determine fetal Determine Determine Locate Determine position degree part what using the part Leopold's of of maneuvers, the first maneuver cephalic flexion and fetus presenting into back,arms and of fetus is in the is to [1] engagement pelvis legs fundus 14. Alingjulia 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. Pain Gate It distracts Empathy is Which of the A. B. C. D. perception control the client communicated following Fetal could be Amenorrhea, Frequency Braxton is fibers away by considered as a a positive nausea, of hicks outline from sign interrupted open pain person are the caring of pregnancy ? [1] vomiting urination contraction sonography by 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. What Promote Direct Health One philosophy In To the goal of mother and infant health especially Training of supervision of midwives teaching to mother regarding of All pregnancy Culture and religious Pregnancy is a The father 18. A. is maternal secure all the maternal and care, information the that PHN would be program? during the gravida local during home proper newborn child experiences are the practices have little effect part of the life cycle is as important this health nursing is same for all on pregnancy of a but provides no as the responsibility needing in is birth stage hilots delivery care [1] woman woman meaning mother [2] certificate
  3. 3. B. To C.To D.To protect the baby against tetanus reach nutritional assess neonatorum all status by 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 Client Target The Underfive list list schedule Once from Twice in Once in Frequent as of of of clinic mother's under under based mother woman prenatal visit in the chart record care vaccination prenatal TT RHU unit is [4] 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. Accelerated Breast Growth Which gland is responsible Menarche Growth development hair Linear of pubic for initiating the menstrual A. B. C. D. 23. cycle? Ovaries APG PPG Hypothalamus The hormone that stimulates the ovaries to produce estrogen is A. B. C. D. Which hormone stimulates oocyte maturation? [2] A. B. C. D. GnRH LH LHRF FSH When is the A. B. C. D. 26. A. B. C. D. serum estrogen End To A. B. C. D. 27. [1] GnRH LH LHRF FSH 24. 25. [3] correctly of determine Deduct 14 Subtract Add 7 Add 14 The serum days two days days progesterone End level is the from lowest 3rd 13th 14th the menstrual cycle? of ovulation, the the what mid mid at end day of the nurse must of the cycle's of the of the the menstrual [4] day day day cycle menstrual weeks from during of in 3rd 13th 14th day at highest menstrual [2] cycle end cycle cycle cycle? [4] day day day cycle
  4. 4. 28. How much blood is loss on A. B. C. D. the Menstruation A. B. C. D. occurs 30. If the A. B. C. D. Ovulate Ovulate Ovulate Ovulate menstrual on on on on the the the the 21st 21st 22st 22st day day day day with with with with a woman fertile fertile fertile fertile days days days days which estrogen of vascularity of of period? [4] cup tablespoon ounces cup of of cycle menstrual 3 1/3 because Increase level Degeneration Increase Surge during Half 4 29. average is 35 beginning beginning beginning beginning on on on on following and the of hormone day the the the the cycle, 16th 16th 16th 14th [2] progesterone level corpus luteum the endothelium progesterone she day day day day mechanism? to to to to will the the the the approximately 26th 21th 26th 30th day day day day of of of of her her her her [2] cycle cycle cycle 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 A. B. C. D. is considered matured if it is atleast 9.8 8.5 7.5 6 [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. Inconclusive, When should the nurse needs expect A. B. C. D. 35. Abnormal reactive Reactive repeat Non to hear the FHR using a fetoscope? 2nd 8th 2nd 4th When should the nurse A. B. C. D. expect to [4] week week month month hear FHR using doppler Ultrasound? 8th 8th 2nd 4th [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. 35 35 Which It of It ng/ml ng/ml the is is indicates indicates following not chromosomal neural tube mothers needs RHOGAM? normal normal abberation defect [1]
  5. 5. 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. Fertility Awareness Method Condom Ligation Abstinence Tubal How much booster dose does tetanus toxoid vaccination for pregnant women has? A. B. C. D. [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. Which of A. B. C. D. To To To 42. Which A. B. C. D. 43. the following achieve prevent Provide practice RH of the is following A. B. C. D. is NOT and Prevention Healthy the international of the goals of the reproductive health healthy sexual development and specific RH problem through care, treatment and as a way of life of every man Maternal In ONE and sexual an element of the child health Family management of development framework of RH, Women's Attainment Achievement Quality which one of the reproductive and health of of of the [3] maturation counseling rehabilitation and woman health? [4] nutrition planning complication nutrition abortion and following is concept? ultimate in optimum women's goal? [3] 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. Cultural In the philippine Women's Health Poor Commercial Status RH Gender Socio-Economic and Framework. living sex which issues condition factors women psychosocial of major lower level service conditions workers are factor delivery lead exposed affects RH of to to status? [4] 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
  6. 6. C. D. Social Biological, 47. Which of A. B. C. D. Care Prevent 48. Which A. B. C. D. the following Increase Achieve provision specific of and Cultural is NOT and improve focused on RH problem the following is What A. B. C. D. is Practice Health the Attain Prevent as the strategy issues factors of RH? contraceptive reproductive people through goal of RH? development and related to sexuality and and care of RH and the referral QUALITY specific of the a WAY RH of hands [3] methods intentions problems dessemination with RH information a VISION RH in a NOT Achieve healthy sexual Avoid illness/diseases, injuries, disabilities Receive appropriate counseling Strengthen outreach activities 49. gender Psychosocial and [3] maturation reproduction problems system RH? OF [2] LIFE LIFE problem filipino OF the 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. Muscle Decreased SITUATION 53. : [P-I/46] When A. B. C. D. Nurses is the be aware best Midway Immediately days before days after 14 14 intracranial Spontaneous should the of time the flaccidity Hypoglycemia pressure respiration the different to achieve between after reproductive next beginning of problems. pregnancy? menses period the is next [2] periods end expected period 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. Estrogen Sulfur Lactic Na A diagnostic test 1 Just used to evaluate Immediately before fertility acid HCO3 is the postcoital week the therapy insufflations douches Douches next test. after after It is menstrual best timed [2] ovulation menses period
  7. 7. D. Within 1 to 2 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 Previous to infection Tumor Anomaly tube a 57. Which test is commonly used to determine the number, motility and activity of sperm is the [2] A. B. C. D. 58. Rubin Huhner Friedman Papanicolau In the female, Evaluation of the pelvic test test test test organs of reproduction is accomplished A. B. C. D. by [2] Biopsy Cystoscopy Culdoscopy Hysterosalpingogram 59. When A. B. C. D. is from 60. In 4th fetal the week blood fetal 1st 2nd 3rd up vessel, A. B. C. D. where weight to gain 16th is the greatest? week oxygen trimester trimester trimester pregnancy of content [3] highest? Umbilical [3] artery DuctusVenosus Ductusareteriosus artery Pulmonary 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 Begins - Uterine contraction to A occur bear 2-3 desire down minutes with Perineum intervals to at defecate contraction bulges seconds duration uterine 50 A. B. C. D. I,II,III I,II,III,IV I,III,IV II,III,IV 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]
  8. 8. I IIIII-Imagery IV-Breathing Rubbing the back with a tennis ball Effleurage techniques A. B. C. D. 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. Reposition Increase Assess Which is IV NOT the from Administer drug side fluid for of choice to as maternal for side oxygen indicated hypotension epidural anesthesia? A. B. C. D. [4] 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. Last Cervical Effacement for dilation is 2 1-3 Self-focused 100% hours 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.
  9. 9. 72. When should be the A. B.As C.Second D. 73. A. B. C. D. 74. Which of the following a pregnant mother to the RHU? getting in is Neck Examination of Edema examination Examination Which of the NOT following is NOT a / many days and 365 210 should 5th 1st As From month month early 1st 77. In malaria A. B. C. D. 300 200 150 mg 100 mg 78. Which A. B. C. D. 2nd 79. Which the of of the the following is A. B. C. D. starts mothers not in to to to 20 included given qualified to be should for the it taken? 3 ends? post post of post pregnant for for duration trimester hemorrhage hours of on BHS? [4] women? delivery? [2] term pregnancy pregnancy pregnancy. delivery? Clean Clean Clean Clean [4] months months pregnancy pregnancy last labor last of [4] partum partum pregnancy partum 9 5 of of home Cs [2] mg mg 100mg mg month month month weeks month week for the the last are the 50 2nd 5th 9th 6 to goiter pallor extremeties varicosities for 300 200 when [1] up examination diseases supplementation supplementation and twice a once a a week week for is done days/ chloroquine Pre 6th history of a history of following delivery IRON / / / twice twice a the will / / how for hands and lower for of supplementation area, examination? check Iron dosage physical Dental pregnancy pregnancy pregnancy up trimester up Has service days mg mg / / Has a pregnancy, prenatal of of infested prenatal days days iron in basic much 100 50 When how standard Laboratory Treatment How a [2] pregnant pregnancy trimester trimester examination palms of the the face hands, the legs the of of Oral A. B. C. D. of Third A. B. C. D. 76. visit Before early A. B. C. D. 75. 2nd [2] 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% razor Isopropyl Rectal and blade Alcohol Flashlight thermometer oral 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
  10. 10. B.In C.In D.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. Water Cerebral 83. The normal A. B. C. D. range of 90 120 100 140 84. A Which A. B. C. D. Contraction Contraction Who's 1 of the of labor station is pain that states [3] bpm bpm bpm bpm means of increase in and radiates that PAIN that [1] crowning floating engaged spine ischial characteristics Bloody and back of regular in the approximately is is is the at following that are are felt None Theory is 140 160 140 180 [-1] Fetus Fetus Fetus is Fetus 85. FHR to to to to negative A. B. C. D. 86. Diuresis Hypertension intoxication hemorrhage in false labor frequency towards the labor is show duration abdomen above and the cause by FEAR A. B. C. D. 87. A. B. C. D. [4] Bradley Simpson Lamaze Dick-Read Which A. B. C. D. 88. [1] sign would alert the nurse Increase frequency Perineum bulges Effacement of Vulva encircles the Nursing care during Careful breathing, Coach Administer that Pillar is and and internal largest the second entering second intensity anal OS diameter stage evaluation Bear down with Shave enema the each of of of labor stage of labor? of contraction orifice dilates is 100% presenting part should include prenatal and encourage contraction the to [1] the [1] 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 Immediately after At 5 minutes At 1 minute Immediately after The best way to Prone On On his birth after after birth position On his a APGAR and at birth and birth and and at newboarn with side back with during his with the Score 30 at at 5 first 30 5 week head his head head taken? minutes minutes minutes minutes of life is slightly back, flat slightly [1] after after after after to lay on birth birth birth birth him [3] elevated flat bed elevated
  11. 11. 91. Baby boy perez has a large sebaceous glands on his nose, chin, and forehead. These are known as [1] A. B. C. D. Milia Lanugo Hemangiomas spots Mongolian 92. Baby boy perez A. B. C. D. must According to A. B. C. D.After the carefully WHO Within Within Within , for the first 24 hours of body should the mother 30 12 a starts for [2] distress cry voiding temperature of in when infant's observed Respiratory Duration Frequency Range 93. be breastfeeding minutes hours day condition the infant? after after after [4] 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. Weight 95. The first postpartum Weight Height Nomogram Height and visit should A. B. C. D. be done by the mother within 24 3 a a 96. The A. B. C. D. major Other cause of hours days week month maternal complications [4] mortality related to in the philippines labor,delivery and is [3] 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. Potassium Potassium Potassium Potassium 98. A. B. C. D. In : : : : preparing 1 1 1 1 glass glass glass glass 1.5 1.5 2.5 2.5 g. g. g. g. ; ; ; ; ORESOL of of of of Sodium Sodium Sodium Sodium at Bicarbonate Bicarbonate Bicarbonate Bicarbonate home, water, water, water, water, The 1 2 3 1 2.5g 2.5g 3.5g 3.5g correct ; ; ; ; Sodium Chloride 3.5g; Glucose 20 g. Sodium Chloride 3.5g; Glucose 10 g. Sodium Chloride 4.5g; Glucose 20 g. Sodium Chloride 4.5g; Glucose 10 g. composition pinch pinch pinch pinch of of of of recommnded salt salt salt salt and and and and 2 2 4 1 by the tsp tsp tsp tsp DOH is of of of of [4] 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. Senate Presidential A 40 year old mother bill RA EO in her 1044 7600 147 51 Proclamation third trimester should avoid [4] Traveling Climbing Smoking
  12. 12. D. Exercising Passing CLICK : HERE Question? Comments? FOR Comment 60/100 ANSWERS up below or AND email me 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 baranggaymatahimik 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]
  13. 13. 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. Alingjulia 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
  14. 14. 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
  15. 15. 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]
  16. 16. 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
  17. 17. 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. DuctusVenosus 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]
  18. 18. 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.
  19. 19. 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
  20. 20. 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 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 at 5 mos. 3 mos. - Doppler 4 mos. - Fetoscope 5 mos. - Stethoscope
  21. 21. 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 itsp 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 badapat subtract 14 days kaya ngasaques 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.

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