Title EVAL EXAM - NORMAL OB (KEY) .docx.pdf ✅

REFRESHER PHASE EVALUATIVE EXAMINATION OBSTETRIC NURSING ( NORMAL ) NOVEMBER 2024 Philippine Nurse Licensure Examination Review 1. Which action of the following instructions to a child would be most appropriate before a painful procedure? A. “Do not tell the child anything, just proceed with the procedure. B. “This won’t hurt at all.” C. “This is going to hurt.” D. “Would you like t help me?” 2. You are giving a parenting class. You will discuss which of the following with the parents of Dora, a 2-year old child? A. Dora can be expected to be cooperative and easily cooperative and easily controlled at this stage of development. B. Dora may prefer finger foods and clothing she can put on without assistance at this age. C. Expect Dora to want to be held and cuddled a great deal at this stage of her development. D. At this age, Dora will take the initiative in activities and will question everything 3. In teaching the postoperative client who has just had a vasectomy, it is important to focus on: A. asking how his partner feels about the surgery. B. alternate methods of expressing sexual needs and desires C. discussing that a vasectomy does not make client less of a man D. using birth control until sperm counts are zero for 6 weeks. 4. Which of the following should the examiner do to assess for scoliosis? A. Assist the child to look in a mirror for characteristic curing. B. Have the child place the chin on the chest, place hands together, bend over, and let the hands hang freely. C. Have the child turn sideways, and look for bulging in the thoracic region. D. Palpate the spine for indentation in the lower back. 5. Which of the following would most likely be noted in a child with acute glomerulonephritis? A. Blood pressure of 90/40 mmHg B. Hypovolemia and signs of dehydration C. Hematuria and pulmonary edema D. Severe, foul-smelling diarrhea 6. Which nursing intervention would be appropriate for a client who has a diastolic blood pressure of more than 20 mmHg on the “roll-over” test? A. Increase intake of oral fluids B. Rest on left side as much as possible C. Schedule follow-up care every 2 weeks D. Use the stairs to increase activity level 7. During an episode of somnambulism, it would be appropriate for the nurse to: A. ask the child what he/she is doing B. immediately wake the child. C. pull the child back to bed. D. observe for safety measures to avoid injury. 8. Which action would be most appropriate when caring for a child with idiopathic thrombocytopenic purpura? A. Administer enemas to promote bowel movements. B. Do not give intramuscular injections. C. Place child with head of bed elevated. D. Weigh daily at the same time. 9. Lhia is admitted in active labor. The nurse locates fetal heart sounds in the upper left quadrant of her abdomen. The nurse recognizes which of the following? A. Lhia will probably deliver very quickly and without problems. B. This indicates Lhia will probably have a breech delivery. C. The fetus is in the most common anterior fetal position. D. This position is referred to as being left anteropelvic. 10. Which of the following contraceptive methods also offers protection against sexually transmitted infections? A. Abstinence B. Coitus interruptus C. Fertility awareness methods D. Oral contraceptives 11. When examining a postpartal woman, the nurse should immediately report: A. a fundus that is palpated 2 cm below the umbilicus on the second postpartal day. B. a fundus that cannot be located by palpation on the ninth postpartal day. C. a soft, spongy uterine fundus noted during the first four hour postpartum. D. red, bloody vaginal discharge on the perineal pad on the first day postpartum. 12. When discharging a child from the hospital, it is most important for the nurse to document: A. that child’s belongings were sent with caregivers. B. reaction of child to staff. C. teaching follow-up care to family caregivers. D. weight of the child on discharge. 13. Which of the following is an inappropriate technique to use when giving a back rub? A. Long, even upward strokes B. Tapping lightly with the edge of the hand C. Firm scratching motion D. Application of lotion 14. Juday has been experiencing regular, coordinated contractions with cervical dilation moving from 4 cm to 6 cm in the last half, and her membranes are still intact. Juday is in which of the following stages of labor? A. Latent phase of the second stage of labor B. Active phase of the first stage of labor C. Placental stage or the third stage of labor D. Predelivery stage or the prelabor stage of lab 15. The fontanels are soft spots formed by the: A. blood accumulated between the bone and periosteum. B. edema of the scalp from birth pressure. C. junction of individual skull bones. D. pressure of a vacuum extractor. 16. Which assessment most closely relates to a diagnosis of ectopic pregnancy? A. “I need to rub my nipples to toughen them up.” B. “I should apply lotion to my nipples to prevent cracking.” C. “I should nurse at least 10 minutes on one breast before offering the next breast.” D. “I should use soap and water to gently cleanse my breast gently.” TOP RANK REVIEW ACADEMY, INC. Page 1 | 3
17. Which of the following considerations is appropriate regarding children undergoing diagnostic procedures? A. Parents should be asked to restrain infants when indicated. B. Toddlers should be given procedures quickly and without warning to decrease resistance. C. Adolescents should be expected to tolerate procedures maturely and without fear. D. School-age children should be given thorough explanations for procedures. 18. Which assessment findings most closely correlate with the diagnosis of Tetralogy of Fallot? A. Cyanosis B. Elevated blood pressure C. Normal weight D. Weak pulse in lower extremities 19. When obtaining vital signs, which of the following is appropriate? A. Oral temperature in children younger that 6 years B. Radial pulse in children older than 2 years C. Rectal temperature in child with hematology disorder D. Tympanic temperature in child with ventilating tubes 20. Baby girl Luisa was born large for gestational age. After being delivered vaginally, this infant should be carefully assessed for: A. increased intracranial pressure B. hypothermia C. decreased red blood levels (anemia) D. hyperglycemia 21. During active labor, the mother usually exhibits which of the following behaviors? A. Difficulty following directions B. Excitedness and talkativeness C. Frustration and irritability D. Serious expression and apprehension 22. On the third hospital day in the nursery, Mr. and Mrs. Smith’s newborn baby girl Rhian is diagnosed with Rh incompatibility. Mrs. Smith is a gravida 2, para 1, abortion 1. This disease causes blood cell hemolysis that is probably directly due to A. the exchange of fetal and maternal blood in the utero B. Rh positive fetus and Rh-positive father C. Rh negative mother, Rh positive father D. the sin of the abortion of the first child 23. Which of the following interventions might be most effective in preventing glomerulonephritis? A. Daily administration of children’s multivitamins and iron. B. Increasing all children’s fluid intake to 3 liters daily. C. Prompt evaluation of childhood complaints of sore throat. D. Teaching children to avoid promptly when the urge is felt. 24. In which position should the newborn with intracranial hemorrhage be placed? A. Prone B. Side-lying C. Slightly elevated head of bed D. Supine 25. Which measure would be most effective in preventing the transfer of gonorrhea or Chlamydia to the infant’s eyes from the mother? A. Administering Vitamin K B. Bathing the newborn C. Cleaning the infant’s eyes with warm saline D. Applying erythromycin ointment 26. After a tubal ligation, it is not uncommon for the woman to complain of: A. shoulder pain. B. hemorrhoids. C. leg pain. D. breast tenderness. 27. Which of the following should the nurse recommend to the breastfeeding mother to limit in her diet? A. Cheese B. Fruit C. Strongly flavored foods D. Vegetables 28. Which intervention is the priority immediately after the delivery of a newborn who does not breathe? A. Clear air passages of obstructive substances B. Keep the mother calm C. Place bulb suction at head of the bed D. Rub the baby’s back 29. In evaluating the effects if oxytocin after delivery, the nurse should monitor for: A. effective breastfeeding. B. engorged breasts. C. relief of pain. D. the uterus remaining firm. 30. Which of the following drugs can be given to the mother before a preterm birth to help reduce the severity of respiratory distress syndrome? A. Betamethasone B. Diazepam C. Phenobarbital D. RhoGAM 31. The drug of choice to treat pregnancy-induced hypertension is: A. iron and vitamins B. diazepam (valium) C. furosemide (Lasix) D. magnesium sulfate 32. A newborn will respond to sudden noises or jarring movement by throwing out the arms and drawing up the legs. This is called a: A. Moro reflex B. Babinski reflex C. Rooting reflex D. Tonic neck reflex 33. A mother receiving medications for pregnancy-induced hypertension should have her diastolic blood pressure maintained in the range of 90 to 100 mmHg to: A. avoid causing fetal anoxia. B. ensure progression of labor. C. prevent premature contractions. D. present sudden elevations in pulse. 34. The nurse is aware that of the following food supplies, the better source of iron for the infant is which of the following? A. Human breast milk B. Iron-fortified cereals C. Vegetables D. Fruit 35. The most common chronic childhood illness is: A. common cold. B. diabetes mellitus. C. mumps. D. asthma. 36. After the third stage of labor, the nurse may have which of the following responsibilities? A. Administration of intramuscular oxytocin to facilitate uterine contractility. B. Monitoring for blood loss greater than 60 cc, which would indicate gross hemorrhage. C. Noting if the placenta makes a Schultze presentation, which is a sign of gross complication. D. Pushing down on the relaxed uterus to aid in the removal of the placenta 37. Which method would be helpful when administering liquid medication to a preschool-aged child? A. Ask the child if he/she would like to take the medication from a cup or spoon. B. Give the child a drop or two of liquid over an hour top help prevent spitting it out. C. Tell the child the medicine is sweet candy syrup that he/she will like. D. Tell the child firmly to take the medicine. 38. Which of the following would be a priority intervention for a client with the prolapsed cord? A. Cover the cord with a dry sterile tower B. Monitor the mother’s vital signs C. Place the woman in the Trendelenburg position D. Start medication as ordered TOP RANK REVIEW ACADEMY, INC. Page 2 | 3
39. After an endoscopy study, which of the following interventions would be most important? A. Pushing oral fluids immediately to promote elimination of dye. B. Monitoring airway and respiratory function for the first 4 hours. C. Applying a warm compress to the neck to reduce spasm. D. Administering atropine to reduce pulmonary secretions. 40. Which of the following clinical practices is appropriate to solicit initial respiration of the high-risk newborn? A. Rubbing the back B. Spanking the buttocks C. Slapping the face D. Squeezing the thorax 41. Which of the following indicates that the new mother understands how to handle breast milk safely? A. “I can store fresh milk in the refrigerator for only 24 hours.” B. “I can store frozen breast milk for up to 1 month.” C. “I need to express my breast milk into a clear glass.” D. “I should never store my breast milk in a frozen-food locker.” 42. The most efficient way for a baby to regulate temperature is to: A. burn body fat. B. move arms and legs. C. shiver. D. use brown fat. 43. Analgesics given too late in labor can result in which of the following? A. Contractions that increase in intensity B. Early deceleration C. FHR dropping to 100 beat per minute D. Pain during contractions 44. The nurse is caring for a newborn at 12 hours of life. The newborn has just voided. The most appropriate response by the nurse would be: A. immediately check vital signs. B. notify the physician. C. continue to monitor voiding patterns. D. obtain an order for a straight catheter. 45. Which instruction should the nurse provide the adolescent who is experiencing acne? A. Avoid chocolate in the diet. B. Inspect skin for adverse reactions to treatment. C. Pop pimples only when they are white with pus. D. Scrub skin twice a day with prescribed medication. 46. To prevent infection of the perineal area after delivery, the nurse should instruct the client to: A. Begin sitz bath at the first sign of infection B. Pull panties straight down C. Use hot water to cleanse the area after bowel movement D. Wipe with sweeping motion, from front to back 47. Signs of respiratory distress in a neonate include: A. grunting with expiration. B. respiratory rate of 50 breaths per minute. C. synchronized movement of the baby’s chest and abdomen. D. the baby’s chest expanding as a whole. 48. Which position should newborns be placed when sleeping? A. Back B. Head of bed elevated C. Prone D. Side lying with pillow 49. Most babies should be fed: A. Every 1 to 2 hours B. Every 2 to 4 hours C. Every 4 to 6 hours D. On demand 50. When evaluating the effectiveness of instruction regarding breastfeeding, which of the following responses by the mother indicate that she understands the teaching? A. “I need to rub my nipples to toughen them up.” B. “I should apply lotion to my nipples to prevent cracking.” C. “I should nurse at least 10 minutes on one breast before offering the next breast.” D. “I should use soap and water to gently cleanse my breast gently.” TOP RANK REVIEW ACADEMY, INC. Page 3 | 3