Title RECALLS 7 - NP2 - SC ✅

RECALLS 7 EXAMINATION NURSING PRACTICE II CARE OF HEALTHY / AT RISK MOTHER AND CHILD NOVEMBER 2025 Philippine Nurse Licensure Examination Review GENERAL INSTRUCTIONS: 1. This test questionnaire contains 100 test questions 2. Shade only one (1) box for each question on your answer sheets. Two or more boxes shaded will invalid your answer. 3. AVOID ERASURES. 4. Detach one (1) answer sheet from the bottom of your Examinee ID/Answer Sheet Set. 5. Write the subject title “NURSING PRACTICE II” on the box provided Situation: Nurse Joel is collecting data from a newly admitted patient, Mrs. Christine, who is pregnant with twins. She has a healthy 3-year-old child who was delivered at 38 weeks. She also revealed that she does not have a history of abortion nor fetal demise. Her last menstrual period began February 7, 2017 and ended February 12, 2017. 1. What is the GTPAL for Mrs. Christine? A. G = 1, T = 1 , P = 1, A = 0, L = 1 B. G = 2, T = 0 , P = 0, A = 0, L = 1 C. G = 3, T = 2 , P = 0, A = 0, L = 1 D. G = 2, T = 1 , P = 0, A = 0, L = 1 2. Mrs. Christine asks “When will be my expected date of delivery (EDD)?” Based on her knowledge of Naegeles’ Rule, which should be the CORRECT answer of Nurse Joel? A. November 14, 2017 B. October 14, 2017 C. October 19, 2017 D. November 19, 2017 3. A pregnant client reports morning sickness, nausea and vomiting, missed periods, and breast tenderness. Which of these would be classified as a presumptive sign of pregnancy? A. Fetal outline felt by examiner B. Positive pregnancy test. C. Breast tenderness. D. Fetal heart tones detected by Doppler. 4. A 10-week pregnant client asks the nurse how to determine if she’s truly pregnant. Nurse Priscila is correct if he explains that a positive sign of pregnancy is: A. Enlarged breasts. B. Presence of fetal heart tones detected by Doppler. C. Positive pregnancy test. D. Presence of Quickening 5. A patient asks Nurse Yor about the signs and symptoms of pregnancy. Nurse Yor is correct if she states: A. "The first perception of fetal movement that you have felt at 16th to 20th week of gestation is a probable sign of pregnancy." B. "The compressibility and softening of the lower uterine segment that occurs about the 6th week is a probable sign." C. “The examiner palpating fetal movement at 18 weeks is a probable sign." D. "Pigmentation changes such as linea nigra and melasma are considered probable signs of pregnancy." Situation: A neonate is born by primary cesarean section at 36 weeks gestation. The temperature in the birthing room is 21 degree celsius. 6. When the couple touches the newborn's shoulders, the skin feels warm. The nurse explains that the best insulator for the newborn is: A. Brown fat. B. Glucose. C. Glycogen. D. Lanugo. 7. Drying the infant immediately after birth helps prevent heat loss from what mechanism? A. Conduction B. Convection C. Evaporation D. Radiation 8. After assisting with a vaginal delivery, what would the nurse do to prevent heat loss via conduction in the newborn? A. Wrap the newborn in a blanket. B. Close the doors to the delivery room. C. Dry the newborn with a warm blanket. D. Place the newborn on a warm crib pad. 9. To prevent heat loss from convection, which action should Nurse Calvin do? A. Dry the neonate quickly B. Keep the neonate away from air conditioning vents C. Pre-warm the bed D. None of the above 10. When performing nursing care for a neonate after birth, which intervention has the highest nursing priority? A. Give the vitamin K injection B. Give the initial bath C. Obtain a dextrostix D. Cover the neonate’s head with a cap Situation: The nurse has admitted a client diagnosed with gestational hypertension who is in labor. 11. Which of the following are present in pregnancy-induced hypertension? A. Hypertension, proteinuria, and edema. B. Hypertension, gestational diabetes, and edema. C. Hypertension, seizure, and proteinuria. D. Proteinuria, edema, and seizure. 12. The nurse monitors the client closely for which complication of gestational hypertension? A. Seizures B. Hallucinations C. Placenta previa D. Altered respiratory status 13. Nurse Alex is preparing a plan of care for client Sophia with pre-eclampsia and documents that if client Sophia progresses from preeclampsia to eclampsia, Nurse Alex should take which first action? A. Administer oxygen by face mask. B. Clear and maintain an open airway C. Administer magnesium sulfate intravenously D. Assess the blood pressure and fetal heart rate 14. Nurse Alex is administering magnesium sulfate to another client experiencing severe preeclampsia. What intervention would the nurse implement during the administration of magnesium sulfate for this client? A. Schedule a daily ultrasound to assess fetal movement. 1 | Page

cervix and effacement is 100 percent. The patient is in true labor pains. 31. The nurse is caring for Danica with a precipitous labor. What information would the nurse provide to the client regarding this type of labor? A. Induction may be necessary. B. The onset of contractions is gradual. C. The labor may last less than 3 hours. D. A lengthy period of pushing may be necessary. 32. Patient Josephine was referred to the physician, routine blood examinations were taken. After reviewing the serum electrolyte levels, an order of isotonic intravenous (IV) infusion was prescribed. Which IV solution should the nurse prepare? A. 5 percent dextrose in water B. 0.45 percent sodium chloride solution C. 10 percent dextrose in water D. 3 percent sodium chloride solution 33. Nurse Jordyn reads the physician's prescription to administer methylergonovine maleate (Methergin) intramuscularly after delivery. The rationale for giving this medication is which of the following? A. Reduces the amount of lochia drainage. B. Prevents postpartum hemorrhage C. Decreases uterine contractions. D. Maintains normal blood pressure. 34. Patient Danica asks why her labor is much shorter compared to previous deliveries. Which of the following is the BEST RESPONSE? A. Onset of contraction was gradual. B. Multigravida patients have shorter labor. C. Cervical lengthening was longer. D. Induction of labor was done. 35. The mechanisms involved in fetal delivery is: A. Descent, extension, flexion, external rotation B. Descent, flexion, internal rotation, extension, external rotation C. Flexion, internal rotation, external rotation, extension D. Internal rotation, extension, external rotation, flexion Situation: Nurse Josephine is educating a postpartum mother about the concept of lochia and puerperium. 36. For uterine assessment after delivery, position the patient supine so that the height of the uterus is not influenced by an elevated position. Observe the abdomen for contour, to detect distention, and for the appearance of striae or a diastasis. Where will you begin to place your hand? A. fundus of the uterus B. just above the symphysis pubis C. at the umbilicus D. side of the abdomen 37. The nurse is performing an assessment on a mother who just delivered a healthy newborn. When checking the uterine fundus the nurse should expect to note that the fundus is positioned at which location? A. To the right of the abdomen B. At the level of the umbilicus C. Above the level of the umbilicus D. One fingerbreadth above the symphysis pubis 38. A postpartum nurse caring for a client who delivered vaginally 2 hours ago palpates the fundus and notes the character of the lochia. Which characteristic of the lochia would indicate to the nurse that the client's recovery is normal? A. Pink-colored lochia B. White-colored lochia C. Serosanguineous lochia D. Dark red-colored lochia 39. Which statement by the patient indicates a need for further teaching? A. "I should expect to see lochia for up to 6 weeks after delivery." B. "Lochia should be a yellowish color after the first few days." C. "The color of lochia should progress from red to pink to white." D. "If the lochia reverses in color, I should contact my doctor." 40. A 28-year-old primiparous woman, 2 days postpartum, is exhibiting passive behavior, expressing fatigue and stating, "I can't seem to do anything right." Which phase of puerperium is most likely being exhibited? A. Taking-in phase B. Taking-hold phase C. Letting-go phase D. Giving-up phase Situation: Gestational Trophoblastic disease or abnormal proliferation of the trophoblastic villi tend to occur most often to women who have a low protein intake, women older than 35 years old, and in women of Asian heritage. 41. The characteristic manifestation of gestational trophoblastic disease is: A. Uterus tends to expand slower than a normal pregnancy B. Lower abdominal quadrant pain C. Hyperemesis Gravidarum D. An HCG level of 400,000 IU 42. Assessment of client diagnosed to have hydatidiform mole would include: A. Falling blood pressure with increased cardiac rate B. Absence of fetal heart sounds C. Diaphoresis D. Delusions 43. Which of the following is NOT an expected assessment for a client with H-mole? A. Rapid increase in uterine size B. Excessive nausea and vomiting C. Slow abdominal enlargement D. Vaginal bleeding 44. A common drug given to stop the rapid growth of a hydatidiform mole is: A. Methotrexate B. Meperidine C. Mifepristone D. Misoprostol 45. Which of the following discharge instructions must be given to a woman who has just undergone suction and curettage for gestational trophoblastic disease? A. “Visit your physician after one year for a follow-up examination to find out if there is still a possibility that get pregnant.” B. “Women who have had a molar pregnancy must avoid sexual intercourse for a year or two.” C. “HCG levels usually return to normal 48 hours after evacuation.” D. “Use a reliable contraceptive method for 12 months.” Situation: Placenta Previa and Abruptio Placentae are two serious obstetric conditions involving abnormalities in placental location or separation. 46. A client at 36 weeks gestation arrives at the emergency department with painless, bright red vaginal bleeding. The nurse suspects which complication? A. Placenta previa B. Abruptio placentae C. Uterine rupture D. Vasa previa 47. The nurse is assessing a patient with placenta previa who has experienced vaginal bleeding. Which of the following findings requires immediate intervention? A. Blood color is bright red B. Fetal heart rate is 130 bpm C. The patient reports no pain D. Blood pressure decreases from 120/80 to 80/60 mmHg 48. A pregnant woman is admitted with a tentative diagnosis of placenta previa. The nurse implements orders to start an IV infusion, administer oxygen, and draw blood for laboratory tests. The client’s apprehension is increasing, and she asks the nurse what is happening. The nurse tells her not to worry, that she is going to be all right, and that everything is under control. What is the best interpretation of the nurse’s statement? 3 | Page