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RECALLS 8 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 Ivy is caring for multiple pregnant clients to gain experience and enhance her knowledge regarding prenatal care. 1. Nurse Ivy is assessing a pregnant woman at 20 weeks' gestation who reports swelling in her legs and frequent headaches. Which assessment finding should Nurse Ivy be most concerned about? A. A blood pressure of 130/85 mmHg B. Edema of the lower extremities C. A sudden increase in weight of 2 kg in one week D. A hemoglobin level of 11.5 g/dL 2. Nurse Ivy is educating a pregnant client about the importance of prenatal vitamins. Which statement by the client indicates a correct understanding of the importance of folic acid? A. “Folic acid helps with my digestion.” B. “Folic acid can prevent neural tube defects in the baby.” C. “Folic acid is primarily for boosting my energy levels.” D. “Folic acid is only necessary in the first trimester.” 3. Nurse Ivy is assessing a pregnant woman at 28 weeks' gestation who presents with severe abdominal pain and decreased fetal movement. What should Nurse Ivy’s priority action be? A. Advise the patient to rest and drink more fluids B. Conduct a thorough fetal assessment and notify the healthcare provider C. Suggest over-the-counter pain relief for the abdominal pain D. Recommend a follow-up appointment in one week 4. Nurse Ivy is assessing a pregnant woman who is 36 weeks' gestation. The patient is experiencing a sudden onset of shortness of breath and a non-productive cough. What is the most appropriate action for Nurse Ivy to take? A. Encourage the patient to lie down and rest B. Perform a thorough respiratory assessment and monitor oxygen saturation C. Increase the patient’s fluid intake D. Refer the patient to a dietitian for a low-sodium diet 5. Situation: Nurse Ivy is discussing the risk factors for developing gestational diabetes with a pregnant woman. Which factor is a significant risk for developing gestational diabetes? A. Being underweight before pregnancy B. Being older than 25 years of age C. Having a family history of diabetes D. Having a history of previous uncomplicated pregnancies 6. Nurse Ivy is preparing a teaching session for a group of pregnant women about labor signs. Which sign should Nurse Ivy emphasize as the most indicative of true labor? A. Lightening B. Braxton Hicks contractions C. Rupture of membranes D. Cervical dilation Situation: Nurse Colet is reviewing her knowledge regarding the signs of pregnancy. The following questions are regarding this. 7. Nurse Colet is assessing a pregnant client who reports frequent urination and nausea. Which of these findings is considered a presumptive sign of pregnancy? A. Positive pregnancy test B. Fetal heartbeat detected via Doppler C. Enlargement of the abdomen D. Nausea and vomiting 8. Nurse Colet is evaluating a client who has recently missed her menstrual period and has noticed a darkening of the areola. Which of these is considered a probable sign of pregnancy? A. Amenorrhea B. Hegar’s sign C. Quickening D. Breast tenderness 9. A pregnant client presents with a positive result on a home pregnancy test. What type of sign of pregnancy does this result represent? A. Presumptive sign B. Probable sign C. Positive sign D. Diagnostic sign 10. Nurse Colet is performing a physical examination and notes a softening of the cervix. Which sign of pregnancy does this finding represent? A. Presumptive sign B. Probable sign C. Positive sign D. Diagnostic sign 11. Nurse Colet is teaching a group of pregnant women about signs of pregnancy. Which statement correctly identifies a positive sign of pregnancy? A. Breast tenderness B. Quickening C. Urinary frequency D. Fetal heartbeat detected by a Doppler device 12. Nurse Colet is assessing a pregnant client who reports feeling fetal movement. What type of sign of pregnancy does this represent? A. Presumptive sign B. Probable sign C. Positive sign D. Diagnostic sign 13. Nurse Colet is discussing the changes in skin pigmentation with a pregnant client. The client reports experiencing a dark line running from the pubic area to the umbilicus. What is this sign called? A. Linea nigra B. Chadwick’s sign C. Ballottement D. Goodell’s sign 1 | Page


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