Title RECALLS 4 - NP2 - SC ✅

1 | Page RECALLS 4 EXAMINATION NURSING PRACTICE II CARE OF THE HEALTHY/SICK MOTHER & CHILD NOV 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 III” on the box provided Situation: AZ is a nursing student reviewing concepts related to the menstrual cycle. The following questions apply. 1. Which hormone released by the ovary during the proliferative phase stimulates endometrial thickening? A. Follicular-stimulating hormone B. Luteinizing hormone C. Estrogen D. Progesterone 2. Which hormone released by the pituitary gland is active early in the cycle and is responsible for maturation of the ovum? A. Follicular-stimulating hormone B. Luteinizing hormone C. Estrogen D. Progesterone 3. Which hormone released by the pituitary gland is most active at the midpoint of the cycle and is responsible ovulation? A. Follicular-stimulating hormone B. Luteinizing hormone C. Estrogen D. Progesterone 4. Which of the following hormones is released by the ovary during the second half of the menstrual cycle? A. Follicular-stimulating hormone B. Luteinizing hormone C. Estrogen D. Progesterone 5. The nurse is performing an assessment on a female client who is suspected of having mittelschmerz. Which subjective finding supports the possibility of this condition? A. Experiences pain during intercourse B. Has pain at the onset of menstruation C. Experiences profuse vaginal bleeding D. Has sharp pelvic pain during ovulation 6. A female client asks the nurse when ovulation usually occurs. The instructor correctly answers: A. 7 days after menstruation B. 7 days before menstruation C. 14 days before menstruation D. 14 days after menstruation 7. Which of the following best describes the natural odor of menstrual blood in a healthy individual? A. Foul and fishy, similar to spoiled meat B. Sweet, like fermented fruit C. Slightly musky or similar to marigolds D. Metallic, like rusted iron 8. A nurse teaches a woman who wishes to become pregnant that if she assesses for spinnbarkeit she will be able closely to predict her time of ovulation. Which technique should the client be taught to assess for spinnbarkeit? A. Take her temperature each morning before rising. B. Carefully feel her breasts for glandular development. C. Monitor her nipples for signs of tingling and sensitivity. D. Assess her vaginal discharge for elasticity and slipperiness. 9. During the menstrual phase the _________ layer of the endometrium is shed. A. Stratum basalis B. Stratum functionalis C. Stratum compactum D. Myometrium 10. A woman is menstruating. If hormonal studies were to be done at this time, which of the following hormonal levels would the nurse expect to see? A. Both estrogen and progesterone are high. B. Estrogen is high and progesterone is low. C. Estrogen is low and progesterone is high. D. Both estrogen and progesterone are low Situation: Nurse Marimar is assisting pregnant mothers in their 1 st trimester of pregnancy. The following questions apply 11. The nurse plans to provide anticipatory guidance to a 10- week gravid client who is being seen in the prenatal clinic. Which of the following information should be a priority for the nurse to provide? A. Pain management during labor. B. Methods to relieve backaches. C. Breastfeeding positions. D. Characteristics of the newborn. 12. A client is in the 10th week of her pregnancy. Which of the following symptoms would the nurse expect the client to exhibit? Select all that apply. A. Backache. B. Urinary frequency. C. Dyspnea on exertion. D. Fatigue. E. Diarrhea 13. A client states that she is a strong believer in vitamin supplements to maintain her health. Nurse Marimar advises the woman that it is recommended to refrain from consuming excess quantities of which of the following vitamins during pregnancy? A. Vitamin C. B. Vitamin D. C. Vitamin B2 (niacin). D. Vitamin B12 (cobalamin). 14. A client asks the nurse what was meant when the physician told her she had a positive Chadwick’s sign. Which of the following information about the finding would be appropriate for the nurse to convey at this time? A. “It is a purplish stretch mark on your abdomen.” B. “It means that you are having heart palpitations.” C. “It is a bluish coloration of your cervix and vagina.” D. “It means the doctor heard abnormal sounds when you breathed in.” 15. The pregnant mother for prenatal check up is 10 weeks AOG, together with her husband, is excited to know their baby’s sex. They ask the nurse when the earliest time is to * NLE * NCLEX * CGFNS * HAAD * PROMETRICS * DHA * MIDWIFERY * LET * RAD TECH * CRIMINOLOGY * DENTISTRY * PHARMACY *
2 | Page determine their baby’s sex via ultrasound. The nurse is correct when she said ______. A. At 10 weeks AOG B. 16 weeks AOG C. 20 weeks AOG D. 22 weeks AOG Situation: Nurse Bea is assisting pregnant mothers in their second trimester of pregnancy. The following questions apply 16. Nurse Bea is preparing to measure the fundal height of a client whose fetus is 28 weeks’ gestation. In what position should the nurse place the client to perform the procedure? A. In a standing position B. In the Trendelenburg position C. Supine with the head of the bed elevated to 45 degrees D. Supine with her head on a pillow and knees slightly flexed 17. Nurse Bea has just palpated the fundal height at the level of umbilicus. It is likely that the client is how many weeks pregnant? A. 12. B. 20. C. 28. D. 36 18. After doing Leopold’s maneuvers, the nurse determines that the fetus is in the ROP position. To best auscultate the fetal heart tones, the Doppler is placed: A. Above the umbilicus at the midline B. Above the umbilicus on the left side C. Below the umbilicus on the right side D. Below the umbilicus near the left groin 19. Which piece of equipment will the nurse routinely use to assess the fetal heart rate of a woman at 16 weeks’ gestation? A. Fetal heart monitor B. An adult stethoscope C. Bell of a stethoscope D. Ultrasound fetoscope 20. The nurse in the prenatal clinic is monitoring a client who is pregnant with twins. The nurse monitors the client closely for which priority complication that is associated with a twin pregnancy? A. Hemorrhoids B. Postterm labor C. Maternal anemia D. Costovertebral angle tenderness Situation: Maris, who is in her first trimester of pregnancy, comes to the clinic for a prenatal check-up. Nurse Loisa is assigned to assist her. 21. Maris mentioned that she is experiencing nausea and vomiting each morning that she wakes up. Which of the following should not be included when giving health teachings to Maris? A. Eat dry crackers before arising B. Take small, frequent feedings C. Take antiemetic D. take low-fat diet 22. Maris also complains of urinary frequency. Which of the following should Nurse Loisa not instruct Maris to do? A. Limit fluid intake in the evening B. Perform Kegel exercises C. Increase intake of tea to control voiding D. Drink no less than 2000 mL of fluid during the day 23. Maris will undergo Alpha-fetoprotein level determination. Which of the following specimen us required? A. Maternal blood sample B. Blood from chorionic villi C. Amniotic fluid D. Cervical secretions 24. She asks Nurse Loisa, “What does the alpha fetoprotein test indicate?” The nurse bases a response on the knowledge that this test can detect: A. Kidney defects B. Cardiac defects C. Neural Tube defects D. Urinary tract defects 25. Nurse Loisa is giving health teaching to Maris on how to prevent neural tube defects to her baby. What supplement is needed to be taken by a pregnant women to prevent NTD? A. Folate B. Iron C. Vitamin C D. Vitamin A Situation: Nurse Yna is providing prenatal health teaching to a group of pregnant women in their first and second trimesters. She explains the normal discomforts of pregnancy, their causes, and how to manage them effectively. 26. Which of the following exercises should be taught to a pregnant woman who complains of backaches? A. Kegeling. B. Pelvic tilting. C. Leg lifting. D. Crunching. 27. A 36-week gestation gravid client is complaining of dyspnea when lying flat. Which of the following is the likely clinical reason for this complaint? A. Maternal hypertension. B. Fundal height. C. Hydramnios. D. Congestive heart failure. 28. During a prenatal visit, a gravid client is complaining of ptyalism. Which of the following nursing interventions is appropriate? A. Encourage the woman to brush her teeth carefully. B. Advise the woman to have her blood pressure checked regularly. C. Encourage the woman to wear supportive hosiery. D. Advise the woman to avoid eating rare meat 29. The nurse is measuring the fundal height on a client who is 36 weeks’ gestation when the client reports feeling lightheaded. What finding should the nurse expect to note when assessing the client? A. Fear B. Anemia C. A full bladder D. Compression of the vena cava 30. Which of the following skin changes should the nurse highlight for a pregnant woman’s health care practitioner? A. Linea nigra. B. Melasma. C. Petechiae. D. Spider nevi Situation: Nurse Lani is assigned in the labor room and is monitoring clients in active labor using an external fetal monitor. Understanding fetal heart rate patterns is vital in assessing fetal well-being. 31. The client is in active labor. Fetal heart monitoring is done. Bradycardia is noted at the start of uterine contraction. The nurse correctly interprets this finding as indicative of A. Head compression B. Prolapsed cord C. Uteroplacental insufficiency D. False labor 32. The nurse is caring for a client in labor. The external fetal monitor shows a pattern of variable decelerations in fetal heart rate. What should the nurse do first? A. Change the client’s position B. Prepare for emergency cesarean section C. Check for placenta previa D. Administer oxygen 33. The nurse, caring for a client in the active stage of labor, is monitoring the fetal status and notes that the monitor strip shows a late deceleration. Based on this observation, which action should the nurse plan to take immediately? A. document the findings B. prepare for immediate birth C. increase the rate of an oxytocin infusion D. administer oxygen to the client via face mask 34. The pregnant client tells the nurse that se felt wetness on her peripad and found some clear fluid. The nurse inspects the
3 | Page perineum and notes the present of umbilical cord. What is the immediate nursing action? A. Monitor the fetal heart rate B. Notify the primary health care provider C. Transfer the client to the delivery room D. Place the client in a Trendelenburg position 35. A laboring client has external electronic fetal monitoring in place. Which of the following assessment data can be determined by examining the fetal heart rate strip produced by the external electronic fetal monitor? A. Gender of the fetus B. Fetal position C. Labor progress D. Oxygenation Situation: Nurse Bianca is assigned to a high-risk OB ward. One of her clients is diagnosed with Pregnancy-Induced Hypertension. The following questions apply. 36. The clinic nurse is caring for a client with a suspected diagnosis of gestational hypertension. The nurse assesses the client, expecting to note which set of findings if gestational hypertension is present? A. Edema, ketonuria, and obesity B. Edema, tachycardia, and ketonuria C. Glycosuria, hypertension, and obesity D. Elevated blood pressure and proteinuria 37. Which of the following lab values should the nurse report to the physician as being consistent with the diagnosis of HELLP syndrome? A. Hematocrit 48%. B. Potassium 5.5 mEq/L. C. Platelets 75,000. D. Sodium 130 mEq/L. 38. The nurse is caring for a pregnant client with preeclampsia who is receiving a prescribed intravenous (IV) infusion of magnesium sulfate. To provide a safe environment, the nurse should ensure that which priority item is available? A. Tongue blade B. Percussion hammer C. Calcium gluconate injection D. Potassium chloride injection 39. Nurse Davis is monitoring a pregnant patient receiving magnesium sulfate for preeclampsia management. During her assessment, Nurse Davis suspects that the patient may be experiencing magnesium sulfate toxicity. Which of the following findings would most likely confirm her concern? A. Serum magnesium level of 7 mEq/L. B. Presence of active deep tendon reflexes. C. Urine output of 25 mL per hour. D. Respiratory rate of 10 breaths per minute 40.  Nurse Harris is caring for a pregnant patient in her third trimester who has been admitted with severe preeclampsia. While monitoring for potential complications, what should Nurse Harris assess for? A. Complaints of feeling warm despite a cool room temperature. B. Alternating periods of fetal movement and quietness. C. Signs of bleeding, such as in the gums, presence of petechiae, and purpura. D. Breast enlargement. Situation: Nurse Jasmine is assigned to the OB ward and is responsible for monitoring and educating several postpartum mothers who recently gave birth. The following questions apply: 41. A new mother was administered methylergonovine maleate intramuscularly after delivery. The nurse understands that this medication was administered for which action? A. Decrease uterine contractions B. Prevent postpartum hemorrhage C. Maintain a normal blood pressure D. Reduce the amount of lochia drainage 42. 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 should 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 43. Twelve hours after delivery, the nurse assesses the client for uterine involution. The nurse determines that the uterus is progressing normally towards its prepregnant state when palpation of the clients fundus is at which level? A. At the umbilicus B. One finger breaths below the umbilicus C. Two finger breaths below the umbilicus D. Midway between the umbilicus and the symphysis pubis 44. A 10-day postpartum breast-feeding client telephones the postpartum unit reporting a reddened, painful breast and elevated temperature. Based on assessment of the client’ s complaints, which action should the nurse tell the client to do? A. “Breast-feed only with the unaffected breast.” B. “Stop breast-feeding because you probably have an infection.” C. “Notify your health care provider because you may need medication.” D. “Continue breast-feeding since this is a normal response in breast-feeding mothers.” 45. The postpartum client who delivered her newborn 4 days ago has been observed by the nurse to have started assuming tasks of mothering. She has started doing tasks for herself, not asking assistance. In which postpartum stage of regeneration is the client? A. Taking-in phase B. Taking hold phase C. Letting-go phase D. Holding on phase 46. A pregnant client tests positive for the hepatitis B virus. The client asks the nurse if she will be able to breast-feed the baby as planned after delivery. Which therapeutic response should the nurse communicate to the client? A. “You will not be able to breast-feed the baby until 6 months after delivery .” B. “Breast-feeding is not advised, and you should seriously consider bottle-feeding the baby.” C. “Breast-feeding is not a problem, and you will be able to breast-feed immediately after delivery” D. “Breast-feeding is allowed if the baby receives prophylaxis treatment at birth and scheduled immunizations.” 47. The mother had breastfed her newborn. Which of the following actions of the mother indicates the need for further teaching? A. The mother inserts a clean finger into the baby’s mouth before removing him from the breast. B. The mother burps the baby after feeding from each breast. C. The mother places the baby on the left side after feeding D. The mother exposes her nipples to air for 10-20 minutes after feeding. 48. Which of the following factors might result in a decreased supply of breastmilk in a PP mother? A. Supplemental feedings with formula B. Maternal diet high in vitamin C C. An alcoholic drink D. Frequent feedings 49. A postpartum mother who chose not to breastfeed asks the nurse, "When will my menstrual period return?" The nurse correctly responds that: A. “It usually returns within 3-4 months postpartum.” B. “It will resume after your postpartum check-up at 4 weeks.” C. “It may resume as early as 6 to 8 weeks after delivery.” D. “It won’t return until your baby starts eating solid food.” 50. During a postpartum examination, the nurse notes that a client’s left calf is warm and swollen. Which of the following actions by the nurse is appropriate at this time? A. Notify the client’s physician. B. Teach the client to massage her leg. C. Apply ice packs to the client’s leg.