Title WORKBOOK - OB - (KEY) ✅

1 | Page COMPREHENSIVE PHASE WORKBOOK OBSTETRIC NURSING NOV 2025 Philippine Nurse Licensure Examination Review SITUATION: Vajee Nismus, a graduating nursing student is reviewing her notes on maternity nursing in preparation for her Licensure Examination. If you were her, what would be your answers to the following test questions that Betty is practicing? 1. If conception fails to occur, menstruation takes place about 2 weeks after ovulation as a result of: A. Increase progesterone and estrogen level. B. Stimulation of the graafian follicle. C. Gn-RH secretion D. Degeneration of the corpus luteum 2. Increased levels of FSH-RH stimulates the anterior pituitary to secrete: A. Progesterone B. FSH C. Oxytocin D. Prolactin 3. A deficiency with this type of vitamin will lead to neural tube defects in pregnant women: A. Niacin B. Riboflavin C. Folic acid D. Ascorbic acid 4. A clinical instructor is discussing is discussing the menstrual cycle to a group of nursing students. The instructor asks the nursing students to describe the follicle stimulating hormone and the leuteinizing hormone and they accurately respond by stating that: A. FSH and LH are released from the anterior pituitary gland. B. FSH and LH are secreted by the corpus luteum of the ovary. C. FSH and LH are secreted by the adrenal gland. D. FSH and LH stimulates the formation of milk during pregnancy 5. The clients last menstrual period is October 1, 2014. Using Nagele’s rule, the expected date of delivery is (EDD) is: A. April 8, 2015 B. May 8, 2015 C. July 8, 2015 D. June 8, 2016 6. Which of the following the nurse do first when dealing with the couple having sexual problems after 20 years of marriage? A. Provide the couple with information about common sexual problems. B. Arrange a physical examination for both partners. C. Refer the couple to a support group for sexual dysfunction. D. Allow the couple to talk about their sexual problem. 7. The hormone responsible for the development of the ovum during the menstrual cycle is: A. Estrogen B. Progesterone C. FSH D. LH SITUATION: Nurse Pussu Negro and the other staff are discussing the genetic principles influencing fetal growth and development. Here are some common concepts that you should be aware of to provide optimum care to clients. 8. Ovulation takes place during which of the following phases of the menstrual cycle? A. Luteal phase B. Proliferative phase C. Ischemic D. Secretory phase 9. The developing cell are called a fetus from the: A. End of second week to the onset of labor. B. Implantation of the fertilized ovum. C. Time of fetal heart is heard. D. Eight weeks to the time of birth. 10. Mr. and Mrs. Annu Daw arrive at the pre-natal visit. Mr. Gani tells the nurse that the women in their family usually have girl babies first & wonders why some women always have girls. The nurse’s correct response is: A. “The sex of the baby is determined by the father.” B. “Some women are just more fertile by nature.” C. “Nature determines whether the baby will be a girl or boy.” D. “The sex of the baby is determined by the egg.” 11. Innu Sente, a patient who is new to the genetic clinic, asks the nurse, “What do call the picture breakdown of the number and size of the person’s chromosomes?” The nurse’s correct response is: A. Karyotype B. Pedigree C. Pictograph D. Partograph 12. Variations in the length of the menstrual cycle are due to variations in the number of days in which of the following phases? A. Proliferative B. Luteal C. Ischemic D. Secretory 13. In counseling a group of adolescents at the health clinic about menstruation, the nurse states that ovulation usually occurs at what time during a 35 day cycle? A. Day 18 B. Day 21 C. Day 25 D. Day 11 14. Mrs. Wakwak asks the nurse, “When will I feel my baby moving”?. The nurse responds by telling her that fetal movement will be noted between? A. 6 and 8 weeks B. 8 and 10 weeks C. 10 and 12 weeks D. 16 and 20 weeks 15. When measuring the fundal height of Mrs. Taba Choy, who is at 28 weeks of gestation, the nurse would expect which of the following measurement in centimeters? A. 22 cm B. 28 cm C. 36 cm D. 40 cm 16. A married client, who is at 7 weeks gestation, is being seen for her first pre-natal visit. In relation to normal maternal acceptance of pregnancy, the nurse would expect that the client feels: A. Detached from the event until physical changes occur. B. Much happiness and enjoyment from the event. C. Overwhelmed by the thought of future changes. D. Some ambivalence now that the pregnancy is confirmed. * NLE * NCLEX * CGFNS * HAAD * PROMETRICS * DHA * MIDWIFERY * LET * RAD TECH * CRIMINOLOGY * DENTISTRY * PHARMACY *
2 | Page SITUATION: Maria Ososera is a reliable nurse on OB-Gyne ward that can give information regarding human conception and fetal development. The following questions pertains to this topic. 17. Which of the following would be Maria’s best response to a pregnant client asking if she can have a “social drink” with her clients 2 to 3 times a week? A. “It is best to avoid all alcoholic beverages during pregnancy.” B. “After the first trimester, you may have 3 drinks per week.” C. “Beer is safer to drink, because it has less alcohol.” D. “If you’re used to drink alcohol, you may continue during pregnancy.” 18. Trudis asks the nurse. “What is the purpose of amniotic fluid?” The nurse correct explanation is that: A. Amniotic fluid helps to cushion the fetus. B. Amniotic fluid helps to keep your baby clean inside of you. C. Amniotic fluid is the primary source of nutrition for your baby. D. Amniotic fluid keeps you healthy during pregnancy. 19. In discussing fetal growth and development of the embryonic membrane, the nurse states that the membrane responsible for the development of the heart is the: A. Ectoderm B. Mesoderm C. Chorion D. Amnion 20. Which of the following would the nurse estimate as the approximate gestational age for a 16 cm fetus expelled by the client? A. 2 months B. 3 months B. 4 months D. 5 months 21. A pregnant woman verbalizes, “I must about 4 months pregnant. I cannot remember exactly my LMP, but I have been feeling the baby kicking for 3 to 4 weeks now.” The nurse states that this assessment indicates what sign of pregnancy? A. Presumptive B. Probable C. Positive D. Negative 22. While discussing the growth and development of the product of conception, a patient asks nurse Pokwang, “During what time in my pregnancy is my baby most vulnerable to getting birth defects? “Pokwang’s best response is A. “As your baby is forming in the first 2 months because organ development takes place at this time.” B. “Throughout the pregnancy.” C. “Near the end of your pregnancy.” D. “Halfway through your pregnancy, around 20 weeks or 5 months. SITUATION: Mrs. Angta Ngatanga is the charge nurse in the Maternity Ward. She is assigned there for about 5 years and well verse on different aspect of pregnancy and the adaptation of the mother to this. The following assessment and nursing interventions are all included in the care of the pregnant mothers during this period. 23. Which of the following would the nurse identify as a presumptive sign of pregnancy? A. Softening of the cervix. B. Presence of chloasma C. Bluish discoloration of the vagina D. Positive serum pregnancy test. 24. In the first trimester of pregnancy the physician orders Pap Smear. The client asks the nurse for the reason of the test. The nurse respond that the test is to: A. Determine the presence of chlamydia that can affect the fetal growth and development. B. Detect the presence of fetal protein which may indicate neural tube defect C. Check for abnormal cervical cells that may be precursors to cervical cancer. D. Obtain fetal cells to test for chromosomal abnormalities. 25. When talking with a pregnant client who is experiencing aching, swollen leg veins, the nurse would explain that this is most probably the result of which of the following? A. Thrombophlebitis B. Pregnancy-induced hypertension C. Pressure on blood vessels of the enlarging uterus D. The force of gravity pulling down the uterus 26. Which of the following common emotional reactions to pregnancy would the nurse expect to occur during the first trimester? A. Introversion, egocentric, narcissism B. Awkwardness, clumsiness, and unattractiveness C. Anxiety, passivity, extroversion D. Ambivalence, regression, denial 27. Which of the following urinary symptoms does the pregnant woman most frequently experience during the first trimester? A. Dysuria B. Frequency C. Incontinence C. Burning 28. Which of the following would be the nurse best response to a woman who at 5 mos gestation, reports that she has felt intermittent, painless, irregular contractions of her uterus? A. “It is important to time these contractions, because it may be the beginning of labor.” B. “If this contractions occur again, call your physician immediately.” C. “The contractions help stimulate the movement through the placenta.” D.“They are called Braxton Hicks contraction. They may occur throughout pregnancy.” 29. Changes in the consistency of the cervix and purplish discoloration of the vagina are classified as what sign of pregnancy? A. Diagnostic sign B. Probable sign C. Presumptive sign D. Positive sign SITUATION: Nuli Metangere was promoted as a head nurse of the Maternity Ward in Baog Hospital. She uses the principles of caring a pregnant woman during her antepartum period which are implied in the following questions. 30. A client about 8 weeks pregnant, asks the nurse when she will be able to hear the fetal heartbeat. The nurse would respond by telling that the fetal heartbeat could be hear with a fetoscope when the gestation is as early as which of the following? A. 4 weeks B. 8 weeks C. 16 weeks D. 25 weeks 31. A patient of a pre-natal class asks the nurse, “How do my baby’s lungs get air now that I’m pregnant?” The nurse correct response is: A. “Your baby gets air from the placenta. “ B. “No one knows how baby’s gets air in the uterus.” C. “Your lungs provide enough air for your baby to breathe.” D. “The baby’s lungs follow as the mothers breathe.” 32. A 20-year old primigravida at 8 weeks gestation visits the clinic with symptoms of slight reddish vaginal bleeding and an occasional uterine cramping. The pregnancy test is positive. IE indicates that there is no cervical dilatation noted. The nurse should explain to the patient that in is an indicative of: A. Missed Abortion B. Inevitable Abortion C. Incomplete Abortion D. Threatened Abortion 33. The pregnant client reports that she has a 3-year old child at home who was born at term, had a miscarriage at 10 weeks gestation, and delivered a set of twins at 28 weeks gestation that died within 24 hours. In the pre-natal record, the nurse should record: A. Gravida 2,para 1; G2TOPOA1L1 B. Gravida 3,para 3; G3T1P1A1L1 C. Gravida 4,para 2; G4T1P1A1L1
3 | Page D. Gravida 5,para 4;G5T1P1A1L1 34. Mrs. Rhee Tukee is admitted with a diagnosis of severe Pregnancy Induced Hypertension (PIH). Which assessment findings is an indicative of severe Pregnancy Induced Hypertension? A. A weight gain of 3 lbs/week during the previous 2 weeks. B. Severe pedal and facial edema, B/P 170/98, +4 protein on urine deep stick. C. Constant headache with visual changes, B/P 140/100, traced proteinuria. D. Urine deep stick with +2 protein, B/P 100/64, slight pedal edema. 35. A client comes to labor and delivery at 39 weeks gestation with severe headache for the past 2 days, nausea, right upper quadrant pain and visual changes including flashes of light. What should the nurse do first? A. Check clients vital signs and reflexes. B. Perform vaginal exam for cervical dilatation. C. Administer acetamenophen for the headache pain. D. Ask if the client has uterine contractions. SITUATION: Thea Nak comes to the hospital because she knows she’s in labor. Nurse Duen Dy is the staff nurse present who assesses her and provide nursing care and management. 36. When describing fetal position, the first letter in the series denotes which of the following? A. Presenting part of the fetus. B. Side of the maternal pelvis. C. Size of the maternal pelvis. D. Type of fetal delivery. 37. During which of the following stage of labor would the nurse assess “Crowning”? A. First stage B. Second stage C. Third stage D. Forth stage 38. Six hours into labor, Mrs. Thea Nak’s conditions are occurring every 2 minutes, and lasting 80 seconds. She is diaphoretic, restless and very irritable. According to these assessment findings, which stage or phase of labor is she in? A. Latent phase B. Second stage C. Third stage D. Transitional phase 39. After the neonate is delivered, the physician instructs nurse Duen to add 10 units of oxytocin (Pitocin) to Mrs. Thea’s IV to: A. Contract the uterine muscles. B. Prevent DIC C. Relax the uterine muscles D. Augment the clotting action of the platelets. 40. Which procedure would best determine if Mrs. Thea has spontaneously ruptured amniotic membranes? A. A complete blood count B. A fern test C. Urinalysis D. A vaginal exam SITUATION: Mrs. Maga Mata, gravida 2, para 0010 is admitted to the labor and delivery area in labor. Mr. and Mrs. Mata have attended Lamaze classess. Initial assessment reveals cervical dilatation of 5 cm; Cx effacement 80%, station -3, frequency of contractions 5-8 mins; duration of contractions 20-45 seconds; membrane ruptured spontaneously 1 hour before admission; presentation, vertex; fetal position, left occiput anterior (LOA), Mrs. Maga Mata is connected to external fetal monitor. 41. The FHR should be most audible in which quadrant of Mrs. Maga’s abdomen? A. Left upper quadrant B. Left lower quadrant C. Right upper quadrant D. Right lower quadrant 42. The physician places Mrs. Mata on bedrest. Which assessment findings necessitates this action? A. 5 cm cervical dilatation B. 80% cervical effacement C. Contraction every 5 to 8 minutes D. -3 station 43. During the third stage of labor, the significant nursing intervention that the nurse should perform is: A. Obtaining urine specimen and other laboratory test. B. Assess uterine contractions every 30 minutes. C. Coach for effective client pushing. D. Promote parent-newborn interaction. 44. Basing on the above assessment findings which phase of labor is Mrs. Mata manifesting? A. Latent B. Active C. Passive D. Transitional 45. A client in active labor is lying in a supine position. The nurse knows that by encouraging this position in labor, it may lead to: A. Increased venous return. B. Increased cardiac output. C. Increased blood flow to the lower extremities. D. Supine hypotension. 46. During the active phase of labor the woman reports severe back pain that becomes increasingly intense during contractions.The nurse should place the woman in which position A. Supine position B. Semi-Fowler’s C. Squatting D. Side lying on the side of the fetal back SITUATION: You are rotated in a new area of assignment from ER nurse to OB ward nurse. It is expected of you to take care of post-partum mothers so you decided to review on some concepts in post partum care. 47. Which of the following is the priority focus of nursing practice with the current early post partum discharge? A. Promoting comfort and restoration of health. B. Exploring the emotional status of the family. C. Facilitating safe and effective self and newborn care. D. Teaching about the importance of family planning. 48. Lochia serosa is characterized by which of the following? A. Creamy yellow color. B. Characteristic odor. C. Serosanguineous appearance D. White to colorless 49. Which of the following factors most influences the new mother’s successful transition to parenthood? A. Early discharge, which offers the mother and newborn an opportunity to attain needed rest and sleep at home. B. The need of both parents to know that everything is okay and that no problems will occur. C. The new mother having full emotional support of family and friends and being emotionally ready for parenthood. D. The new mother understanding the signs and symptoms of “post-partum blues” and being able to deal with them. 50. According to nurse Sing, during which of the following periods would the new mother frequently her labor and delivery experience? A. Letting-down B. Letting-go C. Taking-hold D. Taking-in 51. The woman is complaining of sore nipples while breastfeeding. The nurse instructs her to: A. Wait to latch the infant unless the infant is really hungry. B. Put warm compress on the breast and express the breast milk. C. Put ice packs on the breasts and stimulate them. D. When latching be sure that the infant has the large areola in the mouth. 52. Before assessing the post-partum client’s uterus for firmness and position in relation to umbilicus and midline. Which of the following should the nurse do first? A. Assess the vital signs. B. Administer analgesia. C. Ambulate in the hall