Title RECALLS 12 - NP2 - SC ✅

1 | Page RECALLS 12 EXAMINATION NURSING PRACTICE II CARE OF HEALTHY / AT RISK MOTHER AND 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 I” on the box provided Situation: Nurse Julia is documenting the obstetrical history of a client who is 39 weeks pregnant. The client reports having had a son born at 38 weeks of gestation, a daughter born at 30 weeks of gestation, and a miscarriage at approximately 8 weeks of pregnancy. 1. How should Nurse Julia record this obstetrical history? A. G4 T1 P1 A1 L2 B. G3 T1 P1 A0 L2 C. G3 T2 P0 A0 L2 D. G2 T2 P0 A0 L2 2. While doing rounds, Nurse Julia notes positive ballottement in the client's prenatal record. This finding suggests which of the following? A. Passive movement of the unengaged fetus. B. Palpable contractions on the abdomen. C. Fetal kicking felt by the client. D. Enlargement and softening of the uterus. 3. During a pelvic examination, the Nurse Julia observes a purple-blue coloration of the cervix. How should she record this finding? A. Chadwick's sign. B. Braxton-Hicks sign. C. Goodle's sign D. McDonald's sign 4. A pregnant client asks the nurse at the clinic when she might start feeling fetal movements. Nurse Julia informs the multiparous mother that she is likely to notice these movements between which of the following weeks of gestation? A. 10 to 12 weeks. B. 16 and 18 weeks. C. 18 to 20 weeks. D. 5. 8 and 10 weeks. 5. Which of the following options reflects the typical amount of weight gained during pregnancy? A. 25 to 40 lbs. B. 24 to 30 Ibs. C. 12 to 22 lbs. D. 15 to 25 lbs. Situation: Mr. Mandy Ramirez and his wife, Mrs. Inieto, have just welcomed a healthy 7-pound baby boy named Vlake. The newborn's adjustment to life outside the womb is a critical and sensitive phase. Nurse Harrah has been designated to care for their baby and must be adept at providing care during this period. 6. As the newborn begins to breathe after birth, certain chemical changes occur that stimulate his respiration, which include: A. Respiratory acidosis. B. Metabolic alkalosis. C. Decreasing PCO2. D. Increasing PO2 7. To prevent hypothermia, Nurse Harrah is aware that a common cause of convective heat loss in the Neonatal Unit is _____. A. Cool air-condition. B. Cool incubator walks. C. Low room humidity. D. Cool weighing scale. 8. Following birth, the newborn’s circulation shifts from fetal to neonatal patterns. Nurse Harrah recognizes that the rise in the infant's PO2 leads to the closure of a shunt, specifically: A. Ductus Arteriosus. B. Foramen Ovale. C. Ductus Venosus. D. Ventricular Septum 9. An hour later, after the newborn was held by Mrs. Inieto, Nurse Harrah evaluates the neonate and records the following observations: axillary temperature of 95.8°F, apical pulse of 110 beats per minute, and respirations of 64 breaths per minute. Which nursing diagnosis should be prioritized at this time? A. Risk for altered body temperature related to heat loss. B. Altered parenting related to the addition of a new family member. C. Risk for fluid volume deficit related to insensible fluid loss. D. Risk for infection related to transition to the extrauterine environment. 10. If the baby boy starts gagging and his skin turns a dusky color, what is the first action Nurse Harrah should take? A. Calm the neonate. B. Notify the physician. C. Provide oxygen using a face mask. D. Aspirate the nose and the mouth with a bulb syringe. Situation:  Mrs. Michaela Miranda, 24 years old and expecting her first baby, is seeking help at the maternity clinic as her family is not around. Nurse Jocelyn is assisting her. Mrs. Michaela inquires with Nurse Jocelyn about signs of pregnancy.  11. Mrs. Miranda inquires with Nurse Jocelyn about whether she is pregnant. Nurse Jocelyn explains that a definitive sign of pregnancy is when: A. The fetal movement is felt by the examiner. * NLE * NCLEX * CGFNS * HAAD * PROMETRICS * DHA * MIDWIFERY * LET * RAD TECH * CRIMINOLOGY * DENTISTRY * PHARMACY *
2 | Page B. The fetal movement is felt by the mother. C. There is enlargement of the uterus. D. Pregnancy test is positive (+) 12. In line with Reva Rubin's Theory, what occurrence in the second trimester will support Mrs. Miranda in embracing her pregnancy? A. Quickening B. Lightening C. Ballottement D. Pseudocyesis 13. Dr. Riego has ordered an ultrasound for Mrs. Miranda. As Nurse Jocelyn prepares the client, who is in her fourth month of pregnancy, for the abdominal ultrasound, she should advise her to _________. A. Drink at least 3 to 4 glasses of water before the procedure and not to void until the procedure is done. B. Observe NPO from midnight to avoid vomiting. C. Do perineal flushing properly before the procedure. D. Void immediately before the procedure for better visualization. 14. Nurse Jocelyn is getting Mrs. Miranda ready for Leopold's Maneuver. The proper position for this procedure is: A. Supine with knees flexed. B. Supine. C. Left lateral. D. Knee chest. 15. Nurse Jocelyn is preparing to listen to the fetal heart tones. Abdominal palpation reveals a hard, rounded mass just above the symphysis pubis, small, irregular shapes on the right side of the abdomen, and a firm mass on the left side. Based on these findings, the optimal location to auscultate the fetal heart tone is the: A. Left upper quadrant. B. Right lower quadrant. C. Right upper quadrant. D. Left lower quadrant. Situation: Maloi is now 7 years old and attending school. His parents provide him with love and support. 16. Based on developmental theory of Freud, Maloi is now in his. A. Latent phase. B. Anal phase C. Phallic phase. D. Oral phase. 17. Maloi shows no apparent developmental progress. This stage is referred to as: A. Age of Suppression. B. Age of Oppression. C. Age of Aggression. D. Age of Assimilation. 18. Nurse Bossing suggests the type of play that is most appropriate for Maloi at his school is: A. Competitive play. B. Parallel Play. C. Cooperative play. D. Solitary play. 19. Nurse Bossing should inspect the development of his teeth which include the following EXCEPT_ A. Bicuspid. B. Lateral Incisor. C. Central Incisor. D. First Molar. 20. Nurse Bossing must also safeguard school-age children, such as Maloi, from fractures. What is the most likely type of fracture that Maloi might experience due to his porous bones? A. Green stick fracture. B. Comminuted fracture. C. Impacted fracture. D. Longitudinal fracture. Situation: Mrs. Lizette, under the care of Nurse Gisella, returns for her 7th-month prenatal checkup. Her physical exam results are normal, and she has gained 12 pounds in the last 2 months. 21. How does Nurse Gisella interpret the success of the nutritional guidance? A. She needs further instruction and reinforcement. B. She is compliant with her diet as previously taught. C. She needs to increase her caloric intake. D. She needs to be placed on a restrictive diet immediately. 22. Mrs. Lizette inquired, "What is the safe amount of alcohol to consume during pregnancy?" Which of the following would be the most appropriate response from the Nurse Gisella? A. No alcohol B. Up to 3 oz daily C. Social drinking only D. Up to 0.5 oz daily 23. Mrs. Lizette mentioned that she is experiencing frequent urination. In her role as a health educator, Nurse Gisella should first respond by: A. Ask if Mrs. Red feels a burning sensation on urination. B. Instruct Mrs. Red to increase her fluid intake to replace losses. C. Explain the reason for frequency of voiding D. Reassure Mrs. Red that frequent urination is normal in pregnancy. 24. During a health education session with all the first-time pregnant women, including Mrs. Lizette, the nurse highlighted various conditions harmful to their unborn babies. Nurse Gisella knows that the condition identified as a known teratogen is: A. German measles B. Scarlet fever. C. Coronary Heart Disease D. Pneumonia. 25. Nurse Gisella discovered that for pregnant women to adhere to health education guidelines, the most crucial action she needs to take is to: A. Establish a therapeutic relationship with them B. Provide privacy. C. Use open-ended questions. D. Omit highly personal questions. Situation: Mr. Rozen and Mrs. Trisha have two adolescent children, Alysa, who is 13 years old, and Carl, who is 16 years old. They frequently visit the Pediatric clinic, whether they are ill or in good health. Nurse Karen is responsible for their care. 26. Both Carl and Alysa shared their fears with Nurse Karen. Based on her knowledge of adolescent concerns, the fear that is least likely to have been mentioned by Carl and Alysa is: A. Hospitalization. B. Acne. C. Obesity. D. Death. 27. Mrs. Trisha voiced her concerns to Nurse Karen about Carl indifference. The nurse's best response would be to explain that, at this age, Carl regards her peers as the most important people. A. Girlfriend. B. Mother. C. Father. D. Teacher. 28. One day, Mr. Rozen reported that Alysa made an unprovoked gesture towards a school staff member. Nurse Karen explains that this behavior is most likely indicative of Alysa being: A. Testing boundaries. B. Showing signs of immaturity. C. Manipulating others. D. Threatening others.