Title RECALLS 7 (NP2) - STUDENT COPY ✅

1 | Page RECALLS EXAMINATION 7 NURSING PRACTICE II CARE OF HEALTHY / AT RISK MOTHER AND CHILD MAY 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: Care of the newborn also places a lot of professional nursing practice challenges. 1. A newborn baby girl was born at 9:15 A.M. Which of the following findings are normal? A. Yellow skin tones at 12 hours of age B. Passage of meconium within the first 24 hours C. Respiratory rate of 70/minute at rest D. Bleeding from umbilicus 2. As you were carrying this newborn infant to her mother's room, her mother remarked, "I think my baby is afraid of me. Every time I make a loud noise, he jumps". You should: A. Reassure her that this is a normal reflex reaction for her baby B. Wrap the baby more tightly in warm blankets C. Take the baby back to the nursery for a neurologic evaluation D. Encourage her not to be so nervous with her baby 3. You are assessing another 3-hour old, full-term newborn baby boy. Which of the following findings would you record as abnormal when assessing his head? A. Asymmetry of the head with overriding bones. B. Head circumference 32 cm, chest 34 cm C. A sharply outlined, spongy area of edema D. Two" soft spots" between the cranial bones 4. You collect the following data while assessing the skin of a 6 hour old newborn: color pink with bluish hands and feet, some pale yellow papules with red base over trunk, small white spots on the nose, and a red area at the nape of the neck. Your next action would be to: A. Isolate infant pending diagnosis B. Request a dermatology consultant C. Document as indicator of malnutrition D. Document findings as within normal range 5. While performing the discharge assessment on a 2 day old new born, you found that after blanching the skin on the forehead, the color turns to yellow. You know that this indicates: A. An infectious liver condition B. A normal biologic response C. Jaundice related to breast feeding D. an Rh Incompatibility problem Situation: Human development is a lifelong process of physical, behavioral, cognitive, and emotional growth and change. The following questions pertain to pediatric growth and development. 6. When preparing to conduct prenatal and parenting classes for a group of parents, the clinic's nursing staff will be providing childcare for the parents' children who range in age from 15 months to 6 years. The clinic has a playroom. Which of the following activities would be most appropriate to include? A. A group sing-along B. Drawing and painting projects C. Free play with adult supervision D. Watching cartoon videos. 7. Which of the following would suggest that the parents of a 6-year-old boy with leukemia have age-appropriate expectations regarding their child's response to his approaching death after the nurse has taught them how to talk with their child about death and dying? A. He is too young to comprehend what is happening to him B. He might believe that his behavior causes his own death C. He will accept that his illness will cause death D. He will understand how much his siblings will miss him. 8. After the nurse instructs the parents of a 5-month-old infant about the purpose of the Denver Developmental Screening Test (DDST), which of the following statements by the parents about what the test measures would indicate that the teaching was effective? A. Intelligence quotient. B. Emotional development. C. Social and physical abilities. D. Potential for future development 9. While the nurse talks to the mother about her baby's motor skill development. The nurse should communicate to the mother that a newborn will most likely be able to do which of the following by the age of 7 months? A. Walk with one handheld B. Use a spoon to successfully eat C. Stand while holding onto furniture D. Sit alone using the hands for support. 10. According to the developmental theories, which important developmental event during a toddler is essential? A. The child learns to feed himself B. The child is able to develop friendships C. The child learns how to walk independently D. The child participates in being potty-trained. Situation: Doing home follow-ups is common for nurses and OB - Gyne clients. The following situations 11. You visited a breastfeeding mother at home 2 weeks after delivery. The mother now has fever with flu-like symptoms./ on assessment you noted a warm, reddened, painful area over her right breast. Your best action is: A. Tell the mother to stop breastfeeding and pumping milk from her breast for the child B. Contact the physician for orders of antibiotics for her C. Further assess the mother's feeding technique and knowledge of breast care D. Get a sample of her breast milk for culture 12. Nikki just had a vaginal delivery of her second child 2 days ago. She breastfeeds her baby without difficulty. You visited her and during your postpartum assessment you EXPECT normal findings to be as: A. Fundic height at 1 cm above the umbilicus * NLE * NCLEX * CGFNS * HAAD * PROMETRICS * DHA * MIDWIFERY * LET * RAD TECH * CRIMINOLOGY * DENTISTRY * PHARMACY *
2 | Page B. Some feeling of after pains C. Voiding frequently, 50-75 mL per episode of voiding D. Pinkish to brownish vaginal discharge 13. Richelle had vaginal delivery of her first baby 6 weeks ago and you see her for follow-up postpartum visits. She is feeding well and is bottle-feeding her infant successfully. During your physical assessment, you EXPECT normal findings as: A. Having some pink striae but starting to fade B. Tender breast, some milk expressed C. Fundus 6cm below the umbilicus on palpation D. With creamy, yellow vaginal discharge 14. In the postpartum period, you should instruct your client to perform which of the following exercises to strengthen her pelvis floor muscles? A. Kegel exercises B. lung exercise C. push-up D. sit-ups 15. Another nursing focus is the monitoring of postpartum clients for possible complications. Postpartum hemorrhage is one of the primary causes of maternal mortality associated with child bearing. Which among the following T’s is the most frequent cause of postpartum hemorrhage? A. Tissue B. Trauma C. Tone D. Thrombin Situation: Telling and sharing are very important tools of transmitting health awareness to clients particularly during children's growth and development years. These conditions apply. 16. A mother asks you when the soft spot on the front of the baby's head will close. Your appropriate response is " the anterior fontanel will close: A. By 12 to 18 months of age" B. Shortly after the posterior fontanel; closes" C. In a 6 months" D. By the time the baby is 1 year old" 17. Another mother asks you to explain what fine motor skills are. She has heard that it has something? to do with a school- aged child's ability to draw and color within the lines, and she wants to know what this means in an infant. You would explain that fine motor development is the ability to: A. Write and draw, and that infants do not have any fine motor skills yet B. Use all of the fingers of both hands equally well in a coordinated manner C. Picks up items and moves them from place to place in a voluntary fashion D. Coordinates hand to eye movement in an orderly and progressive manner 18. As you are working with the parents of Shaira, a 32 months old child, was having a tantrum, becoming aggressive and running away. The nurse knows that the patient is in which developmental stage? A. Trust vs mistrust B. Initiative vs guilt C. Autonomy vs shame and doubt D. Identity vs role confusion 19. The parents of Carl, a toddler who has intrusive behavior and in need of redirection, asked you how to respond to their child. Your most appropriate response is: A. Separate Carl from others for him to think how best he should rightly interact with others" B. "Let Carl know the behavior is not acceptable by speaking with a firm, loud voice" C. Send Carl to his room and set a later time for a serious talk" D. Gently touch Carl's shoulder to get his attention and with a firm eye-to-eye contact speak to him with concern" 20. Dina, a mother of a 34 month old boy is upset that her child began to wet in bed and thumbsuck after being admitted to the hospital, Dina asked you to explain why this happens. Which of the following is your best response? A. "this behavior is a defense mechanisms when normal routine changes" B. "your child probably do not like me or another nurse assigned to him" C. "bedwetting and thumb-sucking are the child's way of getting even for abandonment" D. " your toddler is angry and this is a way of telling you of his unhappiness" SCENARIO: As the fetus grows, body organ systems develop from specific tissue layers. Knowing these is helpful to know because coexisting congenital disorders found in newborns usually arise from the same germ layer. 21. Which among the Germ layers that forms the brain and spinal cord? A. Ectoderm B. Mesoderm C. Endoderm D. Epidermis 22. Heart is the muscle at the center of the circulatory system that pumps blood around the body as it beats. The nurse is aware that it is from which germ layer? A. Ectoderm B. Mesoderm C. Endoderm D. Epidermis 23. The trachea and esophagus arise from the same germ layer which makes it common for a birth anomaly such as fistula to occur between them. Which germ layer it arises from? A. Ectoderm B. Mesoderm C. Endoderm D. Epidermis 24. Kizzy, a pregnant client, is currently working in a company. She tells the nurse that she has to work because her husband’s income is not enough to sustain their everyday needs. She asks the nurse how she can prevent fetal teratogens. A. Avoid any room where smoker gathers B. Refrain from drinking alcohol C. Ask employer for a statement on hazardous substances at work site D. AOTA Situation: In your area of assignment which is LABOR AND DELIVERY, you get to handle varied cases of birthing mothers. The following conditions apply. 25. You are attending to Fiona, whose cervix is completely dilated and with the fetal head is at 2 (-) station. The head of Fiona's fetus has not descended in the past hour. What most appropriate initial assessment should you make? A. Determine if Fiona's bladder is distended B. Assess fetal status, fetal heart tones, and scalp pH C. Submit Fiona for x-rays to determine fetal size D. Notify the surgical team so that an operative delivery can be planned 26. A newborn, at 1 minute after vaginal delivery, is pink with blue hands and feet, has a lusty cry. heart rate of 140, prompt response to stimulation with crying, and maintains minimal flexion, with sluggish movement. If you should perform an Apgar score, how would you score for this newborn? A. 8 B. 9 C. 10 D. 7 27. A postpartum mother, after giving birth 6 hours ago, was checked by the nurse and noted a temperature of 38C. The nurse knows that the appropriate action to do is: A. Report immediately to the physician because it may be a sign of infection B. Encourage the mother to take in fluids. C. Inform the mother to be on bed rest without bathroom privilege D. Do nothing as this is expected. 28. A breastfeeding mother has received advice from the nurse on how to stop engorgement. Which of the following acts by the mother demonstrates that the instruction was successful? A. Every after feeding, she pumps her breast
3 | Page B. the mother feeds her infant on demand C. Ten minutes are spent feeding the baby on each side of the breast. D. She adds formula as a supplement to each feeding. 29. A multigravida postpartum mother reported having excruciating stomach cramps every time she is nursing her infant. Which of the nurse's subsequent answers is appropriate? A. Suggest to the mother to give the baby bottle feeding for several days until the pain subsides. B. Give the mother instruction on how to massage her fundus. C. Give the patient instructions on how to breastfeed in different positions. D. Describe how hormones in breastfeeding work. Situation: If emergencies occur inside healthcare facilities where supplies and equipments are expectedly available and assumed complete, similar healthcare situations are also present in “pre-hospital” or "pre-institutional” settings requiring the same degree of nursing care management. The following applies. 30. During the second second trimester of pregnancy, a pregnant woman is ideally given her first dose of tetanus toxoid by intramuscular injection. Which of the following is appropriate for the disposition of used syringes and needles in the pre-institutional settings? A. Cap again before throwing in garbage cans B. Decontaminate before even reusing C. Place in puncture – proof containers D. Place in a garbage can 31. The pregnant client with a threatened miscarriage is advised by the nurse to avoid coitus for two weeks which she asks the purpose why. The nurse responds correctly: A. It prevents infection B. It prevents threatened miscarriage to change to imminent C. It pokes the live fetus D. It is unethical and unprofessional 32. Mrs. Niana Chan came to you with an obstetric history of three (3) spontaneous abortions, is now 12 weeks pregnant, and attending her OB’s high risk clinic. Mrs. Chan expresses to you her concern over this pregnancy. In order for you to determine that the patient is experiencing Imminent miscarriage occur when: A. Bright red vaginal bleeding B. Abdominal cramping C. Cervical dilation 33. You are faced with a patient, Micah, who is suspected of having a ruptured tubal pregnancy. In obtaining the history from this client you should expect the client to indicate that her symptoms of pain in the lower abdomen and vaginal bleeding starting: A. Midway through the second semester B. At the beginning of the last trimester C. Immediately after implantation occurred D. About the sixth (6th) week of pregnancy 34. You are assessing a client, Chenny, with pregnancy- induced hypertension, you expect Chenny with pregnancy- induced hypertension, you expect Chenny’s blood pressure to be: A. 30/15 mmHg over the baseline BP of Chenny ’s prior to pregnancy on 2 occasions at 6 hours apart or 140/90 mmHg and over B. Above her baseline BP during her non-pregnancy state and accompanied by headache C. 150/100 mmHg while standing and sitting since prior to pregnancy D. Above her baseline BP during her non-pregnancy state and fluctuating at each reading 35. You are caring for Rachelle, a patient on MgS04 therapy for severe pre-eclampsia. The danger signal prompting alert for the first sign of excessive blood magnesium level is: A. Disappearance knee – jerk reflex B. Increased respiratory rate C. Development of cardiac dysrhythmia D. Disturbance in sensorium SCENARIO: There is a 1.47% increase of population in the Philippines in 2022. A Family Planning Health program was held in a hospital where topics about contraceptives were discussed. Nurse Tonia is on duty and she encountered the following questions: 36. Jena went to the clinic and confirmed with the nurse about the use of diaphragm. She should be instructed to leave it in place after coitus for at least how many hours? A. 1 hour B. 6 hours C. 12 hours D. 24 hours 37. A 38 year old female, with 4 children, came to the clinic and inquired about her options for contraception methods. She also stated that she smokes a pack of cigarettes a day. The nurse advised her to avoid: A. Oral contraceptives B. IUD C. Cervical cap D. Diaphragm 38. Kenna, a 19-year-old working student, was trembling. She told the nurse she forgot to take her prescribed active contraceptive pills for two consecutive days. She started crying and asked the nurse what to do. The nurse should instruct: A. Ignore it, take one now and use other contraceptive such as spermicide for a month B. Take two pills now then continue tomorrow with your usual schedule C. Throw out the rest of the pack and start a new pack of pills D. Let’s inform the physician. 39. Caroline consults the nurse because her 16-year-old daughter asks her how she can avoid the pressure of unwanted sex? The nurse should not suggest: A. Tell the daughter to discuss it with her partner which sexual activities will permit or not B. Be certain that her partner understands that when she say “NO”, she means it C. Avoid being in a high-pressure situations such as a party with known drug use D. Tell her daughter that accepting drugs is fine if she is with her close friends 40. The nurse is teaching the client about a natural family planning method which is the basal body temperature method. The woman does not need any further teaching when she states that: A. “Sa araw ng ovulation ko ay tataas ng 1°C ang temperature ko” B. “Iche-check ko ang temperature ko sa umaga pagkatapos ko mag exercise” C. “Kapag bumaba po ang temperature ko tapos kinabukasan biglang tumaas, dapat hindi ako makipagtalik hanggang dalawang araw pagkatapos ito tumaas” D. “Kapag paiba-iba ang oras ng gising ko, makakaapekto ito sa BBT method” 41. The mucus of the uterine cervix changes in structure and consistency each month during a menstrual cycle. Which assessment of cervical mucus suggests that the woman is about to ovulate? I. Scant cervical mucus II. (+) Spinnbarkeit III. Highly viscous cervical mucus IV. (+) Ferning A. i, ii, iii, iv B. ii, iii, iv C. i, ii, iv D. ii, iv SCENARIO: Infancy is designated as the period of time from 1 month to 1 year of age. The nurse works in an OB-Gyne & delivery room knows that infants undergo such rapid development. 42. Baby Didi, a 1-year-old infant weighs 22.5lbs. If the infant gains weight normally, the nurse knows that Didi’s weight when she was 6 months is:
4 | Page A. 1. 11.25lbs B. 15 lbs C. 7.5 lbs D. 16.5 lbs 43. When the nurse is assigned to admitting neonates in the nursery. She makes it into a point to wear her gloves carefully. This action is based on what scientific knowledge? A. Meconium contains enteric bacteria which may be a cause for infection B. The urine of infant is so alkaline which is very harmful to the skin C. The baby is at high risk for infection and must be protected at all times D. Amniotic fluid may contain harmful viruses 44. The attending physician has ordered to give Vitamin K 0.5mg IM for a newborn. The nurse checked the stocks of available medication and found a vial with 2mg/mL label. The nurse calculates and gives the correct dose as: A. 1mL B. 0.25mL C. 4mL D. 0.5mL 45. When the nurse checked the 8-hour-old neonate, she assessed the hands and feet bluish in color. The nurse is knowledgeable when she does what action? A. Administer oxygen via nasal cannula B. Swaddle the baby in a blanket C. Inform the physician and ask for a possible incubator D. Apply pulse oximeter to check for oxygen saturation 46. The postpartum mother asks the nurse if she should have their son circumcised. Which piece of scientific information should the nurse base her answer on? A. Boys should be circumcised because it is in the Philippine culture B. A statement from the DOH asserts that circumcision is highly personal C. Centers for Disease Control and Prevention (CDC) experts endorse circumcision for every male newborns. D. Circumcision is not yet allowed in newborns and should not be talked about. 47. A 1-day old baby of Mr. and Mrs. Guttierez is being assessed by the nurse. Which of the following findings should be reported to the doctor? A. Harlequin sign B. Erythema Toxicum C. Choanal atresia D. Epstein pearls 48. Trevor is for a laboratory test to check his respiratory status with acute asthma exacerbation. The nurse has a scientific knowledge if she knows the result is from: A. CBC B. SGPT C. ABG D. CBG 49. Casey, a 4-year-old child is scheduled for breathing exercises. The goal is for her to increase her expiratory phase? What is the appropriate task? A. Use an incentive spirometer B. Taking several deep breaths C. Breathe into a paper bag D. Blow a pinwheel 50. The mother of a child with asthma is confused with the prescription given by the doctor and says there are a lot of medications for asthma. She asks which of the following medications has a quick relief when there is an asthma attack? A. Fluticasone B. Prednisone C. Montelukast D. Albuterol 51. A 6-year-old child was rushed to the emergency department due to difficulty breathing.The most important piece of information that would indicate that a child is in status asthmaticus is? A. When is the child’s last meal? B. When was the child’s last dose of medication? C. What was the child’s last activity when asthma triggers? D. When was the child last admitted? 52. Four primigravida clients went to the clinic and were assessed accordingly by the nurse on duty. Which among the gravid clients should the nurse refer for further assessment? A. 30 weeks’ gestation complains of supine hypotension B. 9 weeks’ gestation complains of pyrosis with nausea and vomiting C. 36 weeks’ gestation complains of hemorrhoids and bleeding gums D. 34 week’s gestation complains of epigastric pain and oliguria 53. Imelda, a 37-week pregnant client, told the nurse about changes in her body, she states that her face and hands look swollen. The nurse knows that this might be cause of: A. Cardiac failure B. Hepatic insufficiency C. Pulmonary problem D. Altered glomerular filtration 54. Imelda is diagnosed to have mild-preeclampsia. The pediatrician was worried for the fetus and asked for diagnostic tests. The nurse knows because preeclamptic gravid clients may cause what effect on the fetus? A. IUGR B. HELLP C. DIC D. PDA 55. Imelda became conscious of her diet and asks the nurse on what she should consume to manage her diagnosis of mild- preeclampsia. The nurse is correct when she states: A. Restrict sodium intake B. Avoid foods high in sugar C. Increase oral fluid intake D. Consume a well-balanced diet 56. Imelda was given discharge instruction about having to be on bedrest at home and questions why she has to comply? The nurse responds with scientific basis that: A. Bed Rest prevents you from falling while you are walking B. Bed Rest helps in conserving enough energy for the upcoming labor C. Bed Rest prevents premature labor from occurring D. Bed Rest helps in increasing amount of oxygen receive by the fetus 57. Sheena, a 22-year-old gravid client, told the nurse her concern and said “Napapansin ko po na parang napapadalas ang pagbabara ng ilong ko. Wala naman po akong allergy.” The nurse knows that it is due to: A. Increased progesterone levels B. Increased estrogen levels C. Increased hCG levels D. Increased testosterone levels 58. It is noted in Sheena’s assessment that she is having a mild feeling of shortness of breath. The nurse recalls in her maternal and child nursing class that it is due to the diaphragm being displaced by increasing size of the uterus. The following are the respiratory changes during pregnancy except: A. Vital capacity does not decrease and has no change during pregnancy B. Gravid client develops chronic respiratory alkalosis fully compensated by a chronic metabolic acidosis C. Tidal volume is increased up to 40% as a woman draws in deeper breaths D. Residual volume is increased up to 20% because of the pressure from the diaphragm 59. Gina, a 9th week pregnant client, is experiencing morning sickness. All of the following is related to the normal nausea and vomiting in early pregnancy. Which is not included? I. Due to Increasing hCG levels II. Due to decreasing glucose levels being used by growing fetus III. It usually subsides after the first 3 trimester IV. Eating a snack before bedtime may help in preventing nausea V. Notify physician if vomits more than once daily A. i, ii, v B. i only C. i, ii, iii, iv, v