Title RECALLS 6 - NP2 - SC ✅

RECALLS 6 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 Maria works in the Family Planning Clinic of the City Community Health Center. She provides contraceptive counseling to adolescents and adults, fitting clients for barrier methods, instructing on correct use and timing, interpreting home pregnancy tests, and explaining the hormonal basis of early pregnancy detection. 1. Which benefit of the cervical cap should the nurse emphasize when instructing a client about its use? A. It remains effective for up to 48 hours without reapplication of spermicide B. It can be purchased without a prescription and discarded after a single use C. It allows spermicide to be applied up to 2 hours before intercourse D. It virtually eliminates the risk of allergic reactions to its material 2. A male client demonstrates understanding of correct condom use by stating: A. “I’ll lubricate the condom with oil to prevent tearing.” B. “I’ll unroll it completely and inspect it for holes before use.” C. “I’ll hold the rim when withdrawing to prevent spillage.” D. “I’ll start intercourse without it and put it on just before ejaculation.” 3. When teaching a client using a diaphragm for contraception, the nurse should instruct her to: A. Remove it within 1 hour after intercourse B. Leave it in place for at least 6 hours afterward C. Keep it in place for up to 12 hours to maximize protection D. Wear it continuously for 28 hours to reduce infection risk 4. After a client reports a positive result on an at-home pregnancy test, the nurse evaluates her understanding when she says: A. “So I must have ovulated within the last 24 hours.” B. “A positive test means I am definitely not pregnant.” C. “It tells me there’s growing trophoblastic tissue, but I might still need confirmation.” D. “It confirms that I am pregnant right now.” 5. The nurse explains that at-home pregnancy tests work by detecting which hormone in the client’s urine? A. Human chorionic gonadotropin (hCG) B. Estrogen C. Follicle-stimulating hormone (FSH) D. Progesterone Situation: Reproductive health (RH) encompasses the responsible exercise of reproductive rights, aiming to prevent illness and injury related to sexuality and reproduction. 6. Which of the following is not one of the stated goals of reproductive health? A. Ensuring every pregnancy is planned B. Promoting healthy maternal and neonatal outcomes C. Mandating artificial contraceptive use for all married couples D. Helping families achieve their desired size 7. Globally, the international reproductive health framework places primary emphasis on: A. Population groups aged over 40 B. Maternal and women’s health across the lifespan C. Displaced persons with RH problems D. Infertile couples 8. Which of the following is emphasized as essential for reducing maternal mortality? A. Legalization of abortion alone B. Improved access to family planning and skilled birth attendance C. Greater investment in hospital infrastructure only D. Promotion of natural methods of fertility regulation 9. What is a key gender-related barrier to reproductive health care? A. Lack of male nurses in clinics B. Strict age limits for service access C. Women needing permission from partners to access services D. Low literacy rates in men 10. Which of the following is identified as a critical component of ensuring reproductive rights for adolescents? A. Comprehensive sexuality education B. Limiting media access C. Abstinence-only education D. Delaying access to contraceptives until age 18 Situation: Nurse Carla is assigned to the community health center and manages maternal and child health (MCH) services. She organizes prenatal checkups, supervises midwives during deliveries, leads breastfeeding promotion campaigns, monitors child growth, and ensures immunizations are delivered according to schedule. 11. Which of the following best reflects Nurse Carla’s role when she ensures all infants are immunized according to schedule? A. Planning B. Controlling C. Directing D. Organizing 12. When Nurse Carla arranges staff assignments so that all pregnant women are seen during clinic hours, which management function is being carried out? A. Organizing B. Planning C. Staffing D. Directing 13. Which of the following actions by Nurse Carla demonstrates planning? A. Reassigning midwives to fill in staff shortages B. Conducting a post-immunization follow-up 1 | Page

31. Clarisse observes that a newborn is jittery and has a weak cry. Which of the following should be her first action? A. Assess the baby’s blood glucose level B. Feed the baby immediately C. Place the baby under a radiant warmer D. Notify the pediatrician 32. A mother asks why the nurse applies antibiotic ointment to the newborn’s eyes after birth. Which explanation is most accurate? A. To prevent irritation from the birth canal B. To prevent gonococcal and chlamydial infections C. To remove meconium-stained secretions D. To improve visual acuity 33. Which assessment finding in a newborn requires immediate intervention? A. Irregular respirations at 40 breaths per minute B. Acrocyanosis of the hands and feet C. Axillary temperature of 35.5°C (95.9°F) D. Flexed posture 34. While teaching a mother about umbilical cord care, which statement by the mother indicates understanding? A. “I’ll keep the cord covered with a clean diaper at all times.” B. “I’ll clean the cord and keep it dry.” C. “I’ll apply powder on the cord to absorb moisture.” D. “I’ll remove the cord clamp myself after it dries.” 35. On the second postpartum day, Clarisse notices a mother’s breasts are firm, warm, and slightly tender. What should she recommend? A. Stop breastfeeding until the discomfort resolves B. Apply cold compresses and bind the breasts C. Continue breastfeeding frequently to relieve engorgement D. Avoid fluid intake until the breasts soften Situation: Nurse Janine is assigned to the high-risk pregnancy unit. She is caring for mothers with conditions such as pre-eclampsia, gestational diabetes, and preterm labor. She must prioritize maternal and fetal safety through careful monitoring and timely interventions. 36. A client at 32 weeks of gestation with pre-eclampsia reports a severe headache and blurred vision. What should Janine do first? A. Check the client’s reflexes B. Place the client on left lateral position and assess blood pressure C. Administer an analgesic D. Prepare for immediate delivery 37. A woman with gestational diabetes asks why her blood glucose must be tightly controlled during pregnancy. Which is the best response? A. “It prevents hypoglycemia during labor.” B. “It ensures your baby will not be overweight at birth.” C. “It will prevent you from developing type 2 diabetes later on.” D. “It helps avoid respiratory distress syndrome in your baby.” 38. Which finding in a 30-week gestation client on magnesium sulfate for preterm labor requires immediate intervention? A. Deep tendon reflexes are 2+ B. Fetal heart rate is 140 bpm C. Urine output is 50 mL/hour D. Respiratory rate is 10 breaths per minute 39. Which statement by a pregnant woman receiving corticosteroids for fetal lung maturity indicates the need for further teaching? A. “This medication will help my baby’s lungs develop faster.” B. “I might need additional doses if I don’t deliver soon.” C. “I should expect the medication to stop my contractions.” D. “It is given to reduce the risk of respiratory problems in my baby.” 40. Janine notes clonus when assessing a client with preeclampsia. This finding suggests which complication is likely to develop? A. Preterm labor B. Respiratory depression C. Eclampsia D. Placenta previa Situation: Nurse Elena is assigned to the community health clinic where she provides prenatal education and follow-up for adolescent mothers. She also organizes immunization drives and teaches family planning methods to promote maternal and child health in the community. 41. During a prenatal class, Elena is asked why iron supplementation is important in pregnancy. Which is the best response? A. “It helps prevent constipation during pregnancy.” B. “It ensures proper fetal lung development.” C. “It prevents maternal anemia and supports fetal growth.” D. “It prevents premature rupture of membranes.” 42. While reviewing the vaccination record of a 6-week-old infant, Elena notes that the child has not received the BCG vaccine. What should she do? A. Refer the child for catch-up immunization B. Wait until the infant is 6 months old C. Administer vitamin A supplementation instead D. Begin the DPT series first before giving BCG 43. A 16-year-old pregnant client asks how often she should visit the clinic for prenatal checkups in the first 28 weeks of pregnancy. What should Elena advise? A. Every week B. Every 2 weeks C. Every month D. Only if she feels contractions 44. A teenage mother asks about the lactational amenorrhea method (LAM) for family planning. Which condition must be met for this method to be effective? A. The infant is less than 6 months old and breastfeeding is exclusive B. She is supplementing with formula every 4 hours C. Her menstrual periods have resumed D. The infant is already taking solid foods 45. During a home visit, Elena notices the umbilical stump of a newborn is red and foul-smelling. What is the nurse’s priority action? A. Apply alcohol to the stump B. Refer the infant immediately for medical evaluation C. Teach the mother proper cord care D. Schedule a follow-up visit in 2 days Situation: Nurse Sofia is working in the neonatal intensive care unit (NICU). She is caring for preterm and low-birth-weight infants who require specialized monitoring, thermoregulation, and nutritional support. She must also teach parents how to care for their fragile newborns. 46. Sofia is caring for a preterm infant who is placed in an incubator. Which assessment finding indicates the infant is maintaining adequate thermoregulation? A. Axillary temperature of 35.5°C (95.9°F) B. Crying continuously C. Mottled skin and increased irritability D. Pink skin and relaxed posture 47. Which intervention should Sofia implement to reduce the risk of necrotizing enterocolitis (NEC) in a preterm infant? A. Administer high-volume formula feedings early B. Delay feedings until the infant gains weight C. Encourage breastfeeding and give small, frequent feeds D. Use hypertonic solutions to stimulate bowel motility 48. A very-low-birth-weight infant suddenly develops abdominal distention, bloody stools, and lethargy. What is Sofia’s priority action? A. Continue feedings to maintain nutrition B. Notify the physician immediately C. Place the infant in a prone position D. Massage the abdomen to relieve gas 49. Which statement by parents of a NICU infant indicates correct understanding of kangaroo (skin-to-skin) care? 3 | Page