Title RECALLS 14 (NP2) - STUDENT COPY ✅

RECALLS EXAMINATION 14 NURSING PRACTICE II CARE OF HEALTHY / AT RISK MOTHER AND CHILD NOVEMBER 2024 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 SCENARIO: Arlian, a nursing student, is reviewing for her finals examination next week. She wants to master the Reproductive organ. The following questions are pertaining to its anatomy. 1. During coitus, there are glands that release secretions to lubricate the external genitalia. What do you call the glands located on each side of the vaginal opening? A. Bartholin gland B. Cowper’s gland C. Skene gland D. Prostate gland 2. The nurse knows that the structure that conveys the ovum from the ovaries to the uterus is the fallopian tube. Which of the following is true about the isthmus part of the fallopian tube? A. It is the most proximal part of the tube that lies within the uterine wall B. This part is cut during childbirth to enlarge the vaginal opening C. It is where fertilization of an ovum usually occurs D. It is extremely narrow where tubal sterilization is done 3. The spermatic cord, protected by a thick fibrous coating that serves as the pathway for sperm is comprised of: A. Ductus deferens, arteries and veins B. Prostate gland, cowper’s gland and vas deferens C. Seminal vesicle, epididymis and vas deferens D. Vas deferens, cowper’s gland and seminal vesicle 4. Spermatogenesis is the production of sperm to maintain a fixed number of chromosomes of every human being. Spermatozoa is produced in the testes. Which among the following is true about its complex sequence of events? A. FSH is responsible for the release of testosterone from the testes B. LH is responsible for the release of androgen-binding protein (ABP) C. LH and FSH are only released in females for their menstruation D. ABP and testosterone promotes sperm formation 5. Patient XYZ went for a laboratory test to check for his sperm count. Analysis revealed that the number of his sperm in one ejaculation is approximately 15 million. The nurse knows that is: A. Aspermia B. Oligospermia C. Normal D. Hyperspermia 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. 6. Which among the Germ layers that forms the brain and spinal cord? A. Ectoderm B. Mesoderm C. Endoderm D. Epidermis 7. 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 8. 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 9. Krizzia, 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 10. Jana 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 11. 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 12. Carla, 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. 1 | Page
13. Carol consults the nurse because her 16-year-old daughter asks her how she can avoid the pressure of unwanted sex? The nurse should not suggests: 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 14. 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” 15. 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 16. Maryrose, a 22-week pregnant client, is scheduled for an amniocentesis. Which of the following nursing instructions should be given to the client? A. Position the patient in a sitting position to better access the fluid B. Void immediately before the procedure C. Drink 2-3 full glasses of water prior to the amniocentesis and void after the procedure D. X-ray will be used to guide the procedure 17. Judy, a 23-year old primigravida is scheduled for an alpha-fetoprotein test. She asks the nurse for the indication of the test and what the medical professional is trying to detect. The nurse correctly answers: A. Kidney defects B. Respiratory Defects C. Cardiac Defects D. Chromosomal Defects 18. Judy, still being anxious, feels sorry and says it is her first time. She is curious on how AFP is being obtained? A. Cervical secretions B. Chorionic villi blood sample C. Maternal blood sample D. Abdominal ultrasound 19. Angela is in her first trimester. She is too excited to know the gender of her baby and asks when is the earliest month that her baby’s gender will be determined. The nurse responds: A. 2 months by an ultrasound B. 4 months by an ultrasound C. 7 months by an ultrasound D. It is impossible. The gender is known after birth 20. Biophysical profile scoring combines five parameters in checking the overall well-being of the fetus. Among the parameters, which is not assessed using a sonogram? A. Fetal breathing B. Fetal Tone C. Fetal Heart reactivity D. Amniotic fluid volume 21. Pretchelle, a 36 weeks in gestation is scheduled for a routine ultrasound prior to an amniocentesis. After teaching Pretchelle about the purpose for the ultrasound, when you were validating her understanding which of the following statements would indicate that Pretchelle needs further instruction? A. “the test will determine where to insert the needle" B. "the ultrasound locates a pool of amniotic fluid" C. "the ultrasound will help to locate the placenta" D. "the ultrasound identifies blood flow through the umbilical cord" 22. The mother received the results of her ultrasound and it indicates that there is a less than the usual amount of amniotic fluid present. The nurse knows that oligohydramnios is not related to: A. It suggests extreme prematurity B. It may result to umbilical cord compression C. It is related to poor flexion in fetal attitude D. The pockets of amniotic fluid is around 20-24 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. 23. Baby Juju, a 1-year-old infant weighs 22.5lbs. If the infant gains weight normally, the nurse knows that Juju’s weight when she was 6 months is: A. 11.25lbs B. 15 lbs C. 7.5 lbs D. 16.5 lbs 24. 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 25. 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 give the correct dose as: A. 1mL B. 0.25mL C. 4mL D. 0.5mL 26. When the nurse checked the 8-hour-old neonate, she assessed the hands and feets 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 27. 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. 28. A 1-day old baby of Mr. and Mrs. Reyes 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 29. 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 2 | Page
30. 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 31. 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 32. 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? 33. 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 34. Nilda, 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 35. Nilda 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 36. Nilda became conscious on 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 37. Nilda 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 38. Regina, a 22-year-old gravid client, told the nurse her concern and said “Napapansin ko po na parang napapadalas ang pagbabara ang 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 39. It is noted in Regina’s assessment that she is having a mild feeling of shortness of breath. The nurse’s 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 40. Luna, 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 D. i, ii, iv, v 41. Marga’s pre-pregnancy weight is 68 kilograms and she is 5 ’4’’ in height. She is advised to gain how much additional weight in her pregnancy? A. 25 - 35 lbs B. 15 - 25 lbs C. 28 - 40 lbs D. 25 - 42 lbs 42. Genesis went together with her BFF, Cassy, who is also pregnant with a pre-pregnancy weight of 121 lbs with 5’7 in height. In Cassy’s case, she is to gain weight how much additional weight, as advised, in her pregnancy? A. 25 - 35 lbs B. 15 - 25 lbs C. 28 - 40 lbs D. 25 - 42 lbs 43. Marga asks if she is taking enough vitamins for the growth and health of her baby and raised a concern about folic acid. The Recommended amounts of folic acid daily to be taken during pregnancy is? A. 0.4 mg daily B. 40 μg daily C. 400 mg daily D. 4 g daily 44. Marga is concerned about her weight and how she will be able to achieve the recommended gain in her entire pregnancy. She asks the nurse about nutrition advice. The nurse should include: A. Obtain simple carbohydrates because it is easily digestible B. Consume sugar substitutes to maintain glucose levels C. Consume less than 1,500 calories per day to help regulate the weight gain D. Advise to consume protein-rich foods 45. Lisa is communicating about the nutrition of the pregnant woman. She wants to gather information that will give the most accurate nutrition history about the patient. She will ask: A. How do you feel after you eat in each meal? B. What foods should you include in an ideal food plate? C. Can you tell me what you ate yesterday? D. In your opinion, are you eating nutritious food? How do you say so? 46. The patient is taking prescribed oral iron supplements religiously. She was informed that it contributes to her constipation. The nurse advised the pregnant client to: A. Use mineral oil to relieve constipation B. Enemas can be done because it is natural. It only uses water C. Docusate sodium may be taken if dietary measures fail D. Dulcolax may be taken if regular bowel evacuation fail 3 | Page
47. Nutrition must always form part of the health education for all pregnant mothers. When counseling a pregnant woman about nutrition, nurse Nicole makes sure to: A. Recommend that she weighs herself once a week B. Tell her to eat double the amount of food that she takes before her pregnancy C. Inform her that only very anemic women need iron/folate supplements D. Ask per participating mothers what they eat in a day to determine if her diet is adequate 48. Four babies are in the newborn nursery. The nurse that is at highest risk for developing cold stress syndrome is? A. Infant with Rh incompatibility B. Infant with neural tube defect C. Infant born with diabetic mother D. Infant born after 41st week of pregnancy 49. As the nurse is assessing the newborn with a high risk. What of the following assessment would lead the nurse to suspect cold stress syndrome? A. Erythema toxicum B. Acyocyanosis C. Blood glucose of 50mg/dL D. Tachypnea 50. Another neonate, Lucy, born at 28 weeks of gestation, develops respiratory distress syndrome. The doctor prescribed surfactant immediately after birth. The nurse knows it is administered: A. Intravenous B. Intramuscular C. Endotracheally D. Orally 51. Oxygen administration is necessary for Lucy to maintain the correct PO2 and pH levels following surfactant administration. However, a possible complication of oxygen therapy in neonate like Lucy, since she is a preterm baby is: A. Bronchopulmonary dysplasia B. Cystic Fibrosis C. Laryngomalacia D. Croup 52. The nurse heard about the news of increasing hazing in brotherhood, fraternity or sorority. The law that prohibits this is: A. RA 7610 B. RA 10630 C. RA 11053 D. RA 10354 Situation: Care of the newborn also places a lot of professional nursing practice challenges. 53. 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 54. 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 55. 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 56. 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 55. 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: Doing home follow-ups is common for nurses and OB - Gyne clients. The following situations 56. 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 57. Nicole 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 B. Some feeling of after pains C. Voiding frequently, 50-75 mL per episode of voiding D. Pinkish to brownish vaginal discharge 58. Ruthchelle 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 59. 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 60. 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: A current initiative of the Department of Health (DOH) is the program called essential intrapartal Newborn (EINC). This provides meaningful measures to be undertaken by healthcare professionals in doing immediate intrapartal maternal care and newborn care management and the following condition apply. 61. Nurse Nicole is a member of the birthing team when Michelle gave birth to her first born. Inside the delivery room Nicole assisted the attending obstetrician. To address the concerns of keeping the baby warm, her first step in obtaining thermal protection for the newborn is to. A. Dry the baby thoroughly after the cord has been cut B. Dry the baby thoroughly immediately after giving birth C. Cover the baby with a clean, dry cloth after the cord has been cut D. Cover the baby with clean, dry cloth, immediately after birth 62. After providing necessary drying and warmth and support to the newborn. Nurse Michelle observed other details as essential parts of the immediate care of a normal newborn which includes: 4 | Page