Title EVAL EXAM - ABNORMAL OB (KEY) ✅

TOP RANK REVIEW ACADEMY, INC. Page 1 | REFRESHER PHASE EVALUATIVE EXAMINATION ABNORMAL OB FEB 2026 Philippine Nurse Licensure Examination Review Situation 1: Nurse Momo assists a primigravida mother who just gave birth 12 hours ago. Nurse Evelynn puts in the effort to help the patient transition into motherhood. 1. As the patient takes hold of her newborn, nurse Momo would be correct to suggest which position to ensure maternal and child bonding? A. She lies in bed and places the infant on her B. She slowly rocks with her infant while sitting in a rocking chair C. She gently burps the infant while holding the infant over her shoulder D. She speaks and looks directly at the infant’s face 2. Nurse Momo has been suspecting post-partum blues since the patient verbalized a sense of disappointment, periods of sadness, and agitation. Nurse Momo would be correct if she gave which advice? A. Refer the patient to a psychiatrist B. Comfort the patient and reassure her that this is normal among post-partum mothers C. Allow these feelings to run its course as all of these will pass D. Recommend consistent breastfeeding of the infant 3. Nurse Momo visits the patient 3 days after giving birth and notices that the patient is occupied with taking care of the baby as she is “getting to know” the baby as much as possible.  Nurse Momo knows that according to Reva Rubin, the mother is in what phase of behavioral adjustment? A. Taking-in phase B. Letting-in phase C. Taking-hold phase D. Letting-go phase 4. The patient asks about ways to avoid post-partum blues when she returns home. Nurse Momo would be correct to give the following advice, except? A. Recommend that she take some time everyday to do something for herself B. Advise the patient to strive for perfection so that she won’t feel bad about herself C. Help the client build a healthy balance in sleep, exercise, and nutrition D. Encourage the client to verbalize emotions to support person 5. A 22-year-old woman is 6 weeks postpartum. In the clinic, she admits to crying every day, feeling overwhelmed, and sometimes thinking that she may hurt the baby. What would be the priority nursing action at this time?  A. А. Advise the patient of community resources, parent groups and depression hotlines  B. Counsel the mother that the "baby blues" are common at this time and assess her nutrition, rest, and availability of help at home  C. Contact the health care provider to evaluate patient before allowing her to leave the clinic  D. Advise the woman that she cannot use the medication for depression because she is breast feeding 6.  A client at 4 weeks postpartum tells the nurse that she cannot cone any longer and is overwhelmed by her newborn. The baby has new formula on her clothes and under her neck. The mother does not remember when she last bath the bathed the baby. The nurse should encourage the client and her husband to call their healthcare provider because the mother should be further evaluated for: A. Postpartum blues  B. Poor bonding  C. Postpartum depression  D. Infant abuse 7. When caring for a multigravida client admitted to the hospital with vaginal bleeding at 38 weeks gestation, which therapeutic agent would the nurse anticipate administering intravenously if the client develops disseminated intravascular coagulation?  A. Aspirin B. Heparin C. Streptokinase  D. Warfarin 8. When developing a teaching plan for a primigravid client with insulin-dependent diabetes about monitoring blood glucose control and insulin dosage at home, what would the nurse expect to include as the desired target range for blood glucose levels?  A. 40 - 60 mg/dL  B. 70 - 100 mg/dL  C. 110 - 140 mg/dL  D. 160 - 180 mg/dL 9. As nurse Momo further assesses the patient’s condition, nurse Momo would be most concerned about which of the following statements as it would be indicative of post-partum psychosis? A. “I’ve been extremely tired since giving birth” B. “I wish my baby had a fairer complexion” C. “The baby was heavier than I thought when I carried her” D. “Motherhood is tiring; I’m glad I haven’t had any children” 10. A woman is diagnosed with complete molar (H.mole) pregnancy. The nurse understands that the woman requires more teaching when she makes which statement?  A. “I need to make follow-up appointments to have my hormone levels checked."  B. " know the placenta caused problems, and my baby died in my uterus." C. "I plan to get pregnant again after a year."  D. "I understand I may develop a serious type of cancer." Situation 2: Gestational Diabetes 11. Which of the following is a risk factor for developing gestational diabetes?  A. Prior delivery of a baby greater than 7lb  B. Having a body mass index greater than 25  C. First degree relative with diabetes mellitus  D. Age younger than 30 years 12. A 31-year-old pregnant client comes into the clinic for an oral glucose tolerance screening at 28 weeks' gestation. After taking the test, the nurse notes that the client's blood glucose level is 180 mg/dL, 1 hour after the test. Which of the following is the indication of this result? A. Type 2 diabetes  B. Impaired fasting glucose  C. Gestational diabetes  D. A second glucose test is indicated 13. The nurse is caring for a 34 week pregnant client with gestational diabetes. Despite nutritional and pharmacological interventions, the client's glucose has been poorly controlled. What glucose monitoring is most accurate in measuring blood glucose level and compliance in therapy? A. 50 gram OGTT B. 100 gram OGTT C. CBG (Capillary Blood glucose) D. HbA1c (glycosylated hemoglobin) 14. A client with gestational diabetes is scheduled to have a 50 * NLE * NCLEX * HAAD * PROMETRICS * DHA * MIDWIFERY * LET * RAD TECH * CRIMINOLOGY * DENTISTRY * PHARMACY * MED TECH