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Content text RECALLS 11 - NP2 - SC


2 | Page 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. 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 Laboratory Tests (7) SCENARIO: Nurse Lilian is working in Guimaras Primary Health Care where routine laboratory tests is done for pregnant client. She knows that Routine laboratory tests are performed to identify conditions that may increase the probability of complications during pregnancy. The following questions apply: 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 NORMAL NEWBORN (6) 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?

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