Content text PRE-INTENSIVE - NP2 - STUDENT COPY
B. swollen face, body and limb C. inability to see in the dark D. enlargement of the neck 13. In the nutritional assessment of grade 6 pupils, which of the following nutritional assessment method is most appropriate? A. Height for age B. Weight for age C. Body mass index D. Mid upper arm circumference 14. Pupils with below normal nutritional status are candidates for a school feeding program. Which of the following is a prerequisite for a child to be included in a feeding program? A. Deworming B. Parental consent C. Head to toe physical examination D. Attendance in a nutritional class by a parent Situation: A pregnancy can be considered a high-risk pregnancy for a variety of reasons. It is one in which some condition puts the mother, the developing fetus, or both at higher-than-normal risk for complications during or after the pregnancy and birth. 15. Which of the following is the most likely effect on the fetus if the woman is severely anemic during pregnancy? A. Large for gestational age (LGA) fetus B. Hemorrhage C. Small for gestational age (SGA) baby D. Erythroblastosis 16. Upon assessment the nurse found the following: fundus at 2 fingerbreadths above the umbilicus, last menstrual period (LMP) 5 months ago, fetal heart beat (FHB) not appreciated. Which of the following is the most possible diagnosis of this condition? A. Hydatidiform mole B. Missed abortion C. Pelvic inflammatory disease D. Ectopic pregnancy 17. When a pregnant woman goes into a convulsive seizure, the MOST immediate action of the nurse to ensure safety of the patient is: A. Apply restraint so that the patient will not fall out of bed B. Put a mouth gag so that the patient will not bite her tongue and the tongue will not fall back C. Position the mother on her side to allow the secretions to drain from her mouth and prevent aspiration D. Check if the woman is also having a precipitate labor 18. A gravido-cardiac mother is advised to observe bed rest primarily to A. Allow the fetus to achieve normal intrauterine growth B. Minimize oxygen consumption which can aggravate the condition of the compromised heart of the mother C. Prevent perinatal infection D. Reduce incidence of premature labor 19. A pregnant mother is admitted to the hospital with the chief complaint of profuse vaginal bleeding, AOG 36 wks, not in labor. The nurse must always consider which of the following precautions: A. The internal exam is done only at the delivery under strict asepsis with a double set-up B. The preferred manner of delivering the baby is vaginal C. An emergency delivery set for vaginal delivery must be made ready before examining the patient D. Internal exam must be done following routine procedure 20. Before giving a repeat dose of magnesium sulfate to a pre-eclamptic patient, the nurse should assess the patient’s condition. Which of the following conditions will require the nurse to temporarily suspend a repeat dose of magnesium sulfate? A. 100 cc urine output in 4 hours B. Knee jerk reflex is (+) 2 C. Serum magnesium level is 10mEg/L. D. Respiratory rate of 16/min 21. Which of the following is TRUE in Rh incompatibility? A. The condition can occur if the mother is Rh(+) and the fetus is Rh(-) B. Every pregnancy of an Rh(-) mother will result to erythroblastosisfetalis C. On the first pregnancy of the Rh(-) mother, the fetus will not be affected D. RhoGam is given only during the first pregnancy to prevent incompatibility Situation: IMCI also is used to manage one of the most common causes of morbidity in the Philippines among children which is Diarrhea. 22. Andie has diarrhea for 5 days. Upon assessment, you noted that there is no blood in her stool and that she is irritable and her eyes are sunken. You offered her fluids and the child drank eagerly. How would you classify Andie’s illness? A. Some dehydration B. Dysentery C. Severe dehydration D. No dehydration 23. You know that Andie’s treatment includes the following EXCEPT: A. Reassess the child and classify him for dehydration B. Give in the health center the recommended amount of ORS for 4 hours C. Use the PLAN A: Treat Diarrhea at home D. Use the PLAN B: Treat Some Dehydration with ORS 24. Upon taking the information you find out that Andie is 2 years old and weighed 16 kg. Based on the treatment plan for Andoy, how much amount of ORS must be given to him for the first 4 hours considering the following data? A. 200-400 ml ORS B. 400-700 ml ORS C. 900 ml ORS D. 900- 1400 ml ORS Situation: Promotion of a healthy growth and development as well as the prevention of diseases in pediatric clients is one of the vital roles of a nurse. 25. Nurse Domz is teaching parents about the nutritional needs of their 2 month old infant who is breastfeeding. Which response shows that the parent understands their infant’s dietary needs? A. “We won't start any new foods now." B. “ We’ll start the bay on skim milk” C. “We’ll introduce cereal into her diet now” D. “We should add new fruits to the diet at a time” 26. A mother is concerned that she might be spoiling her 2 month old daughter by picking her up each time she cries. Which suggestion should the nurse offer? A. “If the baby’s diaper is dry when she is crying, leave her alone and she’ll fall asleep” B. “Continue to pick her up when she cries because young infants needs cuddling and holding to meet their needs” C. “Leave your baby alone for 10 minutes. If she hasn’t stopped crying by then; pick her up” D. “Crying at their age indicates hunger. Try feeding her when she cries” 27. The nurse observes an infant in a playpen sitting up without support. He is playing with a plastic blocks and large plastic beads, bending over to pick them up, and changing them from one hand to the other. When another child hides a toy behind the infant's back, he does not attempt to look for it. The nurse would be most correct in estimating the infant’s age to be: A. 4 months B. 6 months C. 8 months D. 10 months 28. In assessing an infant, the nurse should be aware that the birth weight of infant triples by: A. 5-6 months B. 12 months C. 30 months D. 3 years 29. At 6 months, the following are expected to be observed from the baby except: A. She can sit without support B. She starts eating solid foods C. Teething D. None of the above Situation: In the light of the changing national and global health situation and the acknowledgement that nursing is a