Title RECALLS 1 - NP2 - SC ✅

1 | Page RECALLS 1 EXAMINATION NURSING PRACTICE II CARE OF THE HEALTHY/SICK MOTHER & CHILD NOV 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 III” on the box provided SITUATION: There has been an increasing rate of neonatal jaundice in the hospital approximately 60% of term and 80% of preterm newborns. The following questions are applied: 1. When administering phototherapy to a baby, which of the following safety care measures should you include? A. Cover the baby with a sheet during therapy B. Check the baby’s blood glucose before therapy C. Apply a special sunscreen to the baby’s skin prior to the treatment D. Shield the baby’s eyes and protect the gonads 2. Baby yosh, a newborn diagnosed with erythroblastosis fetalis, was admitted in the NICU. Which of the subsequent signs or symptoms should the nurse be looking for? A. Patches of alopecia B. Ruddy complexion C. Erythema toxicum D. Anasarca 3. Which of the following laboratory findings would the nurse expect to see in baby yosh that is in congruent with his diagnosis? A. Sodium 125 mEq/L. B. Hematocrit 24%. C. Potassium 5.5 mEq/L. D. Leukocyte count 45,000 cells/mm3 4. The nurse received the test results of the mother and her baby. The nurse saw that the direct Coombs test is positive. The sample required for the procedure is? A. Newborn’s blood B. Mother’s blood C. Newborn’s urine D. Mother’s urine 5. To measure bilirubin levels in a neonate with jaundice, a heel stick is required. During the procedure, the nurse should do which action? A. Prior to the procedure, wrap the food in an ice pack for one full minute B. Lateral heel should be avoided to prevent damage on the sensitive structures C. Let the skin air dry after rubbing the skin with alcohol D. Grasping the calf firmly may prevent harm throughout the procedure. Situation: Care of the newborn also places a lot of professional nursing practice challenges. 6. 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 7. 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 8. 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 9. 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 10. 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 11. 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 12. 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 13. 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: * NLE * NCLEX * CGFNS * HAAD * PROMETRICS * DHA * MIDWIFERY * LET * RAD TECH * CRIMINOLOGY * DENTISTRY * PHARMACY *


4 | Page 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 48. 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 49. 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 50. 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 51. 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 52. 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 53. 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 54. 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 55. 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? 56. 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 57. 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 58. 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 59. 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 60. 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 61. 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 62. 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: 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. 63. 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 64. After providing necessary drying and warmth and support to the newborn. Nurse Michelle observed other details as