Content text RECALLS 12 - NP2 - SC
1 | Page RECALLS 12 EXAMINATION NURSING PRACTICE II CARE OF HEALTHY / AT RISK MOTHER AND 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 I” on the box provided Situation: Nurse Julia is documenting the obstetrical history of a client who is 39 weeks pregnant. The client reports having had a son born at 38 weeks of gestation, a daughter born at 30 weeks of gestation, and a miscarriage at approximately 8 weeks of pregnancy. 1. How should Nurse Julia record this obstetrical history? A. G4 T1 P1 A1 L2 B. G3 T1 P1 A0 L2 C. G3 T2 P0 A0 L2 D. G2 T2 P0 A0 L2 2. While doing rounds, Nurse Julia notes positive ballottement in the client's prenatal record. This finding suggests which of the following? A. Passive movement of the unengaged fetus. B. Palpable contractions on the abdomen. C. Fetal kicking felt by the client. D. Enlargement and softening of the uterus. 3. During a pelvic examination, the Nurse Julia observes a purple-blue coloration of the cervix. How should she record this finding? A. Chadwick's sign. B. Braxton-Hicks sign. C. Goodle's sign D. McDonald's sign 4. A pregnant client asks the nurse at the clinic when she might start feeling fetal movements. Nurse Julia informs the multiparous mother that she is likely to notice these movements between which of the following weeks of gestation? A. 10 to 12 weeks. B. 16 and 18 weeks. C. 18 to 20 weeks. D. 5. 8 and 10 weeks. 5. Which of the following options reflects the typical amount of weight gained during pregnancy? A. 25 to 40 lbs. B. 24 to 30 Ibs. C. 12 to 22 lbs. D. 15 to 25 lbs. Situation: Mr. Mandy Ramirez and his wife, Mrs. Inieto, have just welcomed a healthy 7-pound baby boy named Vlake. The newborn's adjustment to life outside the womb is a critical and sensitive phase. Nurse Harrah has been designated to care for their baby and must be adept at providing care during this period. 6. As the newborn begins to breathe after birth, certain chemical changes occur that stimulate his respiration, which include: A. Respiratory acidosis. B. Metabolic alkalosis. C. Decreasing PCO2. D. Increasing PO2 7. To prevent hypothermia, Nurse Harrah is aware that a common cause of convective heat loss in the Neonatal Unit is _____. A. Cool air-condition. B. Cool incubator walks. C. Low room humidity. D. Cool weighing scale. 8. Following birth, the newborn’s circulation shifts from fetal to neonatal patterns. Nurse Harrah recognizes that the rise in the infant's PO2 leads to the closure of a shunt, specifically: A. Ductus Arteriosus. B. Foramen Ovale. C. Ductus Venosus. D. Ventricular Septum 9. An hour later, after the newborn was held by Mrs. Inieto, Nurse Harrah evaluates the neonate and records the following observations: axillary temperature of 95.8°F, apical pulse of 110 beats per minute, and respirations of 64 breaths per minute. Which nursing diagnosis should be prioritized at this time? A. Risk for altered body temperature related to heat loss. B. Altered parenting related to the addition of a new family member. C. Risk for fluid volume deficit related to insensible fluid loss. D. Risk for infection related to transition to the extrauterine environment. 10. If the baby boy starts gagging and his skin turns a dusky color, what is the first action Nurse Harrah should take? A. Calm the neonate. B. Notify the physician. C. Provide oxygen using a face mask. D. Aspirate the nose and the mouth with a bulb syringe. Situation: Mrs. Michaela Miranda, 24 years old and expecting her first baby, is seeking help at the maternity clinic as her family is not around. Nurse Jocelyn is assisting her. Mrs. Michaela inquires with Nurse Jocelyn about signs of pregnancy. 11. Mrs. Miranda inquires with Nurse Jocelyn about whether she is pregnant. Nurse Jocelyn explains that a definitive sign of pregnancy is when: A. The fetal movement is felt by the examiner. * NLE * NCLEX * CGFNS * HAAD * PROMETRICS * DHA * MIDWIFERY * LET * RAD TECH * CRIMINOLOGY * DENTISTRY * PHARMACY *