Title RECALLS 9 (NP2) - STUDENT COPY ✅

1 | Page RECALLS EXAMINATION 9 NURSING PRACTICE II CARE OF HEALTHY / AT RISK MOTHER AND CHILD MAY 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: A nurse is working in the maternity ward of a hospital, caring for postpartum patients and assisting with labor and delivery. She is tasked with educating new mothers on breastfeeding, infant care, and managing any complications that may arise. 1. A nursing instructor is conducting lecture and is reviewing the functions of the female reproductive system. She asks Mark to describe the follicle-stimulating hormone (FSH) and the luteinizing hormone (LH). Mark accurately responds by stating that: A. FSH and LH are released from the anterior pituitary gland. B. FSH and LH are secreted by the corpus luteum of the ovary C. FSH and LH are secreted by the adrenal glands D. FSH and LH stimulate the formation of milk during pregnancy. 2. A nurse is describing the process of fetal circulation to a client during a prenatal visit. The nurse accurately tells the client that fetal circulation consists of: A. Two umbilical veins and one umbilical artery B. Two umbilical arteries and one umbilical vein C. Arteries carrying oxygenated blood to the fetus D. Veins carrying deoxygenated blood to the fetus 3. During a prenatal visit at 38 weeks, a nurse assesses the fetal heart rate. The nurse determines that the fetal heart rate is normal if which of the following is noted? A. 80 BPM B. 100 BPM C. 150 BPM D. 180 BPM 4. A client arrives at a prenatal clinic for the first prenatal assessment. The client tells a nurse that the first day of her last menstrual period was September 19th, 2013. Using Naegele’s rule, the nurse determines the estimated date of confinement as: A. July 26, 2013 B. June 12, 2014 C. June 26, 2014 D. July 12, 2014 5. A nurse is collecting data during an admission assessment of a client who is pregnant with twins. The client has a healthy 5- year old child that was delivered at 37 weeks and tells the nurse that she doesn’t have any history of abortion or fetal demise. The nurse would document the GTPAL for this client as: A. G = 3, T = 2, P = 0, A = 0, L =1 B. G = 2, T = 0, P = 1, A = 0, L =1 C. G = 1, T = 1. P = 1, A = 0, L = 1 D. G = 2, T = 0, P = 0, A = 0, L = 1 6. A nurse is performing an assessment of a primipara who is being evaluated in a clinic during her second trimester of pregnancy. Which of the following indicates an abnormal physical finding necessitating further testing? A. Consistent increase in fundal height B. Fetal heart rate of 180 BPM C. Braxton hicks contractions D. Quickening 7. A nurse is reviewing the record of a client who has just been told that a pregnancy test is positive. The physician has documented the presence of a Goodell’s sign. The nurse determines this sign indicates: A. A softening of the cervix B. A soft blowing sound that corresponds to the maternal pulse during auscultation of the uterus. C. The presence of hCG in the urine D. The presence of fetal movement 8. A nursing instructor asks a nursing student who is preparing to assist with the assessment of a pregnant client to describe the process of quickening. Which of the following statements if made by the student indicates an understanding of this term? A. “It is the irregular, painless contractions that occur throughout pregnancy.” B. “It is the soft blowing sound that can be heard when the uterus is auscultated.” C. “It is the fetal movement that is felt by the mother.” D. “It is the thinning of the lower uterine segment.” 9. A nurse midwife is performing an assessment of a pregnant client and is assessing the client for the presence of ballottement. Which of the following would the nurse implement to test for the presence of ballottement? A. Auscultating for fetal heart sounds B. Palpating the abdomen for fetal movement C. Assessing the cervix for thinning D. Initiating a gentle upward tap on the cervix 10. A nurse is assisting in performing an assessment on a client who suspects that she is pregnant and is checking the client for probable signs of pregnancy. Select all probable signs of pregnancy. A. Uterine enlargement B. Fetal heart rate detected by nonelectric device C. Outline of the fetus via radiography or ultrasound D. Chadwick’s sign E. Braxton Hicks contractions F. Ballottement 11. A pregnant client calls the clinic and tells a nurse that she is experiencing leg cramps and is awakened by the cramps at night. To provide relief from the leg cramps, the nurse tells the client to: A. Dorsiflex the foot while extending the knee when the cramps occur B. Dorsiflex the foot while flexing the knee when the cramps occur C. Plantar flex the foot while flexing the knee when the cramps occur D. Plantar flex the foot while extending the knee when the cramps occur. 12. A nurse is providing instructions to a client in the first trimester of pregnancy regarding measures to assist in reducing breast tenderness. The nurse tells the client to: A. Avoid wearing a bra * NLE * NCLEX * CGFNS * HAAD * PROMETRICS * DHA * MIDWIFERY * LET * RAD TECH * CRIMINOLOGY * DENTISTRY * PHARMACY *

3 | Page 30. The nurse recognizes that an expected change in the hematologic system that occurs during the 2nd trimester of pregnancy is: A. A decrease in WBC’s B. In increase in hematocrit C. An increase in blood volume D. A decrease in sedimentation rate 31. The nurse is aware than an adaptation of pregnancy is an increased blood supply to the pelvic region that results in a purplish discoloration of the vaginal mucosa, which is known as: A. Ladin’s sign B. Hegar’s sign C. Goodell’s sign D. Chadwick’s sign 32. A pregnant client is making her first Antepartum visit. She has a two year old son born at 40 weeks, a 5 year old daughter born at 38 weeks, and 7 year old twin daughters born at 35 weeks. She had a spontaneous abortion 3 years ago at 10 weeks. Using the GTPAL format, the nurse should identify that the client is: A. G4 T3 P2 A1 L4 B. G5 T2 P2 A1 L4 C. G5 T2 P1 A1 L4 D. G4 T3 P1 A1 L4 33. An expected cardiopulmonary adaptation experienced by most pregnant women is: A. Tachycardia B. Dyspnea at rest C. Progression of dependent edema D. Shortness of breath on exertion 34. Nutritional planning for a newly pregnant woman of average height and weighing 145 pounds should include: A. A decrease of 200 calories a day B. An increase of 300 calories a day C. An increase of 500 calories a day D. A maintenance of her present caloric intake per day 35. During a prenatal examination, the nurse draws blood from a young Rh negative client and explain that an indirect Coombs test will be performed to predict whether the fetus is at risk for: A. Acute hemolytic disease B. Respiratory distress syndrome C. Protein metabolic deficiency D. Physiologic hyperbilirubinemia 36. When involved in prenatal teaching, the nurse should advise the clients that an increase in vaginal secretions during pregnancy is called leukorrhea and is caused by increased: A. Metabolic rates B. Production of estrogen C. Functioning of the Bartholin glands D. Supply of sodium chloride to the cells of the vagina 37. A 26-year old multigravida is 14 weeks’ pregnant and is scheduled for an alpha-fetoprotein test. She asks the nurse, “What does the alpha-fetoprotein test indicate?” The nurse bases a response on the knowledge that this test can detect: A. Kidney defects B. Cardiac defects C. Neural tube defects D. Urinary tract defects 38. At a prenatal visit at 36 weeks’ gestation, a client complains of discomfort with irregularly occurring contractions. The nurse instructs the client to: A. Lie down until they stop B. Walk around until they subside C. Time contraction for 30 minutes D. Take 10 grains of aspirin for the discomfort 39. The nurse teaches a pregnant woman to avoid lying on her back. The nurse has based this statement on the knowledge that the supine position can: A. Unduly prolong labor B. Cause decreased placental perfusion C. Lead to transient episodes of hypotension D. Interfere with free movement of the coccyx 40. The pituitary hormone that stimulates the secretion of milk from the mammary glands is: A. Prolactin B. Oxytocin C. Estrogen D. Progesterone 41. Which of the following symptoms occurs with a hydatidiform mole? A. Heavy, bright red bleeding every 21 days B. Fetal cardiac motion after 6 weeks gestation C. Benign tumors found in the smooth muscle of the uterus D. “Snowstorm” pattern on ultrasound with no fetus or gestational sac 42. Which of the following terms applies to the tiny, blanched, slightly raised end arterioles found on the face, neck, arms, and chest during pregnancy? A. Epulis B. Linea nigra C. Striae gravidarum D. Telangiectasias 43. Which of the following conditions is common in pregnant women in the 2nd trimester of pregnancy? A. Mastitis B. Metabolic alkalosis C. Physiologic anemia D. Respiratory acidosis 44. A 21-year old client, 6 weeks’ pregnant is diagnosed with hyperemesis gravidarum. This excessive vomiting during pregnancy will often result in which of the following conditions? A. Bowel perforation B. Electrolyte imbalance C. Miscarriage D. Pregnancy induced hypertension (PIH) 45. Clients with gestational diabetes are usually managed by which of the following therapies? A. Diet B. NPH insulin (long-acting) C. Oral hypoglycemic drugs D. Oral hypoglycemic drugs and insulin 46. The antagonist for magnesium sulfate should be readily available to any client receiving IV magnesium. Which of the following drugs is the antidote for magnesium toxicity? A. Calcium gluconate B. Hydralazine (Apresoline) C. Narcan D. RhoGAM 47. Which of the following answers best describes the stage of pregnancy in which maternal and fetal blood are exchanged? A. Conception B. 9 weeks’ gestation, when the fetal heart is well developed C. 32-34 weeks gestation D. maternal and fetal blood are never exchanged 48. Gravida refers to which of the following descriptions? A. A serious pregnancy B. Number of times a female has been pregnant C. Number of children a female has delivered D. Number of term pregnancies a female has had. 49. A pregnant woman at 32 weeks’ gestation complains of feeling dizzy and lightheaded while her fundal height is being measured. Her skin is pale and moist. The nurse’s initial response would be to: A. Assess the woman’s blood pressure and pulse B. Have the woman breathe into a paper bag C. Raise the woman’s legs D. Turn the woman on her side. 50. A pregnant woman’s last menstrual period began on April 8, 2005, and ended on April 13. Using Naegele’s rule her estimated date of birth would be: A. January 15, 2006 B. January 20, 2006 C. July 1, 2006 D. November 5, 2005 Situation: Raphael, a 6 year’s old prep pupil is seen at the school clinic for growth and development monitoring (Questions 51-55) 51. Which of the following is characterized the rate of growth during this period? A. most rapid period of growth B. a decline in growth rate C. growth spurt D. slow uniform growth rate