Tiêu đề RECALLS 8 - NP2 - SC ✅

RECALLS 8 EXAMINATION NURSING PRACTICE II CARE OF HEALTHY / AT RISK MOTHER AND CHILD NOVEMBER 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 II” on the box provided Situation: Nurse Ivy is caring for multiple pregnant clients to gain experience and enhance her knowledge regarding prenatal care. 1. Nurse Ivy is assessing a pregnant woman at 20 weeks' gestation who reports swelling in her legs and frequent headaches. Which assessment finding should Nurse Ivy be most concerned about? A. A blood pressure of 130/85 mmHg B. Edema of the lower extremities C. A sudden increase in weight of 2 kg in one week D. A hemoglobin level of 11.5 g/dL 2. Nurse Ivy is educating a pregnant client about the importance of prenatal vitamins. Which statement by the client indicates a correct understanding of the importance of folic acid? A. “Folic acid helps with my digestion.” B. “Folic acid can prevent neural tube defects in the baby.” C. “Folic acid is primarily for boosting my energy levels.” D. “Folic acid is only necessary in the first trimester.” 3. Nurse Ivy is assessing a pregnant woman at 28 weeks' gestation who presents with severe abdominal pain and decreased fetal movement. What should Nurse Ivy’s priority action be? A. Advise the patient to rest and drink more fluids B. Conduct a thorough fetal assessment and notify the healthcare provider C. Suggest over-the-counter pain relief for the abdominal pain D. Recommend a follow-up appointment in one week 4. Nurse Ivy is assessing a pregnant woman who is 36 weeks' gestation. The patient is experiencing a sudden onset of shortness of breath and a non-productive cough. What is the most appropriate action for Nurse Ivy to take? A. Encourage the patient to lie down and rest B. Perform a thorough respiratory assessment and monitor oxygen saturation C. Increase the patient’s fluid intake D. Refer the patient to a dietitian for a low-sodium diet 5. Situation: Nurse Ivy is discussing the risk factors for developing gestational diabetes with a pregnant woman. Which factor is a significant risk for developing gestational diabetes? A. Being underweight before pregnancy B. Being older than 25 years of age C. Having a family history of diabetes D. Having a history of previous uncomplicated pregnancies 6. Nurse Ivy is preparing a teaching session for a group of pregnant women about labor signs. Which sign should Nurse Ivy emphasize as the most indicative of true labor? A. Lightening B. Braxton Hicks contractions C. Rupture of membranes D. Cervical dilation Situation: Nurse Colet is reviewing her knowledge regarding the signs of pregnancy. The following questions are regarding this. 7. Nurse Colet is assessing a pregnant client who reports frequent urination and nausea. Which of these findings is considered a presumptive sign of pregnancy? A. Positive pregnancy test B. Fetal heartbeat detected via Doppler C. Enlargement of the abdomen D. Nausea and vomiting 8. Nurse Colet is evaluating a client who has recently missed her menstrual period and has noticed a darkening of the areola. Which of these is considered a probable sign of pregnancy? A. Amenorrhea B. Hegar’s sign C. Quickening D. Breast tenderness 9. A pregnant client presents with a positive result on a home pregnancy test. What type of sign of pregnancy does this result represent? A. Presumptive sign B. Probable sign C. Positive sign D. Diagnostic sign 10. Nurse Colet is performing a physical examination and notes a softening of the cervix. Which sign of pregnancy does this finding represent? A. Presumptive sign B. Probable sign C. Positive sign D. Diagnostic sign 11. Nurse Colet is teaching a group of pregnant women about signs of pregnancy. Which statement correctly identifies a positive sign of pregnancy? A. Breast tenderness B. Quickening C. Urinary frequency D. Fetal heartbeat detected by a Doppler device 12. Nurse Colet is assessing a pregnant client who reports feeling fetal movement. What type of sign of pregnancy does this represent? A. Presumptive sign B. Probable sign C. Positive sign D. Diagnostic sign 13. Nurse Colet is discussing the changes in skin pigmentation with a pregnant client. The client reports experiencing a dark line running from the pubic area to the umbilicus. What is this sign called? A. Linea nigra B. Chadwick’s sign C. Ballottement D. Goodell’s sign 1 | Page
14. What instructions should a nurse give to a pregnant patient who is about to undergo an amniocentesis? A. Strict bed rest is required after the procedure. B. Hospitalization is necessary for 24 hours after the procedure. C. An informed consent needs to be signed before the procedure. D. A fever is expected after the procedure because of the trauma to the abdomen. 15. A pregnant patient in her first trimester contacts a healthcare clinic and reports noticing a thin, colorless vaginal discharge. What should the nurse say to the patient? A. “Come to the clinic immediately.” B. “The vaginal discharge may be bothersome, but is a normal occurrence.” C. “Report to the emergency department at the maternity center immediately.” D. “Use tampons if the discharge is bothersome, but be sure to change the tampons every 2 hours.” Answer: B 16. The healthcare provider orders a contraction stress test, which yields a negative result. How should the nurse document these findings?" A. A normal test result B. An abnormal test result C. A high risk for fetal demise D. The need for a cesarean section 17. A nurse is teaching a pregnant patient how to perform ‘kick counts.’ Which statement from the patient would suggest that additional instruction is needed? A. “I will record the number of movements or kicks.” B. “I need to lie Flat on my back to perform the procedure.” C. “If I count fewer than 10 kicks in a 2-hour period, it could be because my baby is sleeping.” D. “I need to place my hands on the largest part of my abdomen and concentrate on the fetal movements to count the kicks.” 18. The nurse is performing an assessment of a pregnant client who is at 28 weeks of gestation. The nurse measures the fundal height in centimeters and notes that the fundal height is 30 cm. How would the nurse interpret this Finding? A. The client is measuring large for gestational age. B. The client is measuring small for gestational age. C. The client is measuring normal for gestational age. D. More evidence is needed to determine size for gestational age. 19. A pregnant client comes in for a routine prenatal visit and reports experiencing irregular contractions. After evaluating the situation, the nurse identifies these as Braxton Hicks contractions. Given this assessment, what would be the appropriate nursing action? A. Contact the primary health care provider. B. Instruct the client to maintain bed rest for the remainder of the pregnancy. C. Inform the client that these contractions are common and may occur throughout the pregnancy. D. Call the maternity unit and inform them that the client will be admitted in a preterm labor condition. 20. A client arrives at the clinic for their first prenatal assessment and informs the nurse that the first day of their last normal menstrual period was October 19, 2023. Using Näegele’s rule, what is the expected date of delivery that the nurse should record in the client’s chart? A. July 12, 2024 B. July 26, 2024 C. August 12, 2024 D. August 26, 2024 SITUATION: Nurse Cianne is utilizing her knowledge regarding the proper task delegation and management in the maternal ward. 21. Nurse Cianne is managing a group of patients on the labor and delivery unit. One of her patients is in early labor and has requested a warm bath to help with discomfort. What should Nurse Cianne do? A. Delegate the task of preparing a warm bath to a nursing assistant. B. Personally prepare and monitor the warm bath for the patient. C. Ask the patient to prepare the bath themselves, providing them with instructions. D. Schedule the bath for a later time when she has more time available. 22. Nurse Cianne needs to monitor the client's vital signs. Which action is most appropriate for Nurse Cianne to delegate? A. Monitoring blood pressure and reporting findings to the healthcare provider. B. Documenting blood pressure readings and any abnormal findings in the patient’s chart. C. Measuring and recording blood pressure readings at regular intervals. D. Explaining to the patient the significance of the blood pressure readings. 23. A client is in early labor and has requested pain management options. Nurse Cianne has several tasks to complete. What should she do regarding the pain management assessment? A. Delegate the assessment of pain management options to a nursing assistant. B. Conduct a thorough assessment of pain management options herself. C. Provide a basic explanation of pain management options and then delegate the detailed discussion to a nursing assistant. D. Refer the client to a pain management specialist for further discussion. 24. Nurse Cianne is preparing a teaching session for a pregnant client about the signs of preterm labor. Which task can she delegate to a nursing assistant? A. Assist in preparing educational materials and handouts. B. Explaining the signs of preterm labor and answering the client’s questions. C. Assessing the client’s understanding of preterm labor signs after the teaching session. D. Reviewing the client’s medical history to tailor the teaching session. 25. A client on the postpartum unit is experiencing difficulty with breastfeeding. Nurse Cianne needs to ensure the client receives appropriate support. What should she do? A. Delegate the task of providing breastfeeding support to a nursing assistant. B. Refer the client to a lactation consultant for specialized support. C. Provide the client with general breastfeeding advice and then delegate follow-up to a nursing assistant. D. Document the client’s difficulty with breastfeeding and wait for the next shift to address it. 26. Nurse Cianne is managing several tasks on the labor and delivery unit. A patient requires continuous fetal monitoring. What is the most appropriate action for Nurse Cianne to take? A. Delegate continuous fetal monitoring to a nursing assistant. B. Perform the continuous fetal monitoring herself. C. Instruct the patient to use a portable fetal monitor at home. D. Schedule the fetal monitoring for later when more time is available. 27. A client on the postpartum unit is experiencing postpartum hemorrhage. Nurse Cianne needs to address the situation urgently. Which action should she take? A. Delegate the task of monitoring the client’s bleeding to a nursing assistant B. Conduct a thorough assessment of the client’s condition and implement interventions. C. Provide emotional support to the client while delegating medical tasks to the nursing assistant. D. Wait for the physician to arrive and assess the situation before taking any action. Situation: Nurse Sergio, committed to providing holistic care to his patients, has recently decided to deepen his understanding of psychological theories to better support his patients' mental health. Today, he is focusing on Freud's psychoanalytic theory, a cornerstone of modern psychology that has significant implications for understanding behavior and mental processes. 2 | Page