Tiêu đề PB1 - NP 2 - STUDENT COPY ✅

1 | Page PRE BOARDS EXAMINATION 1 NURSING PRACTICE II CARE OF HEALTHY AT RISK MOTHER AND CHILD 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 provide Situation: You are assigned in the Obstetric Ward of the hospital and is expected to be precise in maternal and child assessment. 1. A young-looking patient, Patient Nica, asked you whether she is pregnant or not and is noticeably anxious during the consultation. Which of the following could be taken as single entity and could easily indicate other conditions? A. Serum laboratory tests B. Amenorrhea C. Periodic uterine tightening D. Ballotement 2. Patient Nica asked you about the accuracy of over-the- counter pregnancy kits as she was told to take one today by her friends. Which of the following will require further teaching if the patient would be taking the pregnancy kit today? A. She knows that there is high degree of accuracy if instructions are followed exactly. B. False positives may happen if a patient is taking anti- anxiety drugs. C. The patient is taking oral contraceptives as the pregnancy is still not confirmed. D. Advise the patient to repeat the test after 1 week if she still experiencing amenorrhea. 3. One of the only three positive signs of pregnancy refer to detection of the fetal heart separate from the mother’s heart sounds. Using an ultrasonic monitoring system that convert ultrasonic frequencies to audible frequencies, it can usually detect fetal heart sound as early as which of the following? A. 10th to 12th week of gestation B. 8th to 10th week of gestation C. 5th to 6th week of gestation D. None of the above 4. Systemic changes happen throughout the three trimesters. Which of the following is not an observed physiologic change of pregnancy? A. Increasing clotting factors B. Decreased aldosterone levels C. Pseudo-anemia D. Lordosis 5. As the patient continues her prenatal check-ups, it was unfortunately found that the embryo failed to develop beyond a primitive start. Which of the following would you not consider as a risk factor to this disease? A. Low vitamin intake B. Women older than 35 years of age C. Blood group A women who marry blood group O men D. Low protein intake Situation: You are assisting multiple cases involving different stages of labor. 6. During the last semester of pregnancy, it is essential to review signs of labor for them to easily recognize beginning signs. People usually notice changes in a primipara’s body during fetal descent; this is because of which of the following? A. Due to the presence of contractions B. Uterus positions lower and more anterior in the abdomen. C. Due to the relief of breathing from increase in diaphragmatic pressure. D. Due to the loose abdominal muscles in primipara 7. One patient asked you about what to watch out for as her estimated delivery date comes near. Which of the following will you exclude while discussing the characteristics of true labor contractions? A. Felt first abdominally and remain confined to the abdomen and groin B. Begin irregularly but become regular and predictable. C. Continue no matter what the woman’s level of activity. D. Felt first in lower back and sweep around to the abdomen in a wave 8. How can you determine fetal presentation? A. It denotes the body part that will first contact the cervix or be born first. B. By determining the relationship of the presenting part of a fetus to the level of the ischial spines C. By determining the relationship between cephalocaudal axis of the fetal body and the cephalocaudal axis of a woman’s body. D. By combination of fetal lie and the degree of fetal flexion. 9. A primipara patient has been worried as she was examined with 2 cm dilated last 12 noon and is seen to be at 2 cm still at 4 PM. She is discouraged as she feels like nothing has happened, which of the following is the rationale behind the situation experienced by the patient? A. Since effacement is accomplished before dilatation begins. B. Since effacement is accomplished after dilatation begins. C. Since dilatation may occur before effacement is complete. D. None of the above. 10. As you perform the hourly rounds of the postpartum mothers, which of the following will require you for further assessment? A. 48 hours postpartum, fundal assessment at U-minus- 1 level B. Patient post-C-section with (+) lochia discharge C. Patient post-vaginal delivery with (+) lochia discharge D. None of the above – all are correct. Situation: Baseline present health of pregnant patients is important to be established during the first prenatal visit. 11. While interviewing your first patient about her health history, which of the following will not necessarily elicit additional concern if experienced by the patient in her first trimester? A. Swelling of hands and face B. Continuous bleeding C. Bleeding * NLE * NCLEX * CGFNS * HAAD * PROMETRICS * DHA * MIDWIFERY * LET * RAD TECH * CRIMINOLOGY * DENTISTRY * PHARMACY *