Tiêu đề PB3 - NP 2 - STUDENT COPY.docx ✅

1 | Page PREBOARDS EXAMINATION 3 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 provided Situation: You are assigned to the maternity ward as your first rotation on your first job as a staff nurse. During the first week, you are mostly assigned to pregnant patients who are stable with no comorbidities and typically included in low-risk category. 1. Pregnancy is officially diagnosed on the basis of the manifestations reported by the patient and the signs elicited by the healthcare worker. Which of the following are NOT considered LEAST indicative of pregnancy? A. Breast changes B. Ballottement C. Quickening D. Striae gravidarum 2. The most commonly used laboratory tests for pregnancy are based on the detection of which of the following below? A. Presence of increased estrogen levels B. Absence of increase in progesterone levels C. Presence of human chorionic gonadotropin D. Absence of human chorionic gonads 3. During the 6th week from implantation, which of the following is TRUE about vaginal changes that can be assessed in a pregnant patient? A. Softening of the vaginal walls B. Sense of having to void more often than usual C. There is absence of menstruation D. Color change of the vagina from pink to violet 4. Increased production of melanocyte-stimulating hormone by the pituitary gland causes extra pigmentation to certain areas of the body. Which of the following refers to the mask of pregnancy? A. Chloasma B. Linea nigra C. Butterfly rash D. Telangiectasis 5. Due to the darkened skin areas assessed in your patient’s body, she expressed worry about whether these will disappear or become permanent. Which of the following will be the basis of your answer to the patient? A. Do not answer as it may dishearten her, but validate the feelings of the patient B. With the decrease in the level of the hormone after pregnancy, these areas lighten and again disappear. C. These darkened areas will not fade even after pregnancy, so it is best to prepare the patient mentally and emotionally. D. Refer to dermatologist to help lighten the darkened areas, during or after the pregnancy based on the client’s preference. 6. Systemic changes occurs throughout the pregnancy to accommodate the growing fetus, which of the vital signs slightly increases throughout the pregnancy? A. Blood pressure B. Heart rate C. Temperature D. All of the above 7. Early in the pregnancy, morning sickness is one of the chief complaints of pregnant women which is noticed to be apparent at the same time of increased hCG levels. You are teaching a client about the alternative methods to help reduce nausea, which of the following will you NOT include? A. Drinking mild-flavored ginger tea B. Acupuncture C. Wearing anti–motion sickness wrist bands D. Drinking fluids with meals 8. You are preparing one of your patients for a transabdominal ultrasound. Which is NOT included in your teaching of preparations done before the test if it will be done in the morning? A. Avoid chewing gum B. Continue to drink maintenance medications as prescribed C. Relieve oneself before the examination D. Drink at least 32 ounces of water one hour before the exam 9. During nutrition counselling with first-time pregnant clients, we are careful with the general statements or advice that we say. The statements should sound more positive rather than restricting. Which of the following statements or concepts should be AVOIDED? A. “Eat high-protein foods” B. “Eat 3 servings of some type of meat or fish every day.” C. “I’ll give you a clear list of foods that are best for you during pregnancy” D. A woman should eat enough for two adults, rather eat enough to provide nutrients for herself and a growing fetus. 10. During the nutritional counselling, the patient asked you about the recommended weight gain one should have during their pregnancy with no nutritional deficits. You are correct when you say which of the following? A. 30 to 45 lb B. 25 to 35 lb C. 15 to 25 lb D. 30 to 40 lb Situation: You are the on-call nurse for the ward’s labor and delivery. For the first month, you navigate through different phases and situations of a patient’s labor. 11. You assess patients coming to the ward with complaints of pain and may be having labor already. With trained eyes, which of the following will not notify you of true contractions? A. Increase in duration, frequency, and intensity B. Continues no matter what the woman’s level of activity C. Felt first in lower back and sweep around to the abdomen in a wave. D. Begins and remains irregular. 12. Once the labor started for Erika, she anxiously asked you whether her labor would be successful. The basis of your answer will NOT depend on which of the following components? A. Woman’s pelvis B. The fetus position and presentation C. Hormonal pregnancy levels * NLE * NCLEX * CGFNS * HAAD * PROMETRICS * DHA * MIDWIFERY * LET * RAD TECH * CRIMINOLOGY * DENTISTRY * PHARMACY *