Tiêu đề RECALLS 9 (NP2) - STUDENT COPY ✅

RECALLS EXAMINATION 9 NURSING PRACTICE II CARE OF HEALTHY / AT RISK MOTHER AND CHILD NOVEMBER 2024 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: Mona is a newly registered nurse who recently passed the May 2023 PNLE. She aspires to become a nurse in the obstetrics ward. To become accustomed to the ward, Mona needs to recall her knowledge on the anatomy and physiology of the female reproductive system. 1. Tubal ligation is performed to prevent further fertilization and pregnancy. The part of the oviduct which is ligated is __________. A. Infundibulum B. Ampulla C. Isthmus D. Interstitial 2. When an egg is released in ovulation, it is propelled forward in the fallopian tube by the cilia lining the lumen. As the sperm approach the egg, they try to penetrate the egg and fertilize it. This process occurs most commonly in the __________. A. Interstitial B. Ampulla C. Fimbriae D. Isthmus 3. The portion of the uterus that is palpated with the first Leopold maneuver is the __________. A. Body B. Corpus C. Cervix D. Fundus 4. When dissected, the uterus is composed of multiple layers. Which layer prevents the backflow of menstrual blood to the oviducts due to its contraction? A. Endometrium B. Neometrium C. Myometrium D. Perimetrium 5. This tissue is sometimes cut via an episiotomy to ensure the safe and smooth passage of the child through the vagina during a normal spontaneous delivery. A. Perineum B. Hymen C. Pudendum D. Fourchette SITUATION: After learning the normal anatomy and physiology of the female reproductive system, Mona aims to recall the abnormalities of the female reproductive system. 6. Normally, the body of the uterus is tipped slightly forward. Which abnormality is seen when the body of the uterus is bent sharply backward just above the cervix? A. Anteversion B. Retroversion C. Anteflexion D. Retroflexion 7. Nurse Mona was accepted in the obstetrics ward and admitted a patient two hours ago. The patient told her that her uterus was rapidly increasing in size. Nurse Mona assessed her and determined that there are no fetal heart sounds. This is most possibly a case of ___________. A. Abruptio placenta B. Endometriosis C. Gestational trophoblastic disease D. Ectopic pregnancy 8. Upon taking her history, Nurse Mona determined that the patient had menstrual flows heavier than normal. She knows that this is called __________. A. Menorrhagia B. Metrorrhagia C. Dyspareunia D. Amenorrhea 9. The mother of the patient approached Nurse Mona and asked her about menopause. She told Mona that she has bouts of feeling hot and irritated. She asks Mona about the immediate way to aid these feelings. The best statement that Mona will give is _________. A. To have a back massage B. To take ibuprofen C. To sip a cold drink D. To ambulate 10. Endometriosis is characterized by: A. Amenorrhea and dyspareunia B. Ecchymoses and petechiae C. Painful menstruation and backache D. Early osteoporosis and pelvic inflammation SITUATION: The SOGIE or Sexual Orientation, Gender Identity and Expression Bill is still being pushed in the government of the Philippines. As a maternal and child nurse, Nurse Furina must be aware of the current ideologies and developments in SOGIE. 11. Nurse Furina provides nursing care to Lynette, a 21-year-old female who sees herself as a man. Nurse Furina knows that this is pertains to Lynette’s _________. A. Sexual orientation B. Gender expression C. Biologic gender D. Gender identity 12. On her day-off, Nurse Furina attended a Pride March dedicated to the members of the LGBTQIA+ community. She had a chat with Lyney who told her that she was a male at birth who transitioned into being a female through surgery. Nurse Furina knows that the assigned sex of a person is termed _________. A. Sexual orientation B. Gender expression C. Biologic gender D. Gender identity 13. While chatting, Lyney asked Nurse Furina whether there is a difference in the chromosomes of a man and a woman. Nurse Furina replies that __________. A. A male has the XX chromosomes B. A female has the XY chromosomes C. A male has the YY chromosomes D. A female has the XX chromosomes 1 | Page
14. During the Pride March, a heterosexual couple approaches Nurse Furina and asks for her opinion about asserting “masculine” toys such as trucks, guns, and swords to their son. What is Nurse Furina’s best response? A. “Tama po iyan, ibigay niyo lang po lahat ng panlalaking laruan para lumaking matikas ang iyong anak.” B. “Mas mabuti pong tanungin at alamin ninyo ang mga laruan na gusto ng iyong anak at kausapin siya.” C. “Ibigay niyo lang po ang makakaya ninyo at sabihin ninyo na ang lalaki ay dapat maging matapang.” D. “2023 na po, kailangan nagbibigay na rin tayo ng manika at make-up sa mga lalaki.” 15. Nurse Furina sees two females together. One female is carrying a baby and they see Nurse Furina. They talk and tell her that they are only attracted to one another and never to the opposite sex. They tell Nurse Furina that they are __________. A. Homosexuals B. Heterosexuals C. Bisexuals D. Sapiosexuals SITUATION: Barbara is a 10-year-old female who is currently experiencing her first menstruation. Her older sister, Nurse Jean, is right by her side to address her concerns regarding puberty and the changes occurring to her. 16. Once the estrogen rises and the first egg cell matures and is about to be released from the ovary, the first menstrual cycle of the female begins. Without fertilization, the endometrium will slough along with blood, mucus, and tissue. This first flow of debris is termed _________. A. Menstruation B. Menopause C. Menarche D. Meniere 17. Nurse Jean knows that the hormone directly responsible for the maturation of the ovum is the _________. A. Gonadotropin-releasing B. Follicle-stimulating C. Luteinizing D. Progesterone 18. Alongside ovulation comes with change in the basal body temperature of a woman. All of the following are true about the temperature changes with ovulation. A. Temperature drops a day before ovulation B. Temperature rises a day after ovulation C. Temperature drops a day after ovulation D. Temperature rises the day of ovulation 19. During ovulation, the estrogen secretion is high and causes the mucus to be thin, watery, and may be stretched into long strands which is called __________. A. Mittelschmerz B. Spinnbarkeit C. Ferning D. Elastase 20. If pregnancy does not happen in a menstrual cycle, the secretion of progesterone and estrogen begins to fall because of the degeneration of the ___________. A. Corpus albicans B. Graafian follicles C. Corpus luteum D. Corpus callosum SITUATION: Pregnancy is an eventful time for a woman’s life. Continuous assessment of the pregnant woman is warranted as pregnancy causes constant changes for a woman’s psyche and body. 21. Lisa came into the clinic and reported breast enlargement, vomiting, and darkening of the face. Upon assessment, Nurse Sucrose palpated the uterus and felt a bouncing mass in the abdomen. This is an example of ________. A. Presumptive sign B. Probable sign C. Positive sign D. Permanent sign 22. Lisa showed Nurse Sucrose a positive pregnancy test. Nurse Sucrose knows that a positive pregnancy test is a ________. A. Presumptive sign B. Probable sign C. Positive sign D. Permanent sign 23. The physician approaches Lisa while Nurse Sucrose is observing them. The physician places a Doppler ultrasound and it detects a fetal heart tone, heard by the three of them. Nurse Sucrose documents this as a __________. A. Presumptive sign B. Probable sign C. Positive sign D. Permanent sign 24. After a while, Lisa complained to Nurse Sucrose that she is feeling contractions in her abdomen but was relieved when she ambulated down the hallway. Nurse Sucrose tells her that the contractions are a __________. A. Presumptive sign B. Probable sign C. Positive sign D. Permanent sign 25. Upon assessment, Nurse Sucrose hears that Lisa is telling her partner that she is irritated by the stretchmarks on her abdomen. She knows that these are what signs of pregnancy? A. Presumptive B. Probable C. Positive D. Permanent SITUATION: Be certain to reserve sufficient time at prenatal visits for care to be thorough. The following obstetric calculations are needed to determine fetal well-being. 26. Eula is on her 4th pregnancy with a male fetus. She had a history of 1 miscarriage in her 2nd pregnancy. Her first pregnancy was a baby boy, AOG 38 weeks, and a baby girl for the 3rd, AOG 34 weeks. Her obstetrical history is therefore documented by the nurse as: A. G4 T1 P1 A1 L2 M0 B. G3 T1 P2 A1 L2 M0 C. G4 T1 P2 A1 L2 M0 D. G4 T1 P2 A1 L1 M0 27. When the level of the fundus is right at the umbilicus, the nurse may be able to estimate the gestational age of the fetus. This method is utilizing the _________. A. Shirodkar method B. McDonald’s rule C. Rovsing’s estimation D. Naegele’s rule 28. Using the given above, what is the estimated age of gestation of the fetus? A. 12 weeks B. 16 weeks C. 20 weeks D. 24 weeks 29. If Eula comes to the clinic for a check-up on June 2, her EDD is June 11, what assessment is to be expected? A. Fundic height two fingerbreadths below the xiphoid process, engaged B. Cervix closed, uneffaced, FH midway between the umbilicus and symphysis pubis C. Cervix open, fundic height two fingerbreadths below xiphoid process, floating D. Fundal height at least at the level of the xiphoid process 30.Eula told Nurse Amber that she last had her menstruation on May 26, 2023. The expected date of Eula’s delivery is __________. A. January 6, 2024 B. February 2, 2024 C. March 19, 2024 D. April 10, 2024 SITUATION: Pregnancy places stress on a woman’s body. Nurses must be able to determine the changes expected and how to promote wellness and prevent complications. 31. Dr. Baizhu is assessing a pregnant mother who went to the clinic for a check-up. Upon inspecting, he notices that the vagina has a purplish to bluish coloration and is soft to touch. He determines that this is: A. Chadwick’s sign 2 | Page
B. Goodell’s sign C. Hegar’s sign D. Schultze’s sign 32. A pregnant woman approached Dr. Baizhu and told him that her stretchmarks are bothering him. What should he not tell her? A. “I see. All of those stretchmarks will completely disappear so you do not need to worry.” B. “I will give you aspirin to stop the inflammation.” C. “Your stretchmarks is called striae gravidarum and these are caused by the enlargement of your uterus.” D. “Your stretchmarks are a normal thing and will fade to some degree after childbirth.” 33. Chie, pregnant with twins, approaches Dr. Baizhu and asks him as to why she needs to take the iron supplements prescribed to her. He tells her that iron is needed because: A. The fetus has an increased need for RBCs which the mother must supply B. The mother’s iron absorption is impaired C. The mother may suffer from anemia due to poor appetite D. The mother needs to expand her blood volume 34. For her routine check-up, Rosaria told Nurse Sara that when she tries to sleep on her back, she feels lightheaded and dizzy. Nurse Sara’s best response would be for Rosaria to: A. Laying on a left-lateral recumbent position B. Dangling feet on the edge of the bed before standing up C. Massaging the temple of the head before sleeping D. Drinking water before going to bed 35. The expected weight gain in a normal pregnancy during the 2nd trimester is: A. 1 pound a week B. 2 pounds a week C. 1 pound a month D. 2 pounds a month SITUATION: Pregnancy poses constant risks towards the mother’s well-being and health. Nurses must be aware of the complications which may arise anytime in the pregnancy. 36. One of the causes of a decreased amount of amniotic fluid is: A. Fetal kidney failure B. Fetal esophageal atresia C. Maternal diabetes mellitus D. Fetal hyperglycemia 37. The physician will perform an abdominal and vaginal ultrasound to determine the source of the mother’s bleeding. What preparation must the nurse do for the abdominal ultrasound? A. Have the mother void immediately before the ultrasound B. Have the mother defecate immediately before the ultrasound C. Have the mother drink three glasses of water immediately before the ultrasound – According to Brunner & Suddarth (2017), an abdominal ultrasound requires the patient to drink glasses of water to push up the abdominal contents from the bladder. D. Have the mother wipe povidone-iodine on her abdomen immediately before the ultrasound 38. Layla arrives at the health care clinic. She also tells the nurse that a home pregnancy test was positive, but she began to have mild cramps and is now having moderate vaginal bleeding. During the physical examination of the client, the nurse notes that Layla has a dilated cervix. The nurse determines that she is experiencing which type of abortion? A. Inevitable B. Incomplete C. Threatened D. Missed 39. Nurse Lesley is assessing Hilda with a diagnosis of gestational trophoblastic disease. She is aware that one of the following is unassociated with this condition? A. Vaginal bleeding B. Elevated levels of human chorionic gonadotropin C. Excessive fetal activity D. Larger than normal uterus for gestational age 40. Floryn is limping when she arrived in the health center and Nurse Melissa assesses her immediately. Floryn tells her that she feels sharp stabbing pain in her right lower abdomen with no vaginal bleeding. She gives Nurse Melissa a positive pregnancy test. The physician suspects that Floryn has a ruptured ectopic pregnancy but Nurse Melissa knows that there is no bleeding. Which of the following statements explains the physician’s hypothesis? A. There is no expulsion of blood nor internal bleeding in ectopic pregnancy B. Blood from organ rupture was expelled in the peritoneum C. Surrounding lymphatic vessels absorbed the blood flow D. Fetus was already delivered hence no spotting SITUATION: In some women, reasons that are unclear, unexpected deviations, or complications from the course of normal pregnancy occur. 41. Nurse Edith is assessing a pregnant woman who is suspected of abruptio placentae. Which of the following signs and symptoms support this diagnosis? A. Bright red vaginal bleeding B. Rigid and tender uterus C. Sharp unilateral abdominal pain D. Nontender uterine contractions 42. In relation to the case above, which term pertains to when blood from an abruptio placenta invades the uterine myometrium? A. Couvelaire B. Couvade C. Coumadin D. Countrecoup 43. Which of the following signs and symptoms will most likely make Nurse Paquito suspect that the patient is having hydatidiform mole? A. Slight bleeding B. Absence of fetal heartbeat C. Enlargement of the uterus D. Passage of clear vesicular mass per vagina 44. Aurora has increased parity, advanced maternal age, had past cesarian births, and past uterine curettage. Which of the following is associated with all these risk factors? A. Preterm labor B. Placenta previa C. Ruptured uterus D. Abruptio placenta 45. Ruby is a 22-year-old G3P1 pregnant mother who arrived at the clinic. Her chief complaint is vaginal bleeding. Nurse Julian took her history and determined that she has a history of cocaine use. Which of the following complications most likely causes the vaginal bleeding? A. Premature separation of placenta B. Pregnancy outside the uterus C. Termination of pregnancy before the age of viability D. Abnormal lower implantation of the placenta SITUATION: Nurse Dwayne is a delivery room nurse who is accustomed to the process of childbirth. His patient, Mrs. Johnson, is currently on the first stage of labor for her second pregnancy. 46. Nurse Dwayne approaches Mrs. Johnson as she asks him what will happen once the baby’s head starts to “pop out” of her vagina. Being knowledgeable about the process, Nurse Dwayne enumerates the steps of labor in the correct order of: A. Engagement, descent, extension, internal rotation, flexion, external rotation, expulsion B. Engagement, descent, flexion, internal rotation, expulsion, external rotation, extension C. Engagement, descent, flexion, internal rotation, extension, external rotation, expulsion D. Engagement, descent, extension, internal rotation, expulsion, external rotation, flexion 47. After explaining the process, Nurse Dwayne performs the Leopold’s maneuver to determine the fetal heart location for a fetal heart rate monitoring. Which step in the Leopold’s maneuver shall Nurse Dwayne do? A. Fundal grip B. Umbilical grip C. Pawlik’s grip 3 | Page
D. Pelvic grip 48. With Nurse Dwayne doing the Leopold’s maneuver, he determines that the fetus is in the right occipitoanterior. Where should Nurse Dwayne put the Doppler ultrasound to detect the fetal heart tone? A. Right upper abdomen B. Right lower abdomen C. Left upper abdomen D. Left lower abdomen 49. While in the nurses’ station, Nurse Dwayne hears Mrs. Johnson shout. He rushes to her and she tells him that she felt the most painful part of the contraction and it has already subsided. Nurse Dwayne assures her by saying that she had felt the ______. A. Relaxation B. Increment C. Acme D. Decrement 50. In the emergency room, Nurse Steve assesses Mrs. Austin alongside a physician who tells him that he feels a foot immediately superior to the cervix. What is this presentation called? A. Complete B. Footling C. Frank D. Footloose SITUATION: In the pediatrics ward, Nurse Guinevere is attending to the needs and care of the various pediatric patients. She is aware that the pediatric patients have different developmental stages and needs. 51. Nurse Guinevere knows that the increase in physical size of a pediatric patient is termed __________. A. Development B. Maturation C. Puberty D. Growth 52. Nurse Guinevere tells a parent that this may be measured by observing a child’s ability to perform specific tasks. A. Development B. Anthropometric measurement C. Growth D. Vital statistics 53. A child is seen roaming the hallway of the ward and Nurse Guinevere quickly accompanies him back to his room. The parents thank her and tells her that ever since he started to learn how to walk, he crawled rarely. Nurse Guinevere knows that the following principles of development support the statement except: A. Growth and development follows a sequence of orders B. Gross skills are first developed followed by fine skills C. There is always time to initiate developmental activities D. Skills and behaviors are constantly learned through practice 54. Which of the following nutrients is needed for children to reduce dental caries? A. Zinc B. Calcium C. Fluoride D. Selenium 55. The deficiency of this nutrient causes the basal metabolic rate of the child to be lowered. It may also cause goiter. A. Phosphorus B. Iodine C. Magnesium D. Copper SITUATION: Ganyu is currently in her third year of her nursing undergraduate program. To become a pediatric nurse as she aspires to be, she must be able to discern the developmental stages of children and where they are. 56. Klee is a 2-year-old girl who is running around the living room. Alice, her mother, calls her and she runs towards her mother. Klee sees Alice is preparing the ingredients for their dinner. Which is the best statement for Alice to persuade her to eat? A. “What do you want to eat, fish or chicken?” – According to Pillitteri (2013), toddlers must be provided opportunities for decision making, such as offering choices of food to eat. B. “You need to eat what I will prepare for you.” C. “Do you want to eat?” D. “What food do you want to eat?” 57. After hearing the choices of food, Klee throws a temper tantrum and runs around the living room once more. What is Alice’s initial action to do? A. Grab Klee’s hand and spank her B. Protect Klee’s safety C. Explain to Klee her unacceptable behavior D. Ignore Klee’s behavior 58. Dehya brings her 6-month-old younger sister, Nilou to the clinic for a routine check-up. Dehya asks student nurse Ganyu if there are any ideal gifts to buy Nilou. Student nurse Ganyu replies that the best thing to buy is ___________. A. Potty seat B. Teething ring C. Coloring book D. Lego blocks 59. While in the clinic, Dehya sees Layla, a 6-year-old girl who approaches Nilou and wants to play with Nilou. Nilou begins to cry as Dehya hands her to Layla to be carried. Student nurse Ganyu knows that the play suited for Nilou is __________. A. Competitive play B. Parallel play C. Solitary play D. Cooperative play 60. In a private room, student nurse Ganyu is assessing the breathing of a 4-month-old boy who is in an oxygen tent after a bout of croup. The parents tell nurse Ganyu that they will go buy some toys and clothes for the baby. What is student nurse Ganyu’s best response to prevent separation anxiety? A. Have another student nurse stay by the boy’s side B. Hold the boy’s hand while the parents are out C. Do not let the parents leave D. Leave a personal article of the parents beside the boy SITUATION: Development does not stop until the end years of an individual. With this, nurses must be aware of the constant developmental stages, milestones, and activities of individuals of all age groups. 61. While doing her painting, Eunchae, a 10-year-old child shows her mother Sakura the progress that she has made. The following is a statement which reflects the positive psychological development of Eunchae: A. “Am I doing a good job?” B. “What am I doing wrong?” C. “Can you do it instead?” D. “I’m sorry, Mommy.” 62. Ayaka, a 16-year-old female, has been in an accident while sneaking out with her boyfriend. She has suffered a sprain in the right foot and a fractured ulna. Her brother and mother arrive in her room and provide her with food and support. However, they noticed that she still is not receptive to them. Who is the best support person possible for Ayaka? A. Brother B. Mother C. Father D. Boyfriend 63. Beidou, a 19-year-old female, is constantly pacing back and forth outside of her house. She is anxious as she has her girlfriend beside her and aims to introduce her to her parents. All but one of the following are the appropriate responses from Nahida’s parents once they know about the situation: A. “Anak, anak ka namin at lagi lang kaming nandito para makipag-usap sa iyo.” B. “Hindi madali para sa amin ito anak ngunit lagi ka naming mamahalin.” C. “Anak, ibibigay namin sa iyo lahat ng suporta namin ngunit hindi ngayon.” D. “Halika sa loob anak, isama mo siya, pag-usapan natin kung may ikinababahala kayo.” 64. Amy, a 7-year-old girl, has an imaginary friend named Fischl. She tells her that Fischl is the “Princess of the Immernachtreicht” and she is the guardian of the so-called land. One day, Amy bumped her arm into the side of the dining 4 | Page