Tiêu đề RECALLS 6 - NP2 - SC ✅

C. Setting objectives for next month’s breastfeeding campaign D. Supervising vaccine administration during outreach 14. Which indicator best evaluates the effectiveness of the child growth monitoring program? A. Number of staff attending trainings B. Percentage of children within the normal weight-for-age range C. Amount of supplies purchased D. Frequency of immunization sessions conducted 15. Which principle of organization is observed when Nurse Carla gives midwives clear instructions and maintains accountability for overall results? A. Span of control B. Authority and responsibility C. Unity of command D. Coordination Situation: Nurse Angela is the Public Health Nurse assigned to a coastal barangay. She is in charge of implementing the Environmental Sanitation Program, which includes water safety inspections, waste management education, and coordination with barangay officials for community clean-up drives. She also supervises sanitary inspectors, responds to disease outbreaks, and promotes proper food handling in households and food establishments. 16. When Nurse Angela sets specific goals for reducing cases of diarrhea in her barangay over the next three months, which management function is she performing? A. Directing B. Organizing C. Planning D. Controlling 17. Which action of Nurse Angela demonstrates directing? A. Assigning sanitary inspectors to different sitios B. Preparing a list of households needing safe water containers C. Evaluating waste disposal practices after a clean-up drive D. Supervising sanitary inspectors during water sampling 18. What would be the best process indicator to assess the success of the waste management education program? A. Decrease in reported cases of leptospirosis B. Number of households attending waste segregation sessions C. Percentage of households with proper composting bins D. Reduction in uncollected garbage in public areas 19. When Nurse Angela evaluates the quality of food handling in local eateries to ensure compliance with sanitary standards, which function of management is being exercised? A. Planning B. Controlling C. Staffing D. Directing 20. Which principle of organization is Nurse Angela observing when she makes sure sanitary inspectors report directly to her and not to barangay officials during the program? A. Coordination B. Span of control C. Authority and responsibility D. Unity of command Situation: Nurse Martha is assigned to the Maternal and Child Health (MCH) unit of the Rural Health Unit. She conducts prenatal check-ups, provides nutrition counseling to pregnant mothers, supervises deliveries conducted by midwives, and promotes exclusive breastfeeding. She also facilitates newborn screening and postpartum home visits to ensure maternal and neonatal well-being. 21. During a prenatal outreach session, Nurse Martha supervises community health workers as they educate expectant mothers on recognizing early signs of pregnancy complications. Which management function is she performing? A. Controlling B. Directing C. Organizing D. Planning 22. Which of the following indicators best measures the effectiveness of the post-partum home visit program? A. Percentage of mothers exclusively breastfeeding at 6 weeks post-partum B. Number of home visits conducted by Nurse Martha C. Number of midwives trained in breastfeeding counseling D. Amount of iron supplements distributed 23. Nurse Martha schedules midwives so that at least one staff member is available for 24-hour delivery care at the birthing station. Which management function does this represent? A. Controlling B. Planning C. Organizing D. Staffing 24. When Nurse Martha sets a target to reduce cases of post-partum hemorrhage by 20% in the next six months, which function is she demonstrating? A. Directing B. Planning C. Controlling D. Staffing 25. Nurse Martha notices that a midwife is not following the prescribed infection-control protocol during deliveries. Which action reflects the controlling function? A. Asking the midwife to explain her practice B. Correcting the procedure and reinforcing the proper standard C. Allowing the midwife to continue as she is D. Reassigning the midwife to post-partum care only Situation: Nurse Mariel is assigned to a busy labor and delivery unit. She is caring for several clients in different stages of pregnancy and the postpartum period. During her shift, she must accurately assess maternal conditions, anticipate complications, and provide evidence-based nursing interventions for both mother and baby. 26. When preparing to perform Leopold’s maneuvers on a laboring client, which action should Nurse Mariel take first? A. Position the client in a supine position B. Have the client void C. Wash her hands in warm water D. Apply sterile lubricant to the abdomen 27. One hour after delivery, Mariel notes the mother’s uterus is one fingerbreadth below the umbilicus and shifted to the right. What should be her priority action? A. Assist the mother to void B. Vigorously massage the fundus C. Administer oxytocin D. Give a tocolytic intravenously 28. During the second stage of labor, which clinical finding indicates that the fetus is about to be delivered? A. Engagement B. Crowning C. Placental separation D. Full cervical dilation 29. A client in labor has contractions every 5 minutes for 7 hours. Which finding will confirm that she is in true labor? A. Cervical effacement and dilation B. Increasing contraction intensity C. Rupture of membranes D. The fact that this is her second pregnancy 30. While assessing a laboring client, Mariel observes a loop of the umbilical cord protruding from the vagina. What should she do immediately? A. Call the physician B. Place a moist, sterile towel over the cord C. Turn the client on her side and listen to fetal heart rate D. Apply upward pressure on the presenting part and place the mother in a knee-chest position Situation: Nurse Clarisse is assigned to the newborn nursery and postpartum unit. She is responsible for assessing newly delivered infants, ensuring thermoregulation, teaching mothers proper newborn care, and recognizing early signs of complications in both mother and baby. 2 | Page

A. “We should only do this after our baby is discharged from the NICU.” B. “We’ll place our baby upright on our bare chest for at least 1 hour daily.” C. “We should wrap the baby in multiple blankets first.” D. “We’ll wait until our baby is full-term to begin kangaroo care.” 50. A preterm infant in the NICU is receiving oxygen therapy. Which finding should alert Sofia to possible oxygen toxicity? A. Peripheral cyanosis B. Retinopathy of prematurity (ROP) changes in the eyes C. Slight nasal flaring D. Periodic breathing patterns Situation: Nurse Veronica is working in the postpartum unit. She is caring for mothers at risk of complications such as hemorrhage, infection, and thromboembolic disorders. She must assess mothers closely, intervene promptly, and provide discharge education on danger signs. 51. Veronica notes a postpartum client with a saturated perineal pad in 30 minutes and a boggy uterus. What is her priority action? A. Call the physician immediately B. Start IV fluids C. Perform fundal massage D. Administer analgesics 52. A postpartum woman complains of severe perineal pain and pressure but has minimal visible bleeding. Which complication does Veronica suspect? A. Uterine atony B. Vaginal hematoma C. Endometritis D. Subinvolution 53. Veronica is teaching a mother at discharge about warning signs of postpartum infection. Which statement indicates the teaching was effective? A. “I will call if I have light vaginal bleeding.” B. “A slight fever in the first 24 hours is normal, so I won’t worry.” C. “If I notice foul-smelling lochia, I will contact my healthcare provider.” D. “I don’t need to monitor my temperature at home.” 54. Which postpartum client is at the greatest risk for developing a deep vein thrombosis (DVT)? A. A mother who ambulates 12 hours after delivery B. A mother with a cesarean birth, obesity, and varicose veins C. A multipara who delivered vaginally without lacerations D. A mother who is exclusively breastfeeding 55. A mother reports sudden shortness of breath and chest pain 4 days postpartum. What should Veronica do first? A. Apply oxygen and notify the physician B. Place the client in Trendelenburg position C. Give oral fluids D. Reassure the client that anxiety is common postpartum Situation: Nurse Hannah is assigned to the outpatient lactation clinic. She supports mothers experiencing breastfeeding difficulties such as nipple trauma, engorgement, mastitis, and concerns about milk supply. She also educates parents on the benefits of exclusive breastfeeding and proper latching techniques. 56. A breastfeeding mother reports cracked nipples and pain during feeds. Which instruction from Hannah is most appropriate? A. Stop breastfeeding until the nipples heal B. Apply soap and water after every feeding C. Switch to bottle-feeding permanently D. Ensure proper latch and position the baby correctly 57. Hannah teaches a mother how to prevent breast engorgement. Which statement indicates understanding? A. “I should feed my baby every 2–3 hours on demand.” B. “I should avoid breastfeeding at night to let my breasts rest.” C. “I’ll use tight breast binders after each feeding.” D. “I should only feed from one breast each time.” 58. A mother presents with fever, breast redness, and pain. Which nursing action is most appropriate? A. Discontinue breastfeeding until symptoms resolve B. Continue breastfeeding and start prescribed antibiotics C. Massage the affected breast vigorously D. Apply ice continuously for 24 hours 59. Which practice supports adequate milk supply in a breastfeeding mother? A. Supplementing with formula after every feeding B. Increasing breastfeeding frequency and duration C. Limiting fluid intake to reduce engorgement D. Offering both breasts only every 6 hours 60. A mother asks about storing expressed breast milk. Which teaching is correct? A. “It can be kept at room temperature for up to 24 hours.” B. “I should microwave breast milk before feeding.” C. “I can refreeze milk once thawed.” D. “Refrigerated breast milk is safe for up to 4 days.” Situation: Nurse Rafael is working in a busy medical-surgical ward. He is responsible for medication administration, infection control, patient mobility, and preparing patients for diagnostic procedures. He must prioritize safe and effective nursing interventions while preventing complications. 61. Rafael enters a patient’s room and finds a small fire in the trash can. What should be his first action? A. Get the fire extinguisher and put out the fire B. Activate the fire alarm and call for help C. Rescue any people in the room, starting with the least mobile D. Close all doors and windows 62. Before starting a peripheral IV infusion, which action by Rafael is most important? A. Apply a tourniquet below the chosen vein B. Inspect the IV solution for particles or contamination C. Secure the client’s arm to prevent movement D. Place a cool compress over the vein 63. When admitting a bedridden patient, how can Rafael best prevent external rotation of the patient’s legs? A. Place a pillow under the knees B. Flex the hips and knees with a blanket roll C. Place a pillow under the lower legs D. Use a trochanter roll alongside the thighs 64. Which nursing action is most appropriate after discovering a medication error? A. Complete an incident report B. Notify the physician C. Check the patient’s condition for adverse effects D. Document the error on the medication sheet 65. Rafael is teaching a patient how to self-administer oral medications at home. Which approach ensures the patient’s understanding? A. Give the patient written instructions B. Demonstrate the correct technique C. Ask the patient to verbalize and demonstrate the procedure D. Schedule daily phone reminders Situation: Nurse Allan is assigned to the pediatric ward. He is caring for children of various ages who require safety interventions, growth monitoring, and support during hospital stays. He also provides anticipatory guidance to parents about child development and accident prevention. 66. While conducting discharge teaching for the mother of a 1-month-old infant, which safety instruction is most appropriate? A. Cover electrical outlets at home B. Remove hazardous objects from low areas C. Lock all cabinets containing cleaning supplies D. Avoid shaking or vigorously jiggling the baby’s head 67. Allan admits a child who will be hospitalized for more than a week. Which approach best reduces stress and promotes consistency of care? A. Allowing open peer visitation 4 | Page