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3 | Page 29. Angela is in her first trimester. She is too excited to know the gender of her baby and asks when is the earliest month that her baby’s gender will be determined. The nurse responds: A. 2 months by an ultrasound B. 4 months by an ultrasound C. 7 months by an ultrasound D. It is impossible. The gender is known after birth 30. Biophysical profile scoring combines five parameters in checking the overall well-being of the fetus. Among the parameters, which is not assessed using a sonogram? A. Fetal breathing B. Fetal Tone C. Fetal Heart reactivity D. Amniotic fluid volume 31. Pretchelle, a 36 weeks in gestation is scheduled for a routine ultrasound prior to an amniocentesis. After teaching Pretchelle about the purpose for the ultrasound, when you were validating her understanding which of the following statements would indicate that Pretchelle needs further instruction? A. “the test will determine where to insert the needle" B. "the ultrasound locates a pool of amniotic fluid" C. "the ultrasound will help to locate the placenta" D. "the ultrasound identifies blood flow through the umbilical cord" 32. The mother received the results of her ultrasound and it indicates that there is a less than the usual amount of amniotic fluid present. The nurse knows that oligohydramnios is not related to: A. It suggests extreme prematurity B. It may result to umbilical cord compression C. It is related to poor flexion in fetal attitude D. The pockets of amniotic fluid is around 20-24 SCENARIO: Infancy is designated as the period of time from 1 month to 1 year of age. The nurse works in an OB-Gyne & delivery room knows that infants undergo such rapid development. 33. Baby Juju, a 1-year-old infant weighs 22.5lbs. If the infant gains weight normally, the nurse knows that Juju’s weight when she was 6 months is: A. 11.25lbs B. 15 lbs C. 7.5 lbs D. 16.5 lbs 34. When the nurse is assigned to admitting neonates in the nursery. She makes it into a point to wear her gloves carefully. This action is based on what scientific knowledge? A. Meconium contains enteric bacteria which may be a cause for infection B. The urine of infant is so alkaline which is very harmful to the skin C. The baby is at high risk for infection and must be protected at all times D. Amniotic fluid may contain harmful viruses 35. The attending physician has ordered to give Vitamin K 0.5mg IM for a newborn. The nurse checked the stocks of available medication and found a vial with 2mg/mL label. The nurse calculates and give the correct dose as: A. 1mL B. 0.25mL C. 4mL D. 0.5mL 36. When the nurse checked the 8-hour-old neonate, she assessed the hands and feets bluish in color. The nurse is knowledgeable when she does what action? A. Administer oxygen via nasal cannula B. Swaddle the baby in a blanket C. Inform the physician and ask for a possible incubator D. Apply pulse oximeter to check for oxygen saturation 37. The postpartum mother asks the nurse if she should have their son circumcised. Which piece of scientific information should the nurse base her answer on? A. Boys should be circumcised because it is in the Philippine culture B. A statement from the DOH asserts that circumcision is highly personal C. Centers for Disease Control and Prevention (CDC) experts endorse circumcision for every male newborns. D. Circumcision is not yet allowed in newborns and should not be talked about. 38. A 1-day old baby of Mr. and Mrs. Reyes is being assessed by the nurse. Which of the following findings should be reported to the doctor? A. Harlequin sign B. Erythema Toxicum C. Choanal atresia D. Epstein pearls 39. Trevor is for a laboratory test to check his respiratory status with acute asthma exacerbation. The nurse has a scientific knowledge if she knows the result is from: A. CBC B. SGPT C. ABG D. CBG 40. Casey, a 4-year-old child is scheduled for breathing exercises. The goal is for her to increase her expiratory phase? What is the appropriate task? A. Use an incentive spirometer B. Taking several deep breaths C. Breathe into a paper bag D. Blow a pinwheel 41. The mother of a child with asthma is confused with the prescription given by the doctor and says there are a lot of medications for asthma. She asks which of the following medications has a quick relief when there is an asthma attack? A. Fluticasone B. Prednisone C. Montelukast D. Albuterol 42. A 6-year-old child was rushed to the emergency department due to difficulty breathing.The most important piece of information that would indicate that a child is in status asthmaticus is? A. When is the child’s last meal? B. When was the child’s last dose of medication? C. What was the child’s last activity when asthma triggers? D. When was the child last admitted? 43. Four primigravida clients went to the clinic and were assessed accordingly by the nurse on duty. Which among the gravid clients should the nurse refer for further assessment? A. 30 weeks’ gestation complains of supine hypotension B. 9 weeks’ gestation complains of pyrosis with nausea and vomiting C. 36 weeks’ gestation complains of hemorrhoids and bleeding gums D. 34 week’s gestation complains of epigastric pain and oliguria 44. Nilda, A 37-week pregnant client, told the nurse about changes in her body, she states that her face and hands look swollen. The nurse knows that this might be cause of: A. Cardiac failure B. Hepatic insufficiency C. Pulmonary problem D. Altered glomerular filtration 45. Nilda is diagnosed to have mild-preeclampsia. The pediatrician was worried for the fetus and asked for diagnostic tests. The nurse knows because preeclamptic gravid clients may cause what effect on the fetus? A. IUGR B. HELLP C. DIC D. PDA 46. Nilda became conscious on her diet and asks the nurse on what she should consume to manage her diagnosis of mild- preeclampsia. The nurse is correct when she states: A. Restrict sodium intake B. Avoid foods high in sugar C. Increase oral fluid intake D. Consume a well-balanced diet 47. Nilda was given discharge instruction about having to be on bedrest at home and questions why she has to comply? The nurse responds with scientific basis that: A. Bed Rest prevents you from falling while you are

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