Tiêu đề RECALLS 7 - NP2 - SC ✅

RECALLS 7 EXAMINATION NURSING PRACTICE II CARE OF HEALTHY / AT RISK MOTHER AND CHILD NOVEMBER 2025 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: Nurse Joel is collecting data from a newly admitted patient, Mrs. Christine, who is pregnant with twins. She has a healthy 3-year-old child who was delivered at 38 weeks. She also revealed that she does not have a history of abortion nor fetal demise. Her last menstrual period began February 7, 2017 and ended February 12, 2017. 1. What is the GTPAL for Mrs. Christine? A. G = 1, T = 1 , P = 1, A = 0, L = 1 B. G = 2, T = 0 , P = 0, A = 0, L = 1 C. G = 3, T = 2 , P = 0, A = 0, L = 1 D. G = 2, T = 1 , P = 0, A = 0, L = 1 2. Mrs. Christine asks “When will be my expected date of delivery (EDD)?” Based on her knowledge of Naegeles’ Rule, which should be the CORRECT answer of Nurse Joel? A. November 14, 2017 B. October 14, 2017 C. October 19, 2017 D. November 19, 2017 3. A pregnant client reports morning sickness, nausea and vomiting, missed periods, and breast tenderness. Which of these would be classified as a presumptive sign of pregnancy? A. Fetal outline felt by examiner B. Positive pregnancy test. C. Breast tenderness. D. Fetal heart tones detected by Doppler. 4. A 10-week pregnant client asks the nurse how to determine if she’s truly pregnant. Nurse Priscila is correct if he explains that a positive sign of pregnancy is: A. Enlarged breasts. B. Presence of fetal heart tones detected by Doppler. C. Positive pregnancy test. D. Presence of Quickening 5. A patient asks Nurse Yor about the signs and symptoms of pregnancy. Nurse Yor is correct if she states: A. "The first perception of fetal movement that you have felt at 16th to 20th week of gestation is a probable sign of pregnancy." B. "The compressibility and softening of the lower uterine segment that occurs about the 6th week is a probable sign." C. “The examiner palpating fetal movement at 18 weeks is a probable sign." D. "Pigmentation changes such as linea nigra and melasma are considered probable signs of pregnancy." Situation: A neonate is born by primary cesarean section at 36 weeks gestation. The temperature in the birthing room is 21 degree celsius. 6. When the couple touches the newborn's shoulders, the skin feels warm. The nurse explains that the best insulator for the newborn is: A. Brown fat. B. Glucose. C. Glycogen. D. Lanugo. 7. Drying the infant immediately after birth helps prevent heat loss from what mechanism? A. Conduction B. Convection C. Evaporation D. Radiation 8. After assisting with a vaginal delivery, what would the nurse do to prevent heat loss via conduction in the newborn? A. Wrap the newborn in a blanket. B. Close the doors to the delivery room. C. Dry the newborn with a warm blanket. D. Place the newborn on a warm crib pad. 9. To prevent heat loss from convection, which action should Nurse Calvin do? A. Dry the neonate quickly B. Keep the neonate away from air conditioning vents C. Pre-warm the bed D. None of the above 10. When performing nursing care for a neonate after birth, which intervention has the highest nursing priority? A. Give the vitamin K injection B. Give the initial bath C. Obtain a dextrostix D. Cover the neonate’s head with a cap Situation: The nurse has admitted a client diagnosed with gestational hypertension who is in labor. 11. Which of the following are present in pregnancy-induced hypertension? A. Hypertension, proteinuria, and edema. B. Hypertension, gestational diabetes, and edema. C. Hypertension, seizure, and proteinuria. D. Proteinuria, edema, and seizure. 12. The nurse monitors the client closely for which complication of gestational hypertension? A. Seizures B. Hallucinations C. Placenta previa D. Altered respiratory status 13. Nurse Alex is preparing a plan of care for client Sophia with pre-eclampsia and documents that if client Sophia progresses from preeclampsia to eclampsia, Nurse Alex should take which first action? A. Administer oxygen by face mask. B. Clear and maintain an open airway C. Administer magnesium sulfate intravenously D. Assess the blood pressure and fetal heart rate 14. Nurse Alex is administering magnesium sulfate to another client experiencing severe preeclampsia. What intervention would the nurse implement during the administration of magnesium sulfate for this client? A. Schedule a daily ultrasound to assess fetal movement. 1 | Page