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RECALLS 8 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 Ivy is caring for multiple pregnant clients to gain experience and enhance her knowledge regarding prenatal care. 1. Nurse Ivy is assessing a pregnant woman at 20 weeks' gestation who reports swelling in her legs and frequent headaches. Which assessment finding should Nurse Ivy be most concerned about? A. A blood pressure of 130/85 mmHg B. Edema of the lower extremities C. A sudden increase in weight of 2 kg in one week D. A hemoglobin level of 11.5 g/dL 2. Nurse Ivy is educating a pregnant client about the importance of prenatal vitamins. Which statement by the client indicates a correct understanding of the importance of folic acid? A. “Folic acid helps with my digestion.” B. “Folic acid can prevent neural tube defects in the baby.” C. “Folic acid is primarily for boosting my energy levels.” D. “Folic acid is only necessary in the first trimester.” 3. Nurse Ivy is assessing a pregnant woman at 28 weeks' gestation who presents with severe abdominal pain and decreased fetal movement. What should Nurse Ivy’s priority action be? A. Advise the patient to rest and drink more fluids B. Conduct a thorough fetal assessment and notify the healthcare provider C. Suggest over-the-counter pain relief for the abdominal pain D. Recommend a follow-up appointment in one week 4. Nurse Ivy is assessing a pregnant woman who is 36 weeks' gestation. The patient is experiencing a sudden onset of shortness of breath and a non-productive cough. What is the most appropriate action for Nurse Ivy to take? A. Encourage the patient to lie down and rest B. Perform a thorough respiratory assessment and monitor oxygen saturation C. Increase the patient’s fluid intake D. Refer the patient to a dietitian for a low-sodium diet 5. Situation: Nurse Ivy is discussing the risk factors for developing gestational diabetes with a pregnant woman. Which factor is a significant risk for developing gestational diabetes? A. Being underweight before pregnancy B. Being older than 25 years of age C. Having a family history of diabetes D. Having a history of previous uncomplicated pregnancies 6. Nurse Ivy is preparing a teaching session for a group of pregnant women about labor signs. Which sign should Nurse Ivy emphasize as the most indicative of true labor? A. Lightening B. Braxton Hicks contractions C. Rupture of membranes D. Cervical dilation Situation: Nurse Colet is reviewing her knowledge regarding the signs of pregnancy. The following questions are regarding this. 7. Nurse Colet is assessing a pregnant client who reports frequent urination and nausea. Which of these findings is considered a presumptive sign of pregnancy? A. Positive pregnancy test B. Fetal heartbeat detected via Doppler C. Enlargement of the abdomen D. Nausea and vomiting 8. Nurse Colet is evaluating a client who has recently missed her menstrual period and has noticed a darkening of the areola. Which of these is considered a probable sign of pregnancy? A. Amenorrhea B. Hegar’s sign C. Quickening D. Breast tenderness 9. A pregnant client presents with a positive result on a home pregnancy test. What type of sign of pregnancy does this result represent? A. Presumptive sign B. Probable sign C. Positive sign D. Diagnostic sign 10. Nurse Colet is performing a physical examination and notes a softening of the cervix. Which sign of pregnancy does this finding represent? A. Presumptive sign B. Probable sign C. Positive sign D. Diagnostic sign 11. Nurse Colet is teaching a group of pregnant women about signs of pregnancy. Which statement correctly identifies a positive sign of pregnancy? A. Breast tenderness B. Quickening C. Urinary frequency D. Fetal heartbeat detected by a Doppler device 12. Nurse Colet is assessing a pregnant client who reports feeling fetal movement. What type of sign of pregnancy does this represent? A. Presumptive sign B. Probable sign C. Positive sign D. Diagnostic sign 13. Nurse Colet is discussing the changes in skin pigmentation with a pregnant client. The client reports experiencing a dark line running from the pubic area to the umbilicus. What is this sign called? A. Linea nigra B. Chadwick’s sign C. Ballottement D. Goodell’s sign 1 | Page


A. Trust vs. Mistrust B. Autonomy vs. Shame and Doubt C. Initiative vs. Guilt D. Industry vs. Inferiority 45. Nurse Jena notices that a 3-year-old child is playing alone but talking out loud about their actions and making up stories. According to Piaget, what type of play is this child engaged in? A. Parallel Play B. Cooperative Play C. Symbolic Play D. Functional Play 46. Nurse Jena is supporting a 16-year-old patient who is exploring different roles and identities through their interests and relationships. Which Erikson stage is this patient in? A. Trust vs. Mistrust B. Autonomy vs. Shame and Doubt C. Initiative vs. Guilt D. Identity vs. Role Confusion 47. Situation: Nurse Jena is interacting with an elderly patient who frequently reflects on their life and expresses feelings of satisfaction with their accomplishments. According to Erikson, which stage of psychosocial development is this patient likely in? A. Trust vs. Mistrust B. Autonomy vs. Shame and Doubt C. Integrity vs. Despair D. Generativity vs. Stagnation 48. Nurse Jena observes a 5-year-old child engaging in cooperative play with other children, sharing toys, and working together on a simple project. Which stage of Erik Erikson’s psychosocial development does this behavior reflect? A. Trust vs. Mistrust B. Autonomy vs. Shame and Doubt C. Initiative vs. Guilt D. Industry vs. Inferiority 49. Nurse Jean is observing an 18-year-old child in the hospital playroom who is playing alone with stuffed toy. The child is deeply focused and does not interact with other children who are nearby. According to Jean Piaget’s theory of play, what type of play is this child engaging in? A. Parallel Play B. Cooperative Play C. Solitary Play D. Associative Play 50. Nurse Jean is observing a 16-year-old adolescent who is participating in a competitive basketball game. The adolescent is focused on both individual performance and teamwork, and is also reflecting on their strategy and skills to improve their game. Which of Jean Piaget’s developmental stages does this type of play and reflection most closely align with? A. Sensorimotor B. Preoperational C. Concrete Operational D. Formal Operational Situation: Nurse Sonia is working in a maternity hospital and is handling clients who are experiencing abortion. 51. Nurse Sonia is helping a patient who is considering elective abortion for personal reasons. What term describes an abortion performed for reasons other than medical necessity? A. Spontaneous Abortion B. Induced Abortion C. Therapeutic Abortion D. Habitual Abortion 52. Nurse Sonia is evaluating a patient who reports spotting and cramping but has no cervical dilation. The patient is worried about the possibility of losing her pregnancy. What type of abortion is the patient most likely experiencing? A. Threatened Abortion B. Inevitable Abortion C. Incomplete Abortion D. Complete Abortion 53. Nurse Sonia is assessing a patient who is experiencing heavy bleeding and cramping and has expelled some of the products of conception. What type of abortion does this describe? A. Complete Abortion B. Incomplete Abortion C. Inevitable Abortion D. Threatened Abortion 54. A patient has experienced the complete loss of all products of conception and has no further symptoms. What type of abortion has the patient experienced? A. Missed Abortion B. Complete Abortion C. Incomplete Abortion D. Habitual Abortion 55.Situation: Nurse Sonia is working with a patient who has retained fetal tissue in the uterus after fetal death, with no immediate symptoms of bleeding or cramping. What type of abortion does this describe? A. Threatened Abortion B. Incomplete Abortion C. Complete Abortion D. Missed Abortion 56. A patient has had three consecutive abortions and is concerned about possible underlying issues. What type of abortion might be considered if the patient has recurrent pregnancy losses? A. Incomplete Abortion B. Habitual Abortion C. Missed Abortion D. Inevitable Abortion 57. Nurse Sonia is discussing with a patient who is considering terminating her pregnancy for personal reasons. What term describes an abortion performed for reasons other than medical necessity? A. Spontaneous Abortion B. Induced Abortion C. Therapeutic Abortion D. Habitual Abortion 58. A patient presents with spotting, cramping, and evidence that her cervix is beginning to dilate. Nurse Sonia suspects that the pregnancy may end soon. What type of abortion is the patient most likely experiencing? A. Threatened Abortion B. Incomplete Abortion C. Inevitable Abortion D. Missed Abortion 59. During labor, which of the following is NOT a preparation the nurse should make? A. Monitor vital signs frequently. B. Place the client on a cardiac monitor and on an external fetal monitor. C. Maintain bed rest, with the client lying supine with the head and shoulders elevated. D. Administer oxygen as prescribed. 60. Abortion is a pregnancy that ends either spontaneously or therapeutically before how many weeks of gestation? A. 20 weeks gestation B. 25 weeks gestation C. 26 weeks gestation D. 37 weeks gestation Situation: Nurse Bia is working in a maternity hospital and is managing clients who are experiencing or are at risk of preeclampsia, a serious pregnancy complication characterized by high blood pressure and potential damage to organs. 61. Nurse Bia, a home care nurse, is visiting a pregnant client who has been diagnosed with preeclampsia. During the visit, Nurse Bia assesses the client’s condition. Which of the following findings indicates a worsening of preeclampsia and warrants immediate notification to the primary health care provider (PHCP)? A. Urinary output has increased. B. Dependent edema has resolved. C. Blood pressure reading is at the prenatal baseline. D. The client complains of a headache and blurred vision. 62. Nurse Bia is performing an assessment on a pregnant client in the last trimester with a diagnosis of preeclampsia. She reviews the assessment findings and determines that which finding is most closely associated with a complication of this diagnosis? A. Enlargement of the breasts B. Complaints of feeling hot when the room is cool 4 | Page

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