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IMMACULATE CONCEPTION COLLEGE-ALBAY 
Daraga, AlbayNCM 101 (Care of Mother, Child, and Family)FINAL EXAMINATIONName: _________________________Block: __________ INSTRUCTIONS: Say your prayers. Read each item carefully.Choose the best response to each question and shade thecircle of the corresponding letter in the separate answersheet provided. Keep your answer sheet clean. Do not makeany unnecessary markings on your answer sheet. SRICTLYNO ERASURES. Good luck!1.The functions of the ovaries are the following EXCEPT:A.Produce, mature, and discharge ovaB.Produce oxytocinC.Produce estrogenD.Produce progesterone1.The layer of the uterine wall that grows and thickenseach menstrual cycle in preparation for implantation isthe:A.EndometriumB.MyometriumC.PerimetriumD.Epimetrium1.What type of pelvis is the most favorable for labor anddelivery?A.AndroidB.GynecoidC.PlatypelloidD.Anthropoid1.For a woman having a 30-day cycle, ovulation wouldoccur on:A.Day 13B.Day 14C.Day 15D.Day 161.While discussing the growth and development of thefetus, you were asked by the patient, “During what timein my pregnancy is my baby most vulnerable?” as anurse your best response is:A.“As your baby is forming in the first 2 monthsbecause organ development takes place at thistime.”B.“Throughout your pregnancy.”C.“Near the end of your pregnancy.”D.“Halfway through your pregnancy: around 20 weeksor 5 months.”1.Ellain, a student nurse, is asked by a patient, “Whatdetermines if my baby’s lungs are mature?” Ellain’scorrect response is:A.Fern testB.Nitrazine testC.Phosphatidylglycerol testD.Lecithin-sphingomyelin ratio1.The L/S ratio that indicates fetal lung maturity is:A.2:1B.2:2C.1:2D.1:1
1.
At about 24
th
week of pregnancy the fetus startsproducing surfactant. The function of surfactant is to:A.Lubricate the fetusB.Cushion the fetusC.Increase the surface tension in the alveoliD.Prevent collapse of the alveoli1.The portion of the uterus whose significantcharacteristic is to stretch during childbirth is the:A.CorpusB.FundusC.CervixD.Internal os1.The fetal heart beat can be heard using a Doppler at:
A.
6
th
- 8
th
week
B.
8
th
- 10
th
week
C.
10
th
- 12
th
week
D.
12
th
– 14
th
week1.The fetal heart sounds are audible with an ordinarystethoscope at the end of:
A.
12
th
week
B.
16
th
week
C.
20
th
week
D.
24
th
week1.Which of the following immunoglobulins crosses theplacenta to provide the fetus a temporary passiveimmunity against diseases for which the mother hasantibodies?A.IgAB.IgGC.IgMD.IgE1.The immunoglobulin described in item no. 12 crossesthe placenta during the:
A.
1
st
trimester
B.
2
nd
trimester
C.
3
rd
trimester
D.
4
th
trimester1.At 20 weeks age of gestation, the fundus is:A.Just above the symphysis pubisB.At the level of the umbilicusC.Midway between the symphysis pubis and theumbilicusD.At the level of the xiphoid process1.When teaching a pregnant woman the position tomaximize uterine perfusion, the nurse instructs theclient to lie:A.SupineB.ProneC.On her right sideD.On her left side1.Pregnancy tests are based on detecting the presence of what hormone in the urine or blood serum of a pregnantwoman?A.Human Placental LactogenB.EstrogenC.Human Chorionic GonadotropinD.Progesterone1.Which of the following is NOT a positive sign of pregnancy?A.Positive pregnancy testB.Audible fetal heart tonesC.Fetal movements felt by an examinerD.Fetal outline by ultrasound1.A pregnant woman asks the nurse if the reddish streakson her abdomen will disappear after pregnancy. Thenurse’s best response will be:A.“Yes. That is only transient and will completelydisappear after you give birth.”B.“Yes. That is only a result of overproduction of pigment hormones.”C.“No. Those reddish streaks will be permanent.”D.“No. It will be permanent but it will lighten andbecome barely noticeable.”1.During a prenatal visit, a pregnant woman complains of nasal stuffiness. What will you advise this client for therelief of nasal congestion?A.Oral antihistamineB.Oral decongestantC.Cold compressionD.Saline nasal drops1.A pregnant woman comes to the clinic complaining of lightheadedness, faintness, and palpitations while lyingdown. The nurse based on these data suspects:A.Supine hypotension syndromeB.Orthostatic hypotension
 
C.ShockD.Physiologic anemia1.To prevent the occurrence of vena cava syndrome, thenurse must instruct a pregnant woman to:A.Lie on her right sideB.Lie on her left sideC.Elevate her legs while lying downD.Lie on her back1.What condition is chiefly attributed to cause nausea andvomiting in pregnant women?A.HyperglycemiaB.Decreased serum estrogenC.Decreased serum progesteroneD.Increased serum hCG
1.
 The psychological task during the first trimester is:A.Accepting the babyB.Accepting the pregnancyC.Preparing for parenthoodD.Preparing for childbirth1.What is the common emotional reaction by theexpectant parents during the first trimester?A.Anticipatory role-playingB.ImpatienceC.AmbivalenceD.Narcissism1.To prevent breast discomfort, what kind of bra will youinstruct a pregnant client to wear?A.Firm, supportive bra with wide strapsB.Firm, supportive bra with narrow strapsC.Loose, push-up bra with wide strapsD.Loose, push-up bra with narrow straps1.What would you instruct a pregnant woman on what touse for washing her breasts?A.Antibacterial soap and waterB.Mild soap and waterC.Water onlyD.Diluted hydrogen peroxide solution1.A pregnant woman asks the nurse what is the bestexercise during pregnancy. The nurse correctlyresponds by saying that it is:A.SwimmingB.JoggingC.BoxingD.Walking1.Which of the following would be a favorable sleepingposition for a pregnant woman?A.ProneB.SupineC.Modified trendelenburgD.Modified Sims’1.A nurse teaching a primigravid client about preventionof constipation in pregnancy. Which statement if madeby the client indicates the need for further teaching bythe nurse?A.“I need to drink at least 8 oz of fluids in a day.”B.“I have to move my bowel regularly.”C.“I need to exercise regularly.”D.“I should avoid roughage in my diet.”1.Which of the following will be helpful in reducing thepressure on rectal veins in a pregnant woman havinghemorrhoids?A.Knee-chest position for 10-15 minutes dailyB.Prone position for 10-15 minutes dailyC.Semi-Fowler’s position for 10-15 minutes dailyD.High-Fowler’s position for 10-15 minutes dailySituation: Mrs. Evangelista comes to the prenatal clinic forher first prenatal visit after testing positive for pregnancyusing a home test kit.
For Item Nos. 31 to 38, refer to the above situation.
1.What is the primary importance of the first prenatalvisit?A.It facilitates detection of congenital anomalies.B.It provides the opportunity to obtain the client’sbaseline dataC.It determines cephalopelvic proportion.D.It serves as the best opportunity for clientpreparation for labor and delivery.1.Which of the following is NOT includes in the firstprenatal visit?A.Leopold’s maneuverB.Complete physical examinationC.Laboratory testsD.Extensive health history1.As part of gathering Mrs. Evangelista’s health history,you asked for her last menstrual period (LMP) andlearned that it was last September 25. Using this data,when is Mrs. Evangelista’s expected date of delivery?A.June 29B.June 30C.July 1D.July 2
1.
Mrs. Evangelista asked you how often she should haveher prenatal visits. Knowing that she is in her 4
th
weekof pregnancy, you will tell her to come to the clinic:A.Every weekB.Every 2 weeksC.Every 3 weeksD.Every 4 weeks1.You will also tell Mrs. Evangelista that from week 32 toweek 36 of her pregnancy, she will have to visit theclinic:A.Every weekB.Every 2 weeksC.Every 3 weeksD.Every 4 weeks1.How frequent should a woman on her 36 weeks age of gestation onwards have her prenatal visit?A.Every weekB.Every 2 weeksC.Every 3 weeksD.Every 4 weeks
1.
Mrs. Evangelista has had 3 previous pregnancies. Herfirstborn was delivered full term and is now 7 years old.She had a miscarriage with her second pregnancy. Onthe third time she became pregnant, she bore twins onits 35
th
week of gestation. One of the twins did notsurvive and died just after 2 days following birth but theother one has survived and is now 4 years old. Mrs.Evangelista is presently pregnant and is on her 4 weeksage of gestation. Using the GTPALM format, determineMrs. Evangelista’s OB Score based on the given data.A.Gravida 4, Para 11122B.Gravida 4, Para 11121C.Gravida 4, Para 12122D.Gravida 4, Para 121211.During the first prenatal visit, the nurse should teachthe client how to identify danger signs of pregnancy andto immediately report any of these signs if they occur.Which of the following is NOT a danger sign of pregnancy?A.Continuous and severe headacheB.Blurring of visionC.Swelling of the ankleD.Bleeding from the vagina1.For the first trimester, how much is the recommendedweight gain of a pregnant woman?A.1 kg per weekB.1 kg per monthC.0.4 kg per weekD.0.4 kg per month1.For the second and third trimester, how much is therecommended weight gain of a pregnant woman?A.1 kg per weekB.1 kg per monthC.0.4 kg per week
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