PLT COLLEGE INC.

Bayombong, Nueva Vizcaya

Institute of Health Sciences- College of Nursing

Primary Health Care

Final Examination

Name: __________________________ Score: ______________

Date/ Time: ______________________ Instructor: __________

Multiple Choice: Place the Best letter answer on the space provided. Strictly NO ERASURES or
SUPERIMPOSITIONS.

_____1. This is a type of abortion which may be therapeutically done or for elective reasons.
a) Spontaneous b) Induced c) Inevitable d) Habitual
_____2. Spontaneous abortions in three or more successive pregnancies.
a) Spontaneous b) Habitual c) Inevitable d) Induced
_____3. Retention of products of conception in utero after fetal death.
a) Incomplete b) missed c) complete d) inevitable
_____4. Abortion due to infection.
a) induced b) Septic c) Inevitable d) Habitual
_____5. It is the cutting of a portion in the Vas deferens of a male which permanently causes sterility.
a) Tubal Ligation b) Vasectomy c) BTL d) TAHBSO
_____6. The aspiration of amniotic fluid from the pregnant’s uterus for examination of genetic disorders
a) Dialysis b) Amniocentesis c) Paracentesis d) Synthesis
_____7. Increased amount of the Alpha Feto Protein would probably indicate:
a) Autism b) Neural Tube Defects c) Chromosomal Abnormality d) Retardation
_____8.Decreased amount of the Alpha Feto Protein would probably mean:
a) Retardation b) Chromosomal Abnormality c) Autism d) Neural Tube Defects
_____9.The most common anemia experienced by mothers and female adolescents
a) Folic Deficiency b) Iron Deficiency anemia c) Sickle Cell d) Thallasemia
_____10.When is Breast self examination best performed?
a) 1 month after menses b) a week after menses c) after a warm shower d) NOTA
_____11.The following are danger signs of pregnancy EXCEPT:
a) Hegar’s Sign b) chills and fever c) Eclampsia d) Vaginal Bleeding
_____12.Pingket experiences morning sickness every now and then, nurse Apple initiated nursing
interventions to cause comfort to the pregnant mother, all of the following are correct EXCEPT:
a) Give anti-emetics c) Give small frequent meals
b) Give dry crackers upon arising from bed d) give ice chips
_____13. Gerlie Beth is a first time expectant mother, and she was worried with the unusual tenderness
of her breast, what could you implement as a nurse to ease the discomfort the client is feeling?
a) Ensure that she has a well-fitted bra c) do nothing; this is normal in pregnancy
b) Apply cold compress d) put patient in prone position
_____14.Ginalyn experiences heartburn (pyrosis) every time she eats her meal, as a nurse, you can
employ all of the following EXCEPT:
a) Adding more food to the usual meal c) eat small frequent meals
b) Drink milk between meals d) consult physician about appropriate antacids
_____15.Chazelle is pregnant for the first time, she experiences episodes of headache during the course
of pregnancy, as a nurse what could you employ to relieve the headache?
a) Change position slowly c) Contact the physician
b) Let the patient walk in the corridor d) apply warm compress
_____16.The following interventions could be performed to pregnant moms with constipation EXCEPT:
a) Let the patient rest the entire day c) increase fluid intake
b) Eat high fiber foods d) avoid mineral oil
_____17.The following are natural family planning methods EXCEPT:
a) Ligation b) Calendar c) Abstinence d) Cervical Mucus Method
_____18.All but one are classified under Artificial forms of contraception EXCEPT:
a) BBT b) Diaphragm c) Condom c) Pills
_____19. This refers to the vaginal environment
a) Vulva b) Mons Pubis c) Hymen d) Fourchette
_____20. A muscular organ that acts as the organ for intercourse in females & conveys sperm to the
cervix.
a) Vagina b) Uterus c) Fallopian Tube d) Urethral Orifice
_____21. Chrislyne has been working as a nurse for 2 years at St. Luke’s Hospital OB Ward already,
therefore she knows that the normal Fetal heart tone is:
a) 60-100 bpm b) 12-20 bpm c) 25- 60 bpm d) 120-160 bpm
_____ 22. Marissa is a colleague of Chrislyne at the OB ward for 2 years now, she knows also that the
most common fetal position is:
a) Right Occiput Anterior c) Left Occiput Posterior
b) Right Occiput Posterior d) Left Ociput Anterior
_____ 23.Donalyn, a nurse-midwife knows that to determine the fetal position, presentation, lie and
attitude, this systematic method of observation and palpation must be performed.
a) Lord’s Maneuver c) Heimlich Maneuver
b) Levine Maneuver d) Leopold’s Maneuver
_____ 24. This phase of the human sexual response when there is physical and psychologic stimulation
leading to arterial dilation and venous constriction.
a) Resolution b) Orgasm c) Plateau d) Excitement
_____ 25. The period during which the external and internal genital organs return to unaroused state
a) Excitement b) Plateau c) Orgasm d) Resolution
_____ 26.this is the persistent, excessive vomiting that causes dehydration and starvation during
pregnancy.
a) Nausea b) H Mole c) GERD d) Hyperemesis Gravidarum
_____ 27. This refers to the cessation of menses
a) Menorrhagia b) metrorrhagia c) Dysmenorrhea d) Menopause
_____ 28. Client is not and never has been pregnant
a) Primipara b) Multipara c) Nullipara d) Nulligravida
_____ 29. Princess Kien is a 2nd year nursing student; therefore she is already knowledgeable that
quickening (first movement of the fetus felt by the mother) is a sign of pregnancy under:
a) Probable b) Positive c) Possible d) Presumptive
_____ 30. Jemilee Faith is assessing patient Jaybee, she found out that the pregnant patient’s cervix
softens, she distinguish this as a sign of pregnancy under what classification:
a) Positive b) Possible c) Presumptive d) Probable
_____ 31. This refers to the softening of the lower segment of the uterus
a) Goodell’s Sign b) Chadwick’s Sign c) Hegar’s Sign d) Cullen’s Sign
_____ 32. Purplish discoloration of the vaginal mucosa
 a) Hegar’s Sign b)Homan’s Sign c) Chadwick’s Sign d) Goodell’s Sign
_____ 33. The rebound motion by the fetus against examiner’s fingers during palpation
a) Lightening b) Show c) Ballottement d) Braxton Hicks
_____ 34.All of the following are positive signs of pregnancy EXCEPT:
a) (+) FHT/FHR b) X-ray c) (+) Pregnancy Test d)(+) Fetal Movements
_____ 35. Ethel Vhee, newly married, suspects that she is pregnant, hence seeks consultation at the
health center. Which of the following is a positive sign that Ethel Vhee is pregnant?
a) Amenorrhea b) Chadwick’s Sign c) fetal cardiac activity in Ultrasound d) quickening
_____ 36. Brivialaine expresses her fear of Doctor’s examination. Which of the following is the BEST
response by the nurse?
a) “You must get used to it because you will be examined regularly”
b) “the doctor on duty is the best in the area”
c) “ you need not be afraid, I’ll be by your side”
d) “ Would you like to tell me why you’re afraid”
_____ 37.Concea is on her 9th month already, what then is the frequency of visit for prenatal check-up?
a) Every other week b) every week c) twice a week d) as needed
_____ 38. Which of the following term refers to the pain experienced during ovulation?
a) Goodel’s Sign b) hegar’s sign c) Mittel Smerchz d) Spinnbarkeit
_____ 39. Anemia is very common during pregnancy due to hemodilution, that’s why patients are given
this mineral to supplement in the haemoglobin synthesis.
a) Calcium b) Iodine c) Iron d) Phosphorous
_____ 40. This term refers to excessive salivation during pregnancy.
a) Nausea b) steatorrhea c) hyperptyalism d) dysphagia
_____ 41. The mission of the DOH is stated as:
a) Ensure accessibility and quality of health care to improve the quality of life of all Filipinos,
especially the poor
b) To strengthen the health care system by increasing opportunities and supporting the conditions
wherein people will manage their own health care.
c) To reach all pregnant women, to give sufficient care to ensure a healthy pregnancy.
d) To reduce the mortality and morbidity rates of infants
_____ 42. The following are basic principles to achieve improvement in health EXCEPT:
a) The epidemiological shift from cancerous diseases to infectious diseases must be managed
b) Universal access to basic health services
c) The health and nutrition of vulnerable groups must be prioritized
d) The performance of the health sector must be enhanced
_____ 43. All of the following are programs of the DOH EXCEPT:
a) Alay Kapwa Program b) Osteoporosis Program c) Accupressure d) SSM
_____ 44. This is a project of the DOH in cooperation with NGO’s which shall solicit 1 million
toothbrushes from concerned citizens to be donated to the depressed areas of the country.
a) Sang Milyong Sepilyo Project c) Lovah Palooza
b) Colgate: Alis Tooth Decay Project d) Hapee Toothpaste: Balik Ngipin Project
_____ 45. Aside from directly applying fluoride into the teeth of patients by the dentist, what other way
can we put on fluoride in prevention of tooth decays.
a) Adding it to the community water supply c) applying it directly is the only way
b) Adding it into the rice we eat d) NOTA
_____ 46. Senior Citizen’s Act
a) R.A. 7432 b) R.A. 7876 c) R.A. 9173 d) LOI 949
_____ 47.Senior Citizen’s Center Act of the Philippines
 a) R.A. 7876 b) R.A. 9173 c) R.A. 7432 d) LOI 949
_____ 48.What is the main component of the Sentrong Sigla Movement
a) Certification and recognition program c) improvement assistance
b) Better collaboration with the LGU d) for personal gain
_____ 49.This is a pillar of SSM wherein it’s responsible for financial assistance to assist LGU and to have
access to pool of experts.
a) Grants & technical assistance pillar c) health promotion pillar
b) Quality assurance pillar d) Award Pillar
_____ 50. Another pillar of SSM that is responsible for setting standards and requirements for SSM
a) Quality assurance pillar c) Grants & technical assistance pillar
b) health promotion pillar d) Award Pillar
_____ 51. A method of maintaining health, treating diseases and alleviating pain by applying pressure at
certain point on the body surface.
a) Reflexology b) Acupressure c) Acupuncture d) Yoga
_____ 52. Ancient Chinese believes that life is a result of:
a) Qi b) Yi c) xi d) Mi
_____ 53. Manipulation of reflex zones most commonly performed on feet.
a) Yoga b ) Reflexology c) Acupuncture d) Acupressure
_____ 54. The fleshy prominent part of the hand at the base of the thumb is used in acupressure, what
type of manipulation is utilized?
a) Thenar b) hypothenar c) Elbow pressure d) thumb pressure
_____ 55. What about if the fleshy prominent part of the hand at the base of the little finger was
manipulated in acupressure?
a) thumb pressure b) Thenar c) Elbow pressure d) hypothenar
_____ 56. What is the frequency of acupressure in chronic diseases?
a) 4-5 times b) 2-3 times c) 1-2 times d) 10-20 times
_____ 57. The following are contraindications to acupressure EXCEPT:
a) Old age b) pregnancy c) full stomach d) hypertensive
_____ 58. This is a method of locating points in the body using patient’s own hands or fingers as basis
for measurement.
a) Use of anatomical landmarks c) Qi measurements
b) Tsun measurements d) metric measurements
_____ 59. The dominant, masculine and positive result of life.
a) Yang b) Yoyong c) Yaya d) Yin
_____ 60. The weaker, feminine and negative result of life
a) Yang b) Yoyong c) Yaya d) Yin
_____ 61. Arnel is a registered nurse; he works at Veteran’s Regional Hospital. He doesn’t want to go
abroad because he promised that he won’t leave the country. Arnel dreamt of becoming a Nurse
supervisor, how many years will he gain first before becoming a Provincial Nurse Supervisor?
a) 3 b) 5 c) 8 d) 10
_____ 62. How about the experience requirement for Mark Dave who wants to become a Regional
Training Nurse?
a) 6 b) 2 c) 8 d) 4
_____ 63. P-jay an RN, have finished his Master’s Degree, and completed trainings required him wants
to become an instructor. What more is required from him to fulfil his dream of becoming one?
a) Doctor’s Degree c) Education units
b) None; all requirements were met d) NCLEX Passer
_____ 64. Identify the proper arrangement of a Clinic Visit.
 a) Pre-Consultation, Medical Examination, Nursing Intervention, Post Consultation
b) Pre- Consultation, Nursing Intervention, Medical Examination, Post Consultation
c) Pre- Consultation, Medical Examination, Aftercare, Nursing Intervention
d) Pre- Consultation, Nursing Intervention, Aftercare, Post Consultation
_____ 65. Identify the proper order of activities during medical exam in Clinic Visit
i. Assist client before, during, and after examination
ii. Work with the physician during the examination
iii. Observe confidentiality
iv. Ensure privacy, safety and comfort
v. Inform physician regarding relevant findings
a) I,ii, iii. Iv, v b) I, iii, ii, v, iv c) I, v, iv, ii, iii d) I, v, ii, iv, iii
_____ 66. This is a professional face to face encounter made by the nurse to the patient/family to
provide necessary health care services.
a) Clinic Visit b) Home Visit c) Hospital Visit d) Balikbayan
_____ 67. The following are determinants on the frequency of Home Visit EXCEPT:
a) Family’s Social Caste c) Ability to recognize own need
b) Physical, Psychological and educational needs d) Policy of a given agency
_____ 68. The following are purposes of Home Visit EXCEPT:
a) To give health teachings c) assess the living condition of the family
b) To solicit ideas and help d) to render nursing care
_____ 69. Identify the correct principle of a Home Visit
a) Use of available information c) Flexible and impractical
b) Purpose must be ambiguous d) recognized needs must be least prioritized
_____ 70. This is the MOST IMPORTANT principle of bag technique
a) Must show the effectiveness of total care given c) save time and effort
b) Should not overshadow concern for the patient d) prevention of infection
_____ 71. A tool making use of a public health bag through which the nurse can perform procedures
with ease and deafness.
a) Thermometer technique c) Operating Room Technique
b) Bag technique d) first aid technique
_____ 72. How many times are you allowed to open the bag in one home visit?
a) 3 b) 2 c) 4 d) unlimited
_____ 73. How to clean the Thermometer after using it?
a) From bulb to stem c) can be done either ways
b) No specific way of cleaning it d) from stem to bulb
_____ 74. The following are examples on how to get the surface temperature EXCEPT:
a) Tympanic area b) Rectal c) Bladder d) Oral
_____ 75. A method of checking a client’s temperature with due attention given to cleanliness of the
thermometer that is used.
a) Thermometer technique c) Operating Room Technique
b) Bag technique d) first aid technique
_____ 76. This is the place where the First International Conference on Primary Health Care was held.
a)Geneva, Switzerland c) Ottawa, Canada
b) Alma Ata, USSR d) Vienna, Austria
_____ 77. A scientific and systematized approach to health care for individuals, families, and community
for health promotion and disease prevention.
a) Health Care Process c) Health Deficit
b) Health Continuum Model d) Foreseeable Crisis
_____ 78. The Primary Components of PHC includes
a) Immunization c)Sanitation
b) Health Education d) AOTA
_____ 79.The primary source of data.
a) Doula c) Client
b) Health Personnel d) Support Persons
_____ 80. These are indicators that tell us about changes in client’s condition.
a) Vital Signs c) Vital Organs
b) Vital Statistics d) Vitality
_____ 81. It is a way of examining the client from head to toe?
a) Body System Approach c) Review Of SystemsApproach
b) Cephalocaudal Approach d) Proximo-distal Approach
_____ 82. You have noted that the head of the baby is bigger than his chest, what is your nursing
priority?
a) Document. This is just a normal finding.
b) Report to the physician what you have noted because this is a medical emergency.
c) Tell the parents that their child is mentally retarded.
d) Schedule the child for an X-ray and have his head checked.
_____ 83. It is the enlargement of the male breasts due to accumulation of fat tissues or hormonal
fluctuations?
a) Menarche c) Adrenarche
b) Thelarche d) Gynecomastia
_____ 84. It is actually the first menstruation.
a) Adrenarche c) Menarche
b) Thelarche d) Gynecomastia
_____ 85. Refers to the female child’s attraction for her father & hostile attitudes towards the mother.
a) Electra Complex c) Oedipal Complex
b) Electrical Complex d) Landau Reflex
_____ 86. It is the time were the first tooth will most probably erupt?
a) 4 months c) 8 months
b) 6 months d) 1 year
th- th
_____ 87. During the 7 9 month, the child experiences this type of fear?
a) Stranger Anxiety c) Panic Anxiety
b) Separation Anxiety d) Claustrophobia
_____ 88. Refers to unequal pupil size
a) Myopia c) Nystagmus
b) Hyperopia d) Anisocoria
_____ 89. What do you call the difference between the diastolic and systolic pressures
a) Diastolic Pressure c) Pulse Pressure
b) Systolic Pressure d) Peer Pressure
_____ 90. . A reflex were infant toes fan, there is dorsiflexion of the great toe when one foot is stroked
upward form and across ball of foot in a “J” motion.
a) Babinski Reflex c) Palmar Grasp
b) Extrusion Reflex d) Landau

90-95. Janette had the first day of her first menstrual period on December 10 and the last day on
December 15. She visits the clinic with complaint of amenorrhea (absence of menstruation) for three
consecutive months. If indeed Janette is pregnant, what then is her most probable expected date of
confinement? Show your solution (5 points), use the back page for your answers.

96-97. Convert 32 °C to °F..

98-99. Convert 95 °F. to °C

100. What is your assessment on the Exam? Encircle your answer

a) Very Easy c) Difficult
b) Easy d) Very Difficult

FAITH and PRAYER are invisible, but they make impossible things possible.
It’s God’s part to do the wonders, ours is the simplest part:
To TRUST and PRAY.
-princerenerpera-