1.

During an assessment of a prenatal client with a history of left sided heart failure, a nurse note
that the client is experiencing unusual episodes of nonproductive cough on minimal exertion.
The nurse interprets that this finding may be an early manifestation of which cardiac problem?
a. Orthopnea
b. Decreased blood volume
c. Right-sided heart failure
d. Pulmonary edema
2. A prenatal client has been diagnosed with a vaginal infection from the organism Candida
ablicans. Which findings would the nurse expect to note on assessment of client?
a. Absence of any signs and symptoms
b. Pain, itching and vaginal discharge
c. Proteinuria, hematuria, edema and Hypertension
d. Costovertebral angle pain
3. A prenatal client is suspected of having iron deficiency anemia. Which finding would the nurse
expect to note regarding the nurse status?
a. Low hemoglobin and hematocrit level
b. High hemoglobin and hematocrit level
c. Excess fluid volume
d. Deficient fluid volume
4. A 33 year-old female is admitted to the hospital with a suspected diagnosis of Grave’s disease.
Which symptom related to client menstrual cycle would the client most likely report?
a. Dysmenorrhea
b. Metrorrhagia
c. Amenorrhea
d. Menorrhagia
5. A Hepatitis screen is performed to a pregnant client, and the result indicates the presence of
antigens in the maternal blood. Which of the following would the nurse anticipate to be
prescribed?
a. Repeat hepatitis screen
b. Retesting the mother in 1 week
c. Administration of hepatitis vaccine and hepatitis B globulin to the neonate within 12
hours after birth
d. Administration of antibiotics during pregnancy
6. A nurse is performing assessment on a client. She asks the client when the first day of LMP was,
the client reports February 9, 2007. Determine the estimated date of confinement
a. October 16, 2007
b. November 16, 2007
c. October 7, 2007
d. November 7, 2007
SITUATION: A nurse is preparing to measure the fundal height of Mrs. Luna who is 36 weeks
gestation.
7. To perform the procedure, the nurse would place the client on:
 a. Turn the client onto her left side
b. Instruct the client to lie in prone position
c. Place in prone position with head of bed elevated
d. Assist the client in standing position
8. Mrs. Luna complains of feeling of light-headedness. The nurse determines the client’s complaint
is most likely caused by:
a. Fear
b. Compression of vena cava
c. Full bladder
d. Anemia
9. A nurse in the prenatal clinic is monitoring a client who is pregnant with twins. The nurse
monitor closely for which complication that is most likely associated with this condition?
a. Post term labor
b. Hemorrhoids
c. Gestational diabetes
d. Maternal anemia
10. Mrs. Tapang with heart disease carefully assessed vital signs, weight and fluid and nutritional
status by the nurse to detect for complications caused by:
a. Hypertrophy and increased contractility of the heart
b. The increase circulating heart volume
c. Fetal cardiomegaly
d. Rh incompatibility
11. A client is in labor has a concurrent diagnosis of sickle cell anemia. Because the client is at risk
for sickling crisis, which action is the priority to assist in preventing a crisis from occurring during
labor?
a. Reassure the client
b. Administer O2 throughout labor
c. Maintain strict asepsis
d. Prevent bearing down
12. When measuring the fundal height, the nurse will likely expect the measurement to:
a. Be greater than gestational age
b. Be lesser than gestational age
c. Correlate with gestational age
d. Have no correlate to gestational age
13. Mrs. Aquino a 30 weeks gestation with cardiac disease visits the clinic. The nurse assesses lung
sounds in the lower lobes following a routine BP screening. The nurse performs this assessment
to:
a. Identify cardiac dysrhythmias
b. Rule the possibility of pneumonia
c. Assess early sign of congestive heart failure
d. Identify mitral valve prolapsed
14. The patient have iron-deficiency anemia. The nurse performs assessment on the client expecting
to note which of the following symptoms?
a. Pink, mucous membrane
b. Complaints of headache and fatigue
c. Increased vaginal secretion
d. Complaints of frequency of voiding
15. A nurse is caring for a pregnant client with a history of HIV. Which nursing diagnosis formulated
by the nurse has the highest priority for this client?
a. Self-care deficit
b. Risk for infection
c. Imbalanced nutrition
d. Activity intolerance
16. A nurse is preparing to check the fetal heart rate of pregnant woman who is at gestational week
20 week. Which piece of equipment will the nurse most appropriately use to check the fetal
heart rate?
a. An adult stethoscope
b. Bell of stethoscope
c. Fetal heart monitor
d. Fetoscope

SITUATION: Mrs. Ablaza who has Type I DM is at 10 weeks’ gestation and receiving care.
17. The nurse tells the client about early sign of hyperglycemia is:
a. Increased urination
b. Nervousness
c. Shakiness
d. Hunger
18. Mrs. Ablaza is admitted because of metabolic acidosis caused by diabetic ketoacidosis (DKA).
The nurse administers which of the following medications as a primary initial treatment for this
problem?
a. Sodium bicarbonate
b. Calcium gluconate
c. Potassium
d. Regular insulin
19. A client is arrived in the labor and delivery unit in active labor. The nursing assessment reveals a
history of recurrent genital herpes and the presence of lesions in the genital tract. The nurse
plans to:
a. Limit visitors and maintain reverse isolation
b. Prepare the client for vaginal delivery
c. Rupture the membranes artificially, looking for meconium-stained fluid
d. Prepare client for cesarean delivery
 20. A pregnant client tests positive for the hepatitis B virus. The client asks the nurse if she will be
able to breastfeed the baby as planned after delivery. The nurse response correctly if she tells
the client?
a. “You will not be able to breastfeed the baby until 6 months after delivery.”
b. “Breastfeeding is not a problem, and you will be able to breastfeed immediately after
delivery.”
c. “Breastfeeding is allowed if the baby receives prophylaxis at birth and remains on the
scheduled immunization.”
d. ‘Breastfeeding is not advised, and you should seriously consider bottle-feeding the baby.”
SITUATION: Mrs. Cruz a 1 day post partum primipara, is Rh negative and has delivered Rh positive 7
pounds daughter. She is to receive Rhogam.
21. Which action is essential before administration?
a. Re-verify the baby’s blood type
b. Assess the paternal Rh factor
c. Determine if Mrs. Cruz’s Coomb test result is negative
d. Assess maternal temperature
22. Which of the ff. best describe how rhogam acts in the maternal system?
a. It attaches to maternal anti-Rh antibodies and directly destroy them
b. It suppresses the immunological production of maternal antibodies
c. It destroy fetal Rh positive in maternal circulation
d. It prevents fetal-maternal bleeding episodes from occurring at the former placental site
23. The Rh factor is:
I. A normal constituent of blood of all people
II. Sometime the cause of erythroblastosis fetalis in newborn when mother is Rh negative
and the fetus is Rh positive
III. Responsible, when introduced in the bloodstream, for the production of antibodies in
some Rh negative individuals
a. I,II
b. I, II, III
c. I only
d. II only
24. Complication of Rh incompatibility in the fetus include the following except:
a. Erythroblastosis fetalis
b. Hydrops fetalis
c. Kernicterus
d. Macrosomia
25. Increase in blood volume during pregnancy is:
a. 10-30%
b. 60-100%
c. 30-50%
d. 20-40%
26. The danger of anemia during pregnancy is:
 a. Increase demand of oxygen
b. Decrease in the oxygen distribution
c. Increase in plasma blood volume
d. Hemoconcentration
27. To enhance the absorpstion of FeSO4 for anemic patients. Which of the following should be
included in your health teaching?
a. Take FeSO4 with orange juice
b. Take FeSO4 with meals
c. Take FeSO4 with straw
d. Expect your stool to be darkened
28. Which of the following food groups can anemic mother take to increase her Iron?
a. Bread, butter, rice
b. Pork, chicken, fish
c. Milk, cheese, ice cream
d. Egg yolks, cereal, green leafy vegetables