Professional Documents
Culture Documents
2. Betina 30 weeks AOG discharged with a diagnosis of placenta previa. The nurse knows that the client
understands her care at home when she says:
A. I am happy to note that we can have sex occasionally when I have no bleeding.
3. The uterus has already risen out of the pelvis and is experiencing farther into the abdominal area at
about the:
4. Which of the following urinary symptoms does the pregnant woman most frequently experience
during the first trimester:
A. frequency
B. dysuria
C. incontinence
D. burning
5. Mrs. Jimenez went to the health center for pre-natal check-up. the student nurse took her weight and
revealed 142 lbs. She asked the student nurse how much should she gain weight in her pregnancy.
A. 20-30 lbs
B. 25-35 lbs
C. 30- 40 lbs
D. 10-15 lbs
6. The nurse is preparing Mrs. Jordan for cesarean delivery. Which of the following key concept should
the nurse consider when implementing nursing care?
B. Modify preoperative teaching to meet the needs of either a planned or emergency cesarean
birth.
C. Arrange for a staff member of the anesthesia department to explain what to expect post-
operatively.
D. Instruct the mother’s support person to remain in the family lounge until after the delivery.
7. Bettine Gonzales is hospitalized for the treatment of severe preecplampsia. Which of the following
represents an unusual finding for this condition?
A. generalized edema
B. proteinuria 4+
D. convulsions
8. Nurse Geli explains to the client who is 33 weeks pregnant and is experiencing vaginal bleeding that
coitus:
9. Mrs. Precilla Abuel, a 32 year old mulripara is admitted to labor and delivery. Her last 3 pregnancies in
short stage one of labor. The nurses decide to observe her closely. The physician determines that Mrs.
Abuel’s cervix is dilated to 6 cm. Mrs. Abuel states that she is extremely uncomfortable. To lessen Mrs.
Abuel’s discomfort, the nurse can advise her to:
11. Mrs. Quijones gave birth by spontaneous delivery to a full term baby boy. After a minute after birth,
he is crying and moving actively. His birth weight is 6.8 lbs. What do you expect baby Quijones to weigh
at 6 months?
A. 13 -14 lbs
B. 16 -17 lbs
C. 22 -23 lbs
D. 27 -28 lbs
12. During the first hours following delivery, the post partum client is given IVF with oxytocin added to
them. The nurse understands the primary reason for this is:
A. To facilitate elimination
C. To promote analgesia
D. To prevent infection
13. Nurse Luis is assessing the newborn’s heart rate. Which of the following would be considered normal
if the newborn is sleeping?
14. The infant with Down Syndrome should go through which of the Erikson’s developmental stages
first?
15. The child with phenylketonuria (PKU) must maintain a low phenylalanine diet to prevent which of
the following complications?
B. Kidney failure
C. Blindness
D. Neutropenia
16. Which age group is with imaginative minds and creates imaginary friends?
A. Toddler
B. Preschool
C. School
D. Adolescence
17. Which of the following situations would alert you to a potentially developmental problem with a
child?
C. Cooing at 3 months.
18. Isabelle, a 2 year old girl loves to move around and oftentimes manifests negativism and temper
tantrums. What is the best way to deal with her behavior?
A. Tell her that she would not be loved by others is she behaves that way..
C. Ignore her behavior as long as she does not hurt herself and others.
19. Baby boy Villanueva, 4 months old, was seen at the pediatric clinic for his scheduled check-up. By
this period, baby Villanueva has already increased his height by how many inches?
A. 3 inches
B. 4 inches 8.5 cm
C. 5 inches
D. 6 inches
20. Alice, 10 years old was brought to the ER because of Asthma. She was immediately put under
aerosol administration of Terbutaline. After sometime, you observe that the child does not show any
relief from the treatment given. Upon assessment, you noticed that both the heart and respiratory rate
are still elevated and the child shows difficulty of exhaling. You suspect:
A. Bronchiectasis
B. Atelectasis
C. Epiglotitis
D. Status Asthmaticus
21. Nurse Jonas assesses a 2 year old boy with a tentative diagnosis of nephroblastoma. Symptoms the
nurse observes that suggest this problem include:
22. Which of the following danger sings should be reported immediately during the antepartum period?
A. blurred vision
B. nasal stuffiness
C. breast tenderness
D. constipation
23. Nurse Jacob is assessing a 15 month old child with acute otitis media. Which of the following
symptoms would the nurse anticipate finding?
24. Which of the following is the most appropriate intervention to reduce stress in a preterm infant at
33 weeks gestation?
D. Kangaroo care
25. The parent of a client with albinism would need to be taught which preventive healthcare measure
by the nurse:
1. (A) that extended their anal sphincter. Third degree laceration involves all in the second degree
laceration and the external sphincter of the rectum. Options B, C and D are under the second
degree laceration.
2. (C) I will have to remain in bed until my due date comes. Placenta previa means that the
placenta is the presenting part. On the first and second trimester there is spotting. On the third
trimester there is bleeding that is sudden, profuse and painless.
3. (D) 18th week of pregnancy. On the 8th week of pregnancy, the uterus is still within the pelvic
area. On the 10th week, the uterus is still within the pelvic area. On the 12th week, the uterus
and placenta have grown, expanding into the abdominal cavity. On the 18th week, the uterus
has already risen out of the pelvis and is expanding into the abdominal area.
4. (A) frequency. Pressure and irritation of the bladder by the growing uterus during the first
trimester is responsible for causing urinary frequency. Dysuria, incontinence and burning are
symptoms associated with urinary tract infection.
5. (B) 25-35 lbs. A weight gain of 11. 2 to 15.9 kg (25 to 35 lbs) is currently recommended as an
average weight gain in pregnancy. This weight gain consists of the following: fetus- 7.5 lb;
placenta- 1.5 lb; amniotic fluid- 2 lb; uterus- 2.5 lb; breasts- 1.5 to 3 lb; blood volume- 4 lb; body
fat- 7 lb; body fluid- 7 lb.
6. (B) Modify preoperative teaching to meet the needs of either a planned or emergency cesarean
birth. A key point to consider when preparing the client for a cesarean delivery is to modify the
preoperative teaching to meet the needs of either planned or emergency cesarean birth, the
depth and breadth of instruction will depend on circumstances and time available.
8. (C) Should be restricted because it may stimulate uterine activity.. Coitus is restricted when
there is watery discharge, uterine contraction and vaginal bleeding. Also those women with a
history of spontaneous miscarriage may be advised to avoid coitus during the time of pregnancy
when a previous miscarriage occurred.
9. (D) assume Sim’s position. When the woman is in Sim’s position, this puts the weight of the
fetus on bed, not on the woman and allows good circulation in the lower extremities.
10. (A) The anterior is large in shape when compared to the posterior fontanel.. The anterior
fontanel is larger in size than the posterior fontanel. Additionally, the anterior fontanel, which is
diamond shaped closes at 18 month, whereas the posterior fontanel, which is triangular in
shape closes at 8 to 12 weeks. Neither fontanel should appear bulging, which may indicate
increases ICP or sunken, which may indicate hydration.
11. (A) 13 -14 lbs. The birth weight of an infant is doubled at 6 months and is tripled at 12 months.
12. (B) To promote uterine contraction. Oxytocin is a hormone produced by the pituitary gland that
produces intermittent uterine contractions, helping to promote uterine involution.
13. (B) 100 beats per minute. The normal heart rate for a newborn that is sleeping is approximately
100 beats per minute. If the newborn was awake, the normal heart rate would range from 120
to 160 beats per minute.
14. (D) Trust vs. Mistrust. The child with Down syndrome will go through the same first stage, trust
vs. mistrust, only at a slow rate. Therefore, the nurse should concentrate on developing on bond
between the primary caregiver and the child.
15. (A) Irreversible brain damage. The child with PKU must maintain a strict low phenylalanine diet
to prevent central nervous system damage, seizures and eventual death.
16. (B) Preschool. During preschool, this is the time when children do imitative play, imaginative
play—the occurrence of imaginative playmates, dramatic play where children like to act, dance
and sing.
17. (D) Saying “mama” or “dada” for the first time at 18 months of age.. A child should say “mama”
or “dada” during 10 to 12 months of age. Options A, B and C are all normal assessments of
language development of a child.
18. (C) Ignore her behavior as long as she does not hurt herself and others.. If a child is trying to get
attention or trying to get something through tantrums—ignore his/her behavior.
19. (B) 4 inches. From birth to 6 months, the infant grows 1 inch (2.5 cm) per month. From 6 to 12
months, the infant grows ½ inch (1.25 cm) per month.
20. (D) Status Asthmaticus. Status asthmaticus leads to respiratory distress and bronchospasm
despite of treatment and interventions. Mechanical ventilation maybe needed due to
respiratory failure.
21. (D) Abdominal mass and weakness. Nephroblastoma or Wilm’s tumor is caused by chromosomal
abnormalities, most common kidney cancer among children characterized by abdominal mass,
hematuria, hypertension and fever.
22. (A) blurred vision. Danger signs that require prompt reporting are leaking of amniotic fluid,
blurred vision, vaginal bleeding, rapid weight gain and elevated blood pressure. Nasal stuffiness,
breast tenderness, and constipation are common discomforts associated with pregnancy.
23. (B) irritability, purulent drainage in middle ear, nasal congestion and cough. Irritability, purulent
drainage in middle ear, nasal congestion and cough, fever, loss of appetite, vomiting and
diarrhea are clinical manifestations of otitis media. Acute otitis media is common in children 6
months to 3 years old and 8 years old and above. Breast fed infants have higher resistance due
to protection of Eustachian tubes and middle ear from breast milk.
24. (D) Kangaroo care. Kangaroo care is the use of skin-to-skin contact to maintain body heat. This
method of care not only supplies heat but also encourages parent-child interaction.
25. (B) Use of a high-SPF sunblock. Without melanin production, the child with albinism is at risk for
severe sunburns. Maximum sun protection should be taken, including use of hats, long sleeves,
minimal time in the sun and high-SPF sunblock, to prevent any problems.