Cfu p1 Maternal

SAS 1
1. A 26-year-old pregnant client has a history of Heart Disease and she told the doctor that ordinary physical
activity causes no discomfort and has no symptoms of cardiac insufficiency and no anginal pain. Which of the
following class of heart disease does the client has?
A. Compromised
B. Slightly compromised
C. Markedly compromised
D. Severely compromised
E. Uncompromised
ANSWER: ________
RATIO:___________________________________________________________________________________________
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This document and the information thereon is the property of PHINMA
Education (Department of Nursing) 4 of 6
2. A 28-year-old pregnant client has Uncorrected Coarctation of Aorta and she told the doctor that when she do
ordinary physical activity it causes excessive fatigue, palpitation, and dyspnea or anginal pain. Which of the
following class of heart disease does the client has?
A. Compromised
E. Uncompromised
ANSWER: ________
RATIO:___________________________________________________________________________________________
_________________________________________________________________________________________________
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3. A pregnant patient was diagnosed when she was a child with Atrial Septal Defect and now pregnant, she went
to the hospital due to extreme fatigue, dyspneic and palpitations every time she takes the stairs or walk a couple
of meters. According to the Classification of Heart Disease which class does the patient belongs to?
A. Class 1
B. Class 2
C. Class 3
D. Class 4
ANSWER: ________
RATIO:___________________________________________________________________________________________
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4. A pregnant client is experiencing chest pain and was diagnosed with Chronic Hypertensive Vascular Disorder;
her doctor ordered a medication called Nitroglycerin. The following are correct statement regarding Nitroglycerin,
EXCEPT:
A. Nitroglycerin works by relaxing the smooth muscle and blood vessels in the body.
B. A vasodilator drug used for the treatment of chest pain and high blood pressure.
C. Nitroglycerin sublingual tablets should not be chewed, crushed, or swallowed.
D. It is taken within 5 mins up to 3 tablets and if the chest pain is not relieved after 15 minutes the patient will take a
rest.
ANSWER: ________
RATIO:___________________________________________________________________________________________
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5. A 28 weeks pregnant woman came to the Outpatient Department for her prenatal check-up and was requested
to do Ultrasound of her heart. Which of the following diagnostic test is called Ultrasound of the Heart?
A. Electrocardiogram
B. Electrocardiography
C. Echocardiogram
D. Electroencephalogram
ANSWER: ________
RATIO:___________________________________________________________________________________________
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6. A pregnant client ask you what are the common causes of heart disorder in pregnancy. The following are most
common cause of cardiovascular disorder during pregnancy, EXCEPT:

A. Atrial Septal Defect
B. Uncorrected Coarctation of Aorta
C. Marfan Syndrome
D. Pulmonary Embolism
ANSWER: ________
RATIO:___________________________________________________________________________________________
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7. A 29 weeks pregnant came to the emergency room department due to severe dyspnea, hemoptysis, nocturnal
tachycardia and angina. What makes the client prompt actions means?
A. requires no intervention.
B. requires referral to her doctor.
C. requires immediate intervention.
D. requires rest and oxygen therapy
ANSWER: ________
RATIO:___________________________________________________________________________________________
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8. Althea, an 18 weeks pregnant client with an Aortic Dilatation was advised to decrease the workload of the
heart. The following conditions increases the workload of the heart.
A. Infection
B. Eupnea
C. Weight Loss
D. Vasodilation
ANSWER: ________
RATIO:___________________________________________________________________________________________
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9. A pregnant client is taking Furosemide for the treatment of her edema and she asked you what are the side
effects of Potassium-wasting diuretics. The following are side effects of potassium-wasting diuretics, EXCEPT:
A. Hyperkalemia
B. Hypokalemia
C. Bradycardia
D. Xanthopsia
ANSWER: ________
RATIO:___________________________________________________________________________________________
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10. A 28-year-old pregnant client has Marfan Syndrome and she told the doctor that during less than ordinary
activity, woman experiences excessive fatigue, palpitations, dyspnea, or anginal pain. Which of the following
class of heart disease does the client has?
A. Compromised
E. Uncompromised
ANSWER: ________
RATIO:___________________________________________________________________________________________
_________________________________________________________________________________________________
SAS 2
1. A 36-year-old female is currently 18 weeks pregnant. You’re collecting the patient’s health history. She has the
following health history: gravida 5, para 4, BMI 28, hypertension, depression, and family history of Type 2
diabetes. Select below all the risk factors in this scenario that increases this patient’s risk for developing
gestational diabetes?
1. 34-years-old
2. 16 weeks pregnant
3. Gravida 5, para 4
4. BMI 28
5. Hypertension
6. Depression
7. Family history of Type 2 diabetes
A. 1,2,3 and 4
B. 1,3,4 and 5
C. 1,2,3 and 6
D. 1,3,4 and 6
ANSWER: ________
RATIO:___________________________________________________________________________________________
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2. A pregnant client is currently diagnosed with Gestational Diabetes at 30 weeks ask you when do most pregnant
women develop gestational diabetes?
A. usually during the 1-3 month of pregnancy
B. usually during the 2-3 month of pregnancy
C. usually during the 1-2 trimester of pregnancy
D. usually during the 2-3 trimester of pregnancy
ANSWER: ________
RATIO:___________________________________________________________________________________________
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3. You are having your duty in the out-patient department and you are providing an educational class for
pregnant women about gestational diabetes. You discuss the role of insulin in the body. Select all the CORRECT
statements about the role and function of insulin:
A. “Insulin is a type of cell that provides glucose to the body from the blood.”
B. “Insulin is a hormone secreted by the beta cells of the pancreas.”
C. “Insulin does influences cells by causing them to uptake glucose from the blood.”
D. “Insulin is a protein that helps carry glucose into the cell for energy.”
ANSWER: ________
RATIO:___________________________________________________________________________________________
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4. Michelle, a 32-year-old female is diagnosed with gestational diabetes. As the nurse you know that what test
below is used to diagnose a patient with this condition?

A. 1 hour glucose tolerance test
B. 24 hour urine collection
C. Hemoglobin A1C
D. 3 hour glucose tolerance test
ANSWER: ________
RATIO:___________________________________________________________________________________________
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5. Erina, a 25-year-old pregnant female is diagnosed with gestational diabetes at 28 weeks gestation. You’re
educating Tara Jing about her condition. Which statement by the patient demonstrates they understood your
teaching about gestational diabetes?
A. “Once I deliver the baby, it will go away, and I will not need any further testing.”
B. “It is important I try to get my fasting blood glucose around 70-95 mg/dL and <140 mg/dL 1 hour after meals.”
C. “There are no risks or complications related to gestational diabetes other than hyperglycemia.”
D. “I’m at risk for delivering a baby that is too small for its gestational age due to this condition.”
ANSWER: ________
RATIO:___________________________________________________________________________________________
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6. The following are true regarding contraception in Diabetes Mellitus, EXCEPT:
A. Diabetic Women can use Intrauterine Device
B. Clients can use COC type of oral contraceptives
C. Norplant or progestin only pills(minipills) may be used safely by diabetic women
D. Diabetic Women cannot use Intrauterine Device
ANSWER: ________
RATIO:___________________________________________________________________________________________
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7. Glaiza, a 36 weeks pregnant woman and has gestational diabetes. As a part of her prenatal check-up, her
doctor requested to check her blood glucose level. Which of the following lab results is below normal?
A. Blood glucose 55 mg/dL
B. Blood glucose 82 mg/dL
C. Blood glucose 148 mg/dL
D. Blood glucose 325 mg/Dl
ANSWER: ________
RATIO:___________________________________________________________________________________________
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8. A client with gestational diabetes and is currently 34 weeks pregnant came to the hospital for her prenatal
check-up. Which assessment findings below should you immediately report to the physician?
129 mg/dL
B. Blood pressure 190/102
C. Proteinuria
D. Linea nigra
ANSWER: ________
RATIO:___________________________________________________________________________________________
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9. Kris a 35 weeks pregnant woman has gestational diabetes and uncontrolled hyperglycemia. Her current blood
glucose is 290 mg/dL. You administer insulin per physician’s order and recheck the blood glucose level per
protocol. It is now 135 mg/dL. Which statement by the patient requires you to notify the physician?
A. “It burns when I urinate.”
B. “My back is hurting.”
C. “I feel tired.”
D. “I feel the baby kick about 10 times an hour.”
ANSWER: ________
RATIO:___________________________________________________________________________________________
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10. Jenny, a mother with gestational diabetes gave birth to a baby at 37 weeks gestation. As the nurse you know
at birth that the newborn is at risk for? SELECT ALL THAT APPLY
A. Hyperglycemia
B. Hypoglycemia
C. Respiratory distress
D. Jaundice
E. Hyperthermia
ANSWER: ________
RATIO:___________________________________________________________________________________________
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SAS 3
1. A newborn has a condition that results from alcohol exposure during the mother's pregnancy that causes
brain damage and growth problems. Which of the following condition does the newborn has?
A. Substance Abuse
B. Fetal Alcohol Syndrome
C. Drug Abuse
D. HIV/AIDS
ANSWER: ________
RATIO:___________________________________________________________________________________________
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2. An 18-week pregnant client was caught sniffing cooking spray at the Female comfort room You know using
this type of drug may lead to severe cardiac and respiratory irregularities and may limit fetal oxygen supply.
Which of the following does the pregnant client is using?
A. Heroin
B. Marijuana
C. Phencyclidine
D. Inhalants
ANSWER: ________
RATIO:___________________________________________________________________________________________
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3. A 24-week pregnant client is using a drug recreationally she use it by “snorting”. What drug does the client is
using?
A. Heroin
B. Marijuana
C. Phencyclidine
D. Inhalants
ANSWER: ________
RATIO:___________________________________________________________________________________________
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4. A 12-week pregnant client is smoking a “weed”. You know that this type of substance that when smoked
causes tachycardia & a sense of well-being and is used to counteract nausea in early pregnancy.
A. Heroin
B. Marijuana
C. Phencyclidine
D. Inhalants
ANSWER: ________
RATIO:___________________________________________________________________________________________
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5. A 27-week pregnant client is using an “animal tranquilizer”. You know as a nurse that frequent use or a street
drug that increases cardiac output, gives a sense of euphoria and causes hallucinations. Which of the following
drug is the pregnant woman is using?
A. Heroin
B. Marijuana
C. Phencyclidine
D. Inhalants
ANSWER: ________
RATIO:___________________________________________________________________________________________
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6. A 37-week pregnant woman gave birth to a newborn and is experiencing Heroin withdrawal symptoms. The
following are Heroin Withdrawal Symptoms, EXCEPT:
A. Intracranial hemorrhage
B. Restlessness
C. Shivering
D. Insomnia
ANSWER: ________
RATIO:___________________________________________________________________________________________
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7. A pregnant woman is using cocaine. You know as a nurse that once she will give birth, her child will
experience Cocaine Withdrawal Symptoms. The following are Withdrawal symptoms for Cocaine, EXCEPT:
A. tremulousness
B. irritability
C. muscle rigidity
D. restlessness
E. intracranial hemorrhage
ANSWER: ________
RATIO:___________________________________________________________________________________________
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8. You interviewed a pregnant client using a Marijuana to manage her nausea. You know the effect of Marijuana
use in pregnant women and with the fetus. EXCEPT:
A. loss of short-term memory
B. reduced milk production
C. intracranial hemorrhage
D. incidence or respiratory infection
ANSWER: ________
RATIO:___________________________________________________________________________________________
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9. A pregnant woman asked you what are the effects of Narcotic use with the fetus. You answered the following,
EXCEPT:
A. Small for Gestational Age
B. Increased incidence of fetal distress
C. Meconium aspiration
D. Restlessness
ANSWER: ________
RATIO:___________________________________________________________________________________________
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10. A pregnant client asked you what are the effects of Phencyclidine (PCP). You answered the following,
EXCEPT:
A. increases cardiac output
B. gives a sense of euphoria
C. loss of short-term memory
D. causes hallucinations
ANSWER: ________
RATIO:___________________________________________________________________________________________
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SAS 4
1. A 26-week pregnant client was diagnosed with ABO incompatibility. She asked you what her diagnosis means.
Which of the following is incorrect regarding ABO incompatibility?
A. The mother has inborn antibodies vs blood type A and B in her bloodstream.
B. Uncommon during pregnancy since antibodies is the large IgM type & cannot cross placental barrier
C. During delivery when placenta separates from the decidua, the barrier is broken allowing maternal blood to enter the
fetal bloodstream.
D. Antibodies vs Rh antigen are not naturally-occurring but are produced when Rh+ blood enters the bloodstream of an
Rh- person.
ANSWER: ________
RATIO:___________________________________________________________________________________________
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2. An 18-week pregnant client ask you what is Rh incompatibility. Which of the following is correct regarding Rh
Incompatibility? EXCEPT:
A. Rh (D) factor is a protein antigen present on the surface of some people’s RBC (Rh+)
B. Antibodies vs Rh antigen are not naturally-occurring but are produced when Rh+ blood enters the bloodstream of an
Rh- person.
C. The mother has inborn antibodies vs blood type A and B in her bloodstream.
D. The Rh + gene is a dominant and therefore if either the mother or the father or both parents are Rh+, the baby will be
Rh+
ANSWER: ________
RATIO:___________________________________________________________________________________________
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3. Kyra a client who gave birth to a female newborn and was diagnosed as having ABO incompatibility. Which of
the following is incorrect for the laboratory findings of a newborn with ABO incompatibility?
A. Blood Smear result is microspherocytosis
B. <95, microcytic for a newborn
C. Direct Coombs test is often weakly +
D. Direct Coombs test is often weakly –
ANSWER: ________
RATIO:___________________________________________________________________________________________
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4. Kyra’s child was ordered to have Exchange Transfusion. She asked you what are the possible complications of
the procedure. The following are complications of Exchange Transfusion, EXCEPT:
A. Hypothermia
B. Hypocalcemia
C. Hyperkalemia
D. Hypoglycemia
E. Hypernatremia
ANSWER: ________
RATIO:___________________________________________________________________________________________
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5. A patient was diagnosed with Habitual Abortion due to Rh incompatibility and had a fetal complication of
Erythroblastosis Fetalis. She asked you what will be the complication if she will get pregnant again. The
following are complications of Rh Incompatibility, EXCEPT:
A. Anemia
B. Splenomegaly & hepatomegaly
C. Hyperbilirubinemia
D. Wilms Tumor
E. Hydrops fetalis
ANSWER: ________
RATIO:___________________________________________________________________________________________
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6. The following are true regarding HIV/AIDS, EXCEPT:
A. HIV infection and AIDS can be caused by placental transfer or direct contact with maternal blood during birth.
B. HIV is a slowly replicating retrovirus and has at least two main divisions, HIV-1 and HIV-2, followed by a variety of
further subtypes.
C. The virus acts by attacking the lymphoreticular system, in particular CD4-bearing helper T lymphocytes.
D. HIV/AIDS is spread through saliva.
ANSWER: ________
RATIO:___________________________________________________________________________________________
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7. Reme a pregnant client asked you what are the risk factors for having HIV/AIDS. The following are risk factors
of HIV/AIDS, EXCEPT:
A. Multiple sexual partners of the individual or sexual partner
B. Bisexual partner
C. IV drug use by the individual or partner
D. Deep, open-mouth kissing without mouth sores
ANSWER: ________
RATIO:___________________________________________________________________________________________
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8. A patient asked you regarding HIV/AIDS on what is Seroconversion. You know that Seroconversion is:
A. Seroconversion is the production of antibodies versus HIV that happens in 5 weeks to a year.
B. Seroconversion is the production of antibodies versus HIV that happens in 6 weeks to a year.
C. Seroconversion is the production of antibodies versus HIV that happens in 7 weeks to a year.
D. Seroconversion is the production of antibodies versus HIV that happens in 4 weeks to a year.
ANSWER: ________
RATIO:___________________________________________________________________________________________
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9. A pregnant client was admitted with a lung infection that can affect people with weakened immune systems,
such as those infected with HIV, the virus that causes AIDS. Which of the following condition pertains to the
client’s condition?
A. Hospital Acquired Pneumonia
B. Community Acquired Pneumonia
C. Pneumocystis Carinii Pneumonia
D. Fungal Pneumonia
ANSWER: ________
RATIO:___________________________________________________________________________________________
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10. You were conducting a physical examination to a pregnant client. Upon examining the skin of the patient you
saw red to purplish skin patches and was told that she is taking Zidovudine. You know that the patient is having:
A. Angiosarcoma
B. Fibroblastic Sarcoma
C. Kaposi’s Sarcoma
D. Leiomyosarcoma
ANSWER: ________
RATIO:___________________________________________________________________________________________
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SAS 5
1. Berta a pregnant patient was diagnosed with Iron Deficiency Anemia. She asked you what are the other types
of Anemia that can be seen in pregnancy. Which of the following are Anemias of Pregnancy, EXCEPT:
A. Vitamin B12 Anemia
B. Anemia due to Blood Loss
C. Folate Deficiency
D. Thalassemia
ANSWER: ________
RATIO:___________________________________________________________________________________________
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2. Cilla a student-nurse who takes care of Berta asked you what are the factors that puts the patient at risk of
developing anemia in pregnancy. All but one are risk factors of Anemia, EXCEPT:
A. Poor nutrition
B. Excess alcohol consumption
C. Illnesses that reduce absorption of nutrients
D. Use of anticonvulsant drugs
E. Elevated hematocrit due to hemoconcentration
ANSWER: ________
RATIO:___________________________________________________________________________________________
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3. Cilla a student nurse asked you what is the difference between Folic Acid and Folate. Which of the following
are the correct definition of Folic acid and Folate?

A. Folic Acid is the common form of vitamin B9 present in many whole foods, including leafy greens, beans, eggs, citrus
fruit, avocados, and beef liver while Folate is a synthesized version of vitamin B9 that is added to processed foods and
the
common version used in supplements.
B. Folate is the common form of vitamin B9 present in many whole foods, including leafy greens, beans, eggs, citrus
fruit,
avocados, and beef liver while Folic acid is a synthesized version of vitamin B9 that is added to processed foods and the
common version used in supplements.
C. Folate is the common form of vitamin B9 present in many synthesized version of vitamin B9 that is added to
processed
foods and the common version used in supplements while Folic acid is the common form of vitamin B9 present in many
whole foods, including leafy greens, beans, eggs, citrus fruit, avocados, and beef liver.
D. Folate and Folic Acid is both present in many whole foods, including leafy greens, beans, eggs, citrus fruit, avocados,
and beef liver
ANSWER: ________
RATIO:___________________________________________________________________________________________
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4. 4 patients came to the Out Patient Department with Iron Deficiency Anemia EXCEPT:
A. Multiple pregnancies because of the increased fetal demand
B. A woman with secondary hemolytic illness
C. Poor gastric absorption due to gastric bypass for morbid obesity
D. A woman at 36 years of age
ANSWER: ________
RATIO:___________________________________________________________________________________________
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5. Erina will be having a case presentation regarding the complications of Anemia in pregnancy. The following
are part of Complications of Anemia in Pregnancy, EXCEPT:
A. Premature labor
B. Intrauterine growth retardation (IUGR)
C. Dangerous anemia from normal blood loss during labor, requiring transfusions
D. Poor diet & poor nutrition
ANSWER: ________
RATIO:___________________________________________________________________________________________
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6. Belle is diagnosed with Hyperemesis Gravidarum, Which of the following is true regarding Hyperemesis
Gravidarum?
A. Extreme nausea and vomiting that is prolonged past week 12 of pregnancy or is so severe
B. Nausea and Vomiting is so severe that nutrition cannot be maintained and weight loss is severe
C. Urine may be (+) for ketones due to breakdown of protein & fat for cell growth
D. Intrauterine Growth Restriction or preterm birth
E. All of the choices are true
ANSWER: ________
RATIO:___________________________________________________________________________________________
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7. Belle was confined to the hospital due to Hyperemesis Gravidarum, The following are part of management for
Hyperemesis Gravidarum, EXCEPT:
A. 24-hour Hospitalization
B. If no vomiting after the first 24 hours, sips of clear fluid gradually advanced to a soft, then normal, diet.
C. If vomiting returns, TPN or enteral nutrition may be prescribed
D. Provide oxygen therapy
ANSWER: ________
RATIO:___________________________________________________________________________________________
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8. Karlie is diagnosed with Ectopic Pregnancy. Your instructor ask you which of the following is the common site
of Ectopic Pregnancy?
A. ovary
B. cervix
C. peritoneal cavity
D. fallopian tube
ANSWER: ________
RATIO:___________________________________________________________________________________________
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9. Karlie is experiencing sharp shoulder pain. Which of the following conditions is experiencing?
A. Cullen’s Sign
B. Charcot’s Sign
C. Kehr’s Sign
D. Leopold’s Sign
ANSWER: ________
RATIO:___________________________________________________________________________________________
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10. As you do physical examination on Karlie, you saw that her abdomen has an ecchymotic blueness around the
umbilicus. You know that its:
A. Cullen’s Sign
B. Charcot’s Sign
C. Kehr’s Sign
D. Leopold’s Sign
ANSWER: ________
RATIO:___________________________________________________________________________________________
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SAS 6
1. A woman of 16-weeks gestation telephones the nurse because she has passed some “berry-like” blood clots
and now has continued dark brown vaginal bleeding. Which action would the nurse instruct the woman to do?
A. “Maintain bedrest, and count the number of perineal pads used.”
B. “Come to the health care facility if uterine contractions begin.”

C. “Continue normal activity, but take the pulse every hour.”
D. “Come to the health facility with any vaginal material passed.”
ANSWER: ________
RATIO:___________________________________________________________________________________________
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2. A woman with Hydatidiform Mole develops HELLP Syndrome. During labor, which prescription would the
nurse question?
A. Prepare her epidural anesthesia.
B. Assess her blood pressure every 15 minutes.
C. Assess the urine output every hour.
D. Urge her to lie on her left side during labor.
ANSWER: ________
RATIO:___________________________________________________________________________________________
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3. A pregnant patient was diagnosed with Hydatidiform Mole. She asked you what does Hydatidiform Mole
means. You answer which of the following?
A. Gestational trophoblastic disease is abnormal proliferation and then degeneration of the trophoblastic villi
B. The cells degenerate, they become filled with fluid and appear as clear fluid-filled, grape-sized vesicles.
C. The embryo fails to develop beyond a primitive start.
D. All of the above
ANSWER: ________
RATIO:___________________________________________________________________________________________
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4. A pregnant client is asking you what are the types of Hydatidiform Mole. Which type of Hydatidiform that all
trophoblastic villi swell and become cystic that embryo dies and may early lead to choriocarcinoma?
A. Incomplete Hydatidiform Mole
B. Complete Hydatidiform Mole
C. Partial Hydatidiform Mole
D. Partial Complete Mole

ANSWER: ________
RATIO:___________________________________________________________________________________________
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5. Which type of Hydatidiform Mole that some of the villi form normally and rarely leads to choriocarcinoma?
A. Incomplete Hydatidiform Mole
B. Complete Hydatidiform Mole
C. Partial Hydatidiform Mole
D. Partial Complete Mole
ANSWER: ________
RATIO:___________________________________________________________________________________________
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6. A pregnant client with a history of premature cervical dilation undergoes cervical cerclage. Which outcomes
indicates that this procedure has been successful?
A. The client delivers a full-term fetus at 39 weeks gestation.
B. The client membranes spontaneously rupture at week 30 of gestation.
C. The client experiences minimal vaginal bleeding throughout the pregnancy.
D. The client has reduced shortness of breath and abdominal pain.
ANSWER: ________
RATIO:___________________________________________________________________________________________
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7. A pregnant client with a history of premature cervical dilation will undergo cervical cerclage with McDonald’s
Cerclage procedure. She asked you what is McDonald’s Cerclage. You answered:
A. McDonald’s cerclage is performed by purse-string sutures that are placed in the cervix by the vaginal route under
regional anesthesia. Sutures strengthen the cervix & prevents it from dilating.
B. McDonald’s cerclage is a temporary type of cervical cerclage that are placed horizontally and vertically across the
cervix & pulled tight to reduce the cervical canal to a few millimeters in diameter.
C. McDonald’s cerclage is a permanent type of cervical cerclage that they place a sterile tape is threaded in a purse-
string
manner under the submucous layer of the cervix & sutured in place to achieve a closed cervix.
D. McDonald’s cerclage refers to a variety of procedures that use sutures or synthetic tape to reinforce the cervix during
pregnancy in women with a history of a short cervix.
ANSWER: ________
RATIO:___________________________________________________________________________________________
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8. A pregnant client with a history of premature cervical dilation will undergo cervical cerclage with Shirodkar
Procedure. She asked you what is Shirodkar Procedure. You answered:
A. Shirodkar Procedure is performed by purse-string sutures that are placed in the cervix by the vaginal route under
regional anesthesia. Sutures strengthen the cervix & prevents it from dilating.
B. Shirodkar Procedure is a temporary type of cervical cerclage that are placed horizontally and vertically across the
cervix & pulled tight to reduce the cervical canal to a few millimeters in diameter.
C. Shirodkar Procedure is a permanent type of cervical cerclage that they place a sterile tape is threaded in a purse-
string
manner under the submucous layer of the cervix & sutured in place to achieve a closed cervix.
D. Shirodkar Procedure refers to a variety of procedures that use sutures or synthetic tape to reinforce the cervix during
pregnancy in women with a history of a short cervix.
ANSWER: ________
RATIO:___________________________________________________________________________________________
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9. The following are true regarding Premature Cervical Dilation, EXCEPT:
A. The cervix that dilates prematurely and cannot hold a fetus until term
B. It is one cause of habitual abortion
C. The dilatation is usually painless
D. Uterine contractions begin and after a short labor, the fetus is stillbirth.
ANSWER: ________
RATIO:___________________________________________________________________________________________
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10. The following are management for Premature Cervical Dilation, EXCEPT:
A. Ultrasound is done to confirm that the fetus is healthy
B. At weeks 12 to 14, purse-string sutures are placed in the cervix by the vaginal route under regional anesthesia
C. Sutures are then removed at weeks 37 to 38 so that the fetus can be born vaginally.
D. Chest X-ray is done to detect early lung metastasis
ANSWER: ________
RATIO:___________________________________________________________________________________________
SAS 7
1. A 16th week pregnant client had undergone Dilatation and Curettage related to her vaginal bleeding and was
diagnose to have Spontaneous Miscarriage. She asked you what are the possible causes of her Condition. The
following are causes of Spontaneous Miscarriage, EXCEPT:
A. Abnormal fetal formation
B. Immunologic factors: Rh/ABO incompatibility
C. Abruptio Placenta
D. Incompetent cervix
ANSWER: ________
RATIO:___________________________________________________________________________________________
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2. A patient who is 17 weeks pregnant is passing pieces of body tissue along with blood clots and dark red blood
from the vagina. What should the nurse direct the patient to do at this time?
A. Begin immediate bed rest.
B. Count the number of perineal pads that are saturated with blood.
C. Continue with the normal daily activity and monitor pulse rate every hour.
D. Seek immediate medical attention and bring the expressed vaginal material.
ANSWER: ________
RATIO:___________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
3. A 16-week pregnant client was diagnosed to have Threatened Miscarriage. You know that this type of
miscarriage presents which of the following sign and symptoms?
A. Her vaginal bleeding is scant, usually bright red there is slight cramping or backache but there is no cervical dilatation.
B. The entire products of conception (fetus, placenta, membranes) are expelled there is bleeding, cramping & expulsion
of
conceptus
C. Bleeding, cramping & part of the conceptus (usually the fetus) is expelled but the rest are retained and her cervix is
dilated
D. The fetus dies in utero but is not expelled & the client experiences decreasing signs of pregnancy.
ANSWER: ________
RATIO:___________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
4. An 18-week pregnant client was diagnosed with Incomplete Miscarriage. Which of the following is the best
definition of the patient’s diagnosis?
of
conceptus
dilated
ANSWER: ________
RATIO:___________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
5. A 20-week pregnant client was diagnosed with Missed Miscarriage/ Early Pregnancy Failure. Which of the
following is the best description for the patient’s diagnosis?

of
conceptus
dilated
ANSWER: ________
RATIO:___________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
6. A 19-week pregnant client was referred to the hospital and was diagnosed with Complete Miscarriage. Which
of the following is the best description for the patient’s diagnosis?
of
conceptus
dilated
ANSWER: ________
RATIO:___________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
7. A 16-week pregnant client was diagnosed to have Threatened Miscarriage. The following are management of
Threatened Miscarriage, EXCEPT:
A. Assess fetal viability via Ultrasound and Fetal Heart Tone
B. Complete bed rest for 24 to 48 hours
C. Coitus is restricted for 2 weeks after bleeding
D. Save any tissue fragments passed
ANSWER: ________

RATIO:___________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
8. A patient came to the hospital with fever, abdominal pain and foul-smelling discharge. Which of the following
complications of Miscarriage is the patient experiencing?
A. Septic Abortion
B. Isoimmunization
C. Infection
D. Hemorrhage
ANSWER: ________
RATIO:___________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
9. A patient came to the hospital for check-up and she told you that she try to self-abort with a knitting needle.
Which of the following complications of Miscarriage is the patient experiencing?
A. Septic Abortion
B. Isoimmunization
C. Infection
D. Hemorrhage
ANSWER: ________
RATIO:___________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
10. A pregnant patient came to the hospital and told you that she is dizzy, pale in appearance and she is having
“heavy bleeding” and soaked 10 maternal pads in a period of 4 hours per day. Which of the complication of
Miscarriage is the patient experiencing?
A. Septic Abortion
B. Isoimmunization
C. Infection
D. Hemorrhage
ANSWER: ________
RATIO:___________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
SAS 8
1. A pregnant woman is admitted to the hospital with a diagnosis of placenta previa. Which of the following
statement would best describe the patient’s diagnosis?
A. It is the low implantation of the placenta in the uterus as the cervix softens & begins to efface & dilate, placental
sinuses are opened causing progressive hemorrhages
B. It is the premature separation of the normally implanted placenta after the 20th week of pregnancy, typically with
severe hemorrhage
C. It separates only at the edges causing vaginal bleeding & a little pain
D. The placenta separates first at the center, blood pools under the placenta & is hidden from view
ANSWER: ________
RATIO:___________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
2. A patient came to the Out Patient department to have her check-up but was referred to the Delivery Room due
to dark red vaginal bleeding with sharp stabbing pain on her abdomen and she did not felt any fetal movement
since yesterday and was diagnosed with Abruptio Placenta. What grade of placental abruption does the patient
had?
A. Grade 0 Abruptio Placenta
B. Grade 1 Abruptio Placenta
C. Grade 2 Abruptio Placenta
D. Grade 3 Abruptio Placenta
ANSWER: ________
RATIO:___________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
3. A patient came to the Out Patient department to have her check-up but was referred to the Delivery Room due
to dark red vaginal bleeding, FHT of 116 bpm and upon palpation her uterus hard, tense and painful when
palpated. She was diagnosed with Abruptio Placenta. What grade of placental abruption does the patient had?
ANSWER: ________
RATIO:___________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
4. A patient gave birth to healthy newborn. Upon delivering her placenta you examined a segment of the placenta
shows a recent adherent clot on the maternal surface. What grade of placental abruption does the patient had?
ANSWER: ________
RATIO:___________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
Education (Department of Nursing)
5 of 7
5. A patient was diagnosed with Abruptio Placenta with Minimal Separation. With the knowledge you have
regarding Abruptio Placenta, What grade of placental abruption does the patient had?
ANSWER: ________
RATIO:___________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
6. A pregnant woman is admitted to the hospital with a diagnosis of abruptio placenta. Which of the following
statement would best describe the patient’s diagnosis?
severe hemorrhage
ANSWER: ________
RATIO:___________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
7. A pregnant woman is admitted to the hospital with a diagnosis of uteroplacental apoplexy. Which of the
following statement would best describe the patient’s diagnosis?
severe hemorrhage
ANSWER: ________
RATIO:___________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
8. A 38-week pregnant woman had an ultrasound and was diagnosed with a type of Placenta Previa that totally
obstruct the cervical os. With this diagnosis it means that the patient has:
A. Placenta Previa
B. Low-lying Placenta
C. Marginal Implantation
D. Total Placenta Previa
ANSWER: ________
RATIO:___________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
9. A 37-week pregnant woman had an ultrasound and was diagnosed with a type of Placenta Previa where the
placental edge approaches that of the cervical os. With this diagnosis it means that the patient has:
A. Placenta Previa
ANSWER: ________
RATIO:___________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
Education (Department of Nursing)
6 of 7
10. A 36-week pregnant woman had an ultrasound and was diagnosed with a type of Placenta Previa that the
implantation in the lower rather than in the upper portion of the uterus. With this diagnosis it means that the
patient has:
A. Placenta Previa
ANSWER: ________
RATIO:_______________
SAS 9
1. A pregnant client was admitted to the hospital with a diagnosis of Premature Rupture of Membrane as an initial
diagnosis. All of the following is true regarding PROM, EXCEPT:
A. Sudden gush of clear fluid from her vagina with continued minimal leakage
B. Turns nitrazine paper to red
C. Positive test for ferning
D. Increased WBC count and C-reactive protein
ANSWER: ________
RATIO:___________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
2. A pregnant client came to the hospital with a complaint of sudden pop and burst of fluid. Upon assessment
she is diagnosed with Premature Rupture of Membranes. Which of the following is true regarding PROM?
A. Loss of amniotic fluid before 40 weeks AOG
B. Not associated with infections of membranes (Chorioamnionitis)
C. Preterm labor follows rupture of membranes and ends the pregnancy
D. Not associated with vaginal infection (Neisseria Gonorrhea, Group B streptococcus and chlamydia)
ANSWER: ________
RATIO:___________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
3. A pregnant client was admitted to the hospital with a diagnosis of Premature Rupture of Membrane as an initial
diagnosis. All of the following true regarding the management of PROM, EXCEPT:
A. Preterm babies should delay the delivery for them to fully mature.
B. Administer corticosteroid to hasten lung maturity
C. Prophylactic administration of Broad-spectrum antibiotics
D. Amnioinfusion to reduce pressure on the fetus or cord to allow a safer transfer
ANSWER: ________
RATIO:___________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
4. A woman has been diagnosed as having Premature Rupture of Membranes, Which of the following condition is
the most typical for PROM?
A. Increased perspiration
B. Weight loss
C. Susceptibility to infection
D. Blood pressure elevation
ANSWER: ________
RATIO:___________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
5. The following are associated with vaginal infection that can cause Premature Rupture of Membranes in
pregnant women, EXCEPT:
A. Neisseria Gonorrhea
B. Group B streptococcus
C. Chlamydia Trachomatis
D. Mycobacterium Tuberculosis
ANSWER: ________
RATIO:___________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
6. A pregnant woman came to the hospital with BP of 140/90 mm Hg, urinalysis show no proteinuria and no
edema. Which type of Hypertensive Disorder of Pregnancy does the woman is classified into:
A. Eclampsia
B. Preeclampsia
C. Severe Preeclampsia
D. Gestational Hypertension
E. HELLP Syndrome
ANSWER: ________
RATIO:___________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
7. A pregnant woman came to the hospital with BP of 210/180 mm Hg and was having a seizure. Which type of
Hypertensive Disorder of Pregnancy does the woman is classified into:
A. Eclampsia
B. Preeclampsia
C. Severe Preeclampsia
D. Gestational Hypertension
E. HELLP Syndrome
ANSWER: ________
RATIO:___________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
8. The following are management for pregnant woman who is diagnosed with Eclampsia who had seizure,
EXCEPT:
A. Complete bed rest at their home
B. Maintain patent airway
C. Position on her side to prevent aspiration
D. Raise side rails, remove sharp or pointed objects
E. Keep her NPO
ANSWER: ________
RATIO:___________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
9. You are administering Magnesium Sulfate for patient who is diagnosed with Eclampsia. Which of the following
should be on the bedside?
A. Tongue blade
B. Oxygen tank
C. Calcium Gluconate
D. Suction machine
ANSWER: ________
RATIO:___________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
10. You are caring for a pregnant patient who is diagnosed with Eclampsia and had a doctor’s order to give
Magnesium Sulfate. Before giving the medication, which of the following is a sign that your patient is having
Magnesium Sulfate Toxicity?
A. Blood pressure of 210/100
B. Urine output is > 100 ml in 4 hours
C. Respiratory rate of 21 breaths/min
D. Patellar reflexes are absent
ANSWER: ________
RATIO:___________________________________________________________________________________________
_________________________________________________________________________________________________
SAS 10
1. You are caring for a pregnant patient who was rushed to the delivery room due to Cord Prolapse. The following
are predisposing factors for this diagnosis, EXCEPT:
A. Premature rupture of membranes
B. Intrauterine tumors preventing the presenting part from engaging
C. A small fetus
D. CPD preventing firm engagement
E. Oligohydramnios
ANSWER: ________
RATIO:___________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
2. The following are assessment findings for Cord Prolapse, EXCEPT:
A. The cord may be felt as the presenting part on an initial vaginal examination during labor
B. Ultrasound evidence of prolapse of umbilical cord
C. Late deceleration pattern becomes apparent
D. The cord may be visible at the vulva
ANSWER: ________
RATIO:___________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
3. The following are nursing consideration with Cord Prolapse, EXCEPT:
A. If cord is exposed to air, cover with saline-moistened sterile compress to prevent drying.
B. Replace the cord back into the vagina to avoid kinking and knotting obstructing blood flow
C. Administer O2 at 10 LPM by face mask to the mother to increase oxygenation to the fetus
D. Reduce pressure on the cord by placing the pregnant client in Knee-chest or Trendelenburg position
ANSWER: ________
RATIO:___________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
4. You are explaining to a patient regarding possible fetal complications with Cephalopelvic Disproportion. The
following are fetal complications of Cephalopelvic Disproportion, EXCEPT
A. Postpartum hemorrhage
B. Hypoxia
C. Fractures to the clavicle
D. Injury to neck and head
ANSWER: ________
RATIO:___________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
5. Which of the following statement is true regarding Cephalopelvic Disproportion:
A. A loop of the umbilical cord slips down in front of the presenting fetal part
B. Narrowing of the anteroposterior diameter of the pelvis to < 11 cm
C. Narrowing of the transverse diameter of the outlet to < 11 cm
D. Fetal head is too large to pass through the bony pelvis
ANSWER: ________
RATIO:___________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
6. It is the narrowing of the anteroposterior diameter of the pelvis to < 11 cm, or the transverse diameter to 12 cm
or less that is usually caused by rickets in early life or inherited pelvic size.
A. Outlet Contraction
B. Inlet Contraction
C. Cervical Contraction
D. Vaginal Contraction
ANSWER: ________
RATIO:___________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
7. A type of placental abnormality wherein the placenta has 1 or more accessory lobes connected to the main
placenta that the small lobes may be retained in the uterus leading to hemorrhage and therefore must be
removed:
A. Battledore Placenta
B. Velamentous Insertion of the Cord
C. Placenta Circumvallata
D. Placenta Succenturiata
ANSWER: ________
RATIO:___________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
8. A type of placental abnormality wherein the placenta is cup-shaped with raised margins with the whitish
opaque chorion covering the periphery:
ANSWER: ________
RATIO:___________________________________________________________________________________________
_________________________________________________________________________________________________
_______________________________________________________________________________________________
9. A type of placental abnormality where the cord is inserted marginally rather than centrally giving the
appearance of a tennis racket:
ANSWER: ________
RATIO:___________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
10. A type of placental abnormality wherein the cord, instead of entering the placenta directly, separates into
small vessels that reach the placenta by spreading cross a fold of amnion:
ANSWER: ________
RATIO:___________________________________________________________________________________________
SAS 11
1.The following are common causes of dysfunctional labor, EXCEPT:
A. Inappropriate use of analgesia
B. Poor fetal position
C. Extension rather than flexion of the fetal head
D. Flexion rather than extension of the fetal head
ANSWER: ________
RATIO:___________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
2. The number of contractions is low or infrequent, common in active phase of labor and it is not increasing
beyond 2 or 3 in a 10-minute period.
A. Contraction
B. Hypertonic Contraction
C. Isotonic Contraction
D. Prolonged Descent
ANSWER: ________
RATIO:___________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
3. You are caring for a woman that came to the delivery room whose labor pain is out of proportion to the quality
of her contractions.
A. Hypotonic Contraction
B. Hypertonic Contraction
C. Isotonic Contraction
D. Prolonged Descent
ANSWER: ________
RATIO:___________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
4. It is a hard band that forms across the uterus at the junction of the upper and lower uterine segments and
interferes with fetal descent.
A. Contraction Ring
B. Post-term Ring
C. Hypotonic Ring
D. Hypertonic Ring
ANSWER: ________
RATIO:___________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
5. A type of dysfunctional labor in first stage of labor that is usually associated with fetal malposition or
Cephalopelvic Disproportion and prolonged cervical dilation.
A. Prolonged Latent Phase
B. Protracted Active Phase
C. Prolonged Deceleration Phase

D. Secondary Arrest of Dilatation
ANSWER: ________
RATIO:___________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
6. All but one is not associated with premature labor.
A. Dehydration
B. Urinary tract infection
C. Periodontal disease
D. Chorioamnionitis
E. Cephalopelvic Disproportion
ANSWER: ________
RATIO:___________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
7. The following are causes of precipitate labor, EXCEPT:
A. Chorioamnionitis
B. Grand multiparity
C. Large Pelvis
D. Small Fetus
ANSWER: ________
RATIO:___________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
8. A woman gave birth in a birthing facility and was brought to the hospital with a globular mass on her vaginal
orifice. You know that this condition is which of the following?
A. Uterine Atony
B. Uteroplacental Apoplexy
C. Uterine Inversion
D. Myoma Uteri
ANSWER: ________
RATIO:___________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
9. Most often results from abnormal fetal head position that the deceleration phase is prolonged beyond 3hrs in
nullipara or 1hr in multigravida.
ANSWER: ________
RATIO:___________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
10. A pregnant client was admitted at 2:00 pm with a cervical dilation of 5cm and was ordered by the Obstetrician
to monitor her progress of labor after 4 hours you checked her cervical dilation is still the same. What type of
dysfunctional labor in first trimester does the client is experiencing?
ANSWER: ________
RATIO:___________________________________________________________________________________________
_________________________________________________________________________________________________
SAS 12
1.A type of fetal malposition that occurs in 1/10 of all labors and during internal rotation the head must rotate
through 135 degrees instead of 90 degrees.
A. Occipitoposterior Position
B. Occiput Transverse Position
C. Breech Presentation
D. Face Presentation
E. Brow Presentation
ANSWER: ________
RATIO:___________________________________________________________________________________________
_________________________________________________________________________________________________
_______________________________________________________________________________________________
2.A type of fetal malposition that is due to ineffective contractions or a flattened bony pelvis, vaginal delivery is
possible with oxytocin administration and application of forceps for delivery.
A. Occipitoposterior Position
B. Occiput Transverse Position
C. Breech Presentation
E. Brow Presentation
ANSWER: ________
RATIO:___________________________________________________________________________________________
_________________________________________________________________________________________________
_______________________________________________________________________________________________
3.You are giving health teachings regarding fetal presentation. The following are types of breech presentation,
EXCEPT:
A. Complete Breech
B. Frank Breech
C. Compound
D. Footling Breech
ANSWER: ________
RATIO:___________________________________________________________________________________________
_________________________________________________________________________________________________
_______________________________________________________________________________________________
4.This type of fetal malpresentation occurs in women with pendulous abdomens, uterine fibroid tumors,
contraction of the pelvic brim, congenital anomalies of the uterus, hydramnios, fetus with hydrocephalus or
anything that prevents engagement, prematurity, multiple gestation or short umbilical cord.
A. Shoulder Presentation
B. Compound Presentation
C. Brow Presentation
ANSWER: ________
RATIO:___________________________________________________________________________________________
_________________________________________________________________________________________________
_______________________________________________________________________________________________
5. It is a type of fetal malpresentation which is the rarest type, occurs in multipara or woman with relaxed
abdominal muscles that often leads to obstructed labor because the head becomes jammed in the brim of the
pelvis.
ANSWER: ________
RATIO:___________________________________________________________________________________________
_________________________________________________________________________________________________
_______________________________________________________________________________________________
6. It is a type of fetal malpresentation wherein more than 1 part of the fetus presents; most commonly hand or
arm prolapsing with the head that there is high risk of cord compression and prolapse.
ANSWER: ________
RATIO:___________________________________________________________________________________________
_________________________________________________________________________________________________
_______________________________________________________________________________________________
7. It is a type of fetal malpresentation wherein the fetal head is presenting at a different angle than expected:
ANSWER: ________
RATIO:___________________________________________________________________________________________
_________________________________________________________________________________________________
_______________________________________________________________________________________________
8. A type of fetal distress that the fetal heart rate is repeatedly decelerating less 90bpm for over 60 sec before
returning to baseline that can lead to Fetal Hypoxia if it is not properly managed.
A. Early Deceleration
B. Late deceleration pattern
C. Severe variable deceleration pattern
D. Variable Deceleration
ANSWER: ________
RATIO:___________________________________________________________________________________________
_________________________________________________________________________________________________
_______________________________________________________________________________________________
9. A type of fetal distress that occurs early in labor before the head has fully descended due to cephalopelvic
disproportion can cause head compression:
ANSWER: ________
RATIO:___________________________________________________________________________________________
_________________________________________________________________________________________________
_______________________________________________________________________________________________
10. A type of fetal distress that occurs when the fetal heart rate slows down following the peak of a contraction &
slowly returns to baseline rate during the resting phase.

ANSWER: ________
RATIO:___________________________________________________________________________________________
________________________________________________________________________________________________
SAS 13
1.The following are causes of postpartum hemorrhage, EXCEPT:
A. Uterine Atony
B. Trauma
C. Retained Placental Fragments
D. Chorioamnionitis
ANSWER: ________
RATIO:___________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
2. Lack of uterine muscle tone or relaxation of the uterus; hemostasis is due to contraction of the muscles
occluding the open vessels:
A. Uterine Rupture
B. Uterine Atony
D. Placenta Accreta
ANSWER: ________
RATIO:___________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
3. The following are predisposing factors of Uterine Atony, EXCEPT:
A. dysfunctional labor
B. retained placental fragments
C. anesthesia
D. forceps delivery
ANSWER: ________
RATIO:___________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
4. A collection of blood in the subcutaneous layer of the tissue of the perineum.
A. Uterine Rupture
B. Vaginal, Cervical and Perineal Lacerations
D. Perineal Hematoma
ANSWER: ________
RATIO:___________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
5. Portion of placenta are left still attached to the uterus that keeps it from contracting fully and uterine bleeding
occurs:
A. Uterine Rupture
B. Uterine Atony
D. Placenta Accreta
ANSWER: ________
RATIO:___________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
6. The following are contributing factors for Uterine Inversion/Rupture, EXCEPT:
A. Perineal Varicosities
B. Prolonged Labor
C. Abnormal presentation
D. Multiple gestation
E. Unwise use of oxytocin
ANSWER: ________
RATIO:___________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
7. Failure of the uterus to return to its normal prepregnant size and shape after pregnancy:
A. Uterine Rupture
B. Uterine Atony
C. Uterine Subinvolution
D. Placenta Accreta
ANSWER: ________
RATIO:___________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
8. A classification of vaginal/perineal laceration wherein the entire perineum, rectal sphincter and some of the
mucous membrane of the rectum is lacerated:
A. First Degree Laceration
B. Second Degree Laceration
C. Third Degree Laceration
D. Fourth Degree Laceration
ANSWER: ________
RATIO:___________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
9. A classification of vaginal/perineal laceration wherein the vaginal mucous membrane and skin of the
fourchette is lacerated:
ANSWER: ________
RATIO:___________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
10. A classification of vaginal/perineal laceration wherein the entire perineum is lacerated up to the rectal
sphincter:
ANSWER: ________
RATIO:___________________________________________________________________________________________
_________________________________________________________________________________________________
SAS 14
1.The following are common infective agents that causes puerperal sepsis, EXCEPT:
A. Group B streptococci
B. Aerobic gram (-) bacilli like E. coli
C. Staphylococcus aureus
D. Helicobacter Pylori
ANSWER: ________
RATIO:___________________________________________________________________________________________
_________________________________________________________________________________________________
_____________________________________________________________
2. The following are conditions that increases the risk for Post-partal Infection, EXCEPT:
A. Rupture of membranes greater than 24 hours before birth
B. Retained placental fragments
C. Postpartal hemorrhage- weakens the woman’s general condition
D. Prolonged & difficult labor, particularly instrument births (forceps, etc.)
E. Degree of uterine involution at the time of microorganism invasion
ANSWER: ________
RATIO:___________________________________________________________________________________________
_________________________________________________________________________________________________
_____________________________________________________________
3. The following are conditions that affect prognosis for complete recovery from Puerperal Sepsis, EXCEPT:
A. Local vaginal infection at the time of birth

B. Virulence of the invading microorganism
C. The woman’s general health
D. Portal of entry
E. Degree of uterine involution at the time of microorganism invasion
ANSWER: ________
RATIO:___________________________________________________________________________________________
_________________________________________________________________________________________________
_____________________________________________________________
4. You are caring for a client who is suspected to have an Endometriosis. The following are correct assessment
for Endometriosis, EXCEPT:
A. Chills, anorexia, general malaise
B. The uterus is not well-contracted, painful to the touch with strong afterpains
C. Lochia is usually dark brown & foul-smelling, increased in amount
D. Fever usually on the 3rd or 4th postpartal birth
E. Retained placental fragments
ANSWER: ________
RATIO:___________________________________________________________________________________________
_________________________________________________________________________________________________
_____________________________________________________________
5. You are caring for a client who is experiencing Infection of the perineum. The following are correct assessment
for Infection of the perineum, EXCEPT:
B. Usually localized
C. May or may not have fever
D.1 or 2 stitches may be sloughed from the suture line or an area of the suture line may be open with purulent drainage
present
ANSWER: ________
RATIO:___________________________________________________________________________________________
_________________________________________________________________________________________________
_____________________________________________________________
6. You are caring for a client who is diagnosed with Infection of the perineum, EXCEPT:
A. Oxytocic agent to encourage contraction
B. Drainage of infected site and packing with iodoform gauze on the open lesion
C. Topical or systemic antibiotic even before culture results are available
D. Advise the woman to wipe from front to back after bowel movement
ANSWER: ________
RATIO:___________________________________________________________________________________________
_________________________________________________________________________________________________
_____________________________________________________________
7. You are giving a health teaching to a patient who is diagnosed with Infection of the Perineum. Which of the
following health teaching that you cannot give for home management?
A. Drainage of infected site and packing with iodoform gauze on the open lesion
B. Sitz baths, moist, warm compresses, Hubbard tank treatments to hasten drainage & cleanse the area
C. Remind woman to change perineal pads frequently to prevent recontamination or vaginal infection
D. Ask woman to wipe from front to back after bowel movement
ANSWER: ________
RATIO:___________________________________________________________________________________________
_________________________________________________________________________________________________
_____________________________________________________________
8. The following conditions are classified as Local infection, EXCEPT:
A. Lesions of perineum
B. Lesions of vulva
C. Endometritis
D. Chorioamnionitis
ANSWER: ________
RATIO:___________________________________________________________________________________________
_________________________________________________________________________________________________
_____________________________________________________________

9.You are caring for patient who is diagnosed with Endometriosis and you are asked by your instructor which of
the following statement is incorrect regarding Endometriosis?
A. The lochia is usually dark brown & foul-smelling, increased in amount
B. Analgesics can be taken for afterpains & abdominal discomfort
C. Antipyretics can be taken for fever
D. 1 or 2 stitches may be sloughed from the suture line or an area of the suture line may be open with purulent drainage
present
ANSWER: ________
RATIO:___________________________________________________________________________________________
_________________________________________________________________________________________________
_____________________________________________________________
10. Your instructor ask you which of the following is incorrect regarding the assessment for Endometriosis:
B. The uterus is not well-contracted, painful to the touch with strong afterpains
C. Lochia is usually dark brown & foul-smelling, increased in amount
D. 1 or 2 stitches may be sloughed from the suture line or an area of the suture line may be open with purulent drainage
present
ANSWER: ________
RATIO:___________________________________________________________________________________________
Sas 15
1.You are caring for a patient is suffering from mastitis. The following are management for Mastitis, EXCEPT:
A. Promote comfort: well-fitting support bra worn 24 hours a day
B. Early ambulation following birth
C. Good handwashing techniques before handling breasts
D. Continue breast feeding
ANSWER: ________
RATIO:__________________________________________________________________________________________
_________________________________________________________________________________________________
________________________________________________________________________________________________

2. The following are findings for Mastitis, EXCEPT:
A. Warm, reddened painful areas on the breasts
B. Enlarged or tender axillary lymph nodes
C. Flu-like symptoms & generalized fever
D. Tenderness in a portion of the vein
ANSWER: ________
RATIO:__________________________________________________________________________________________
_________________________________________________________________________________________________
________________________________________________________________________________________________
3. A type of Mastitis that is usually acquired S. aureus, Methicillin-resistant S. Aureus (MRSA) or Candidiasis
while in the hospital:
A. Mastitis
B. Epidemic Mastitis
C. Breast Abscess
D. Mastitis and Breast Abscess
ANSWER: ________
RATIO:__________________________________________________________________________________________
_________________________________________________________________________________________________
________________________________________________________________________________________________
4. Edema of the leg and ankle wherein there is decreased circulation and edema gives a white or drained
appearance that is formerly called MILK LEG:
A. Femoral Thrombophlebitis
B. Pelvic Thrombophlebitis
C. Septic Pelvic Thrombophlebitis
D. Deep Vein Thrombosis
ANSWER: ________
RATIO:__________________________________________________________________________________________
_________________________________________________________________________________________________
________________________________________________________________________________________________
5. This type of Thrombophlebitis develops in conjunction with infections of the reproductive tract that
predisposes the woman to develop pulmonary embolism:
ANSWER: ________
RATIO:__________________________________________________________________________________________
_________________________________________________________________________________________________
________________________________________________________________________________________________
6. This type of Thrombophlebitis that usually follows a mild endometritis wherein ovarian, uterine or hypogastric
veins are involved:
ANSWER: ________
RATIO:__________________________________________________________________________________________
_________________________________________________________________________________________________
________________________________________________________________________________________________
7. This type of Thrombophlebitis is accompanied by arterial spasm wherein the femoral, saphenous or popliteal
veins are involved:
ANSWER: ________
RATIO:__________________________________________________________________________________________
_________________________________________________________________________________________________
________________________________________________________________________________________________
8. This occur during the 1st 10 days postpartum, some women have feelings of sadness as a response to the
anticlimactic feeling after birth and is related to hormonal shifts:
A. Postpartal Blues
B. Postpartal Depression
C. Postpartal Psychosis
D. Postpartal Mood Swing
ANSWER: ________
RATIO:__________________________________________________________________________________________
_________________________________________________________________________________________________
________________________________________________________________________________________________
9.This occurs in 20% of women & is more serious than baby blues and the symptoms may be present for longer
than 1 year:
A. Postpartal Blues
ANSWER: ________
RATIO:__________________________________________________________________________________________
_________________________________________________________________________________________________
________________________________________________________________________________________________
10. This can occur when there is possible activation of previous mental illness, hormonal changes, family history
of bipolar disorder:
A. Postpartal Blues
ANSWER: ________
RATIO:__________________________________________________________________________________________
_________________________________________________________________________________________________
SAS 16
1. This is the term used more often than infertility because most couples have the potential to conceive but are
less able to do so without additional help:
A. Subfertility
B. Infertility
C. Fertility
D. Sterility
ANSWER: ________
RATIO:__________________________________________________________________________________
________________________________________________________________________________________
_______________________________________________________________________________
2. This is the inability to conceive because of a known condition, such as the absence of a uterus:
A. Subfertility
B. Infertility
C. Fertility
D. Sterility
ANSWER: ________
RATIO:__________________________________________________________________________________
________________________________________________________________________________________
_______________________________________________________________________________
3. This is done to test if the sperm can penetrate the ovum:
A. Fertility Testing
B. Semen Analysis
C. Sperm Penetration Assay and Antisperm Antibody Testing
D. Ovulation Monitoring
E. Ovulation Determination by Test Strip
F. Ferrell Testing Kit
ANSWER: ________
RATIO:__________________________________________________________________________________
________________________________________________________________________________________
_______________________________________________________________________________
4. This tests the upsurge of Luteinizing Hormone by dipping a test strip into midmorning urine then comparing
the color change:
B. Semen Analysis
ANSWER: ________
RATIO:__________________________________________________________________________________
________________________________________________________________________________________
_______________________________________________________________________________
5. This test contains both tests for FSH the 3rd day of the menstrual cycle and a sperm motility test for the male:
B. Semen Analysis
ANSWER: ________
RATIO:__________________________________________________________________________________
________________________________________________________________________________________
_______________________________________________________________________________
6. A type of Assisted Reproductive Technique wherein at the time of ovulation, donor’s ovum is removed by
transvaginal with ultrasound guided procedure and the oocyte is fertilized in the laboratory and placed in the
recipient woman’s uterus:
A. Therapeutic Insemination
B. In Vitro Fertilization
C. Gamete Intrafallopian Transfer (GIFT)
D. Zygote Intrafallopian Transfer (ZIFT)
E. Surrogate Embryo Transfer
ANSWER: ________
RATIO:__________________________________________________________________________________
________________________________________________________________________________________
_______________________________________________________________________________
7. A type of Assisted Reproductive Technique wherein instillation of sperm into the female reproductive tract to
aid conception:
ANSWER: ________
RATIO:__________________________________________________________________________________
________________________________________________________________________________________
_______________________________________________________________________________
8. A type of Assisted Reproductive Technique in which ova are obtained as in In Vitro Fertilization then both ova
and sperm are instilled within a matter of hours, using a laparoscopic technique, into the open end of a fallopian
tube:
ANSWER: ________
RATIO:__________________________________________________________________________________
________________________________________________________________________________________
_______________________________________________________________________________
9. A type of Assisted Reproductive Technique wherein oocyte retrieval by transvaginal, ultrasound-guided
aspiration, followed by culture and insemination of oocytes in the laboratory:
ANSWER: ________
RATIO:__________________________________________________________________________________
________________________________________________________________________________________
_______________________________________________________________________________
10. A type of Assisted Reproductive Technique is done by one or more oocytes are removed from the ovary by
laparoscopy and fertilized by exposure to sperm under laboratory conditions outside a woman’s body:
ANSWER: ________
RATIO:__________________________________________________________________________________
________________________________________________________________________________________
SAS 17
1. The following are factors predisposing infants to respiratory difficulty in the first few days of life, EXCEPT:
A. Prevention of infection
B. Maternal Diabetes Mellitus
C. Premature Rupture of Membranes
D. Maternal use of barbiturates or narcotics close to birth
ANSWER: ________
RATIO:___________________________________________________________________________________________
_________________________________________________________________________________________________
_____________________________________________________________
2. The following are Newborn Priorities in the First Day of Life, EXCEPT:
A. Maintenance of fluid and electrolyte balance
B. Control of body temperature
C. Intake of adequate nourishment
D. Chest, heart or respiratory tract anomalies
ANSWER: ________
RATIO:___________________________________________________________________________________________
_________________________________________________________________________________________________
_____________________________________________________________
3. They are small for their age because they have experienced intrauterine growth retardation or failed to grow at
the expected rate in utero:
A. Appropriate for Gestational Age (AGA)
B. Small for Gestational Age (SGA)
C. Large for Gestational Age (LGA)
D. Very-Low Birth Weight (VLBW)
ANSWER: ________
RATIO:___________________________________________________________________________________________
_________________________________________________________________________________________________
_____________________________________________________________
4. The weight of these infants are above the 90th percentile on an intrauterine growth chart and of the cause is
overproduction of growth hormone in utero:
ANSWER: ________
RATIO:___________________________________________________________________________________________
_________________________________________________________________________________________________
_____________________________________________________________
5. The weight of these infants whose birth weight’s fall between the 10th and 90th percentiles of weight for their
age regardless of gestational age:
ANSWER: ________
RATIO:___________________________________________________________________________________________
_________________________________________________________________________________________________
_____________________________________________________________
6. One of the potential complications of prematurity wherein there is bleeding into the tissue surrounding the
ventricles or into the ventricle due to fragile capillaries and immature cerebral vascular development:
A. Anemia of Prematurity
B. Kernicterus
C. Persistent Patent Ductus Arteriosus
D. Periventricular/Intraventricular Hemorrhage
ANSWER: ________
RATIO:___________________________________________________________________________________________
_________________________________________________________________________________________________
_____________________________________________________________
7. One of the potential complications of prematurity that there is destruction of brain cells by invasion of direct
bilirubin in the blood from excessive hemolysis:
B. Kernicterus
ANSWER: ________
RATIO:___________________________________________________________________________________________
_________________________________________________________________________________________________
_____________________________________________________________
8. One of the potential complications of prematurity wherein there is immaturity of the hematopoietic system and
RBC hemolysis due to low levels of Vitamin E which protects RBC’s against oxidation:
B. Kernicterus
ANSWER: ________
RATIO:___________________________________________________________________________________________
_________________________________________________________________________________________________
_____________________________________________________________
9. One of the potential complications of prematurity that leads to pulmonary artery hypertension which may
interfere with the closure of the ductus arteriosus:
B. Kernicterus
ANSWER: ________
RATIO:___________________________________________________________________________________________
_________________________________________________________________________________________________
_____________________________________________________________
10. A pale, lethargic and anorexic preterm infant was admitted to the emergency room, with the result of the
laboratory test the infant has a low reticulocyte count. Which of the following conditions does the infant have?
B. Kernicterus
ANSWER: ________
RATIO:___________________________________________________________________________________________
SAS 18
1. Common in preterms, infants of diabetic moms, cesarean birth, meconium aspiration due to hyaline-like
(fibrous) membrane formed from an exudates of the infant’s blood:
A. Transient Tachypnea of the Newborn
B. Sudden Infant Death Syndrome (SIDS)
C. Apnea
D. Hyperbilirubinemia
E. Respiratory Distress Syndrome (RDS)
ANSWER: ________
RATIO:___________________________________________________________________________________________
_________________________________________________________________________________________________
_____________________________________________________________
2. A woman gave birth to an infant awhile ago, At birth the respiratory rate reaches 80 bpm; after 1 hour then
slows down to 30 to 60 cpm the infant does not appear to be in distress aside from the effort of breathing rapidly.
Which condition does the infant is experiencing?
C. Apnea
ANSWER: ________
RATIO:___________________________________________________________________________________________
_________________________________________________________________________________________________
_____________________________________________________________
3. A sudden unexplained death in infancy wherein the cause is still unknown:
C. Apnea
ANSWER: ________
RATIO:___________________________________________________________________________________________
_________________________________________________________________________________________________
_____________________________________________________________
4. It is a pause in respiration longer than 20 seconds with accompanying bradycardia and beginning cyanosis:
C. Apnea
ANSWER: ________
RATIO:___________________________________________________________________________________________
_________________________________________________________________________________________________
_____________________________________________________________
5. An elevated level of bilirubin in the blood resulting from RBC hemolysis:
C. Apnea
ANSWER: ________
RATIO:___________________________________________________________________________________________
_________________________________________________________________________________________________
_____________________________________________________________
6. A condition wherein the bowel develops necrotic patches interfering with digestion & possibly leading to
paralytic ileus:
A. Hemorrhagic Disease of the Newborn
B. Twin to Twin Transfusion
C. Apparent Life-Threatening Event
D. Necrotizing Enterocolitis
E. Periventricular Leukomalacia
ANSWER: ________
RATIO:___________________________________________________________________________________________
_________________________________________________________________________________________________
_____________________________________________________________
7.A condition wherein there is an episode where the infant is discovered cyanotic & limp but have survived after
mouth-to-mouth resuscitation:
ANSWER: ________
RATIO:___________________________________________________________________________________________
_________________________________________________________________________________________________
_____________________________________________________________
8. It is abnormal formation of the white matter of the brain caused by an ischemic episode that interferes with
circulation to a portion of the brain. Phagocytes & macrophages invade the area to clear away necrotic tissue
leaving a hollow space:
ANSWER: ________
RATIO:___________________________________________________________________________________________
_________________________________________________________________________________________________
_____________________________________________________________
9. This condition can happen from lack of Vitamin K essential for formation of prothrombin:
ANSWER: ________
RATIO:___________________________________________________________________________________________
_________________________________________________________________________________________________
_____________________________________________________________
10. This condition occurs in monozygotic twins and if abnormal arteriovenous shunts occur that direct more
blood to 1 twin than the other:
ANSWER: ________
RATIO:
SAS 19
1. You are caring for a 3-year-old child that was admitted due to abdominal pain. After 12 hours, blood appears in
the stool described as a “CURRANT JELLY” appearance. What condition does the child have?
A. Hirschprung’s Disease
B. Colic
C. Intussusception
D. Achalasia
E. Cleft Lip
ANSWER: ________
RATIO:___________________________________________________________________________________________
_________________________________________________________________________________________________
_____________________________________________________________
2. It is the invagination (folding inward) of one portion of the intestine into another:
B. Colic
C. Intussusception
D. Achalasia
E. Cleft Lip
ANSWER: ________
RATIO:___________________________________________________________________________________________
_________________________________________________________________________________________________
_____________________________________________________________
3. It is an absence of ganglionic innervation to the muscle of a section of the bowel- in most instances, the lower
portion of the sigmoid colon just above the anus:
B. Colic
C. Intussusception
D. Achalasia
E. Cleft Lip
ANSWER: ________
RATIO:___________________________________________________________________________________________
_________________________________________________________________________________________________
_____________________________________________________________
4. A parent came to the hospital with their baby. They told you that they offered a bottle when the baby is
starving, their baby will suck vigorously for a few minutes and stop at another wave of intense pain. With this you
know the baby is experiencing:
B. Colic
C. Intussusception
D. Achalasia
E. Cleft Lip
ANSWER: ________
RATIO:___________________________________________________________________________________________
_________________________________________________________________________________________________
_____________________________________________________________
5. It is a neuromuscular disturbance in which the gastroesophageal (cardiac sphincter) and the lower portion of
the esophagus are lax and thus allow easy regurgitation of gastric contents into the esophagus:
B. Colic
C. Intussusception
D. Achalasia
E. Cleft Lip
ANSWER: ________
RATIO:___________________________________________________________________________________________
_________________________________________________________________________________________________
_____________________________________________________________
6. It is a unique syndrome in which an infant fall below the 5th percentile for weight & height on a standard
growth chart or is falling in percentiles on a growth chart:
A. Cleft Lip
B. Cleft Palate
C. Imperforate Anus
D. Failure to Thrive
ANSWER: ________
RATIO:___________________________________________________________________________________________
_________________________________________________________________________________________________
_____________________________________________________________
7. You are doing a newborn care to a baby born awhile ago, you are checking for the patency of the anus but you
have the inability to insert a rubber catheter into the rectum. What condition does the newborn have:
A. Cleft Lip
B. Cleft Palate
C. Imperforate Anus
ANSWER: ________
RATIO:___________________________________________________________________________________________
_________________________________________________________________________________________________
_____________________________________________________________
8. It is an opening of the palate, usually on the midline, involving anterior hard palate, posterior soft palate or
both is prevalent in girls:
A. Cleft Lip
B. Cleft Palate
C. Imperforate Anus
ANSWER: ________
RATIO:___________________________________________________________________________________________
_________________________________________________________________________________________________
_____________________________________________________________
9. It is a condition wherein the nose is flattened because incomplete fusion of the upper lip allowed it to expand
horizontally and is more prevalent in boys:
A. Cleft Lip
B. Cleft Palate
C. Imperforate Anus
ANSWER: ________
RATIO:___________________________________________________________________________________________
_________________________________________________________________________________________________
_____________________________________________________________
10. You are reading the chart of newborn, the past shift documented that the newborn has no stool passed after
the 1st 24 hours and abdomen becomes distended. You know that the newborn have:
A. Cleft Lip
B. Cleft Palate
C. Imperforate Anus
ANSWER: ________
RATIO:___________________________________________________________________________________________
_________________________________________________________________________________________________
SAS 20
1. A newborn has a myelomeningocele with the sac intact and has been placed in an incubator. The nurse, when
planning care for the baby, should focus on potential for:
A. Disuse syndrome
B. Infection
C. Fluid volume deficit
D. Decreased cardiac output
ANSWER: ________
RATIO:___________________________________________________________________________________________
_________________________________________________________________________________________________
_____________________________________________________________
2. The appropriate nursing interventions for a newborn's myelomeningocele sac prior to surgery include using
sterile technique and:
A. Leaving the sac open to air
B. Applying petrolatum to cover the sac
C. Applying moist saline dressings
D. Applying dry dressings
ANSWER: ________
RATIO:___________________________________________________________________________________________
_________________________________________________________________________________________________
_____________________________________________________________
3. Maintaining the proper alignment of the baby with myelomeningocele is important. To maintain proper
alignment of the hips and lower extremities in a baby with a myelomeningocele, the nurse should position the
baby with the:
A. Hips abducted and feet in a neutral position
B. Hips adducted and feet flexed
C. Hips subluxed and feet extended
D. Hips adducted and feet in a natural position
ANSWER: ________
RATIO:___________________________________________________________________________________________
_________________________________________________________________________________________________
_____________________________________________________________
4. A child is diagnosed due to myelomenigocele and is scheduled for surgery due to myelomeningocele; the
primary reason for surgical repair is which of the following?
A. To prevent hydrocephalus
B. To reduce the risk of infection
C. To correct the neurologic defect
D. To prevent seizure disorders
ANSWER: ________
RATIO:___________________________________________________________________________________________
_________________________________________________________________________________________________
_____________________________________________________________
5. A child is diagnosed with increased intracranial pressure (ICP); which of the following if stated by her parents
would indicate a need for Nurse Charlie to reexplain the purpose for elevating the head of the bed at a 10 to 20-
degree angle?
A. Help alleviate headache
B. Increase intrathoracic pressure
C. Maintain neutral position
D. Reduce intra-abdominal pressure.
ANSWER: ________
RATIO:___________________________________________________________________________________________
_________________________________________________________________________________________________
_____________________________________________________________
6. A child was brought to the emergency department by her parents before the child loss its consciousness the
parents described what happened with their child that their child had a “sudden uncontrollable jerky
movements”. In diagnosing seizure disorder, which of the following is the most beneficial?
A. Skull radiographs
B. EEG
C. Brain scan
D. Lumbar puncture
ANSWER: ________
RATIO:___________________________________________________________________________________________
_________________________________________________________________________________________________
_____________________________________________________________
7. You are discussing health teachings to a parent who has a child with seizure disorder. After explaining to the
parents about their child’s unique psychological needs related to a seizure disorder and possible stressors,
which of the following interests uttered by them would indicate further teaching?
A. Feeling different from peers
B. Poor self-image
C. Cognitive delays
D. Dependency
ANSWER: ________
RATIO:___________________________________________________________________________________________
_________________________________________________________________________________________________
_____________________________________________________________
8. A child is diagnosed with a Spina Bifida As a student, you know that Spina bifida is one of the possible neural
tube defects that can occur during early embryological development. Which of the following definitions most
accurately describes meningocele?
A. Complete exposure of spinal cord and meninges
B. Herniation of spinal cord and meninges into a sac
C. Sac formation containing meninges and spinal fluid
D. B and C
E. Spinal cord tumor containing nerve roots
ANSWER: ________
RATIO:___________________________________________________________________________________________
_________________________________________________________________________________________________
_____________________________________________________________
9. An 8-year-old child has a seizure disorder; which of the following would be the lowest priority when caring for
her?
A. Observing and taking down data on all seizures
B. Assuring safety and protection from injuring
C. Assessing for signs and symptoms of increased intracranial pressure (ICP)
D. Educating the family about anticonvulsant therapy
ANSWER: ________
RATIO:___________________________________________________________________________________________
_________________________________________________________________________________________________
_____________________________________________________________
10. A child was rushed to the emergency department with possible increased intracranial pressure (ICP); which
of the following is an early clinical manifestation of increased ICP in older children?
A. Macewen’s sign
B. Setting sun sign
C. Papilledema
D. Diplopia
ANSWER: ________
RATIO:___________________________________________________________________________________________
SAS 21
1. You are a school nurse and one of the children tells you about the spanking she received from her mother last
night. The girl tells you that her mother got very angry when she "talked-back" to her and this is what usually
happens when she is "bad." You suspect the child has been maltreated, and following organizational policy, you
take her to the administrator. There are no marks on the child and she says she is not in pain?
A. Call ChildLine
B. Make a GPS referral
C. Provide community resource recommendations
D. Call the police
E. Take no action
ANSWER: ________
RATIO:___________________________________________________________________________________________
________________________________________________________________________________________________
2. You are caring for a child in a pediatric ward, while assessing a parent who abused her child. Which of the
following risk factors would the nurse expect to find in this case?
A. Flexible role functioning between parents
B. History of the parent having been abused as a child
C. Single-parent home situation
D. Presence of parental mental illness
ANSWER: ________
RATIO:___________________________________________________________________________________________
________________________________________________________________________________________________
3. The following are common safety measure for Poisoning, EXCEPT
A. Buy medications with childproof caps; put away immediately after use.
B. Never take medication in front of a child
C. Do not leave toddlers unsupervised near hot water faucets
D. Place all medications and poisons in locked cabinets or overhead shelves where children cannot reach them.
ANSWER: ________
RATIO:___________________________________________________________________________________________
________________________________________________________________________________________________
4. The following are common safety measure for Burns, EXCEPT:
A. Keep screen in front of fireplace or heater.
B. Monitor toddlers carefully when they are near lit candles
C. Do not leave toddlers unsupervised near hot water faucets.
D. Be certain that small batteries or magnets are out of reach
ANSWER: ________
RATIO:___________________________________________________________________________________________
________________________________________________________________________________________________
5. Caused by repetitive, violent shaking of a small infant by the arms or shoulders, which causes a whiplash
injury to the neck, edema to the brainstem and distinct retinal hemorrhages:
A. Cerebral Palsy
B. Sexual Abuse
C. Shaken Baby Syndrome
D. Munchausen Syndrome by Proxy
ANSWER: ________
RATIO:___________________________________________________________________________________________
________________________________________________________________________________________________
6. It refers to parents who repeatedly bring a child to a health care facility and reports symptoms of illness when,
in fact, the child is well:
A. Cerebral Palsy
B. Sexual Abuse
C. Shaken Baby Syndrome
D. Munchausen Syndrome by Proxy
ANSWER: ________
RATIO:___________________________________________________________________________________________
________________________________________________________________________________________________
7. Vague term than includes indecent liberties-such as oral-genital contact, genital fondling and viewing or
masturbation:
A. Physical Neglect
B. Molestation
C. Incest
D. Pornography and Prostitution
ANSWER: ________
RATIO:___________________________________________________________________________________________
________________________________________________________________________________________________
8. A parent failed to bring her child for routine immunization schedule and was reported to you that her child her
sick for a month with cough, colds and fever. You know that this type of abuse is:
A. Physical Neglect
B. Molestation
C. Incest
ANSWER: ________
RATIO:___________________________________________________________________________________________
________________________________________________________________________________________________
9. Your caring for an 8-year-old in a pediatric ward told you that she was being photographed by her father-in-law
naked and was asked to change her clothes in front of him for a couple of times with a cellphone camera. You
know that the child is experiencing:
A. Physical Neglect
B. Molestation
C. Incest
ANSWER: ________
RATIO:___________________________________________________________________________________________
________________________________________________________________________________________________
10. Act of engaging in sexual intercourse with one's direct family member (siblings, parents, offspring):
A. Physical Neglect
B. Molestation
C. Incest
ANSWER: ________
RATIO:_____________________________
SAS 22
1. It occurs more often in females as an ascending infection from the perineum because the urethra is shorter in
girls:
A. Status Asthmaticus
B. Urinary Tract Infection
C. Asthma
D. Acute Allergic Reaction
ANSWER: ________
RATIO:__________________________________________________________________________________________
_________________________________________________________________________________________________
______________________________________________________________
2. It tends to occur in children with atopy or those hypersensitive to allergens of inflammation,
bronchoconstriction and increased mucus production:
C. Asthma
ANSWER: ________
RATIO:__________________________________________________________________________________________
_________________________________________________________________________________________________
______________________________________________________________
3. It occurs when children fail to respond to medications during an attack with an extreme emergency because a
child may die of heart failure due to a combination of exhaustion, atelectasis and acidosis from bronchial
plugging:
C. Asthma
ANSWER: ________
RATIO:__________________________________________________________________________________________
_________________________________________________________________________________________________
______________________________________________________________
4. Malignant cancer of the kidney; usually unilateral; encapsulated at the time of diagnosis:
A. Acute Myeloid Leukemia
B. Nephroblastoma
C. Acute Lymphocytic Leukemia
D. Asthma
ANSWER: ________
RATIO:__________________________________________________________________________________________
_________________________________________________________________________________________________
______________________________________________________________
5. It involves lymphoblasts or immature WBC’s with rapid proliferation of lymphoblasts, RBC and platelet
production fall and invasion of body organs by the WBC’s begins:
B. Nephroblastoma
D. Asthma
ANSWER: ________
RATIO:__________________________________________________________________________________________
_________________________________________________________________________________________________
______________________________________________________________
6. It involves the over proliferation of granulocytes and more frequent in late adolescence.
B. Nephroblastoma
D. Asthma
ANSWER: ________
RATIO:__________________________________________________________________________________________
_________________________________________________________________________________________________
______________________________________________________________
7. A complication of Acute Lymphocytic Leukemia wherein the leukemic cells in the testes will not be destroyed
by chemotherapy therefore irradiation is done leading to sterility:
A. CNS involvement
B. Renal Involvement
C. Testicular Invasion
D. Wilm’s Tumor
ANSWER: ________
RATIO:__________________________________________________________________________________________
_________________________________________________________________________________________________
______________________________________________________________
8. A complication of Acute Lymphocytic Leukemia wherein blindness, hydrocephalus, recurrent seizures, nuchal
rigidity, headache, irritability:
A. CNS involvement
D. Wilm’s Tumor
ANSWER: ________
RATIO:__________________________________________________________________________________________
_________________________________________________________________________________________________
______________________________________________________________
9. A complication of Acute Lymphocytic Leukemia wherein from invasion of leukemia cells the kidneys enlarge
and function impaired
A. CNS involvement
D. Wilm’s Tumor
ANSWER: ________
RATIO:__________________________________________________________________________________________
_________________________________________________________________________________________________
______________________________________________________________
10. The following are goals in managing asthma, EXCEPT:
A. Avoidance of allergen by environmental control,
B. Skin testing
C. Hypo-sensitization to identified allergens
D. Increase fluid intake to flush out the organisms
E. Relief of symptoms by pharmacologic agents
ANSWER: ________
RATIO:__________________________________________________________________________________________
_________________________________________________________________________________________________
SAS 23
1. A school-age child with type 1 diabetes mellitus has soccer practice and the school nurse provides
instructions regarding how to prevent hypoglycemia during practice. Which should the school nurse tell the child
to do?
A. Eat twice the amount normally eaten at lunchtime.
B. Take half the amount of prescribed insulin on practice days.
C. Take the prescribed insulin at noontime rather than in the morning.
D. Eat a small box of raisins or drink a cup of orange juice before soccer practice.
ANSWER: ________
RATIO:___________________________________________________________________________________________
_________________________________________________________________________________________________
_____________________________________________________________
2. The mother of a 6-year-old child who has type 1 diabetes mellitus calls a clinic nurse and tells the nurse that
the child has been sick. The mother reports that she checked the child’s urine and it was positive for ketones.
The nurse should instruct the mother to take which action?
A. Hold the next dose of insulin.
B. Come to the clinic immediately.
C. Encourage the child to drink liquids.
D. Administer an additional dose of regular insulin
ANSWER: ________
RATIO:___________________________________________________________________________________________
_________________________________________________________________________________________________
_____________________________________________________________
3. A pediatrician prescribes an intravenous (IV) solution of 5% dextrose and half-normal saline (0.45%) with 40
mEq of potassium chloride for a child with hypotonic dehydration. The nurse performs which priority
assessment before administering this IV prescription?
A. Obtains a weight
B. Takes the temperature
C. Takes the blood pressure
D. Checks the amount of urine output
ANSWER: ________
RATIO:___________________________________________________________________________________________
_________________________________________________________________________________________________
_____________________________________________________________
4. A 7-year-old with type 1 diabetes mellitus is admitted to the emergency department for treatment of diabetic
ketoacidosis. Which assessment findings should the nurse expect to note?
A. Sweating and tremors
B. Hunger and hypertension
C. Cold, clammy skin and irritability
D. Fruity breath odor and decreasing level of consciousness
ANSWER: ________
RATIO:___________________________________________________________________________________________
_________________________________________________________________________________________________
_____________________________________________________________
5. A child with type 1 diabetes mellitus is brought to the emergency department by the mother, who states that
the child has been complaining of abdominal pain and has been lethargic. Diabetic ketoacidosis is diagnosed.
Anticipating the plan of care, the nurse prepares to administer which type of intravenous (IV) infusion?
A. Potassium infusion
B. NPH insulin infusion
C. 5% dextrose infusion
D. Normal saline infusion
ANSWER: ________
RATIO:___________________________________________________________________________________________
_________________________________________________________________________________________________
_____________________________________________________________
6. The school nurse has provided an instructional session about impetigo to parents of the children attending the
school. Which statement, if made by a parent, indicates a need for further instruction?
A. “It is extremely contagious.”
B. “It is most common in humid weather.”
C. “Lesions most often are located on the arms and chest.”
D. “It might show up in an area of broken skin, such as an insect bite.”
ANSWER: ________
RATIO:___________________________________________________________________________________________
_________________________________________________________________________________________________
_____________________________________________________________
7. The nurse reviews the laboratory results for a child with a suspected diagnosis of rheumatic fever, knowing
that which laboratory study would assist in confirming the diagnosis?
A. Immunoglobulin
B. Red blood cell count
C. White blood cell count
D. Anti–streptolysin O titer
ANSWER: ________
RATIO:___________________________________________________________________________________________
_________________________________________________________________________________________________
_____________________________________________________________
8. A child with rheumatic fever will be arriving to the nursing unit for admission. On admission assessment, the
nurse should ask the parents which question to elicit assessment information specific to the development of
rheumatic fever?
A. “Has the child complained of back pain?”
B. “Has the child complained of headaches?”
C. “Has the child had any nausea or vomiting?”
D. “Did the child have a sore throat or fever within the last 2 months?”
ANSWER: ________
RATIO:___________________________________________________________________________________________
_________________________________________________________________________________________________
_____________________________________________________________
9. The parents of a child with juvenile idiopathic arthritis call the clinic nurse because the child is experiencing a
painful exacerbation of the disease. The parents ask the nurse if the child can perform range-of-motion exercises
at this time. The nurse should make which response?
A. “Avoid all exercise during painful periods.”
B. “Range-of-motion exercises must be performed every day.”
C. “Have the child perform simple isometric exercises during this time.”
D. “Administer additional pain medication before performing range-of-motion exercises.”
ANSWER: ________
RATIO:___________________________________________________________________________________________
_________________________________________________________________________________________________
_____________________________________________________________
10. The clinic nurse is reviewing the health care provider’s prescription for a child who has been diagnosed with
scabies. Lindane has been prescribed for the child. The nurse questions the prescription if which is noted in the
child’s record?
A. The child is 18 months old.
B. The child is being bottle-fed.
C. A sibling is using lindane for the treatment of scabies.
D. The child has a history of frequent respiratory infections.
ANSWER: ________
RATIO:___________________________________________________________________________________________
SAS 24
1. A 15-year-old has a right femur fracture caused by a motor vehicle crash and is placed in skin traction
temporarily until surgery can be performed. During assessment, the nurse notes that the dorsalis pedis pulse is
absent on the right foot. Which action should the nurse take?
A. Administer an analgesic.
B. Release the skin traction.
C. Apply ice to the extremity.
D. Notify the primary health care provider.
ANSWER: ________
RATIO:___________________________________________________________________________________________
_________________________________________________________________________________________________
_____________________________________________________________
2. A 16-year-old is placed in skeletal traction for treatment of a fractured femur. The nurse creates a plan of care
and should include which intervention?
A. Ensure that all ropes are outside the pulleys.
B. Ensure that the weights are resting lightly on the floor.
C. Restrict diversional and play activities until the child is out of traction.
D. Check the primary health care provider’s (PHCP’s) prescriptions for the amount of weight to be applied.
ANSWER: ________
RATIO:___________________________________________________________________________________________
_________________________________________________________________________________________________
_____________________________________________________________
3. A 14-year-old child sustains a fall at home. After an x-ray examination, the child is determined to have a
fractured arm and a plaster cast is applied. The nurse provides instructions to the parents regarding care for the
child’s cast. Which statement by the parents indicates a need for further instruction?
A. “The cast may feel warm as the cast dries.”
B. “I can use lotion or powder around the cast edges to relieve itching.”
C. “A small amount of white shoe polish can touch up a soiled white cast.”
D. “If the cast becomes wet, a blow drier set on the cool setting may be used to dry the cast.”
ANSWER: ________
RATIO:___________________________________________________________________________________________
_________________________________________________________________________________________________
_____________________________________________________________
4. A child who has undergone spinal fusion for scoliosis complains of abdominal discomfort and begins to have
episodes of vomiting. On further assessment, the nurse notes abdominal distention. On the basis of these
findings, the nurse should take which action?
A. Administer an antiemetic.
B. Increase the intravenous fluids.
C. Place the child in a Sims’ position.
D. Notify the primary health care provider.
ANSWER: ________
RATIO:___________________________________________________________________________________________
_________________________________________________________________________________________________
_____________________________________________________________
5. The nurse is providing instructions to the parents of a child with scoliosis regarding the use of a brace. Which
statement by the parents indicates a need for further instruction?
A. “I will encourage my child to perform prescribed exercises.”
B. “I will have my child wear soft fabric clothing under the brace.”
C. “I should apply lotion under the brace to prevent skin breakdown.”
D. “I should avoid the use of powder because it will cake under the brace.”
ANSWER: ________
RATIO:___________________________________________________________________________________________
_________________________________________________________________________________________________
_____________________________________________________________
6. The nurse is planning care for an assigned client. The nurse should include information in the plan of care
about prevention of human immunodeficiency virus (HIV) for which individuals specifically at risk?
A. Lesbian persons
B. Men-who-have-sex-with-men (MSM)
C. Women-who-have-sex-with-women (WSW)
D. Female-to-male (FTM) transgender persons
ANSWER: ________
RATIO:___________________________________________________________________________________________
_________________________________________________________________________________________________
_____________________________________________________________
7. Which of the following methods should the nurse use to provide the most accurate assessment of an
adolescent’s status regarding obesity?
A. A food intake diary for 1 week.
B. Body mass index.
C. A 4-hour dietary history.
D. Skinfold thickness measurements.
ANSWER: ________
RATIO:___________________________________________________________________________________________
_________________________________________________________________________________________________
_____________________________________________________________
8. When counseling an obese adolescent, the nurse should advise the client that which complication is the most
common?
A. Lifelong obesity.
B. Gastrointestinal problems.
C. Orthopedic problems.
D. Psychosocial problems.
ANSWER: ________
RATIO:___________________________________________________________________________________________
_________________________________________________________________________________________________
_____________________________________________________________
9. When assessing a 17-year-old male client with depression for suicide risk, which of the following questions is
best?
A. “What movies about death have you watched lately?”
B. “Can you tell me what you think about suicide?”
C. “Has anyone in your family ever committed suicide?”
D. “Are you thinking about killing yourself?”
ANSWER: ________
RATIO:___________________________________________________________________________________________
_________________________________________________________________________________________________
_____________________________________________________________
10. Assessment of suicidal risk in children and adolescents requires the nurse to know which of the
following?
A. Children rarely commit suicide unless one of their parents has already committed suicide, especially in the past year.
B. The risk of suicide increases during adolescence, with those who have recently suffered a loss, abuse, or family
discord being most at risk.
C. Children do have a suicidal risk that coincides with some significant event such as a recent gun purchase in the family.
D. Adolescents typically don’t choose suicide unless they live in certain geographical regions.
ANSWER: ________
RATIO:________________
SAS 25
1. A 2-year-old boy is seen for acute laryngotracheobronchitis. Which of the following observations would
lead you to suspect that airway occlusion is occurring?
A. He states he is tired and wants to sleep
B. His respiratory rate is gradually increasing
C. His cough is becoming harsher
D. His nasal discharge is increasing
ANSWER: ________
RATIO:__________________________________________________________________________________________
_________________________________________________________________________________________________
______________________________________________________________
2. Which of the following measures would be most effective in aiding bronchodilation in a child with
laryngotracheobronchitis?
A. Urging the child to continue to take oral fluids
B. Administering an oral analgesic
C. Teaching the child to take long, slow breaths
D. Assisting with racemic epinephrine nebulizer therapy
ANSWER: ________
RATIO:__________________________________________________________________________________________
_________________________________________________________________________________________________
______________________________________________________________
3. What measure at home could help a child with an upper respiratory infection breathe more easily?
A. Increasing room humidity
B. Limiting fluid intake
C. Enforcing strict bed rest
D. Playing “rapid breathing” games
ANSWER: ________
RATIO:__________________________________________________________________________________________
_________________________________________________________________________________________________
______________________________________________________________
4. A 6-year-old child is diagnosed as having streptococcal pharyngitis. When planning care, you should be
aware that the chief danger of such an infection is that:
A. lymph nodes will swell and obstruct the airway.
B. the infection may spread and cause a tooth abscess.
C. a small proportion of children develop rheumatic fever.
D. four out of five children develop nephrosis afterward.
ANSWER: ________
RATIO:__________________________________________________________________________________________
_________________________________________________________________________________________________
______________________________________________________________
5. A 7-year-old child has been scheduled for a tonsillectomy. Which of the following would be most
important to assess prior to surgery?
This document and the information thereon is the property of
PHINMA Education (Department of Nursing) 5 of 7
A. Specific gravity of urine

B. Pulse and respiratory rate
C. Bleeding and clotting time
D. Blood pressure both lying down and sitting up
ANSWER: ________
RATIO:__________________________________________________________________________________________
_________________________________________________________________________________________________
______________________________________________________________
6. After tonsillectomy surgery, the preferred position of a child until fully awake is on the:
A. side with the head elevated.
B. abdomen with a pillow under the chest.
C. back with warm compresses applied to the throat.
D. side with continuous oxygen by cannula at 30%.
ANSWER: ________
RATIO:__________________________________________________________________________________________
_________________________________________________________________________________________________
______________________________________________________________
7. A worried mother calls the nurse and tells her that her son has developed a horrible croupy cough and is
having trouble breathing. Which of the following would be the best intervention for the nurse to
recommend to the mother?
A. Administer an analgesic to the boy
B. Administer cough syrup to the boy
C. Run a hot shower to fill the bathroom with steam and have the boy stay there
D. Have the boy drink a full glass of water to clear out the mucus
ANSWER: ________
RATIO:__________________________________________________________________________________________
_________________________________________________________________________________________________
______________________________________________________________
8. You are assessing a child for wheezes. You know that wheezing in children is best heard:
A. as the child cries.
B. without a stethoscope.
C. as the child exhales.
D. with the child supine.
ANSWER: ________
RATIO:__________________________________________________________________________________________
_________________________________________________________________________________________________
______________________________________________________________
9. The caregivers of a child report that their child had a cold and complained of a sore throat. When
interviewed further they report that the child has a high fever, is very anxious, and is breathing by sitting
up and leaning forward with the mouth open and the tongue out. The nurse recognizes these symptoms
as those seen with which of the following disorders?
A. Spasmodic laryngitis
B. Tonsillitis
C. Laryngotracheobronchitis
D. Epiglottitis
ANSWER: ________
RATIO:__________________________________________________________________________________________
_________________________________________________________________________________________________
______________________________________________________________
This document and the information thereon is the property of
PHINMA Education (Department of Nursing) 6 of 7
10. The caregivers of a 2-year-old who has had a common cold for 4 days calls the nurse in the Emergency
Department at 2 AM on a cold winter night to say that the child has awakened with a barking cough and
an elevated temperature; she seems blue around her mouth. The nurse would most appropriately
recommend which of the following to the caregiver?
A. "Turn on all of the hot water taps in the bathroom and close the door. Take the child into the steam filled room
for 15 minutes. If there is no relief, bring the child to the emergency room."
B. "Bundle the child up and take her out into the cold for a few minutes. Call back if the exposure to the cold air
does not provide relief."
C. "Bring the child to the emergency room immediately."
D. "Put a cool mist humidifier or vaporizer in the room to see if that relieves the cough. Call back if there's no relief
in an hour."
ANSWER: ________
RATIO:_________

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SAS 1

following class of heart disease does the client has?

This document and the information thereon is the property of PHINMA

Education (Department of Nursing) 4 of 6

following class of heart disease does the client has?

C. Nitroglycerin sublingual tablets should not be chewed, crushed, or swallowed.

common cause of cardiovascular disorder during pregnancy, EXCEPT:

B. Uncorrected Coarctation of Aorta

This document and the information thereon is the property of PHINMA

Education (Department of Nursing) 5 of 6

B. requires referral to her doctor.

C. requires immediate intervention.

D. requires rest and oxygen therapy

heart. The following conditions increases the workload of the heart.

class of heart disease does the client has?

women develop gestational diabetes?

A. usually during the 1-3 month of pregnancy

B. usually during the 2-3 month of pregnancy

C. usually during the 1-2 trimester of pregnancy

D. usually during the 2-3 trimester of pregnancy

statements about the role and function of insulin:

B. “Insulin is a hormone secreted by the beta cells of the pancreas.”

below is used to diagnose a patient with this condition?

B. 24 hour urine collection

D. 3 hour glucose tolerance test

This document and the information thereon is the property of PHINMA

Education (Department of Nursing) 5 of 7

teaching about gestational diabetes?

6. The following are true regarding contraception in Diabetes Mellitus, EXCEPT:

A. Diabetic Women can use Intrauterine Device

B. Clients can use COC type of oral contraceptives

C. Norplant or progestin only pills(minipills) may be used safely by diabetic women

D. Diabetic Women cannot use Intrauterine Device

A. Blood glucose 55 mg/dL

B. Blood glucose 82 mg/dL

C. Blood glucose 148 mg/dL

D. Blood glucose 325 mg/Dl

B. Blood pressure 190/102

A. “It burns when I urinate.”

B. “My back is hurting.”

D. “I feel the baby kick about 10 times an hour.”

This document and the information thereon is the property of PHINMA

Education (Department of Nursing) 6 of 7

B. Fetal Alcohol Syndrome

This document and the information thereon is the property of PHINMA

Education (Department of Nursing) 3 of 5

Which of the following does the pregnant client is using?

drug is the pregnant woman is using?

following are Heroin Withdrawal Symptoms, EXCEPT:

This document and the information thereon is the property of PHINMA

Education (Department of Nursing) 4 of 5

use in pregnant women and with the fetus. EXCEPT:

A. loss of short-term memory

B. reduced milk production

A. Small for Gestational Age

B. Increased incidence of fetal distress

A. increases cardiac output

B. gives a sense of euphoria

C. loss of short-term memory

Which of the following is incorrect regarding ABO incompatibility?

A. Blood Smear result is microspherocytosis

B. <95, microcytic for a newborn

C. Direct Coombs test is often weakly +

D. Direct Coombs test is often weakly –