Which of the following characteristics of a fertile cervical mucus indicates
The use of human chorionic gonadotropin (HCG) has been a valuable
parameter in the assessment of pregnancy and associated complications.
Which of the following is not true about its role in pregnancy?
- Determination of HCG in the urine confirms pregnancy.
You are assigned in the community lying-in center when a G3P2 patient
was admitted for delivery. The nurse heading the delivery performs an
episiotomy on a patient to facilitate the delivery of the baby. Which of the
following is the legal implication of this action?
- Performance of episiotomy may lead to malpractice as
nurses are not allowed to do it.
A 21-year old nullipara reports not seeking prenatal care because she is
ashame of how she looks especially with the darkening of her face and
the dark line on her abdomen. She is not used to looking this way as she
is known to be really pretty. What is the most appropriate nursing
diagnosis at this point for this patient?
- Body Image Disturbance
Karen reports that out of her six cycles, the longest was 29 days and the
shortest is 23 days. She reports of having a new menstrual cycle which
started today, October 8 2022. She tells you that her husband will be
coming home from October 21-28. If she wish not to be pregnant, you will
advise her to have sexual intercourse on which date/s? Select all that
apply.
- October 27 and 28
The nurse is evaluating the newborn for signs of good attachment during
breastfeeding. Which of the following if observed indicates the need for
teaching? Select all that apply.
- Lower lip turned inward.
- Sucking is deep and fast.
To reduce the possibility of sustaining perineal lacerations, which of the
following is an important action that the nurse should do?
- Support the perineum as the baby's head is being
delivered.
Adequate sucking of the baby on the maternal's breast also facilitates
breastfeeding because sucking enables the mammary glands to constrict
enabling the milk to be pushed forward into the nipple. This is influenced
by which of the following hormones?
- Oxytocin
You will expect to palpate a pregnant's fundus on her 16 weeks age of
gestation at which level?
- Above the symphysis pubis
A 21-year old visits the clinic because she noticed her breasts and face
become darker than the usual. She also reports of frequent urination. As
a nurse, you will consider the patient to manifest which of the following?
- Presumptive signs of pregnancy
Following a successful delivery of a newborn and placenta, the nurse
assesses the uterine fundus and massages it since it has been reported
to be soft. This intervention is specifically done to prevent which of the
following complications?
- Postpartum Hemorrhage
Which of the following statements indicate understanding of a patient on a
care of a pregnant patient on second trimester of pregnancy with diabetes
as a comorbidity?
- Insulin need is increased due to the influence of human
chorionic somatomammotropin.
A primigravid nearing term tells the home health nurse that she feels
more comfortable lately as if a big amount of weight has been released
from her body. Which of the following is an appropriate interpretation for
this statement made by the patient?
- The patient may enter into labor
the property of spinnbarkeit and makes pregnancy possible?
- The cervical mucus can be stretched without breaking
A junior nurse is asking the senior nurse how to completely identify a
patient in true labor since most of their patients are complaining of uterine
contractions however the junior nurse hears the senior nurse saying that
some of them are only in false labor. Which of the following should the
senior nurse tell the junior nurse that clearly separates a true labor from
false labor?
- The patient's cervix starts to thin and dilate.
As according to the EINC protocol and National Immunization Program
(NIP) which among the following vaccines should be received by a
newborn following delivery? Select all that apply.
- Single dose of BCG
- Single dose of Hepa B
The nurse is assigned to four patients who has had abortion. Which
among the following patients should the nurse assigned the priority
problem of Fluid Volume Deficit?
- Girlie who underwent dilation and curettage because of
retained fragments.
Which among the following patients in the third trimester of pregnancy
presents the greatest risk of developing abruptio placenta?
- Jerry, G2P1, who is receiving magnesium sulfate due to
being diagnosed of pre-eclampsia with severe features.
While monitoring a patient in the labor room, you have noticed that the
fetal heart rate decreases as the uterus contracts. Which of the following
is the most appropriate action to be taken at this point?
- Continue monitoring maternal's uterine contraction and
fetal heart tone.
Which of the following statements is true about the influences of different
hormones in the regulation of a woman's menstrual cycle?
- An increase in the estrogen level from the stimulation of
ovaries inhibits the release of the follicle-stimulating
hormone.
A 27-year old woman visits the hospital with vague complaints. The nurse
in charge obtains the obstetric history of this patient, revealing she had a
history of abortion. The attending physician then informs this patient that
she is actually 2 months pregnant and it may be the reason for the vague
complaints the patient presents. The patient then remarks that hopefully
this current pregnancy, which is her fifth, will give her a daughter. The
nurse writes the obstetric score of this patient as:
- G5P3
As you are performing bimanual examination on a pregnant patient, you
are able to elicit softening of the lower uterine segment just slightly above
the patient's cervix. This assessment shall be documented as which of
the following? Select all that apply.
- Hegar's sign
- A probable sign of pregnancy
Which of the following statements made by the nurse indicates
appropriate understanding on the use of RHOGAM for Rh incompatibility?
- This drug prevents the formation of maternal antibodies
attacking Rh (+) fetus.
The use of condom as a strategy in reducing sexually-transmited
infections has been widely accepted however its use may not necessarily
be effective in reducing which STIs? Select all that apply.
- Syphilis
- Genital herpes
Magnesium sulfate in cases of pregnancy disorders during pregnancy is
usually indicated for which of the following reasons?
- To prevent progression of maternal's condition to
eclampsia.
The student nurse is discussing the role of FSH and LH in the menstrual
cycle using the 28-day cycle framework. Which of the following is correct
with regard to the influence of FSH and LH in the menstrual cycle? Select
all that apply.
- Both hormones are released by the anterior pituitary gland
- FSH is responsible for ova maturation.
- LH is responsible for ovulation

Occurs when alveolar sac or entire lung segments expand incompletely.
producing partial or complete lung collapse.
- Atelectasis
Repeated damage to bronchial walls w/c causes the breakdown of
supporting tissue adjacent to the airway.
- Bronchiectasis
Which of the following are advanced s/sx of ARDS?
- retractions, dypsneic, restlessness
The patient had undergone drainage of a lung abscess, few hours post-
operative the nurse assess the patient to be hypoxic with 02 sat of 93%
declining, lip cyanosis, and tachypneic, hence prompted the nurse to
notify the physician as the patient might be experiencing the signs of:
- respiratory alkalosis

ARDS occurs when: in the case of ARDS, accumulation of CO2 in the blood will lead into this
condition.
1.Decreased blood flow and fluids in the alveoli damage surfactant and - respiratory acidosis
impair the cell's ability to produce more thus The alveoli then collapse
impairing gas exchange The pre-renal condition occurs when the patient suffers from the following
2. Release substance inflame and damage the alveolar capillary, condition, EXCEPT:
increasing capillary permeability and fluid shift into interstitial space - Mitral stenosis
3. Capillary permeability increases thus proteins and fluids leak out,
increasing insterstitial osmotic pressure and causing pulmonary edema The patient underwent an ultrasound of the kidney, ureter, and bladder
4. Injury reduces normal blood flow to the lungs & Platelets aggregates (KUB). The nurse noticed rashes and dry skin. This manifestation is
and release histamine, serotonin and bradykinin commonly exhibit when there is:
5. Oxygenation is impaired, but CO2 easily crosses the alveolar capillary - Buildup of toxins and stimulation of sympathetic nervous
system
membrane and is expired. Blood oxygen and CO2 levels are low.
Pulmonary edema worsen leading to fibrosis. Treatment modalities of renal failure are to enhance renal perfusion by
- 42315 administering:
- Dopamine
Causes of ARDS includes the following. EXCEPT:
A 55-year-old male patient is admitted with a massive GI bleed. The
- Abdominal and thoracic surgery patient is at risk for what type of acute kidney injury?
- 02 toxicity - Pre renal
- metabolic acidosis
- Anaphylaxis A patient with AKI has a urinary output of 350 mL/day. In addition,
- Viral pneumonia morning labs showed an increased BUN and creatinine level along with
potassium level of 6 mEq/L. What type of diet ordered by the physician is
Signs of hypoxic brain cells are the following, EXCEPT: most appropriate for this patient?
- Low-protein, low-potassium, and low-sodium
- mental sluggishness
- motor dysfunction PRE RENAL POST RENAL RENAL
- Restlessness, Accumulation of
- apprehension, BUN, uric acid
- intercostals retraction in the blood
Spinal cord
injury
It means the concentration of waste in the blood.
Prostate cancer
- Azotemia
Bladder tumor
A client with glomerulonephritis is at risk of developing acute renal failure. Cholelithiasis
The nurse monitors the client for which early sign of this complication? Right sided
- Hypertension heart failure
Use of diuretics
A patient diagnosed with acute renal failure wants to know what to expect
Nephrolithiasis
during the progression of this disorder. Which statement best addresses
the patient's concern? 3rd degree
- ARF is abrupt and often reversible if recognized early and partial thickness
treated appropriately. burn injury
Medication
induced renal
An elevated BP in a patient with ARF (Acute renal failure) occurs as a
failure
result of:
Blood clots
- Hypervolemia

Which of these drugs is nephrotoxic?

- NSAIDS

Which is the treatment of choice for many clients with end-stage renal
disease?
- Kidney Transplant

Which of the following positions would be best for the ventilated patient
with Acute Respiratory Distress Syndrome (ARDS) based upon the
rationale that is included?
- Prone