1.
A 21-year old female patient tells you that she knows she is
ovulating because she feels warmer as compared to earlier
days of her menstruation. You know that this is among the
effect of which of the following hormones?
 PROGESTERONE
2. The nurse counsels this patient that another way to determine
ovulation is through assessment of cervical mucus. Should the
patient wish to get pregnant, cervical mucus characteristic of
being fertile include the following (select all that apply)
 COPIOUS
 SLIPPERY
 STRETCHY
 THIN
3. The nurse receives a pregnant patient in the health center for
prenatal care. Upon asking for her menstrual history, the
patient reports that her last menstruation was dated June 7 to
June 10. If the patient seeks consult today (September 9,
2022), the expected date of birth for this pregnancy using
Naegele's rule is:
 MARCH 14, 2023
4. A patient tells you that her last menstrual period was February 24
, 2022. The nurse computes her estimated date of birth using
the Naegele's rule as December 1, 2023. Which of the
following is a true statement with regard to this?
 THE EDB COMPUTED IS INCORRECT, IT SHOULD
BE DECEMBER 1, 2022
5. The nurse is discussing to a group of students with regard to the
ampullary region of the fallopian tube. Which of the following if
stated by a student indicates further teaching about this part of
the fallopian tube?
 IT IS THE MOST COMMON SITE OF IMPLANTATION.
6. You instructed a 20-year old woman to return to the clinic once
she has completed 6 cycles of menstruation in order to teach
her of the calendar method. Her records shows the following
durations of her menstrual cycles: 29, 27, 29, 28, 25, 27. She
proceeds by telling you that her next cycle began September 9,
2022 and that her husband is usually just around the house
every Sunday however they wish to have a child already.
Based on the provided dates, when is the best time for the
couple to have sexual relations with the goal of getting
pregnant?
 SEPTEMBER 17
 SEPTEMBER 24
7. The patient is interested to know more about the
symptothermal method of contraception. The nurse will
include all of the following instructions except for:
 Identify any changes in the cervical mucus, especially if
it becomes copious which indicates she may be fertile.
 Monitor any rise in her body temperature during her
menstrual cycle as this may indicate fertile period.
 RECORD AT LEAST 6 CYCLES OF MENSTRUATION,
TAKING NOTE OF THE DURATION OF THESE
CYCLES, TO DETERMINE THE DAYS DURING HER
CYCLE WHERE SHE MAY GET PREGNANT.
 Teach about mittelschmerz which is among the
signs of ovulation.
8. Apart from contraceptive function, some family planning
methods are also protective against sexually-transmitted
infections. Which of the following statements are true with
regard to these methods?*
 ABSTINENCE IS THE BEST METHOD IN
PREVENTING SEXUALLY-TRANSMITTED
INFECTIONS.
9. The nurse is evaluating the understanding of a 24-year old
who is interested in the insertion of subdermal hormone
implant as a contraceptive method. Which of the following
statements if mentioned by the client indicates a need for
further teaching with regard to this method?
 Fertility returns months after removal of the implant
because of the residual effect of the hormone
introduced through the implant
 Sexual enjoyment may be inhibited with the use of
this contraceptive method.
 The use of implant may affect the production of
breastmilk hence not advisable for breastfeeding
mothers
 ALL OF THE ABOVE
10. The nurse have just assisted in the successful delivery of a
27-year old G3P3 who chose DMPA as her contraceptive of
choice. Which of the following is the most appropriate
instruction that should be given by the nurse with regard to
this contraception method?
 INSTRUCT THE PATIENT TO RETURN 6 WEEKS
FOR THE INITIAL INJECTION AND ADVISE TO
RETURN EVERY 12 WEEKS FOR THE
SUCCEEDING INJECTION UNTIL 2 YEARS OF
USE.
11. A patient who underwent vasectomy is to be discharged
following a successful operation. Which of the following
indicates a positive understanding of the expected
considerations to happen following vasectomy?
 SPERM PRODUCTION REMAINS TO CONTINUE
HOWEVER WILL NOT BE PRESENT ON
EJACULATION.
12. Apart from providing nutrition to the growing fetus, the
placenta also assumes regulation of different hormones to
support the pregnancy. Which of the following are among the
functions of the human chorionic gonadotropin (HCG)?
 INFLUENCES TESTOSTERONE PRODUCTION
OF MALE FETUS
 SUPPRESSES THE MATERNAL IMMUNE
SYSTEM TO PREVENT REJECTION OF
PLACENTAL TISSUES
13. A 17-year old G1P0 on her second trimester of pregnancy
visits the clinic for antenatal care. Ultrasound result reveal
that the amniotic fluid's pocket are smaller than a centimeter.
Which of the following conditions may cause this amniotic
fluid disturbance?
 THERE MAY BE A POSSIBLE IMPAIRMENT OF
THE FETAL'S KIDNEY FUNCTION.
14. The nursing instructor is discussing with his students the
functions of the amniotic fluid, which include all of the
following except for:
 Assist in the muscular development of the fetus by
allowing the fetus to move freely
  PREVENTS EXCESSIVE PRESSURE AGAINST
THE ARTERIES AND VEINS OF THE UMBILICAL
CORD AND PROVIDES FOR THE BODY OF THE
UMBILICAL CORD
 Protects the fetus against rapid changes in the
temperature
 Minimizes fetal trauma as it presses against the
materna's abdomen
15. The nurse is assessing a 21 year-old G3P2. If she is on her
20th week of pregnancy, you expect her fundus to be
palpated at which level?
 AT THE LEVEL OF THE UMBILICUS
16. Nursing assessment on a G3P2 patient on her 28 weeks
AOG revealed a fundic height of 21 centimeters. The nurse
instructs the patient to do daily kick counts. Which of the
following indicates that the patient understood the teaching?
 IF ON THE FIRST HOUR OF ASSESSMENT THE
FETAL KICK IS LESS THAN 10, SHE SHOULD
TRY TO WALK A LITTLE THEN REPEAT
COUNTING FOR ANOTHER HOUR.
17. The physician orders ultrasound for a 17-year old who just
gave birth. As the nurse, you know that the purpose of the
ultrasound is to:
 MONITOR THE UTERINE INVOLUTION
18. The nurse is assisting a pregnant patient who is for
abdominal ultrasound. Which of the following are appropriate
steps the nurse should take for this patient?
 ENCOURAGE THE PATIENT TO DRINK WATER
AND ADVISED NOT TO VOID PRIOR TO THE
TEST.
 PLACE A ROLLED TOWEL UNDER THE
PATIENT'S RIGHT BUTTOCKS TO PREVENT
SUPINE HYPOTENSION
19. A 26-year old G3P2 on her 30th week AOG scheduled for
ultrasound for placental maturity. You expect that her
ultrasound result for placental maturity should be:
 GRADE 1
20. The nurse is assisting a patient who was instructed to
undergo a 20-minute non-stress test. The nurse determines
that the test is reactive if which of the following has been
met?
 AN INCREASE ON THE FETAL HEART RATE BY
AT LEAST 15 BEATS PER MINUTE AS THE
FETUS MOVES ON TWO SEPARATE
OCCASIONS WITHIN A 20-MINUTE PERIOD.
21. The biophysical profile is composed of five parameters
however for simplicity a modified biophysical profile was
made which included:
 AMNIOTIC FLUID VOLUME
 FETAL HEART REACTIVITY
22. Assessment of maternal serum is a vital parameter is
assessing possible fetal anomalies. Which of the following
result is associated with a neural tube defect?
 HIGH LEVEL OF MATERNAL SERUM ALPHA
FETOPROTEIN
23. A high level of acetylcholinesterase present in the amniotic
fluid during an amniocentesis is suggestive of which of the
following condition?
 FETUS WITH A NEURAL TUBE DEFECT
24. A 22-year old G1P0 on her 28th week AOG was advised to
undergo amniocentesis to determine fetal lung maturity as
this pregnancy has a threat for possible premature delivery.
Which of the following is evaluated to ascertain fetal lung
maturity considering the gestational age of this pregnancy?
 LECITHIN TO SPHINGOMYELIN RATIO
25. Priority nursing goal in the care of a child born with
esophageal atresia is:
 ESTABLISHING A PATENT AIRWAY
26. Which of the following assessment factors are highly
suggestive of an infant with esophageal atreasia?
 BORN PREMATURELY DUE TO
POLYHYDRAMNIOS.
 HAVING SO MUCH MUCUS IN THE MOUTH
THAT APPEARS AS BLOWING BUBBLES
27. The most common type of esophageal atresia is
 THE ESOPHAGUS ENDS IN A BLIND POUCH
WHILE THE TRACHEA COMMUNICATES BY A
FISTULA WITH THE LOWER ESOPHAGUS AND
STOMACH.
A 19-year old G1P0 on her first trimester of pregnancy was
rushed in the emergency room after complaining of severe
abdominal pain accompanied by vaginal bleeding, which started
as spotting. On examination, the patient was restless and weak-
looking however the vital signs were all within normal limits apart
from being tachycardic.
28. Which of the following questions should be asked if ectopic
pregnancy is being considered for this patient?
 "DID YOU UNDERGO ANY SURGERY
INVOLVING THE FALLOPIAN TUBE?"
 "DO YOU HAVE ANY HISTORY OF PREVIOUS
INFECTION INVOLVING THE REPRODUCTIVE
TRACT?"
 "DO YOU SMOKE?"
29. The classic triad signs of ectopic pregnancy include all of the
following except for:
 Abdominal Pain
 Abnormal Vaginal Bleeding (Spotting)
 DECREASED HCG LEVEL
 Delayed Menses
30. Blood transfusion was ordered for this patient due to the low
level of hemoglobin. If the patient's blood type is A-,
theoretically if all of the following blood products are
available, the safest to be administered is:
 O-
31. As you approach this patient, she then discloses that she is
a Jehovah's witness follower and in their religion blood
products are prohibited. However, she understands the
medical implication of needing the blood transfusion and
would personally allow to receive one. To promote
transcultural care, the nurse should:
 EMPHASIZE THAT SHE HAS THE RIGHT TO
DECIDE FOR HERSELF AND THE HOSPITAL
HAS A MEDICAL CONFIDENTIALITY FROM THE
CHURCH.
32. Generally, the administration of one unit of packed red blood
cells increases the hematocrit concentration by how many
perfect?
  2-3%
33. Two hours upon initiation of blood product for this patient,
she complains of having difficulty breathing. Vital signs
reveal that she is tachycardic and auscultation of lungs
reveal crackles bilaterally. Which of the following explains
this occurence to the patient?
 TRANSFUSION MAY BE TOO RAPID FOR THE
PATIENT'S BODY TO ACCOMMODATE.
34. Based on what is happening to the patient, what
interventions should the nurse implement for this patient?
 ADMINISTER DIURETICS AS PRESCRIBED.
 STOP THE TRANSFUSION IMMEDIATELY
35. The administration of RhIG (RhoGAM) for this patient is
necessary only if which of the following conditions are met?
 THE FETAL BLOOD IS RH (+) AND NO
MATERNAL ANTIBODIES FORMED YET.
36. A 19-year old admitted in the ER due to spotting. On internal
examination, the cervical os is not dilated.
 THREATENED ABORTION
37. A 21-year old G4P0 (0030) admitted in the ER due to
abdominal pain and bleeding. Maternal history revealed all
previous pregnancy resulted to miscarriage during first
trimester of pregnancy. On examination, the cervix is dilated
with complete passage of fetal and placental membranes.
 RECURRENT PREGNANCY LOSS
38. A 23-year old G3P2 on her 18th weeks of pregnancy seeks
consult in the clinic after sustaining vaginal spotting. She
also mentions she noticed that her baby feels like moves
less than the usual and is worried something might be wrong
with her baby.
 MISSED ABORTION
39. A 25-year old G2P1 (1001), 16 weeks AOG, was brought in
the emergency room after having seen by her husband in
the bathroom soaked in blood. Septic abortion was
considered for this patient. Which of the following
interventions is not necessary to be implemented at this
point?
 THE NURSE SECURES PROPERLY BLOOD
TYPE AND CROSS-MATCHED BLOOD
PRODUCTS FOR POSSIBLE TRANSFUSION
AND PREPARES TO ADMINISTER RH IMMUNE
GLOBULIN IF THE PATIENT IS RH (+) AND THE
FETUS IS RH (-).
40. A primigravida at 10 weeks of gestation reports slight vaginal
spotting without passage of tissue and mild uterine
cramping. When examined, no cervical dilation is noted. The
nurse caring for this woman would:
 ANTICIPATE THAT THE WOMAN WILL BE SENT
HOME AND PLACED ON BED REST WITH
INSTRUCTIONS TO AVOID STRESS AND
ORGASM.
41. The clinical instructor is asking a nursing student to different
between a threatened abortion and inevitable abortion. The
nursing student knows that the primary distinction between
these types of abortion is:
 RUPTURE OF MEMBRANES
42. You have come acrossed a case of gestational trophoblastic
disease on a 21-year old G1P0 on 22 weeks AOG. If the
causation is a result of an empty ovum fertilized by a sperm,
which of the following can be made?
 ON KARYOTYPING, THE CHROMOSOMAL
COUNT IS 46.
 THIS WILL RESULT TO A COMPLETE MOLAR
PREGNANCY.
 THERE IS A HIGHER CHANCE THAT THIS
MOLAR PREGNANCY WILL LEAD TO
CHORIOCARCINOMA.
43. Human Chorionic Gonadotropin (HCG) is an important
indicator of developing of gestational trophoblastic disease.
Which of the following statements with regard to the use of
HCG in gestational trophoblastic disease is true?
 THE HCG WHICH NORMALLY REDUCES AFTER
SURPASSING THE FIRST 100 DAYS OF
PREGNANCY PERSISTS TO BE ELEVATED IN
CASES OF GESTATIONAL TROPHOBLASTIC
DISEASE.
44. The nurse is assessing a patient on her 16 weeks of
pregnancy who is suspected of Gestational Trophoblastic
Disease. Which of the following assessment findings if
elicited during history and physical examination is not
suggestive of this condition?
 Complains of vaginal bleeding accompanied with
passage of vesicles.
 PREVIOUSLY HEARD FETAL HEART TONE IS
NOT ANYMORE AUDIBLE.
 The patient has an elevated blood pressure and
urine test result reveals proteinuria.
 Uterine growth is rapid and not at par with
gestational age.
45. The nurse is assigned to a patient who just underwent
evacuation of hydatidiform mole. Which of the following is an
important instruction that the nurse should impart to this
patient?
 REINFORCE THE NEED TO DELAY A NEW
PREGNANCY FOR 1 YEAR.
46. A woman who is prescribed with methotrexate for concurrent
management of gestational trophoblastic disease should be
advised to avoid which of the following?
 TAKING VITAMINS WITH FOLIC ACID
47. Which of the following factors if present during examination
of a pregnant increases the risk of developing premature
cervical dilatation?
 HISTORY OF TWO SPONTANEOUS ABORTIONS
REQUIRING DILATATION AND CURETTAGE
48. A patient found out to have cervical insufficiency signs to
undergo cervical cerclage to prevent miscarriage and
preterm delivery. Which of the following statements if stated
by the patient indicates further teaching about the
procedure?
 "I HAVE TO CONSIDER CHANGING THE
BIRTHPLAN FOR THIS PREGNANCY SINCE I
HAVE TO UNDERGO CESAREAN DELIVERY
NOW THAT MY CERVIX HAS BEEN SUTURED."
49. You are assigned to a patient diagnosed with hypertensive
disorder during pregnancy and was prescribed with
 intravenous magnesium sulfate. On assessment of this
patient, the following results were obtained: blood pressure
160/100 mmHg, pulse 88 beats per minute, respiration 10
breaths per minute, FHR: 148-158 beats per minute. Which
of the following is the priority nursing action?
 DISCONTINUE THE MAGNESIUM INFUSION
50. As you are providing intrapartal care for a patient diagnosed
with severe preeclampsia, your priority nursing care for this
patient is to:
 PROMOTE PLACENTAL BLOOD FLOW AND
PREVENT MATERNAL INJURY.
51. The physician informs you to monitor for clonus on a patient
who was diagnosed with hypertensive disorder of
pregnancy. As a nurse, you know that clonus assessment is
important as this indicate which of the following?
 CENTRAL NERVOUS SYSTEM IS VERY
IRRITABLE.
52. Which of the feature distinguishes pre-eclampsia from
eclampsia?
 ONSET OF GENERALIZED SEIZURES.
53. At 24 weeks of gestation, a normotensive woman’s BP rose
from a prepregnant baseline of 118/70 to 148/92. No other
problematic signs and symptoms including proteinuria were
noted.
 GESTATIONAL HYPERTENSION
54. A 34-year-old pregnant woman has had a consistently high
BP ranging from 148/92 to 160/98 since she was 28 years
old. Her weight gain has followed normal patterns, and
urinalysis remains normal as well.
 CHRONIC HYPERTENSION
55. A pregnant woman has been hypertensive since her twenty-
fourth week of pregnancy. Urinalysis indicates a protein
content of 31. Further testing reveals a platelet count of
95,000 and elevated AST and ALT levels; she has begun to
experience nausea with some vomiting and epigastric pain.
 HELLP Syndrome
56. A pregnant woman at 32 weeks of gestation comes to the
emergency room because she has begun to experience
bright red vaginal bleeding. She reports that she is
experiencing no pain. The admission nurse suspects:
 PLACENTA PREVIA
57. Given the situation above, the nurse should implement the
following immediately apart from:
 ADMINISTRATION OF BETAMETHASONE TO
HASTEN FETAL LUNG MATURITY FOR
POSSIBLE PRETERM DELIVERY
 PERFORMING PELVIC EXAMINATION TO
ASCERTAIN CERVICAL DILATION AND
EFFACEMENT
58. For a patient diagnosed with placenta previa, delivery of the
baby is via:
 EITHER VAGINAL OR CESAREAN DELIVERY
59. A pregnant woman, at 38 weeks of gestation diagnosed with
marginal placenta previa, has just given birth to a healthy
newborn male. The nurse recognizes that the immediate
focus for the care of this woman would be:
 PREVENTING HEMORRHAGE
60. A 29-year old on her third trimester of pregnancy was
brought in the emergency after complaining of vaginal
bleeding associated with pain. Which of the following
information obtained in the history of this patient is not
contributing factor to the condition of this patient?
 PATIENT IS PREGNANT WITH TWINS.
61. Suffice to say this patient admits that she is being abused by
her husband however tells you to keep it a secret just
between the two of you because she is afraid once her
husband finds out that she reported the abuse, she wouldn't
have any means to provide for her and the needs of her
baby. As the nurse, what should be your appropriate action
in this situation?
 REPORT THIS CASE TO THE PROPER
AUTHORITY DESPITE THE PATIENT'S
OBJECTION SINCE IT IS WITHIN YOUR
OBLIGATION TO REPORT ANY SUSPICIONS OF
ABUSE.
62. A patient on her 35 weeks of pregnancy was diagnosed with
a Grade 1 abruptio placenta. Which of the following is
appropriate plan for this patient?
 ALLOW THE PREGNANCY TO CONTINUE WITH
ITS NORMAL PROGRESSION AS LONG AS
THERE IS NO SIGNS OF MATERNAL OR FETAL
COMPROMISE
63. A patient who was admitted due to abruptio placenta is also
being evaluated for possible development of disseminated
intravascular coagulation (DIC). Which of the following
coagulation results indicate the presence of this bleeding
disorder?
 DECREASED PROTHROMBIN LEVEL
 ELEVATED THROMBIN LEVEL
64. A pregestational diabetic woman at 20 weeks of
gestation exhibits the following: thirst, nausea and
vomiting, abdominal pain, drowsiness, and increased
urination. Her skin is flushed and dry and her breathing is
rapid with a fruity odor. A priority nursing action when
caring for this woman would be to:
 ADMINISTER INSULIN ACCORDING TO THE
WOMAN’S BLOOD GLUCOSE LEVEL.
65. An obese pregnant woman with gestational diabetes is
learning self-injection of insulin. While evaluating the
woman’s technique for self-injection, the nurse would
recognize that the woman understood the instructions when
she:
 SPREAD HER SKIN TAUT AND PUNCTURED
THE SKIN AT A 90-DEGREE ANGLE.