POLYTECHNIC COLLEGE OF DAVAO DEL SUR, INC

Mc Arthur Highway, Brgy. Kiagot, 8002 Digos City, Davao del Sur, Philippines
NCM 107 – Care of Mother, Child, Adolescent (Well Clients)
2nd Year – Section B (44) and E (37) – Midterm Exam

_____ 1. What are the main female reproductive systems?

a. Ovaries, fallopian tubes, uterus, vagina, and accessory glands and genital organs
b. Ovaries, fallopian tubes, uterus, vagina, cervix
c. Ovaries, fallopian tubes, urethra, vagina, cervix
d. Ovaries, fallopian tubes, urethra, uterus, and accessory glands and genital organs
e. Ovaries, fallopian tubes, uterus, urethra, vagina
_____ 2. Why is it Important to gather comprehensive patient information?
a. Obtaining thorough patient data is essential because it enables healthcare professionals to make
knowledgeable decisions, offer individualized care, and detect non-potential risk factors or underlying
diseases, thereby improving patient outcomes and safety
b. Obtaining thorough patient data is essential because it enables healthcare professionals to make
knowledgeable decisions, offer individualized care, and detect potential risk factors or underlying diseases,
thereby improving patient outcomes and safety
c. Obtaining thorough patient data is essential because it enables healthcare professionals to make
knowledgeable decisions, offer individualized care, and detect potential and non-potential, risk or risk or
uninjurious factors or underlying diseases, thereby improving patient outcomes and safety
d. Only a and b are correct
e. None of the above
______ 3. Eve is experiencing her fourth pregnancy. Her first pregnancy ended in a spontaneous abortion at 8 weeks,
the second resulted in the live birth of twin boys at 38 weeks and the third resulted in the live birth of a
daughter at 34 weeks. Using the GTPAL system, nurse Joshua would document Eve’s obstetrics history as:
a. 42113
b. 43102
c. 42013
d. 42004
e. 41113
_____ 4. This is considered as the most acceptable theory. This states that when the uterine muscles get stretched with
fetal growth and increasing amniotic fluid, it results to irritability and contractions to empty the contents of the
uterus.
a. Oxytocin Theory
b. Uterine Stretched Theory
c. Theory of Aging Placenta
d. Low Progesterone Theory
e. None of the Above
_____ 5. Before labor, a woman often experiences subtle signs that signal the onset of labor. Lightening is the term
referring to the descent of the fetal presenting part into the pelvis. Which of the following statements is true
regarding lightening?
a. It occurs approximately 5 to 7 days before the onset.
b. Lightening occurs earlier in multipara as compared to primiparas because of their tight abdominal muscles.
c. The mother may experience shooting pains, increased vaginal discharge and urinary frequency during
lightening.
d. The woman may have trouble of breathing and catching her breath due to the descent of the fetal
presenting part into the pelvis.
e. None of the above

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_____ 6. A pregnant client visits the emergency room because she thinks she is in labor. The nurse should explain to the
client that the true labor can be differentiated for false labor by contractions that:
a. Are often irregular
b. May be felt abdominally
c. Achieve cervical dilation
d. May disappear with ambulation
e. All of the above
_____ 7. The surest sign that labor has begun
a. Lightening
b. Presence of show
c. Productive uterine contractions
d. All of the Above
e. None of the Above
_____ 8. The passage of the fetus through the birth canal involves a number of different position changes called cardinal
movements. Which of the following is the correct order of positions that the fetus assume during movement
through the birth canal?
a. Engagement, descent, flexion, extension, internal rotation, external rotation, expulsion
b. Engagement, descent, flexion, internal rotation, extension, external rotation, expulsion
c. Engagement, descent, internal rotation, flexion, external rotation, expulsion
d. Engagement, internal rotation, flexion, external rotation, descent, expulsion
e. None of the above
_____ 9. To prevent the fetal head from being expelled too rapidly, it should be delivered between contractions. To
accomplish this, you must instruct the mother to
a. Push with contractions
b. Pant with contractions
c. Push as hard as she can
d. Perform long, sustain pushing
e. None of the above
_____ 10. Ana who is in labor shouts to the nurse, “Mogawas na ang bata, mo utong nako!” Sakit na kaayo!” An
immediate nursing assessment reveals that the head of the fetus is crowning. After asking another staff member
to notify the physician and setting up for delivery, which nursing intervention is MOST appropriate?
a. Gently pulling at the baby’s head as it’s delivered
b. Holding the baby’s head back until the physician arrive
c. Applying pressure to the baby’s head as it’s delivered
d. Placing the mother in a Trendelenburg position until the physician arrives
e. None of the above
_____ 11. According to the EINC, the recommended position for a client during delivery is
a. Semi-upright
b. Dorsal recumbent
c. Lithotomy position
d. Trendelenburg position
e. None of the above
_____ 12. The management of a client in transition phase of labor is primarily directed toward
a. Helping the client maintain control
b. Decreasing intravenous fluid intake
c. Reducing the client’s discomfort with medications
d. Having the client breathe simple breathing patterns during contractions
e. All of the above

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_____ 13. The nurse is in charge in caring for a patient who is in the first stage of labor. What is the shortest but most
difficult part of this stage?
a. Latent phase
b. Active phase
c. Complete phase
d. Transitional phase
e. None of the above
_____ 14. The multigravida mother with a history of rapid labor who is in active labor calls out to the nurse, “Hala ang
bata mogawas na!” Which of the following would be the nurse first action?
a. Inspect the perineum
b. Time the contractions
c. Contact the birth attendant
d. Auscultate the fetal heart rate
e. None of the above
_____ 15. A pregnant woman accompanied by her husband, seeks admission to the labor and delivery area. She states
that she’s in labor and says she attended the facility clinic for prenatal care. Which question should nurse Harvey
ask her first?
a. Do you have any allergies?
b. What is your expected due date?
c. Who will be with you during labor?
d. Do you have chronic illnesses?
e. Who is you doctor?
_____ 16. During labor, Althea greatly relies on her husband Kim for support. They previously attended childbirth
education classes, and now he’s working with her on comfort measures. Which nursing diagnosis would be
appropriate for this couple?
a. Powerlessness related pain
b. Ineffective family coping: compromised related to labor
c. Ineffective role performance related to involvement with the pregnancy
d. Readiness for enhanced family coping related to participation in pregnancy and delivery
e. None of the Above
_____ 17. To monitor the frequency of the uterine contraction during labor, the right technique is to time the
contraction
a. From the beginning of one contraction to the end of the same contraction
b. From the end of one contraction to the beginning of the next contraction
c. From the deceleration of one contraction to the acme of the next contraction
d. From the beginning of one contraction to the beginning of the next contraction
e. From the beginning of one contraction until the end of the contraction
_____ 18. A pregnant client asks nurse Xyron the characteristics of true contractions. Which of the following would be
the nurse’s best response?
a. True contractions decrease with activity
b. True contractions begin in the lower abdomen
c. True contractions are difficult to determine because they come and go
d. True contractions have regularity and become more intense over the time
e. None of the above
_____ 19. Which of the following indicates that the delivery is near?
a. Perineum is bulging
b. Bloody show is increased
c. Verbalized her desire to defecate
d. Uterine contractions increased in frequency, duration, and intensity
e. All of the above
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_____ 20. Physiologic alterations in labor which are progressive, opening, widening of cervical opening and the end of
the first stage of labor are manifestations of
a. Dilatation
b. Effacement
c. Ripening
d. Rupture of BOW
e. Expulsion
_____ 21. Which of the following organs served as the urinary and reproductive tract in men?
a. Penis
b. Ureter
c. Seminal Vesicle
d. Scrotum
e. Glands
_____ 22. Which hormones stimulate the process of spermatogenesis and maturation of the ova?
a. FSH and LH
b. Testosterone and Progesterone
c. FSH and HCG
d. Testosterone and Estrogen
e. None of the above
_____ 23. Which of the following accurately describe the chronological set of descriptive changes that occur in the
endometrium during the menstrual cyle?
1. Proliferative or Follicular
2. Secretory
3. Mentsrual
4. Ischemic

a. 3 1 2 4
b. 4 3 2 1
c. 1 2 4 3
d. 2 3 1 4
_____ 24. When performing a pelvic examination, the nurse observes a red swollen area on the right side of the vaginal
orifice. The nurse would document this enlargement of which of the following?
a. Bartholin’s gland
b. Parotid gland
c. Clitoris
d. Skene’s gland
e. None of the above
_____ 25. The nurse is teaching high school girls about the female reproductive tract. Which statements by the nurse
are accurate?
1. The vagina has an acidic environment
2. The cervix is where the Pap smear is taken from
3. The ovum is fertilized in the uterus
4. Ovaries produce sex steroid hormones
5. The breasts contain fat tissue

a. 1234
b. 2345
c. 1245
d. 1235
e. All of the Above
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_____ 26. What disorder can be seen during pregnancy which occur when the baby is exposed to substances during
pregnancy that cause abnormalities, otherwise known as teratogens.
a. Chromosomal abnormalities
b. Teratogenic disorders
c. Multifactorial or complex disorders
d. Single gene disorders
e. None of the above
_____ 27. Implantation occurs in the uterus. Using a diagram, the nurse points out the common site for fertilization
which is the:
a. Area of the fallopian tube farthest from the ovary
b. Lower segment of the uterus
c. Outer third of the fallopian tube near the ovary
d. Upper portion of the uterus
e. None of the above
_____ 28. Which of the following is not a function of the function of the ovaries?
a. They store eggs (ova).
b. They produce the female sex hormones estrogen and progesterone.
c. They produce and release eggs.
d. They stimulate the start of labor contractions.
e. None of the above
_____ 29. Kathleen, a primigravid patient, went to Matunok Lying-in Center on September 1, 2023 for her first prenatal
check-up. The nurse noted that her LMP was on February 14, 2023. What is her expected date of delivery?
a. November 21, 2023
b. October 31, 2023
c. November 11, 2023
d. October 21, 2023
e. November 20, 2023
_____ 30. Donna, a multigravid patient, went to Digos Doctor’s Hospital on December 31, 2022 for her first prenatal
check-up. The midwife noted that her LMP was on April 29, 2022. What is her age of gestation?
a. 35 weeks
b. 35 weeks and 1 day
c. 35 weeks and 2 days
d. 35 weeks and 3 days
e. 35 weeks and 4 days
f. None of the above
_____ 31. Upon assessment, the nurse noticed a reddish streaks on the abdominal wall and thighs of the pregnant
woman. The nurse noted that this is which of the following presumptive symptoms?
a. Linea Nigra
b. Melasma
c. Striae Albicantes
d. Striae Gravidarum
e. None of the above
_____ 32. Kathleen, a primigravid patient, went to Matunok Lying-in Center on September 1, 2023 for her first prenatal
check-up. The nurse noted that her LMP was on February 14, 2023. What is her age of gestation?
a. 30 weeks and 5 days
b. 28 weeks and 4 days
c. 29 weeks and 4 days
d. 29 weeks and 3 days
e. 31 weeks and 2 days

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_____ 33. The following are purpose of Leopold’s Maneuver except:
a. To determine the height of the fetus
b. To determine the position of the fetus
c. To determine the presentation of the fetus
d. To determine the part of the fetus at the inlet and its mobility
______ 34. How will a nurse best define antepartum?
a. It is the beginning of conception to the first 4 hours after birth of the neonate and placenta
b. It is up to 6 weeks after delivery of neonate and placenta
c. It is where prenatal care begins and ends up to labor contractions
d. It is the period from conception to onset of contractions that cause cervical dilatation.
e. None of the above.
______ 35. Based on the Essential Newborn Care Protocol by the Department of Health and World Health Organization,
there are 4-time bound interventions that health care providers should implement after delivery of the baby.
Which of the following is the fourth step?
a. Properly time cord clamping and cutting
b. Non separation of mother and newborn for early breastfeeding
c. Immediate and thorough drying of the newborn
d. Early skin-to-skin contact between mother and newborn
e. All of the above
______ 36. Which of the following hormones are responsible for milk production and let down reflex?
a. Progesterone and estrogen
b. Progesterone and oxytocin
c. Prolactin and oxytocin
d. Estrogen and prolactin
e. Prolactin and progesterone
______ 37. Patient Nikki is 36 weeks pregnant. She complained of decreased frequency of defecation accompanied by
difficult passage of hard dry stool. Nikki said that the problem started 2 weeks into her 3 rd trimester. The
appropriate nursing interventions for patient Nikki are the following:
a. Identify strategies to improve bowel movement, determine fluid intake, review daily dietary regimen
b. Review drug regimen, monitor intake and output, increase IVF flow
c. Evaluate response on diagnostic examination, provide calm environment
d. Provide appropriate referrals, provide safety measures, and allow to verbalize understanding of the disease
e. Go and kill herself
______ 38. Which nursing intervention should be implemented during the first two stages of labor?
a. Assess the neonate, including the APGAR
b. Monitor the frequency, duration, and intensity of contractions
c. Administer oxytocin to minimize uterine bleeding
d. Assess lochia
e. None of the above
______ 39. Nurse Xyron is collecting data during an admission assessment of Jhona who is pregnant with twins. The
client has a healthy 5 year old who was delivered at 38 weeks, and tells the nurse that she does not have a
history of any type of abortion or fetal demise. Nurse Xyron would document the GTPAL for this client as:
a. 32001
b. 20101
c. 11101
d. 21001
e. 31001
______ 40. Which among the stages of labor should the partograph monitoring or recording be started?
a. Third stage of labor
b. Second stage of labor
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 c. At active phase to transition phase of first stage of labor
d. At latent phase of first phase of labor
e. None of the above
______ 41. Patient Arianne arrives at the prenatal clinic for the first prenatal assessment. The client tells the nurse that
her last menstrual period was September 19-22, 2023. Using Naegele’s rule, the nurse determines the estimated
date of confinement as:
a. July 26, 2024
b. June 12, 2024
c. June 26, 2024
d. July 12, 2024
e. None of the above
______ 42. Demands for ________ increase during pregnancy required for growth and development of the fetus.
a. Iron
b. Folate
c. Calcium
d. Niacin
e. None of the above
______ 43. The nurse should advise the patient to be careful in taking drugs during pregnancy.
a. The statement is correct
b. The statement is incorrect
c. The statement is unrealistic
d. The statement cannot be distinguished if correct or incorrect
e. None of the Above
______ 44. Trisha is a first-time mom at 35 weeks of pregnancy. How frequent should she visit a doctor?
a. Once a month
b. Twice a month
c. Thrice a month
d. Weekly
e. None of the above
______ 45. This is conducted to serve as basis for comparison with information gathered on subsequent visits.
a. Health History
b. Baseline Data Collection
c. Family History
d. Medical and Surgical History
e. All of the Above
______ 46. Patient Rheamie comes to the clinic for a visit. This is her third pregnancy. She had a miscarriage at 12 weeks
and gave birth to a son, now 3 years old at 32 weeks. Using GTPAL system, the nurse would document this
woman’s obstetric history as:
a. 31021
b. 30111
c. 21212
d. 20111
e. 31101
______ 47. This phase of menstrual cycle occurs after ovulation, the formation of progesterone in the corpus luteum
causes the glands of the uterine endometrium to become corkscrew or twisted in appearance and dilated with
quantities of glycogen.
a. First phase of menstrual cycle (proliferative)
b. Second phase of menstrual cycle (secretory)
c. Third phase of menstrual cycle (ischemic)
d. Final phase of menstrual cycle (menses)
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 e. None of the above
______ 48. Which of these methods is called natural family planning?
a. Tracking basal temperature
b. Tracking changes in cervical mucus
c. Tracking the menstrual cycle on a calendar
d. All of the above
e. None of the above
______ 49. It is a temporary organ that forms during pregnancy. It serves as the interface between the mother and the
fetus, allowing for the exchange of oxygen, nutrients, and waste products.
a. Umbilical cord
b. Placenta
c. Lanugo
d. Ductus Venosus
e. None of the above
______ 50. Patient Josie, 2 weeks pregnant ask her nurse when can they feel fetal movements. As a nurse, you know
that fetal movements may be felt:
a. As early as 4 weeks to 8 weeks
b. As early as 8 weeks to 12 weeks
c. As early as 12 weeks to 16 weeks
d. As early as 16 weeks to 20 weeks
e. As early as 20 weeks to 24 weeks
______ 51. The commonly used laboratory tests for pregnancy are based on detecting the presence of a hormone
created by a villus of the placenta, in the urine or blood serum of the pregnant woman. What hormone is this?
a. Estrogen
b. Progesterone
c. Human chorionic gonadotropin
d. Prolactin
e. Oxytocin
______ 52. Frequent urination occurs in early pregnancy. As a nurse what interventions can you give to the mothers?
a. Advise women to urinate frequently to prevent infection.
b. Women should restrict their fluid intake to diminish frequency of urination.
c. Reduce cola drinks except soda
d. All of the above
e. None of the above
______ 53. All are correct about perineal exercise, except
a. To rise from the floor, roll over to the side first then push down to avoid strain to the abdominal muscles.
b. For leg exercises, to prevent leg cramps, never point the toes (extend the heel).
c. To prevent muscle strain, do not attempt exercises that hyperextend the lower back.
d. Do not hold your breath while exercising because this increases intra-abdominal and intrauterine pressure.
e. Do not practice second-stage pushing. Pushing increases intrauterine pressure and could rupture
membranes.
______ 54. The pregnant client needs further teaching when she said which of the following?
a. Braxton Hicks contraction is normal
b. Braxton Hicks contractions causes cervical dilatation
c. Braxton Hicks contractions serve as warm up exercise for labor
d. Braxton Hicks contractions is false labor contractions
e. None of the above
______ 55. Which of the following lists are all presumptive symptoms of pregnancy?
a. Ballottement, fetal heart audible, quickening, striae gravidarum, linea nigra
b. Braxton hicks contractions, ballottement, hegar’s sign, serum laboratory tests
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 c. Chadwick’s sign, serum laboratory tests, frequent urination, quickening
d. Fatigue, uterine enlargement, quickening, striae gravidarum, linea nigra
e. None of the above
______ 56. Factors affecting labor and delivery process
a. Passenger, passage, power and placenta
b. Passenger, pubis, power and placenta
c. Passenger, passage, progress and placenta
d. All of the above
e. None of the above
______ 57. There are several theories for the cause of the onset of labor. The theory that states the need for the
inhibition of uterine contractility throughout pregnancy is known as the
a. Oxytocin theory
b. Deprivation theory
c. Prostaglandin theory
d. Uterine stretch theory
e. Fetal cortisol production
______ 58. After 10-14 days of delivery the mother noticed, a yellowish white discharge. As a nurse, you explained it to
her that this is normal. What do you call this kind of discharge?
a. Lochia rubra
b. Lochia serosa
c. Lochia alba
d. Lochia Lochia
e. None of the above
______ 59. All are listed as dependent phase of puerperium, except:
a. Mother requires reassurance that she can perform tasks of motherhood
b. Mother's need predominate; mother passive and dependent role
c. Mother needs to talk about labor and delivery experiences to integrate them in the fabric of her life
d. Mother may need help with daily activities, as well as childcare
e. Mother is passive and can't communicate
______ 60. Breastfeeding is encouraged to mothers since it consists of antibodies that protect baby from illness. It also
provides baby with ideal nutrition and supports growth and development. However, mothers who are taking
medication are cautioned by the medical practitioners, except:
a. Transfer of drugs into breast milk and the potential impact on the baby
b. Some medications may be safe to use while breastfeeding, while others may need to be avoided or used
with caution
c. OTC drugs may be taken OTC as long as no adverse effect felt
d. All of the above
e. None of the above
______ 61. Postpartum depression is a common mental health issue that affects some women after childbirth. It is
important to assess the patient for signs and symptoms of depression, such as, except:
a. Persistent sadness
b. Loss of interest
c. Changes in appetite or sleep patterns
d. Feelings of worthlessness or guilt
e. None of the above
______ 62. Most new moms experience postpartum “baby blues” after childbirth. As a nurse, what nursing interventions
will you provide:
1. Financial and emotional support
2. Encouraging self-care activities
3. Facilitating support groups
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 4. Collaborating with the healthcare team to develop a treatment plan if necessary

a. 1, 2 and 3
b. 1, 3 and 4
c. 2, 3 and 4
d. All of the above
e. None of the above
______ 63. Which of these is a possible side effect of birth control pills?
a. Nausea
b. Irregular bleeding
c. Headaches
d. All of the above
e. None of the above
______ 64. In normal labor, as the uterine contraction become stronger, they usually also become
a. Less painful
b. Less frequent
c. Longer in duration
d. Shorter in duration
e. None of the above
______ 65. Which of these methods of sterilization is permanent?
a. Tubal ligation
b. Vasectomy
c. IUD
d. a and b
e. b and c

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