nd

2nd Year- 2 Semester

NCM 109 - CARE OF CHILD AND ADOLESCENT A/Y 2023-2024

SUPERQUIZ 2 9. Which of the following is correct in delivering maternity

services to communities?
1. A pregnant client has an abnormal 1-hour glucose screen
and completes a 3-hour, 75-gram oral glucose tolerance test. Advise mother to take Fe with folic acid for 90 days during
Which test result should a nurse interpret as being abnormal? pregnancy
Advise mother to take Fe with folic acid for 60 days during
Fasting blood sugar = 84 mg/dL postpartum period
2 hr = 146 mg/dL Advise mother to take Fe with folic acid for 180 days
RBS = 120 mg/dL during pregnancy
1 hr = 186 mg/dL Advise mother to take Fe with folic acid for 180 days during
postpartum period
2. Responsible for increasing blood calcium levels 10. Which of the following is least likely to be included in the
nursing interventions for multiple pregnancy?
T3
PTH Monitoring for fetal heart rates
T4 Monitoring for anemia
Calcitonin Monitoring for HCG
Monitoring for preterm labor
3. Monozygotic pregnancy arises from:
11. A client who is a 38-year-old gravida 1, para 0 with type 2
1 Sperm, 1 Ovum diabetes, is 6 weeks pregnant. She asks a nurse how she
2 Ovum, 2 Sperm should manage her diabetes now that she is pregnant. Which
2 Sperm, 1 Ovum would be the least appropriate response by the nurse?
1 Ovum, 2 Sperm
“You can control your blood sugar with oral hypoglycemic
agents.”
4. The following are true concerning preterm labor, except: “You can control your blood sugar with insulin injections.”
“You can control your blood sugar with dietary changes.”
Labor can be halted using tocolytics “You can control your blood sugar by exercising.”
Amniotomy is not necessary since the baby is small
It may require the administration of corticosteroid 12. A pregnant client has an abnormal 1-hour glucose screen
Labor is shorter than normal term labor since the baby is small and completes a 3-hour, 75-gram oral glucose tolerance test.
Which test result should a nurse interpret as being abnormal?
5. Monozygotic pregnancy arises from: Fasting blood sugar = 84 mg/dL
RBS = 120 mg/dL
2 Sperm, 1 Ovum
1 hr = 186 mg/dL
1 Ovum, 2 Sperm
2 hr = 146 mg/dL
2 Ovum, 2 Sperm
1 Sperm, 1 Ovum
13. It’s the jaundice that happens within the 1st 24 hours
6. In Rh incompatibility the mother and father are: Hemolytic Jaundice
Rh Jaundice
Rh (+) and Rh (-), respectively
Pathologic Jaundice
Rh (-) and Rh (-), respectively
Physiologic Jaundice
Rh (+) and Rh (+), respectively
Rh (-) and Rh (+), respectively 14. Which of the following is not likely to be a maternal effect of
diabetes
7. Which of the following is not an intervention for
hyperthyroidism during pregnancy? Glycosuria
Hypoglycemia at birth
Provide non stimulating environment
Preterm Delivery
Regular daily exercise
Polyuria
Replace Fluid and Electrolytes
Promote safety 15. Which of the following is least likely to be a characteristic of
a true labor?
8. A nurse is admitting a full-term pregnant client presenting
with bright red, vaginal bleeding and intense abdominal pain. Interval of uterine contraction of 3-5 mins
Her blood pressure on admission is 150/96 mm Hg and her Duration of uterine contraction of 10 mins
pulse is 109 beats per minute. Which problem should the nurse Progressive cervical dilatation
suspect that the client is likely experiencing? Cervical effacement of 80%
Placenta previa
Placenta abruption
Succenturiate placenta
Bloody show

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2nd Year- 2 Semester
NCM 109 - CARE OF CHILD AND ADOLESCENT A/Y 2023-2024

16. A client who is a 38-year-old gravida 1, para 0 with type 2 24. The following are characteristics of a labor that cannot be
diabetes, is 6 weeks pregnant. She asks a nurse how she halted, except:
should manage her diabetes now that she is pregnant. Which
would be the least appropriate response by the nurse? Dilatation of 2cm
Uterine contraction that is increasing in intensity
“You can control your blood sugar with oral hypoglycemic Effacement of 55%
agents.” Rupture of membrane
“You can control your blood sugar with dietary changes.”
“You can control your blood sugar with insulin injections.”
25. Which of the following is false regarding Rh Incompatibility
“You can control your blood sugar by exercising.”
The last baby may be affected
17. The following are interventions for sexually transmitted
The 1st baby may be affected
infections, except
The 3rd baby may be affected
Treatment of spouse The 2nd baby may be affected
Sterilization of both sexes
26. Which of the following is not an intervention to pregnant
Use of condom
mother with sickle cell anemia?
Abstinence until cured
Avoiding high altitude
18. Which of the following is not a part of the best preventive
More fluids
management for preterm labor?
Proper body positioning
Antenatal check up of once a week during the term period of Sleeping in supine
pregnancy
27. Which of the following will least likely to cause premature
Antenatal check up of twice a month on the 35th week of
Labor and Delivery?
gestation
Antenatal check up of once a month for the first 32 weeks of Thyroid disease
gestation Diabetes mellitus
Antenatal check up of once a month on the 33rd week of Polyhydramnios
gestation Hydatidiform mole
19. RhoGAM is administered on which of the following 28. Which of the following is not likely to be a maternal effect of
timelines? diabetes
On the 4th day postpartum Hypoglycemia at birth
Both A and B Polyuria
Only A Glycosuria
At 28 weeks AOG Preterm Delivery

20. Which of the following is not a sign of multiple pregnancy 29. It converts indirect to direct bilirubin
HCG level of 350,000 IU Glucorunyltransferase
2 or more FHT Pregninadeol – jaundice
Hydramnios Glucorunylphospharaze
Large Uterus Pregnanediol
21. The following are interventions for babies with hemolytic 30. It’s a test that monitors the effectiveness of treatment for
disease, except diabetes mellitus
Droplight to RLQ RBS
No Breastfeeding FBS
Phototherapy OGTT
Exchange Transfusion HbA1c
22. Which of the following is not an intervention for pregnant
client with iron deficiency anemia 31. The following are signs of true labor, except

Take Fe supplement with milk Uterine Contraction that causes cervical dilatation to reach
Always take Fe supplement with food 5cm
Increase fluids when taking Fe Supplement Uterine Contraction that is not easily halted by sedation
Interventions to avoid gastric irritation Uterine Contraction Pain that radiates to the shoulder
Uterine Contraction intensified by ambulation
23. Which of the following is not a complication of gestational
diabetes mellitus during the postpartum period?
32. The following are signs of true labor, except
Neonatal macrosomia
Neonatal hypocalcemia Uterine Contraction intensified by ambulation
Neonatal hypoglycemia Uterine Contraction that causes cervical dilatation to reach
Neonatal hyperglycemia 5cm
Uterine Contraction that is not easily halted by sedation
Uterine Contraction Pain that radiates to the shoulder

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2nd Year- 2 Semester
NCM 109 - CARE OF CHILD AND ADOLESCENT A/Y 2023-2024

33. The following are characteristics of a labor that cannot be No Breastfeeding

halted, except: Phototherapy
Droplight to RLQ
Effacement of 55%
Uterine contraction that is increasing in intensity 42. Which of the following is not a complication of gestational
Dilatation of 2cm diabetes mellitus during the postpartum period?
Rupture of membrane
Neonatal hypoglycemia
34. Which of the following is correct in delivering maternity Neonatal hyperglycemia
services to communities? Neonatal macrosomia
Neonatal hypocalcemia
Advise mother to take Fe with folic acid for 180 days
during pregnancy
Advise mother to take Fe with folic acid for 180 days during 43. In Rh incompatibility the mother and father are:
postpartum period
Rh (+) and Rh (-), respectively
Advise mother to take Fe with folic acid for 90 days during
Rh (-) and Rh (+), respectively
pregnancy
Rh (+) and Rh (+), respectively
Advise mother to take Fe with folic acid for 60 days during
Rh (-) and Rh (-), respectively
postpartum period
44. RhoGAM is administered on which of the following
35. Which of the following is not a sign of multiple pregnancy timelines?

Large Uterus At 28 weeks AOG

Hydramnios On the 4th day postpartum
2 or more FHT Only A
HCG level of 350,000 IU Both A and B

36. It’s a test that monitors the effectiveness of treatment for

45. It converts indirect to direct bilirubin
diabetes mellitus
Pregnanediol
OGTT
Glucorunyltransferase
FBS
Glucorunylphospharaze
HbA1c
Pregninadeol
RBS

37. Which of the following is not an intervention for pregnant 46. It’s the jaundice that happens within the 1st 24 hours
client with iron deficiency anemia
Pathologic Jaundice
Always take Fe supplement with food Physiologic Jaundice
Interventions to avoid gastric irritation Rh Jaundice
Take Fe supplement with milk Hemolytic Jaundice
Increase fluids when taking Fe Supplement

47. Which is not a sign of hyperthyroidism?

38. The following are true concerning preterm labor, except:
Heart rate of 110bpm
It may require the administration of corticosteroid Failure to gain weight
Labor is shorter than normal term labor since the baby is small BP of 150/100 mmHg
Amniotomy is not necessary since the baby is small Respiratory Rate <12cpm
Labor can be halted using tocolytics
48. Which of the following is not an intervention for
hyperthyroidism during pregnancy?
39. Multiple pregnancy having five embryo:
Replace Fluid and Electrolytes
Quintuplets
Provide non stimulating environment
Quinciplets
Regular daily exercise
Fivetuplets
Promote safety
Fextupltes

40. Which of the following will least likely to cause premature 49. Which of the following is false regarding Rh Incompatibility
Labor and Delivery?
The 1st baby may be affected
Hydatidiform mole The 2nd baby may be affected
Thyroid disease The last baby may be affected
Diabetes mellitus The 3rd baby may be affected
Polyhydramnios
50. The following are interventions for sexually transmitted
41. The following are interventions for babies with hemolytic infections, except
disease, except
Abstinence until cured
Exchange Transfusion Sterilization of both sexes

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2nd Year- 2 Semester
NCM 109 - CARE OF CHILD AND ADOLESCENT A/Y 2023-2024

Treatment of spouse 59. Which of the following is not a part of the best preventive
Use of condom management for preterm labor?

Antenatal check up of once a week during the term period of

51. Which of the following is least likely to be included in the pregnancy
Antenatal check up of twice a month on the 35th week of
nursing interventions for multiple pregnancy?
gestation
Monitoring for preterm labor Antenatal check up of once a month for the first 32 weeks of
Monitoring for HCG gestation
Monitoring for anemia Antenatal check up of once a month on the 33rd week of
Monitoring for fetal heart rates gestation

52. Which of the following is not an intervention for gestational

60. Which is not a sign of hyperthyroidism?
DM?
Respiratory Rate <12cpm
Monitoring for human placental lactogen
BP of 150/100 mmHg
Monitoring for signs of infections
Failure to gain weight
Monitoring for blood glucose levels
Heart rate of 110bpm
Monitoring of weight

53. Responsible for increasing blood calcium levels

SUPERQUIZ 1
T4
PTH 1. Abortion with direct human intervention?
Calcitonin
T3 Inevitable
Spontaneous
54. Which of the following is not an intervention to pregnant Induced
mother with sickle cell anemia? Miscarriage
Sleeping in supine 2. What is the most common cause of bleeding during the 1 st
Proper body positioning trimester of pregnancy?
More fluids
Avoiding high altitude Incompetent Cervix
Hydatidiform Mole
55. Which of the following is not an intervention for gestational Ectopic Pregnancy
DM? Abortion
Monitoring for blood glucose levels 3. What is the outstanding diagnostic/laboratory finding of a
Monitoring of weight client with H-mole?
Monitoring for human placental lactogen
Monitoring for signs of infections Increased level of serum HPL
Increased level of serum HCG
56. Which of the following is least likely to be a characteristic of Increased level of serum progesterone
a true labor? Increased level of serum estrogen
Interval of uterine contraction of 3-5 mins 4. All but one are the triad symptoms of Pre-eclampsia?
Progressive cervical dilatation
Duration of uterine contraction of 10 mins Proteinuria
Cervical effacement of 80% Edema
Hypertension
57. A nurse is admitting a full-term pregnant client presenting Convulsion
with bright red, vaginal bleeding and intense abdominal pain.
Her blood pressure on admission is 150/96 mm Hg and her 5. A pregnancy of two or more fetuses in one gestation
pulse is 109 beats per minute. Which problem should the nurse
suspect that the client is likely experiencing? Grand Multigravida
Multiparity
Placenta previa Multiple Gestation
Succenturiate placenta Multigravida
Bloody show
Placenta abruption 6. A complication of abruptio placenta wherein the uterus
losses its contractility

58. Multiple pregnancy having five embryo: Hypertonic Uterine Contraction

Board-like abdomen
Quinciplets Hemorrhage
Fivetuplets Couvelaire Uterus
Fextupltes
Quintuplets

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2nd Year- 2 Semester
NCM 109 - CARE OF CHILD AND ADOLESCENT A/Y 2023-2024

Increased capillary permeability

Increased hydrostatic pressure
7. The nurse is assessing a pregnant client in the 2 nd
trimester of pregnancy who was admitted to the maternity 16. What is the outstanding clinical manifestation of placenta
unit with a suspected diagnosis of abruptio placentae. Which previa?
assessment finding should the nurse expect to note if this
condition is present? Bright red bleeding
Painless vaginal bleeding
Absence of abdominal pain Painful vaginal bleeding
Board-like abdomen Dark red bleeding
Painless, bright red vaginal bleeding
Soft abdomen 17. The nurse implements a teaching plan for a pregnant
client who is newly diagnosed with gestational diabetes
8. A benign disorder characterized by degeneration of the mellitus. Which statement made by the client indicates a
chorionic villi and death of the embryo. need for further teaching?

Hydatidiform Mole “I should avoid exercise because of the negative effects

Gestational Trophoblastic Disease on insulin production”
All of the above “I should perform glucose monitoring at home”
Molar Pregnancy “I should be aware of any infections and report signs of
infection immediately to my obstetrician.”
9. A condition where in the hemoglobin is less than 10g/dL “I should stay on the diabetic balanced diet”
Hypocalcemia 18. Which is not an intervention for patients suffering from
Anemia abruptio placenta
Hyperglycemia
Hypoglycemia Place a client in Trendelenburg’s position if indicated to
decrease the pressure of the fetus on the placenta, or place
10. What is the second leading cause of bleeding disorder in the lateral position with the head of the bed flat if
during the 2nd trimester of pregnancy? hypovolemic shock occurs
Prepare for delivery of the fetus as quickly as possible, with
Abortion
vaginal delivery preferable if the fetus is healthy and stable
Ectopic Pregnancy
and the presenting part is in the pelvis; emergency cesarean
Hydatidiform Mole
delivery is performed if the fetus is alive but shows signs of
Incompetent Cervix
distress
11. What is the name of the temporary cervical cerclage Do an enema
placed between 14-16 weeks AOG and removed at 37-39 Maintain bed rest; administer O2, IV fluids, and blood
weeks AOG products as prescribed

Shultze 19. Painless vaginal bleeding accompanied by progressive

McDonald cervical dilatation is an outstanding clinical manifestation of
Shirodkar what disorder of pregnancy
Jollibee
Hydatidiform Mole
12. The pressure difference of systolic and diastolic BP Incompetent Cervix
Ectopic Pregnancy
Pulse pressure Abortion
Heart rate
Vasoconstriction 20. A blood and liver enzyme disorder which is a serious
Vasodilation complication of pregnancy induced hypertension

13. What is the most common cause of habitual abortion HELLP Syndrome
DIC
Previous miscarriage Subcapsular hepatic hematoma
Smoking Anemia
Incompetent cervix
Advanced maternal age 21. An abnormal implantation of the placenta near or over
the internal cervical os.
14. Kind of spontaneous abortion wherein there is retention
of all products of conception after IUFD Abruptio Placenta
Placental Abruption
Missed Placenta Previa
Habitual Placental Cervix
Complete
Threatened 22. What is the medical term for ‘false pregnancy’?

15. What is the pathologic cause of proteinuria in PIH Macrosomia

Polyhydramnios
Decrease glomerular filtration rate Pseudocyesis
Vasospasm Oligohydramnios

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2nd Year- 2 Semester
NCM 109 - CARE OF CHILD AND ADOLESCENT A/Y 2023-2024

30. Which is not an intervention for patients with PIH

Weekly or twice weekly health care visits may be necessary;

delivery may be recommended at 37 weeks of gestation
23. Preload, afterload, and contractility of the heart are (earlier if there is evidence of fetal distress).
determination of Encourage frequent rest periods, instructing the client to lie
in the lateral position; for pre-eclampsia with severe
Vasodilation
features, the client may be hospitalized and bed rest may be
Systemic Vascular Resistance
prescribed (client should be placed in the lateral position)
Stroke Volume
Administer medications as prescribed to reduce blood
Heart Rate
pressure; blood pressure should not be reduced rapidly,
24. The nurse is providing instructions to a pregnant client because placental perfusion can be compromised
with a history of cardiac disease regarding appropriate Do not monitor deep tendon reflexes and for the
dietary measures. Which statement, if made by the client, presence of hyperreflexia or clonus, because
indicates an understanding of the information provided by hyperreflexia indicates increased central nervous
the nurse? system irritability

“I should lower my blood volume by limiting my fluids” 31. Metabolic disorder in patient with hyperemesis
“I should drink adequate fluids to prevent dehydration” gravidarum
“I should maintain a low-calorie diet to maintain good figure”
Metabolic Acidosis
“I should increase my sodium intake during pregnancy”
Metabolic vomiting
25. The nurse is performing an assessment on a pregnant Metabolic Alkalosis
client in the last trimester with a diagnosis of pre-eclampsia. Metabolic Prolapsed
The nurse reviews the assessment findings and determines
32. The community health nurse is monitoring a pregnant
that which finding is most closely associated with a
client who is at risk for pre-eclampsia. At each home care
complication of this diagnosis?
visit, the nurse assesses the client for which sign of pre-
Periods of fetal movements followed by quiet periods eclampsia?
Enlargement of breasts
Hypertension
Evidence of low platelet bleeding, such as in the gums,
Convulsion
petechiae, and purpura
Low-grade fever
Complaints of feeling hot when the room is cool
Increased pulse rate
26. A client in the 1 st trimester of pregnancy arrives at a
38. Excessive nausea and vomiting that persist beyond 12
health care clinic and reports that she has been experiencing
weeks AOG that results in fluid and electrolytes imbalance
vaginal bleeding. A threatened abortion is suspected, and
the nurse instructs the client regarding the management of HCG
care. Which statement made by the client indicates a need Hyperemesis gravidarum
for further instruction? H-mole
Pseudocyesis
“I will maintain strict bed rest.”
“I will have sexual intercourse following the last episode 39. Drug of choice for pre-eclampsia
of bleeding.”
“I will watch to see if I pass any tissue.” Magnesium Calcium
“I will count the number of perineal pads used on a daily Calcium Gluconate
basis and note the amount and color of blood on the pad.” Magnesium Sulfate
Magnesium Gluconate
27. Priority nursing intervention for patient with eclampsia
40. What is the outstanding clinical finding (symptom) of a
Safety client with H-mole?
Magnesium Sulfate
Calcium gluconate Excessive nausea and vomiting with signs of dehydration
Airway clearance Excessive nausea and vomiting within the 1 st trimester
Excessive nausea and vomiting without FHT
28. The most dreaded complication of H-mole Excessive nausea and vomiting with fetal UTZ findings
Triad symptom 41. What is the most common cause of abruptio placenta?
Snow storm pattern
Bleeding Hypertension
Choriocarcinoma Advanced maternal age
Smoking
29. What is the ultimate cure of pregnancy-induced Unknown
hypertension?
42. A placental grade of separation wherein there is an
Magnesium gluconate external bleeding, some symptoms of shock and fetal
Antihypertensive distress
Termination of pregnancy
Calcium Gluconate 3
0

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2nd Year- 2 Semester
NCM 109 - CARE OF CHILD AND ADOLESCENT A/Y 2023-2024

2
1

43. An expected symptom in a client with ruptured ectopic
pregnancy is:
Severe stabbing bilateral pain in the lower abdomen
sudden hypertension
sudden copious and obvious bleeding
sudden excruciating & unilateral pain in the lower
abdomen
51. The home care nurse visits a pregnant client who has a
diagnosis of pre-eclampsia. Which assessment finding
indicates a worsening of the pre-eclampsia and the need to
notify the primary health care provider?
Blood pressure reading is at the prenatal baseline
The client complains of a headache and blurred vision
Urinary output has increased
Dependent edema has resolved

44. The surgical removal of the fallopian tube 52. What is the main cause of pregnancy induced
hypertension?
TAHBSO
Hysterectomy Vasospasm
Oophorectomy Edema
Salphingectomy Hypertension
Unknown
45. Which of the following will not most likely to cause
hydramnios 53. Other name for monozygotic twin

Multiple pregnancy Twin

Diabetes Mellitus Fraternal
Hyperglycemia Triplets
Placental abnormalities Identical

54. What is the most preferred delivery position for pregnant

clients with heart disease?
46. A condition wherein the amniotic fluid id >2000 mL
Left lateral position
Polyhydramnios Dorsal Lithotomy
Oligohydramnios Dorsal recumbent
Pseudocyesis Sitting position
Macrosomia
55. A premature separation of a normally implanted placenta
47. A bluish discoloration of the abdomen due to bleeding in
the peritoneal cavity which can be seen in cases of ruptured Placenta Previa
ectopic pregnancy Duncan
Abruptio Placenta
Phrenic sign Shultze
Shock
Cullen’s sign
Cyanosis

48. Which is not an intervention for patients with

hyperemesis gravidarum

Small frequent feeding

Do not force the patient to eat
Serve greasy foods
Introduce food gradually

49. What is the most common thyroid disease of pregnancy

Hypothyroidism
T4
T3
Hyperthyroidism

50. The most common metabolic disorder of pregnancy

PIH
Hypertension
Thyroid Disease
Diabetes Mellitus

SHIELA MAE G. FABOR RN 2026 | 7