CLOSE-DOOR COACHING B.
“ Newborn care requires parental consent only
MATERNAL-CHILD NURSING
Prepared by: Glenda Arquiza, Ph.D.,RN
1. Mrs. Padilla’s doctor has told her that her unborn baby’s most
dangerous time will be until the
perinatal period ends. When does the perinatal period take
place? A. From the day of birth until one month afterward
B. During the time the infant will be on ventilator support
C. From the 20th week of pregnancy to 4 to 6 weeks
after birth
D. Until the infant’s body temperature stabilizes following
birth
2. Nurses must always be aware of quality improvement because
as society changes with new situations, nursing care must make
responding adjustments. Which of the following is a trend that will
influence the care that a family with a new baby is likely to receive?
A. More and more children are treated in ambulatory,
not hospital settings so nurses will be less significant in
the future
B. Immunizations are available for all childhood
infectious diseases so a newborn will never need
treatment for these
C. The use of multiple technologies can make parents
overwhelmed unless they receive nursing support
D. Prematurely born infants, assuming their mother
receive prenatal care, rarely need long-term or follow
up care
3. Findings of a research done on Kangaroo care showed that
fathers feel more in control and also that they are doing something
good for their infants. Your unit is practicing Kangaroo care. A new
father asked you about it. Based on the findings of the study, what
action would you take?
A. Assess whether the new father is willing to try skin-
to skin care
B. Suggest neither parent use skin-to-skin care to
prevent infection
C. Encourage the father to praise his wife when she
provides skin-to-skin care
D. Apologize to his wife because men do skin-to-skin
care more effectively than women
4. Mrs. Santos waited until she was 42 years old to have her
second baby. She asked the nurse if that is the reason her baby
was born prematurely. Which statement would be the MOST
reassuring r her?
A. “ It’s hard to say because so few women over
40 years are having babies today”
B. “ No one can know for certain. You did all you could to
ensure a healthy pregnancy”
C. “ It’s good to see you taking responsibility for your
child’s prematurity”
D. “ You should ideally have had your children as
a teenager as that’s the safest time”
5. Melinda Wong is concerned as to how she will give consent for
procedure for her newborn baby because the baby is hospitalized so
far away. Which statement is BEST to reassure her?
A. “ Informed consent is not needed for newborn care as
newborns are underage”
for procedures that will involve pain”
C. “ Healthcare providers can omit informed consent
if the parent is not present with the child”
D. “ Consent is required: you can be contacted by
telephone or e-mail for long distance consultation”
6. Ovulation time may be determined by taking the basal
temperature. During ovulation the basal temperature__________. A.
rises suddenly and then falls
B. drops markedly
C. drops slightly then rises
D. drops markedly and remains low
7. The ectoderm germ layer develops into the_______.
A. nervous system, skin, hair and nails, sense organs,
and mucous membranes of the anus and the mouth
B. lining of the GIT, respiratory tract, tonsils,
parathyroid, thymus glands, and bladder and urethra
C. supporting body structures, kidney and uterus,
reproductive system, heart, circulatory system,
and blood cells
D. respiratory tract, GIT, nervous system, urinary
and reproductive system, cardiovascular system
Situation :Rosario, a 19 year old primigravida, is on her first
trimester period. She came in the Prenatal clinic for the first time.
She asked a lot of questions which she hopes will be answered.
You are the nurse attending to Rosario.
8. You asked Rosario about her marital status which she did not like.
She asked you why it is being asked of her. Which of the following
statements would be your MOST APPROPRIATE response?
A. “Your husband is your best support system
during your pregnancy”
B. “ If you do not have a husband it can pose a
big problem for you”
C. “ If you are married then your husband will suffer all
the discomforts you are feeling”
D. “ You need your husband to accompany
you whenever you have a prenatal check-up”
9. Rosario asked you for the term used for signs such as breast
changes, urinary frequency, fatigue, morning sickness, and
amenorrhea. Your answer would be________.
A. probable signs
B. presumptive signs
C. possible signs D.
positive signs
10. She asked you what causes newborn babies with total absence of
extremities. You answered that the cause of Amelia is intake of which
of the following medications?
A. Antiemetic
B. Antibiotic C.
Antibacterial
D. Antiviral
11. Rosario complained that every morning she feels nauseated and
at times would vomit excessively. She asked what is the cause of
these discomforts. Your answer is that these are caused by increased
level of________.
A. heart burn currently experiencing?
B. estrogen A. Pregnancy stage
C. progesterone B. Preschool stage
D. heart rate C. Launching stage
D. Adolescent stage
12. You advise Rosario to report to her doctor which of the MOST
important sign she may suffer from? 18. Because of smaller families, the supervision of children may be
A. Cough delegated to many caregivers during a day’s time. What age group
B. Vaginal bleeding has the MOST auto-mobile related unintentional injuries if not
C. Headache supervised conscientiously?
D. Strong fetal movement A. Infants, because child car seats are often installed
incorrectly
13. While she is in the hospital, Maria Alonso ,12 years old makes the B. Toddlers, because they walk in front of cars
following statements. Which statement clearly suggest that Maria in parking lots
received culturally competent care? C. School-age children, because they ride school
A. “ My doctor is funny, he tells jokes and makes me buses almost daily
laugh” D. Adolescents, because of alcohol or distractions
B. “ The nurses keep asking me who makes decisions in while driving
my family”
C. “ I’m sure my leg will heal quickly; the nurse said Situation: Linda is a new staff nurse in a private hospital. The
I’m an overall healthy person” hospital is conducting an in-service training on Mother-Baby Friendly
D. “ The nurse asked me what I like to eat and Hospital Initiative(MBFHI) Program of the Department of Health.
then brought me the taco I wanted” 19. There are ten steps to successful breastfeeding. What is the
FIRST step among the ten?
14. An unlicensed care provider,Liza, is taking care of Maria. You A. Have a written breastfeeding policy that is
are the charge nurse in the unit where Maria is confined. routinely communicated to all hospital staff
What advice would you give Liza about communicating B. Inform all pregnant women about the benefits
effectively with Maria? and management of breastfeeding
A. “ Speak in a clear and natural tone when you’re talking C. Foster the establishment of breastfeeding
with Maria” support group
B. “ Maria is Hispanic, so avoid talking about D. Train all health care staff in skills necessary
current children’s movies” to implement the policy
C. “ Maria’s first language is Spanish, so avoid talking
about difficult topics” 20. Linda learned that newborn infants should ONLY be given, which
D. “ If possible try to speak to Maria in an accent of the following?
that’s similar to hers” A. Breastmilk
B. Fruit juice
15. It is important that care extends to include the concerns of a C. Water
patient’s family. Florence and Charles were a single-parent family D. Cow’s milk
before Florence remarried. What is the MOST common challenge
among single-parent families that nurses must address when Situation: Any pregnancy may pose a risk. A pregnant woman
planning care? must therefore submit herself to a regular prenatal check-up. The
A. Education is frequently compromised nurse plays an important role in making the pregnant women be
B. Finances could be extremely limited C. aware of these risks.
Communication is often limited 21. A woman in labor is at risk for abruptio placenta. Which of the
D. Emotional engagement is often lacking following assessment data would convince you and the pregnant
woman that this happened?
16. The nurse notices that her patient, Mrs. Aquino serves many A. Painless vaginal bleeding and downward trend of
roles in her family. If while the nurse is talking to John, her 12-year BP B. An increased blood pressure and scanty
old son, she interrupts and says to him “ Don’t tell our family secrets urination C. Pain at the lower abdominal quadrant and
to her”, the nurse would want the team members to appreciate Mrs. increased pulse rate
Aquino is fulfilling what family role? D. Sharp fundal pain and discomfort
A. Decision maker between contractions
B. Gatekeeper C.
Problem solver D. 22. A woman, 33 weeks pregnant, with preterm rupture of membrane
Safety officer had blood work ordered daily. Which laboratory report would be
MOST important to read daily?
17. The San Pedro family consists of 2 parents plus Jaime 17 years old; A. Serum creatinine
Carlos, 12 years old; and Brian 2 years old. Mrs. San Pedro B. Red blood cells count
is 4 months pregnant. When examining how to improve the C. Sodium and potassium levels
quality of the nurse’s health teaching with the family, which of D. White blood cells count
Duvall’s family life stages would the nurse consider the family
23. An 18-year old lady delivers to an 8-pound-baby after 10 hours
of labor. In the post-partal period, which of the following would be
the PRIORITY concern to assess for by the nurse?
A. Bleeding
B. Endometritis
C. Thrombophlebitis
D. Amniotic embolus
Situation: The giving of medication to a pediatric patient is an
important responsibility of a nurse. The need for accuracy in giving
medication to pediatric patient is greater than giving it to adult
patients. Nurse Imelda is a newly assigned nurse in the Pediatric
Ward.
24. When giving medicine to pediatric patients, dosage varies
according to which of the following?. SELECT ALL THAT APPLY.
1. Size; 2.surface area; 3. Age of child; 4. Height A. 3 onlyB. 1 and 2
C. 1, 2, and 3 D.
1, 2, 3, and 4
25. Nurse Imelda is being reviewed by her head nurse on
administering oral medications to pediatric patients. Which of the
following statements is CORRECT?
A. The child should be told to place the tablet in the
middle of his tongue and to drink the water, fruit
juice, milk in order to wash down the tablet
B. A child’s reaction to a dose ordered by a physician
is not less predictable than adult’s reaction
C. When giving oral medication, the child as young
as two years of age CANNOT be taught to swallow
the drug
D. The possibility of error is greater in the giving of
medication to children than to adults
26. In children and infants, which part is often use for intramuscular
injection to reduce the risk of vascular and peripheral nerve(sciatic)
injuries?
A. Deltoid muscle B.
Gluteus maximus C.
Dorso-gluteal D.
Vastus lateralis
27. Comprehensive surveys of research reports and case study
literature about intramuscular injections revealed a various serious
adverse effects. When asked by the head nurse what possible
complications may arise, Nurse Imelda should include which of the
following?
1. Skin and tissue trauma
2. Muscle fibrosis and contracture
3. Nerve palsies and paralysis
4. Infectious processes such as abscesses or gangrene A. 1, 3, and
4 33. As of this visit, the age of gestation is more or less_______.
B. 1, 2, 3, and 4
C. 2, 3, and 4
D. 1, 2, and 3
28. Prior to administering the medication ordered by the pediatrician,
Nurse Imelda needs to know if she is giving the ordered medication
to the right patient. The FIRST step is_______.
A. check patient’s identification bracelet
B. compare medication order to identification bracelet
and patient’s stated name and bracelet
C. verify patient’s allergies with chart and with patient
D. ask patient to state her name and birth date
Situation: Mrs. G. Santos, a 23-year old primi gravida, is attending
prenatal clinic for the first time. She informs you that she has
missed three menstrual period and that the first day of her last
menstrual period was on April 7, 2022. The following questions
refer to this situation.
29. The initial prenatal visit would include which of the following? A.
Complete pelvic exam. Review of system, medical
history, laboratory studies and health teachings
B. Direct Coombs’ test, complete blood count,
venereal Disease Research Laboratory, urinalysis,
pelvic measurement
C. Complete medical history, including family
history, blood studies, interview
D. Dental x-ray and pelvimetry, complete medical
history, blood studies
30. While Mrs. Santos is being prepared for examination, she
complains of being very tired and “sick to her stomach” especially
in the morning. You would tell her that_________. A. this does not
speak well of the baby’s condition, so
she must make sure she lets her doctor know about it B.
this is quite abnormal since first babies are very much
welcome, and therefore she needs some psychiatric
counselling for a change of attitude towards her baby C.
this probably occurs as a result of the missed menstrual
period
D. this probably occurs because the rapid growth of
the fetus at this stage utilizes her glucose stores and
leaves her with a low blood glucose level
31. Among the blood test to be performed is a serology for syphilis.
The reason for this test is that________.
A. latent syphilis becomes highly active during
pregnancy due to hormonal changes
B. syphilis may be passed to the fetus after 4 months
of pregnancy
C. it is a legal requirement for all pregnant women
D. it may be passed on to the infant during pregnancy
32. Mrs. Santos asks when she may expect her baby. Her
expected date of confinement will most likely be on______.
A. October 14, 2022 B.
December 14, 2022 C.
January 14, 2023 D.
February 7, 2023
A. 16 weeks
B. 24 weeks
C. 32 weeks
D. 12 weeks
34. Following the pelvic examination, the doctor indicates Mrs.
Santos has a normal gynecoid pelvis. A normal gynecoid pelvis is
ideal for childbirth because_______.
A. the transverse diameter is narrow and the
anteroposterior diameter of the inlet is large B.
the inlet is well-rounded forward and back
C. the inlet is oval and smoothly carved and
the anteroposterior diameter is narrow
D. the inlet has a shallow posterior portion and
the anterior portion is pointed
35. Adequate nutrition is essential during early pregnancy for optimum
fetal development. You would recommend a daily diet that would
include all of the following EXCEPT
A. 3 grain products
B. 1 fruit or vegetable high in Vit. C
C. A total of 4 fruits and vegetables
D. Only 1500 calories
36. Nutritional inadequacy during pregnancy is thought to contribute
to__________. SELECT ALL THAT APPLY.
1. Abortion
2. Stillbirth
3. Premature birth
4. Congenital defects A. 1 and 2
B. 3 and 4
C. All but 4
D. All of the option
37. Mrs. Santos should be advised to eat a diet that includes a daily
minimum of_______. SELECT ALL THAT APPLY
1. 1 cup milk
2. 2 servings of fish, meat or poultry
3. 4 & ¾ cups cooked rice
4. 2 cups of raw and green or yellow vegetables A. 1 and 3
B. 2 and 4C. All but 4
D. All of the options
38. What instruction should be given to Mrs. Santos regarding
physical activity during pregnancy?
A. Pregnant women should limit physical activity to
necessary self-care household tasks
B. A greater than usual degree of physical activity will
relieve emotional and physical symptoms
C. There need to be no extraordinary limitation
of physical activity imposed at any point during
pregnancy
D. The amount of activity prior to pregnancy is alright
39. How should Mrs. Santos maintain skin cleanliness during
pregnancy?
A. Daily sponge bath using warm water a mild
soap B. Twice daily shower baths using tepid water
C. Daily tub or shower baths using tepid water
D. Twice weekly tub baths using hot water
40. What instruction should be given to Mrs. Santos and her husband
regarding coitus during pregnancy?
A. Sexual intercourse should be avoided throughout the
entire period of pregnancy
B. Intercourse should be omitted during the times at
which menstruation would normally have occurred
C. Sexual intercourse in moderation is permitted until
the last 6 weeks of pregnancy
D. There need to be no restriction on sexual
intercourse during pregnancy
Situation: You are a staff nurse at the Pediatric Ward. Lilibeth, a 5-
year old girl was admitted in your unit due to severe otalgia, fever, an
irritability. Her mother informed you that Lilibeth had upper respiratory
infection three weeks PTA. The admission diagnosis is Acute Otitis
Media.
41. You make your INITIAL assessment on Lilibeth. The patient keeps
on crying and constantly pulls her right ear. What is your MOST
appropriate action?
A. Assess the description and frequency of
pain B. Take her vital signs
C. Request mother to carry the child
D. Refer to the attending physician
42. Based on your knowledge of otitis media, you recall that children
are predisposed to this condition due to their Eustachian tubes being,
which of the following? SELECT ALL THAT APPLY.
1. Shorter
2. More horizontal
3. More prone to obstruction by enlarged adenoid
4. Longer A.1,2&4 B.1&2 C.3&4 D.1,2&3
43. To promote drainage and reduce pressure from fluid, your nursing
intervention is to have the child assume any of the following positions,
EXCEPT:
A. Have the child sit up
B. Put a pillow behind the head
C. Lie on the non-affected area
D. Lie on the affected ear
44. Susan Fuentes tells the nurse she’s worried she might be sub
fertile because both breast development and her first menstrual period
occurred later than most of her friends.
To increase her self-esteem and meet her learning
needs, the nurse could assure her of what fact?
A. Adrenarche, the development of breasts,
typically occurs before the menstrual period
B. Breasts development, termed mamarche, is not
fully complete until about age 25 years
C. The time for development of breasts varies a
great deal and is termed telarche
D. Menarche, he term for breast development,
typically occurs before 12 years of age
45. The nurse documents the fact that her patient, Rosita typically has
a menstrual cycle of 34 days. If she had coitus on day 8, 10, 15, and
20 of her last cycle, which is the day on which she most likely
conceived?
A. The 8th day
B. The 10th
day C. Day 15
D. Day 20
46. Suppose Melissa, 17 years old, chooses to use Combination Oral
Contraceptives ( COCs) as her family planning method. What is a
danger sign the nurse would ask her to report?
A. A stuffy or runny nose
B. Arthritis-like symptoms
C. Weight gain over 5 lbs
D. Severe migraine headache

47. Suppose Melissa, 17 years old, chooses intramuscular injection of DMPA as her method of reproductive life planning. What instruction
would the nurse want members of the care team to give Melissa with regard to this method?
A. “ Encourage Melissa to limit cigarette smoking to no
more than one pack per day”
B. “ Encourage Melissa to drink a glass of milk or take
a calcium supplement daily
C. “ Teach Melissa not to swim for longer than an hour at
any one time”
D. “ Teach Melissa not to expose the injection site
to direct sunlight”

48. Melissa, 17 years old, e-mails the nurse to ask how a tubal ligation prevents pregnancy. To be certain she’s fully informed, which would
be the nurse’s best answer?
A. Sperm can no longer reach the ova because
fallopian tubes are blocked
B. Sperm cannot enter the uterus because the cervical
entrance is blocked
C. Prostaglandins released from the cut fallopian
tubes effectively kill sperm
D. The ovary no longer releases ova because there is
nowhere for them to go

49. The Santillans introduce themselves to the nurse as an “infertile couple”. As a safety measure, the nurse would want them to
understand which of the following?
A. Couples are not termed infertile until they have
been trying to conceive for 2 years
B. Infertility can cause depression, so the couple
should report any feeling of sadness
C. If their relationship is not monogamous, they still
need to use safer sex practices
D. Infertility is related to antibiotic resistant infections, so
they need to be tested for these.

50. Amalia Roces is scheduled to have an ultrasound examination and the nurse wants to ensure that she understands and is prepared for
this procedure to mitigate her anxiety. What instruction would the nurse give her before the examination?
A. “ Use the restroom immediately before the
procedure to reduce your bladder size”
B. “ The intravenous fluid used to dilate your uterus does
not hurt the fetus”
C. “ You will need to drink at least three glasses of water
before the procedure”
D. “ You can have medicine for the pain of any
contractions caused by the test