Maternal

1. Introduction: The questions are coded according to their sources and will only be for my personal
reference. RED questions are original questions I created. FATIMA studentsREAD and DIGEST each of these
questions
carefully.
Goodluck.
SITUATION : [ND89] Aling Julia, a 32 year old fish vendor from baranggaymatahimik came to see you at the
prenatal clinic. She brought with her all her three children. Maye, 1 year 6 months; Joy, 3 and Dan, 7 years old.
She mentioned that she stopped taking oral contraceptives several months ago and now suspects she is
pregnant.
She
cannot
remember
her
LMP.
1.
Which
of
the
A.
B.
C.
D.
2.
following
be
Appearance
First
Which
would
is
in
calculating
necessary
A.
B.
C.
D.
Aling
Julia's
for
a
positive
With
this
pregnancy,
pregnancy
test?
[1]
Progesterone
HCG
Estrogen
Lactogen
Aling
A.
B.
C.
D.
[3]
lineanegra
fetoscope
rate
edema
by
pulse
of
Placental
3.
EDC?
of
FHT
Increase
Presence
hormone
useful
Julia
is
a
P3
[1]
G3
Primigravida
G4
G3
P3
P0
4. In explaining the development of her baby, you identified in chronological order of growth of the fetus as it
occurs
in
pregnancy
as
[1]
A.
B.
C.
D.
Ovum,
Zygote,
Ovum,
Zygote,
embryo,
ovum,
zygote,
ovum,
zygote,
embryo,
embryo,
fetus,
fetus,
fetus,
fetus,
embryo,
infant
infant
infant
infant
5. Aling Julia states she is happy to be pregnant. Which behavior is elicited by her during your assessment that
would
lead
you
to
think
she
is
stressed?
[3]
A.
B.
C.
D.
She
She
She
told
states
she
laughs
at
every
She
has
you
has
advise
about
her
drunk
husband
very
meager
income
from
selling
you
give
even
when
its
not
funny
difficulty
following
instructions
6. When teaching Aling Julia about her pregnancy, you should include personal common discomforts. Which of
the
following
is
an
indication
for
prompt
professional
supervision?
[2]
A.
B.
C.
D.
Constipation
and
hemorrhoids
Backache
edema
urination
Facial
frequent
7. Which of the following statements would be appropriate for you to include in Aling Julia's prenatal teaching
plan?
[1]
A.
B.
C.
D.
Exercise
is
Limit
Smoking
has
no
Avoid
unnecessary
8.
The
A.
B.
C.
D.
Raise
9.
In
best
advise
you
very
harmful
fatigue,
can
the legs while in
Lay
flat
Use
a
32
day
tiresome,
it
your
effect
on
the
growth
rest
periods
should
be
give
to
Aling
Julia
regarding
should
be
avoided
food
intake
and
development
of
fetus
included
in
you
schedule
prevention
upright position and put it against the
for
most
hours
garters
with
Wear
support
menstrual
cycle,
ovulation
usually
of
varicosities
is
[3]
wall several times a day
of
the
day
nylon
stocking
hose
occurs
on
the
[2]

2. A.
B.
C.
D.
14th
18th
20th
24th
day
day
day
day
after
after
after
after
menstruation
menstruation
menstruation
menstruation
10. Placenta is the organ that provides exchange of nutrients and waste products between mother and fetus. This
develops
by
[4]
A.
B.
C.
D.
First
Third
Fifth
Seventh
month
month
month
month
11. In evaluating the weight gain of Aling Julia, you know the minimum weight gain during pregnancy is [3]
A.
B.
C.
D.
2
5
7
10
12.
The
more
accurate
method
lbs/wk
lbs/wk
lbs/wk
lbs/wk
of
measuring
fundal
height
A.
B.
C.
D.
13.
is
[2]
Millimeter
Centimeter
Inches
Fingerbreadths
To
A.
B.
C.
D.
determine
fetal
Determine
Determine
Locate
Determine
position
degree
part
what
using
the
part
Leopold's
of
of
maneuvers,
the
first
maneuver
cephalic
flexion
and
fetus
presenting
into
back,arms
and
of
fetus
is
in
the
is
to
[1]
engagement
pelvis
legs
fundus
14. Alingjulia has encouraged her husband to attend prenatal classes with her. During the prenatal class, the
couple expressed fear of pain during labor and delivery. The use of touch and soothing voice often promotes
comfort
to
the
laboring
patient.
This
physical
intervention
is
effective
because
[2]
A.
B.
C.
D.
15.
Pain
Gate
It
distracts
Empathy
is
Which
of
the
A.
B.
C.
D.
perception
control
the
client
communicated
following
Fetal
could
be
Amenorrhea,
Frequency
Braxton
is
fibers
away
by
considered
as
a
a
positive
nausea,
of
hicks
outline
from
sign
interrupted
open
pain
person
are
the
caring
of
pregnancy
?
[1]
vomiting
urination
contraction
sonography
by
SITUATION : [FFC] Maternal and child health is the program of the department of health created to lessen the
death
of
infants
and
mother
in
the
philippines.
[2]
16.
A.
B.
C.
D.
17.
A.
B.
C.
D.
What
Promote
Direct
Health
One
philosophy
In
To
the
goal
of
mother
and
infant
health
especially
Training
of
supervision
of
midwives
teaching
to
mother
regarding
of
All
pregnancy
Culture
and
religious
Pregnancy
is
a
The
father
18.
A.
is
maternal
secure
all
the
maternal
and
care,
information
the
that
PHN
would
be
program?
during
the
gravida
local
during
home
proper
newborn
child
experiences
are
the
practices
have
little
effect
part
of
the
life
cycle
is
as
important
this
health
nursing
is
same
for
all
on
pregnancy
of
a
but
provides
no
as
the
responsibility
needing
in
is
birth
stage
hilots
delivery
care
[1]
woman
woman
meaning
mother
[2]
certificate

3. B. To
C.To
D.To
protect
the
baby against tetanus
reach
nutritional
assess
neonatorum
all
status
by
immunizing the mother
pregnant
of
existing
with DPT
woman
children
19. This is use when rendering prenatal care in the rural health unit. It serves as a guide in Identification of risk
factors
[1]
A.
B.
C.
D.
20.
A.
B.
C.
D.
Home
Client
Target
The
Underfive
list
list
schedule
Once
from
Twice
in
Once
in
Frequent
as
of
of
of
clinic
mother's
under
under
based
mother
woman
prenatal
visit
in
the
chart
record
care
vaccination
prenatal
TT
RHU
unit
is
[4]
1st
up
to
8th
month,
weekly
on
the
9th
month
1st
and
second
trimester,
weekly
on
third
trimester
each
trimester,
more
frequent
for
those
at
risk
possible
to
determine
the
presence
of
FHT
each
week
SITUATION : Knowledge of the menstrual cycle is important in maternal health nursing. The following questions
pertains
to
the
process
of
menstruation
21. Menarche occurs during the pubertal period, Which of the following occurs first in the development of female
sex
characteristics?
[2]
A.
B.
C.
D.
22.
Accelerated
Breast
Growth
Which
gland
is
responsible
Menarche
Growth
development
hair
Linear
of
pubic
for
initiating
the
menstrual
A.
B.
C.
D.
23.
cycle?
Ovaries
APG
PPG
Hypothalamus
The
hormone
that
stimulates
the
ovaries
to
produce
estrogen
is
A.
B.
C.
D.
Which
hormone
stimulates
oocyte
maturation?
[2]
A.
B.
C.
D.
GnRH
LH
LHRF
FSH
When
is
the
A.
B.
C.
D.
26.
A.
B.
C.
D.
serum
estrogen
End
To
A.
B.
C.
D.
27.
[1]
GnRH
LH
LHRF
FSH
24.
25.
[3]
correctly
of
determine
Deduct
14
Subtract
Add
7
Add
14
The
serum
days
two
days
days
progesterone
End
level
is
the
from
lowest
3rd
13th
14th
the
menstrual
cycle?
of
ovulation,
the
the
what
mid
mid
at
end
day
of
the
nurse
must
of
the
cycle's
of
the
of
the
the
menstrual
[4]
day
day
day
cycle
menstrual
weeks
from
during
of
in
3rd
13th
14th
day
at
highest
menstrual
[2]
cycle
end
cycle
cycle
cycle?
[4]
day
day
day
cycle

4. 28.
How
much
blood
is
loss
on
A.
B.
C.
D.
the
Menstruation
A.
B.
C.
D.
occurs
30.
If
the
A.
B.
C.
D.
Ovulate
Ovulate
Ovulate
Ovulate
menstrual
on
on
on
on
the
the
the
the
21st
21st
22st
22st
day
day
day
day
with
with
with
with
a
woman
fertile
fertile
fertile
fertile
days
days
days
days
which
estrogen
of
vascularity
of
of
period?
[4]
cup
tablespoon
ounces
cup
of
of
cycle
menstrual
3
1/3
because
Increase
level
Degeneration
Increase
Surge
during
Half
4
29.
average
is
35
beginning
beginning
beginning
beginning
on
on
on
on
following
and
the
of
hormone
day
the
the
the
the
cycle,
16th
16th
16th
14th
[2]
progesterone
level
corpus
luteum
the
endothelium
progesterone
she
day
day
day
day
mechanism?
to
to
to
to
will
the
the
the
the
approximately
26th
21th
26th
30th
day
day
day
day
of
of
of
of
her
her
her
her
[2]
cycle
cycle
cycle
cycle
SITUATION : Wide knowledge about different diagnostic tests during pregnancy is an essential arsenal for a nurse
to
be
successful.
31.
The
Biparietal
diameter
of
a
fetus
A.
B.
C.
D.
is
considered
matured
if
it
is
atleast
9.8
8.5
7.5
6
[4]
cm
cm
cm
cm
32. Quickening is experienced first by multigravida clients. At what week of gestation do they start to experience
quickening?
[4]
A.
B.
C.
D.
16th
20th
24th
28th
33. Before the start of a non stress test, The FHR is 120 BPM. The mother ate the snack and the practitioner
noticed an increase from 120 BPM to 135 BPM for 15 seconds. How would you read the result? [3]
A.
B.
C.
D.
34.
Inconclusive,
When
should
the
nurse
needs
expect
A.
B.
C.
D.
35.
Abnormal
reactive
Reactive
repeat
Non
to
hear
the
FHR
using
a
fetoscope?
2nd
8th
2nd
4th
When
should
the
nurse
A.
B.
C.
D.
expect
to
[4]
week
week
month
month
hear
FHR
using
doppler
Ultrasound?
8th
8th
2nd
4th
[4]
week
month
week
month
36. The mother asks, What does it means if her maternal serum alpha feto protein is 35 ng/ml? The nurse should
answer
[4]
A.
B.
C.
D.
37.
35
35
Which
It
of
It
ng/ml
ng/ml
the
is
is
indicates
indicates
following
not
chromosomal
neural
tube
mothers
needs
RHOGAM?
normal
normal
abberation
defect
[1]

5. A.
B.
C.
D.
RH
RH
RH
RH
+
+
-
mother
mother
mother
mother
who
who
who
who
delivered
delivered
delivered
delivered
an
an
an
an
RH
RH
RH
RH
+
+
-
fetus
fetus
fetus
fetus
38. Which family planning method is recommended by the department of health more than any other means of
contraception?
[4]
A.
B.
C.
D.
39.
Fertility
Awareness
Method
Condom
Ligation
Abstinence
Tubal
How
much
booster
dose
does
tetanus
toxoid
vaccination
for
pregnant
women
has?
A.
B.
C.
D.
[4]
2
5
3
4
40. Baranggay pinoybsn.tk has 70,000 population. How much nurse is needed to service this population? [4]
A.
B.
C.
D.
5
7
50
70
SITUATION : [ND2I246] Reproductive health is the exercise of reproductive right with responsibility. A married
couple
has
the
responsibility
to
reproduce
and
procreate.
41.
Which
of
A.
B.
C.
D.
To
To
To
42.
Which
A.
B.
C.
D.
43.
the
following
achieve
prevent
Provide
practice
RH
of
the
is
following
A.
B.
C.
D.
is
NOT
and
Prevention
Healthy
the international
of
the
goals
of
the
reproductive
health
healthy
sexual
development
and
specific
RH
problem
through
care,
treatment
and
as
a
way
of
life
of
every
man
Maternal
In
ONE
and
sexual
an
element
of
the
child
health
Family
management
of
development
framework of RH,
Women's
Attainment
Achievement
Quality
which
one
of
the
reproductive
and
health
of
of
of
the
[3]
maturation
counseling
rehabilitation
and
woman
health?
[4]
nutrition
planning
complication
nutrition
abortion
and
following is
concept?
ultimate
in
optimum
women's
goal? [3]
reproduction
health
status
life
44. Which one of the following is a determinant of RH affecting woman's ability to participate in social affairs? [3]
A.
B.
C.
D.
45.
A.
B.
C.
D.
Cultural
In
the
philippine
Women's
Health
Poor
Commercial
Status
RH
Gender
Socio-Economic
and
Framework.
living
sex
which
issues
condition
factors
women
psychosocial
of
major
lower
level
service
conditions
workers
are
factor
delivery
lead
exposed
affects
RH
of
to
to
status?
[4]
literacy
mechanism
illness
AIDS/STD.
46. Which determinant of reproductive health advocates nutrition for better health promotion and maintain a
healthful
life?
[4]
A.
B.
Status
Socio-Economic
of
conditions
women

6. C.
D.
Social
Biological,
47.
Which
of
A.
B.
C.
D.
Care
Prevent
48.
Which
A.
B.
C.
D.
the
following
Increase
Achieve
provision
specific
of
and
Cultural
is
NOT
and
improve
focused
on
RH
problem
the
following
is
What
A.
B.
C.
D.
is
Practice
Health
the
Attain
Prevent
as
the
strategy
issues
factors
of
RH?
contraceptive
reproductive
people
through
goal
of
RH?
development
and
related
to
sexuality
and
and
care
of
RH
and
the
referral
QUALITY
specific
of
the
a
WAY
RH
of
hands
[3]
methods
intentions
problems
dessemination
with
RH
information
a
VISION
RH
in
a
NOT
Achieve
healthy
sexual
Avoid
illness/diseases,
injuries,
disabilities
Receive
appropriate
counseling
Strengthen
outreach
activities
49.
gender
Psychosocial
and
[3]
maturation
reproduction
problems
system
RH?
OF
[2]
LIFE
LIFE
problem
filipino
OF
the
SITUATION : [SORANGE19] Baby G, a 6 hours old newborn is admitted to the NICU because of low APGAR Score.
His
mother
had
a
prolonged
second
stage
of
labor
50. Which of the following is the most important concept associated with all high risk newborn? [1]
A. Support the high-risk newborn's cardiopulmonary adaptation by maintaining adequate airway
B. Identify complications with early intervention in the high risk newborn to reduce morbidity and mortality
C. Assess the high risk newborn for any physical complications that will assist the parent with bonding
D. Support mother and significant others in their request toward adaptation to the high risk newborn
51. Which of the following would the nurse expect to find in a newborn with birth asphyxia? [1]
A.
B.
C.
D.
Hyperoxemia
Acidosis
Hypocapnia
Ketosis
52. When planning and implementing care for the newborn that has been successfully resuscitated, which of the
following
would
be
important
to
assess?
[1]
A.
B.
C.
D.
Muscle
Decreased
SITUATION
53.
:
[P-I/46]
When
A.
B.
C.
D.
Nurses
is
the
be
aware
best
Midway
Immediately
days
before
days
after
14
14
intracranial
Spontaneous
should
the
of
time
the
flaccidity
Hypoglycemia
pressure
respiration
the
different
to
achieve
between
after
reproductive
next
beginning
of
problems.
pregnancy?
menses
period
the
is
next
[2]
periods
end
expected
period
54. A factor in infertility maybe related to the PH of the vaginal canal. A medication that is ordered to alter the
vaginal
PH
is:
[2]
A.
B.
C.
D.
55.
A.
B.
C.
Estrogen
Sulfur
Lactic
Na
A
diagnostic
test
1
Just
used
to
evaluate
Immediately
before
fertility
acid
HCO3
is
the
postcoital
week
the
therapy
insufflations
douches
Douches
next
test.
after
after
It
is
menstrual
best
timed
[2]
ovulation
menses
period

7. D.
Within
1
to
2
days
of
presumed
ovulation
56. A tubal insufflation test is done to determine whether there is a tubal obstruction. Infertility caused by a
defect
in
the
tube
is
most
often
related
to
a
[3]
A.
B.
C.
D.
Past
Fibroid
Congenital
injury
Previous
to
infection
Tumor
Anomaly
tube
a
57. Which test is commonly used to determine the number, motility and activity of sperm is the [2]
A.
B.
C.
D.
58.
Rubin
Huhner
Friedman
Papanicolau
In
the
female,
Evaluation
of
the
pelvic
test
test
test
test
organs
of
reproduction
is
accomplished
A.
B.
C.
D.
by
[2]
Biopsy
Cystoscopy
Culdoscopy
Hysterosalpingogram
59.
When
A.
B.
C.
D.
is
from
60.
In
4th
fetal
the
week
blood
fetal
1st
2nd
3rd
up
vessel,
A.
B.
C.
D.
where
weight
to
gain
16th
is
the
greatest?
week
oxygen
trimester
trimester
trimester
pregnancy
of
content
[3]
highest?
Umbilical
[3]
artery
DuctusVenosus
Ductusareteriosus
artery
Pulmonary
61. The nurse is caring for a woman in labor. The woman is irritable, complains of nausea and vomits and has
heavier
show.
The
membranes
rupture.
The
nurse
understands
that
this
indicates
[1]
A.
B.
C.
D.
The
woman
is
in
The
woman
is
having
a
complication
Labor
is
slowing
down
and
The
woman
is
emotionally
distraught
and
transition
stage
of
labor
and
the
doctor
should
be
notified
the
woman
may
need
oxytocin
needs
assistance
in
dealing
with
labor
SITUATION : [J2I246] Katherine, a 32 year old primigravida at 39-40 weeks AOG was admitted to the labor room
due to hypogastric and lumbo-sacral pains. IE revealed a fully dilated, fully effaced cervix. Station 0.
62. She is immediately transferred to the DR table. Which of the following conditions signify that delivery is near?
[2]
I
II
III
IV
Begins
-
Uterine
contraction
to
A
occur
bear
2-3
desire
down
minutes
with
Perineum
intervals
to
at
defecate
contraction
bulges
seconds
duration
uterine
50
A.
B.
C.
D.
I,II,III
I,II,III,IV
I,III,IV
II,III,IV
63. Artificial rupture of the membrane is done. Which of the following nursing diagnoses is the priority? [2]
A.
B.
C.
D.
High
risk
for
infection
Potential
for
injury
Alteration
in
comfort
related
to
Anxiety
related
related
related
increasing
to
to
membrane
to
prolapse
strength
of
uterine
unfamiliar
rupture
cord
contraction
procedure
64. Katherine complains of severe abdominal pain and back pain during contraction. Which two of the following
measures
will
be
MOST
effective
in
reducing
pain?
[4]

8. I
IIIII-Imagery
IV-Breathing
Rubbing
the
back
with
a
tennis
ball
Effleurage
techniques
A.
B.
C.
D.
II,IV
II,III
I,IV
I,II
65. Lumbar epidural anesthesia is administered. Which of the following nursing responsibilities should be done
immediately
following
procedure?
[1]
A.
B.
C.
D.
66.
Reposition
Increase
Assess
Which
is
IV
NOT
the
from
Administer
drug
side
fluid
for
of
choice
to
as
maternal
for
side
oxygen
indicated
hypotension
epidural
anesthesia?
A.
B.
C.
D.
[4]
Sensorcaine
Xylocaine
Ephedrine
Marcaine
SITUATION : [SORANGE217] Alpha, a 24 year old G4P3 at full term gestation is brought to the ER after a gush of
fluid
passes
through
here
vagina
while
doing
her
holiday
shopping.
67. She is brought to the triage unit. The FHT is noted to be 114 bpm. Which of the following actions should the
nurse
do
first?
[2]
A.
B.
C.
D.
Monitor
Ask
Place
the
Administer
charge
her
FHT
on
nurse
the
ever
oxygen
to
notify
left
15
the
lateral
minutes
inhalation
Obstetrician
position
68. The nurse checks the perineum of alpha. Which of the following characteristic of the amniotic fluid would
cause
an
alarm
to
the
nurse?
[1]
A.
B.
C.
D.
Greenish
Scantly
Colorless
tinged
Blood
69. Alpha asks the nurse. "Why do I have to be on complete bed rest? I am not comfortable in this position."
Which
of
the
following
response
of
the
nurse
is
most
appropriate?
[3]
A.
B.
C.
D.
Keeping
Completed
You
need
Let
us
you
on
bed
rest
will
prevent
possible
cord
prolapse
bed
rest
will
prevent
more
amniotic
fluid
to
escape
to
save
your
energy
so
you
will
be
strong
enough
to
push
later
ask
your
obstetrician
when
she
returns
to
check
on
you
70. Alpha wants to know how many fetal movements per hour is normal, the correct response is [4]
A.
B.
C.
D.
Twice
Thrice
times
times
Four
10-12
71. Upon examination by the obstetrician, he charted that Alpha is in the early stage of labor. Which of the
following
is
true
in
this
state?
[1]
A.
B.
C.
D.
Last
Cervical
Effacement
for
dilation
is
2
1-3
Self-focused
100%
hours
cm
SITUATION : Maternal and child health nursing a core concept of providing health in the community. Mastery of
MCH
Nursing
is
a
quality
all
nurse
should
possess.

9. 72.
When
should
be
the
A.
B.As
C.Second
D.
73.
A.
B.
C.
D.
74.
Which
of
the
following
a
pregnant
mother
to
the
RHU?
getting
in
is
Neck
Examination
of
Edema
examination
Examination
Which
of
the
NOT
following
is
NOT
a
/
many
days
and
365
210
should
5th
1st
As
From
month
month
early
1st
77.
In
malaria
A.
B.
C.
D.
300
200
150
mg
100
mg
78.
Which
A.
B.
C.
D.
2nd
79.
Which
the
of
of
the
the
following
is
A.
B.
C.
D.
starts
mothers
not
in
to
to
to
20
included
given
qualified
to
be
should
for
the
it
taken?
3
ends?
post
post
of
post
pregnant
for
for
duration
trimester
hemorrhage
hours
of
on
BHS?
[4]
women?
delivery?
[2]
term
pregnancy
pregnancy
pregnancy.
delivery?
Clean
Clean
Clean
Clean
[4]
months
months
pregnancy
pregnancy
last
labor
last
of
[4]
partum
partum
pregnancy
partum
9
5
of
of
home
Cs
[2]
mg
mg
100mg
mg
month
month
month
weeks
month
week
for
the
the
last
are
the
50
2nd
5th
9th
6
to
goiter
pallor
extremeties
varicosities
for
300
200
when
[1]
up
examination
diseases
supplementation
supplementation
and
twice
a
once
a
a
week
week
for
is
done
days/
chloroquine
Pre
6th
history
of
a
history
of
following
delivery
IRON
/
/
/
twice
twice
a
the
will
/
/
how
for
hands
and
lower
for
of
supplementation
area,
examination?
check
Iron
dosage
physical
Dental
pregnancy
pregnancy
pregnancy
up
trimester
up
Has
service
days
mg
mg
/
/
Has
a
pregnancy,
prenatal
of
of
infested
prenatal
days
days
iron
in
basic
much
100
50
When
how
standard
Laboratory
Treatment
How
a
[2]
pregnant
pregnancy
trimester
trimester
examination
palms
of
the
the
face
hands,
the
legs
the
of
of
Oral
A.
B.
C.
D.
of
Third
A.
B.
C.
D.
76.
visit
Before
early
A.
B.
C.
D.
75.
2nd
[2]
Surface
Hands
Equipments
Cord
80. Which of the following is unnecessary equipment to be included in the home delivery kit? [4]
A.
B.
C.
D.
Boiled
70%
razor
Isopropyl
Rectal
and
blade
Alcohol
Flashlight
thermometer
oral
SITUATION : [NBLUE166] Pillar is admitted to the hospital with the following signs : Contractions coming every
10 minutes, lasting 30 seconds and causing little discomfort. Intact membranes without any bloody shows.Stable
vital signs. FHR = 130bpm. Examination reveals cervix is 3 cm dilated with vertex presenting at minus 1 station.
81.
A.
On
the
basis
of
the
data
In
provided
above,
You
can
conclude
false
the
pillar
is
in
the
[1]
labor

10. B.In
C.In
D.In
the
the
the
active
latent
transitional
phase
phase
phase
of
of
of
labor
labor
labor
82. Pitocin drip is started on Pilar. Possible side effects of pitocin administration include all of the following except
[3]
A.
B.
C.
D.
Water
Cerebral
83.
The
normal
A.
B.
C.
D.
range
of
90
120
100
140
84.
A
Which
A.
B.
C.
D.
Contraction
Contraction
Who's
1
of
the
of
labor
station
is
pain
that
states
[3]
bpm
bpm
bpm
bpm
means
of
increase
in
and
radiates
that
PAIN
that
[1]
crowning
floating
engaged
spine
ischial
characteristics
Bloody
and
back
of
regular
in
the
approximately
is
is
is
the
at
following
that
are
are
felt
None
Theory
is
140
160
140
180
[-1]
Fetus
Fetus
Fetus
is
Fetus
85.
FHR
to
to
to
to
negative
A.
B.
C.
D.
86.
Diuresis
Hypertension
intoxication
hemorrhage
in
false
labor
frequency
towards
the
labor
is
show
duration
abdomen
above
and
the
cause
by
FEAR
A.
B.
C.
D.
87.
A.
B.
C.
D.
[4]
Bradley
Simpson
Lamaze
Dick-Read
Which
A.
B.
C.
D.
88.
[1]
sign
would
alert
the
nurse
Increase
frequency
Perineum
bulges
Effacement
of
Vulva
encircles
the
Nursing
care
during
Careful
breathing,
Coach
Administer
that
Pillar
is
and
and
internal
largest
the
second
entering
second
intensity
anal
OS
diameter
stage
evaluation
Bear
down
with
Shave
enema
the
each
of
of
of
labor
stage
of
labor?
of
contraction
orifice
dilates
is
100%
presenting
part
should
include
prenatal
and
encourage
contraction
the
to
[1]
the
[1]
history
patient.
perineum
patient
SITUATION : [NBLUE170] Baby boy perez was delivered spontaneously following a term pregnancy. Apgar scores
are
8
and
9
respectively.
Routine
procedures
are
carried
out.
89.
A.
B.
C.
D.
90.
A.
B.
C.
D.
When
is
the
Immediately
after
At
5
minutes
At
1
minute
Immediately
after
The
best
way
to
Prone
On
On
his
birth
after
after
birth
position
On
his
a
APGAR
and
at
birth
and
birth
and
and
at
newboarn
with
side
back
with
during
his
with
the
Score
30
at
at
5
first
30
5
week
head
his
head
head
taken?
minutes
minutes
minutes
minutes
of
life
is
slightly
back,
flat
slightly
[1]
after
after
after
after
to
lay
on
birth
birth
birth
birth
him
[3]
elevated
flat
bed
elevated

11. 91. Baby boy perez has a large sebaceous glands on his nose, chin, and forehead. These are known as [1]
A.
B.
C.
D.
Milia
Lanugo
Hemangiomas
spots
Mongolian
92.
Baby
boy
perez
A.
B.
C.
D.
must
According
to
A.
B.
C.
D.After
the
carefully
WHO
Within
Within
Within
,
for
the
first
24
hours
of
body
should
the
mother
30
12
a
starts
for
[2]
distress
cry
voiding
temperature
of
in
when
infant's
observed
Respiratory
Duration
Frequency
Range
93.
be
breastfeeding
minutes
hours
day
condition
the
infant?
after
after
after
[4]
birth
birth
birth
stabilizes
94. What is the BEST and most accurate method of measuring the medication dosage for infants and children?
[3]
A.
B.
C.
D.
Weight
95.
The
first
postpartum
Weight
Height
Nomogram
Height
and
visit
should
A.
B.
C.
D.
be
done
by
the
mother
within
24
3
a
a
96.
The
A.
B.
C.
D.
major
Other
cause
of
hours
days
week
month
maternal
complications
[4]
mortality
related
to
in
the
philippines
labor,delivery
and
is
[3]
Infection
Hemorrhage
Hypertension
puerperium
97. According to the WHO, what should be the composition of a commercialized Oral rehydration salt solution?
[4]
A.
A.
A.
A.
Potassium
Potassium
Potassium
Potassium
98.
A.
B.
C.
D.
In
:
:
:
:
preparing
1
1
1
1
glass
glass
glass
glass
1.5
1.5
2.5
2.5
g.
g.
g.
g.
;
;
;
;
ORESOL
of
of
of
of
Sodium
Sodium
Sodium
Sodium
at
Bicarbonate
Bicarbonate
Bicarbonate
Bicarbonate
home,
water,
water,
water,
water,
The
1
2
3
1
2.5g
2.5g
3.5g
3.5g
correct
;
;
;
;
Sodium Chloride 3.5g; Glucose 20 g.
Sodium Chloride 3.5g; Glucose 10 g.
Sodium Chloride 4.5g; Glucose 20 g.
Sodium Chloride 4.5g; Glucose 10 g.
composition
pinch
pinch
pinch
pinch
of
of
of
of
recommnded
salt
salt
salt
salt
and
and
and
and
2
2
4
1
by
the
tsp
tsp
tsp
tsp
DOH
is
of
of
of
of
[4]
sugar
sugar
sugar
sugar
99. Milk code is a law that prohibits milk commercialization or artificial feeding for up to 2 years. Which law
provides
its
legal
basis?
[4]
A.
B.
C.
D.
100.
A.
B.
C.
Senate
Presidential
A
40
year
old
mother
bill
RA
EO
in
her
1044
7600
147
51
Proclamation
third
trimester
should
avoid
[4]
Traveling
Climbing
Smoking

12. D.
Exercising
Passing
CLICK
:
HERE
Question?
Comments?
FOR
Comment
60/100
ANSWERS
up
below
or
AND
email
me
RATIONALE
: pinoybsn@yahoo.com
Budek
http://www.pinoybsn.tk
Posted by Budek on Sunday, July 09, 2006 at 3:59 PMPermalink
SITUATION : [ND89] Aling Julia, a 32 year old fish vendor from baranggaymatahimik came to see you at the prenatal
clinic. She brought with her all her three children. Maye, 1 year 6 months; Joy, 3 and Dan, 7 years old. She mentioned
that she stopped taking oral contraceptives several months ago and now suspects she is pregnant. She cannot remember
her LMP.
1. Which of the following would be useful in calculating Aling Julia's EDC? [3]B. First FHT by fetoscope
2. Which hormone is necessary for a positive pregnancy test? [1]B. HCG
3. With this pregnancy, Aling Julia is a [1]C. P3 G4
4. In explaining the development of her baby, you identified in chronological order of growth of the fetus as it occurs in
pregnancy as [1]C. Ovum, zygote, embryo, fetus, infant
5. Aling Julia states she is happy to be pregnant. Which behavior is elicited by her during your assessment that would lead
you to think she is stressed? [3]C. She laughs at every advise you give even when its not funny
6. When teaching Aling Julia about her pregnancy, you should include personal common discomforts. Which of the
following is an indication for prompt professional supervision? [2] C. Facial edema
7. Which of the following statements would be appropriate for you to include in Aling Julia's prenatal teaching plan? [1]
D. Avoid unnecessary fatigue, rest periods should be included in you schedule
8. The best advise you can give to Aling Julia regarding prevention of varicosities is [3]
D. Wear support hose
9. In a 32 day menstrual cycle, ovulation usually occurs on the [2]
B. 18th day after menstruation
10. Placenta is the organ that provides exchange of nutrients and waste products between mother and fetus. This develops
by [4]
B. Third month
11. In evaluating the weight gain of Aling Julia, you know the minimum weight gain during pregnancy is [3]
A. 2 lbs/wk
12. The more accurate method of measuring fundal height is [2]

13. B. Centimeter
13. To determine fetal position using Leopold's maneuvers, the first maneuver is to [1]
D. Determine what part of fetus is in the fundus
14. Alingjulia has encouraged her husband to attend prenatal classes with her. During the prenatal class, the couple
expressed fear of pain during labor and delivery. The use of touch and soothing voice often promotes comfort to the
laboring patient. This physical intervention is effective because [2]
D. Empathy is communicated by a caring person
15. Which of the following could be considered as a positive sign of pregnancy ? [1]
D. Fetal outline by sonography
SITUATION : [FFC] Maternal and child health is the program of the department of health created to lessen the death of
infants and mother in the philippines. [2]
16. What is the goal of this program?
A. Promote mother and infant health especially during the gravida stage
17. One philosophy of the maternal and child health nursing is [1]
D. The father is as important as the mother
18. In maternal care, the PHN responsibility is [2]
C. To reach all pregnant woman
19. This is use when rendering prenatal care in the rural health unit. It serves as a guide in Identification of risk factors [1]
B. Home based mother's record
20. The schedule of prenatal visit in the RHU unit is [4]
C. Once in each trimester, more frequent for those at risk
SITUATION : Knowledge of the menstrual cycle is important in maternal health nursing. The following questions pertains to
the process of menstruation
21. Menarche occurs during the pubertal period, Which of the following occurs first in the development of female sex
characteristics? [2]
B. Accelerated Linear Growth
22. Which gland is responsible for initiating the menstrual cycle? [3]
D. Hypothalamus
23. The hormone that stimulates the ovaries to produce estrogen is [1]
A. GnRH

14. 24. Which hormone stimulates oocyte maturation? [2]
D. FSH
25. When is the serum estrogen level highest in the menstrual cycle? [4]
B. 13th day
26. To correctly determine the day of ovulation, the nurse must [2]
D. Add 14 days from the end of the cycle
27. The serum progesterone is lowest during what day of the menstrual cycle? [4]
B. 13th day
28. How much blood is loss on the average during menstrual period? [4]
B. 4 tablespoon
29. Menstruation occurs because of which following mechanism? [2]
B. Degeneration of the corpus luteum
30. If the menstrual cycle of a woman is 35 day cycle, she will approximately [2]
A. Ovulate on the 21st day with fertile days beginning on the 16th day to the 26th day of her cycle
SITUATION : Wide knowledge about different diagnostic tests during pregnancy is an essential arsenal for a nurse to be
successful.
31. The Biparietal diameter of a fetus is considered matured if it is atleast [4]
B. 8.5 cm
32. Quickening is experienced first by multigravida clients. At what week of gestation do they start to experience
quickening? [4]
A. 16th
33. Before the start of a non stress test, The FHR is 120 BPM. The mother ate the snack and the practitioner noticed an
increase from 120 BPM to 135 BPM for 15 seconds. How would you read the result? [3]
C. Reactive
34. When should the nurse expect to hear the FHR using a fetoscope? [4]
B. 8th week
35. When should the nurse expect to hear FHR using doppler Ultrasound? [4]
C. 2nd week

15. 36. The mother asks, What does it means if her maternal serum alpha feto protein is 35 ng/ml? The nurse should answer
[4]
D. 35 ng/ml indicates neural tube defect
37. Which of the following mothers needs RHOGAM? [1]
B. RH - mother who delivered an RH + fetus
38. Which family planning method is recommended by the department of health more than any other means of
contraception? [4]
D. Abstinence
39. How much booster dose does tetanus toxoid vaccination for pregnant women has? [4]
C. 3
40. Baranggay pinoybsn.tk has 70,000 population. How much nurse is needed to service this population? [4]
B. 7
SITUATION : [ND2I246] Reproductive health is the exercise of reproductive right with responsibility. A married couple has
the responsibility to reproduce and procreate.
41. Which of the following is ONE of the goals of the reproductive health concept? [3]
A. To achieve healthy sexual development and maturation
42. Which of the following is NOT an element of the reproductive health? [4]
B. Family planning
43. In the international framework of RH, which one of the following is the ultimate goal? [3]
D. Quality of life
44. Which one of the following is a determinant of RH affecting woman's ability to participate in social affairs? [3]
A. Gender issues
45. In the philippine RH Framework. which major factor affects RH status? [4]
C. Poor living conditions lead to illness
46. Which determinant of reproductive health advocates nutrition for better health promotion and maintain a healthful life?
[4]
A. Socio-Economic conditions
47. Which of the following is NOT a strategy of RH? [3]

16. A. Increase and improve contraceptive methods
48. Which of the following is NOT a goal of RH? [3]
D. Strengthen outreach activities and the referral system
49. What is the VISION of the RH? [2]
A. Attain QUALITY OF LIFE
SITUATION : [SORANGE19] Baby G, a 6 hours old newborn is admitted to the NICU because of low APGAR Score. His
mother had a prolonged second stage of labor
50. Which of the following is the most important concept associated with all high risk newborn? [1]
B. Identify complications with early intervention in the high risk newborn to reduce morbidity and mortality
rn
51. Which of the following would the nurse expect to find in a newborn with birth asphyxia? [1]
B. Acidosis
52. When planning and implementing care for the newborn that has been successfully resuscitated, which of the following
would be important to assess? [1]
D. Spontaneous respiration
SITUATION : [P-I/46] Nurses should be aware of the different reproductive problems.
53. When is the best time to achieve pregnancy? [2]
C. 14 days before the next period is expected
54. A factor in infertility maybe related to the PH of the vaginal canal. A medication that is ordered to alter the vaginal PH
is: [2]
D. Na HCO3 Douches
55. A diagnostic test used to evaluate fertility is the postcoital test. It is best timed [2]
B. Immediately after menses
56. A tubal insufflation test is done to determine whether there is a tubal obstruction. Infertility caused by a defect in the
tube is most often related to a [3]
D. Previous injury to a tube
57. Which test is commonly used to determine the number, motility and activity of sperm is the [2]
B. Huhner test
58. In the female, Evaluation of the pelvic organs of reproduction is accomplished by [2]
D. Hysterosalpingogram

17. 59. When is the fetal weight gain greatest? [3]
C. 3rd trimester
60. In fetal blood vessel, where is the oxygen content highest? [3]
B. DuctusVenosus
61. The nurse is caring for a woman in labor. The woman is irritable, complains of nausea and vomits and has heavier
show. The membranes rupture. The nurse understands that this indicates [1]
A. The woman is in transition stage of labor
SITUATION : [J2I246] Katherine, a 32 year old primigravida at 39-40 weeks AOG was admitted to the labor room due to
hypogastric and lumbo-sacral pains. IE revealed a fully dilated, fully effaced cervix. Station 0.
62. She is immediately transferred to the DR table. Which of the following conditions signify that delivery is near? [2]
I - A desire to defecate
II - Begins to bear down with uterine contraction
III - Perineum bulges
IV - Uterine contraction occur 2-3 minutes intervals at 50 seconds duration
B. I,II,III,IV
63. Artificial rupture of the membrane is done. Which of the following nursing diagnoses is the priority? [2]
A. High risk for infection related to membrane rupture
64. Katherine complains of severe abdominal pain and back pain during contraction. Which two of the following measures
will be MOST effective in reducing pain? [4]
I - Rubbing the back with a tennis ball
II- Effleurage
III-Imagery
IV-Breathing techniques
D. I,II
65. Lumbar epidural anesthesia is administered. Which of the following nursing responsibilities should be done immediately
following procedure? [1]
D. Assess for maternal hypotension
66. Which is NOT the drug of choice for epidural anesthesia? [4]
C. Ephedrine
SITUATION : [SORANGE217] Alpha, a 24 year old G4P3 at full term gestation is brought to the ER after a gush of fluid
passes through here vagina while doing her holiday shopping.
67. She is brought to the triage unit. The FHT is noted to be 114 bpm. Which of the following actions should the nurse do
first? [2]

18. A. Monitor FHT ever 15 minutes
68. The nurse checks the perineum of alpha. Which of the following characteristic of the amniotic fluid would cause an
alarm to the nurse? [1]
A. Greenish
69. Alpha asks the nurse. "Why do I have to be on complete bed rest? I am not comfortable in this position." Which of the
following response of the nurse is most appropriate? [3]
C. You need to save your energy so you will be strong enough to push later
70. Alpha wants to know how many fetal movements per hour is normal, the correct response is [4]
C. Four times
71. Upon examination by the obstetrician, he charted that Alpha is in the early stage of labor. Which of the following is
true in this state? [1]
D. Cervical dilation 1-3 cm
SITUATION : Maternal and child health nursing a core concept of providing health in the community. Mastery of MCH
Nursing is a quality all nurse should possess.
72. When should be the 2nd visit of a pregnant mother to the RHU? [2]
C. Second trimester
73. Which of the following is NOT a standard prenatal physical examination? [1]
D. Examination of the legs for varicosities
74. Which of the following is NOT a basic prenatal service delivery done in the BHS? [2]
A. Oral / Dental check up
75. How many days and how much dosage will the IRON supplementation be taken? [4]
B. 210 days / 200 mg
76. When should the iron supplementation starts and when should it ends? [4]
A. 5th month of pregnancy to 2nd month post partum
77. In malaria infested area, how is chloroquine given to pregnant women? [4]
C. 150 mg / twice a week for the duration of pregnancy
78. Which of the following mothers are qualified for home delivery? [2]
D. 2nd pregnancy, Has a history of 20 hours of labor last pregnancy.

19. 79. Which of the following is not included on the 3 Cs of delivery? [2]
C. Clean Equipments
80. Which of the following is unnecessary equipment to be included in the home delivery kit? [4]
C. Flashlight
SITUATION : [NBLUE166] Pillar is admitted to the hospital with the following signs : Contractions coming every 10
minutes, lasting 30 seconds and causing little discomfort. Intact membranes without any bloody shows.Stable vital signs.
FHR = 130bpm. Examination reveals cervix is 3 cm dilated with vertex presenting at minus 1 station.
81. On the basis of the data provided above, You can conclude the pillar is in the [1]
C. In the latent phase of labor
82. Pitocin drip is started on Pilar. Possible side effects of pitocin administration include all of the following except [3]
A. Diuresis
83. The normal range of FHR is approximately [3]
B. 120 to 160 bpm
84. A negative 1 [-1] station means that [1]
B. Fetus is floating
85. Which of the following is characteristics of false labor [1]
D. None of the above
86. Who's Theory of labor pain that states that PAIN in labor is cause by FEAR [4]
A. Bradley
87. Which sign would alert the nurse that Pillar is entering the second stage of labor? [1]
D. Vulva encircles the largest diameter of presenting part
88. Nursing care during the second stage of labor should include [1]
B. Coach breathing, Bear down with each contraction and encourage patient.
SITUATION : [NBLUE170] Baby boy perez was delivered spontaneously following a term pregnancy. Apgar scores are 8
and 9 respectively. Routine procedures are carried out.
89. When is the APGAR Score taken? [1]
C. At 1 minute after birth and at 5 minutes after birth
90. The best way to position a newboarn during the first week of life is to lay him [3]
B. On his back, flat

20. 91. Baby boy perez has a large sebaceous glands on his nose, chin, and forehead. These are known as [1]
A. Milia
92. Baby boy perez must be carefully observed for the first 24 hours for [2]
A. Respiratory distress
93. According to the WHO , when should the mother starts breastfeeding the infant? [4]
A. Within 30 minutes after birth
94. What is the BEST and most accurate method of measuring the medication dosage for infants and children? [3]
C. Nomogram
95. The first postpartum visit should be done by the mother within [4]
A. 24 hours
B. 3 days
C. a week
D. a month
96. The major cause of maternal mortality in the philippines is [3]
D. Other complications related to labor,delivery and puerperium
97. According to the WHO, what should be the composition of a commercialized Oral rehydration salt solution? [4]
A. Potassium : 1.5 g. ; Sodium Bicarbonate 2.5g ; Sodium Chloride 3.5g; Glucose 20 g.
98. In preparing ORESOL at home, The correct composition recommnded by the DOH is [4]
A. 1 glass of water, 1 pinch of salt and 2 tsp of sugar
99. Milk code is a law the prohibits milk commercialization or artificial feeding for up to 2 years. Which law provides its
legal basis? [4]
D. EO 51
100. A 40 year old mother in her third trimester should avoid [4]
C. Smoking
(darn! i got tired of answering those CHN questions! kindly check my answers, dervid)
Posted by
jr_robis | 12:16 PM
im going to change my answer... hehehe, fetoscope can be used to hear FHT at 4 mos. doppler at 3 mos. and stethoscope
at 5 mos.
3 mos. - Doppler
4 mos. - Fetoscope
5 mos. - Stethoscope

21. Posted by
jr_robis | 12:19 PM
Is this the exam leakage that they were talking about?
thanks
Posted by
rn_crucial | 5:17 PM
about question #95 the answer should be ONE WEEK AFTER POSTPARTUM and on number #98, the answer should be itsp
of sugar, 1 pinch of salt in a glass of water.
Posted by
Anonymous | 1:27 PM
86. Who's Theory of labor pain that states that PAIN in labor is cause by FEAR [4]
I think it is dick-read's theory.
Posted by
Anonymous | 2:31 PM
pls check answer # 26 ovulation is 14 days before the next cyle (MCN by Olds) so di badapat subtract 14 days kaya
ngasaques 30 if cycle is 35 days ovulation is on the 21st day and also pls check answer # 42, elements of RH, I checked
the DOH book and family planning is included.
Posted by
Anonymous | 9:19 PM
Pls. check answer # 49 vision of RH (DOH book) is : Reproductive health practice as a way of life for every man and
woman throughout life. Also # 38 Strategy of DOH is to increase andd improve use of more effective or modern
contraceptive methods. Increase the type of methods offered available in the program.