MATERNAL AND CHILD HEALTH NURSING

1ST LONG EXAM

1. The Reproductive health bill also refers to

A. R.A 10356
B. R.A 10354
C. R.A 10353
D. R.A 10352
2. A fertilized ovum is known as:
A. zygote
B. embryo
C. neonate
D. decidua
3. To provide patient care of the highest quality, nurses utilize an evidence-based practice
approach because evidence-based practice is:
A. Guide for nurses in making clinical decisions.
B. Based in the latest textbook’s information
C. Easily attained at the bedside.
D. Always right for all situations.
4. Which of the following is a problem- solving approach to clinical practice that integrates
the conscientious use of best evidence in combination with clinical expertise?
A. Experimental approach
B. Experimental based practice
C. Evidence based practice
D. Research based approach
5. A mature placenta has how many cotyledons?
A. 15
B. 20
C. 25
D. 30
6. A nurse discussing the prevention of Toxic shock syndrome using a diaphragm, advise
women the following prevention except:
A. Wash their hands thoroughly with soap and water before insertion or
removal.
B. Do not use a diaphragm during a menstrual period.
C. Do not leave a diaphragm in place longer than 24 hours.
D. Diaphragm may reuse by putting antiseptic solution.
7. If the menstrual cycle of a woman is a 32-day cycle, when do you expect her to
ovulate?
A. 14th day counting from the 1st day of menses
B. 14th day counting from the 5th day of menses
C. 18th day counting from the 1st day of menses
D. 18th day counting from the 5th day of menses
8. What best describes the pattern of genetic transmission known as autosomal recessive
inheritance?
A. disorder in which the abnormal gene for the trait is expressed even when
the other member of the pair is normal
B. disorder in which both genes of a pair must be abnormal for the
disorder to be expressed
C. disorder in which a single gene controls the particular trait
D. disorders in which the abnormal gene is carried on the X chromosome
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1ST LONG EXAM

9. Which of the following statement conveys confidentiality?

A. “This discussion should not only be confined within this group of people. Any
information discussed should be told publicly.”
B. “This discussion should only be confined within this group of people.
Any information discussed should not be told publicly.”
C. “this discussion should not be confined within this group of people. Any
information discussed should not be told publicly.
D. “This discussion should only be confined within this group of people. Any
information discussed should be told publicly.”
10. Mrs. Lim has missed three periods and thinks she might be pregnant. During her first
visit to the prenatal clinic it is confirmed that she is pregnant. If Mrs. Lim's last
menstrual period (LMP) began on April 10, 2009, what is her estimated date of
confinement (EDC) delivery (EDD) according to Naegele's Rule?
A. March 17
B. July 3
C. January 3
D. January 17
11. Which of the following statements would the nurse include when providing a client
education regarding self-testicular exam?
A. smooth, rounded and firm testicles
B. lumps on the nodule or testicles
C. enlarge testicles
D. rectangular testicles
12. The most important factor in providing nursing care to clients in a specific ethnic group
is:
A. Time orientation
B. Communication
C. Biological variation
D. Environmental control
13. Obtaining informed consent is the responsibility of:
A. CNA manager
B. Nurse
C. RN manager
D. Physician
14. A male client tells the nurse that he has tested positive for HIV, but he does not want
the nurse to tell anyone. What is the best action for the nurse to take?
A. Encourage the client to disclose this information to her physician
B. Inform the health care team who will come to in contact with the client.
C. Tell the client’s physician.
D. Document this information on the client’s chart.
15. When signing a form as a witness, your signature shows that the client:
A. Was free to sign without pressure
B. Was awake and fully alert and not medicated with narcotics.
C. Is fully informed and is aware of all consequences.
D. Has signed that form and the witness saw it being done.
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1ST LONG EXAM

16. By 10th week of pregnancy, paramesonephric duct develops into:

A. male reproductive organs
B. female reproductive organs
C. internal male organs
D. external female organ
17. The senior head nursing student in the maternity unit was asked to calculate the EDD
of Mrs. Yau, pregnant for the second time whose LMP is April 13 2009
A. January 27
B. January 30
C. January 25
D. January 20
18. The purpose of Review Related Literature except:
A. Reveal sources of data
B. Reveal the significant research personalities
C. Reveal what is the problem.
D. Reveal investigations.
19. An infertility specialist is evaluating whether a woman's cervical mucus contains
enough estrogen to support sperm motility. Which of the following test is the physician
conducting?
A. Ferning Capacity
B. Basal Body Temperature
C. Hysterectomy
D. Culdoscopy
20. Why do some couples prefer alternative birthing centers than hospitals?
A. ABC's are nearer to their homes
B. ABC's foster family integrity more than the hospitals
C. ABC's are more affordable than hospitals
D. ABC's have readily available extended high-risk care
21. Left-side lying promotes efficient uterine perfusion and placental circulation because
it:
A. Lifts the uterus away from the inferior vena cave, preventing blood
from being trapped in the lower extremity
B. Lifts the uterus towards the inferior vena cava, preventing blood from being
trapped in the lower extremities
C. Lifts the uterus away from the superior vena cava, preventing blood from
being trapped in the upper extremities
D. Lifts the uterus towards the superior vena cava, preventing blood from being
trapped in the upper extremities
22. A young client who has become sexually active ask the nurse, “What is the most
effective way to prevent pregnancy?” The nurse’s best response would be:
A. Abstain from Sex
B. Use birth control pills.”
C. “Use condom and foam.”
D. “Have an IUD inserted.”
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1ST LONG EXAM

23. Differentiation of gonadal tissues and formation of testosterone begins during what
week of pregnancy?
A. 4th week
B. 5th week
C. 6th week
D. 7th week
24. A postpartum woman has just returned to the Ob unit after delivery room. The nurse
transferred her to her bed but did not put side rails. The client fell and was injured.
What kind of liability does the nurse have?
A. Intentional tort
B. Autonomy
C. Assault and battery
D. Negligence
25. Which of the following best describe of a scenario where a nurse could demonstrate
workforce advocacy?
A. A client wishes to become an organ donor in spite of family opposition.
B. A nurse volunteers time to participate in a fund raiser to provide toys for a
hospital’s pediatric unit.
C. A client feels pressured by a health care provider into agreeing to a
specific medical procedure.
D. Staff nurse on a particular unit feel that the nurse manager is showing
favoritism when granting leave of absence.
26. Gina, a gravida 1 para 0 pregnant client comes to a clinic for her first pre-natal visit.
Gravida refers to which of the following description?
A. a serious pregnancy
B. number of times a female has been pregnant
C. number of children a female has delivered
D. number of term pregnancies a female has had.
27. Ovulation is the process of:
A. Maturity of the female reproductive function
B. Monthly release of mature ovum.
C. Rupture of the ovary followed by the release of an immature follicle
D. Rupture of the primordial follicle followed by the release of an immature
follicle.
28. An older woman is asking the nurse about her husband's sexual functioning. Which
statement by the nurse is most accurate?
A. "Men his age tend to have a rapid decline in sexual abilities.”
B. "His testosterone levels will decrease only slightly until he is quite
old
C. "Changes in testosterone levels do not affect sexual performance".
D. "You are lucky your husband is healthy enough for sexual activity
29. The following best exhibit as a Role of the Nurse in clinical decision making except:
A. Develop a basic knowledge of ethical principles and concepts.
B. Understand processes and resources available to assist them in ethical
decision making.
C. Must be a member of an ethical team.
D. Be aware of personal values and how they relate to professional practice.
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1ST LONG EXAM

30. Nurse Vanessa, is preparing to care for a 4-year-old who has been placed in traction
following a fracture of the femur. The nurse plans care knowing that which of the
following is the most appropriate activity for this child?
A. Crayons and coloring book
B. Radio toy
C. Sports video
D. Books with large pictures
31. A body of organ that produces the cells necessary for reproduction is known as;
A. estrogen
B. gonad
C. progesterone
D. genes
32. As a pregnant woman lies on the examining table, she goes very short of breath and
dizzy. The nurse recognizes which of the following as the probable cause?
A. Her cerebral arteries are growing congested with blood
B. the uterus requires more blood in a supine position
C. blood is trapped in the vena cava in a supine position
D. sympathetic nerve responses cause dyspnea when a woman lies supine
33. Matt, a novice nurse is assigned to an experienced nurse for training on OB ward unit
of Maternal and Child hospital. What type of nurse to nurse collaboration does
assignment exhibit?
A. Inter organizational collaboration
B. Mentoring collaboration
C. Shared governance collaboration
D. Inter governance collaboration
34. A client in presents in early labor. What is the most important part of the nursing
assessment?
A. check for lower extremity edema
B. Leopold's Maneuver
C. check for fundal height
D. Group B strep culture
35. They have been the most susceptible to PEM (protein energy malnutrition), knowing
that malnutrition is a frequent community health problem, Nurse Gian decided to
conduct nutritional assessment. What population is particularly susceptible to PEM?
A. Elderly
B. 0-6 months
C. C. 1-4-year-old children
D. D. School age children
36. A Nurse is assigned to a pediatric unit is working with a child and suspect physical
abuse, what is his primary legal responsibility?
A. Document an assessment thoroughly and accurately
B. Report the abuse to local authorities
C. Wait until the doctor assess the child.
D. Assist the family in identifying resources and support systems.
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37. All of the following are risk factor that a client is not eligible to deliver in a birth center,
except:
A. being older than 25
B. carrying multiples
C. having gestational diabetes or high blood pressure
D. having a breech position baby
38. Gia's cousin gave birth to an infant with a congenital heart anomaly. Gia ask the nurse
when such anomalies occur during development. Which response by the nurse is most
accurate?
A. " We don't really know such defects occur"
B. " It depends on what cause the defect".
C. They occur between the third and fifth week of development".
D. They usually occur in the first 2 weeks of development".
39. The following are the qualifications for Nursing service administrator, except:
A. Registered nurse in the Philippines.
B. 2-year experience in general nursing service administrators.
C. A member of good standing of the accredited professional organization of
nurses.
D. Must be a teaching experience in the College of Nursing.
40. During the pre-natal visit of Linda at 38 weeks, a nurse assesses the fetal heart rate.
The nurse determines that the fetal heart rate is normal if which of the following is
noted?
A. 80 BPM
B. 100 BPM
C. 150 BPM
D. 180 BPM
41. Principles or Standards that influence behavior and decision making which a nurse
may base on experience, religion education and culture is called:
A. Standards of Practice
B. Values
C. Ethics
D. Morals
42. The patient has quit smoking and has been smoke free for the past 2 years. Of the
following stages, which best fits her current stage of change?
A. Contemplation
B. Preparation
C. Maintenance
D. Action
43. Blood volume normally increases during pregnancy. The extent of this increase is what
percentage of pre-pregnancy volume?
A. 1% - 10 %
B. 20% - 30%
C. 30% - 50%
D. 70% - 90%
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1ST LONG EXAM

44. A Clinical Instructor ask a student nurse, that on what procedure best describes
involves opening the uterus during second trimester before the viability.
A. Therapeutic Insemination
B. Assisted reproductive technology
C. Surrogate childbearing
D. Intrauterine Fetal Surgery
45. The developing cells are called a fetus from the:
A. time the fetal heart is heard
B. eight week to the time of birth
C. implantation of the fertilized ovum
D. end of the second week to the onset of labor
46. A 17 years old tells the nurse she wants to use a fertility awareness method of
contraception. How should the nurse best meet Christine’s learning need?
A. The nurse should teach her to record if she feels hot whether she is perspiring
heavily.
B. The nurse should teach her to assess whether her cervical mucus is
thin and watery.
C. The nurse should teach her to monitor her emotions for sudden anger or
crying.
D. The nurse should teach her to assess whether her breasts are sensitive to
cool air.
47. When performing a prostate examination, the nurse knows that which of the following
are normal findings?
A. lumps on the nodule or testicles
B. enlarge testicles
C. rectangular testicles
D. smooth surface, firm consistency
48. A patient was rushed to the emergency unit, and needs to have an immediate surgery.
During their assessment they found out the patient’s religion is a Jehovah’s witness.
Nurse Sheila considers client’s religious preference in making the care plan and
documents that:
A. Alternative medicines like herbal medicines can be advised
B. Surgery is strongly recommended
C. Blood products cannot be administered.
D. Giving any medication is not allowed.
49. Fertilization is the:
A. Transportation of egg cells into the ovary
B. Union of an ovum and spermatozoa
C. Implantation of zygote in the uterine wall
50. A Barangay health center that is designed to provide health education and
immunizations. As such, this clinic is designed to provide.
A. Diagnosis and prompt intervention.
B. Secondary Prevention
C. Tertiary Prevention
D. Primary Prevention