1. A 36 year old is admitted with a possible ruptured ectopic pregnancy.

When
planning the clients
Care, which of the following procedures should the nurse anticipate preparing the
client soon after admission?
A. Dilatation and curettage
B. Culdocentesis
C. Evacuation of the uterus
D. Ophorectomy

2. The nurse is caring for a woman four hours following cesarean birth. Because
there are surgical effects that hinder the womans resumption of eating, the nurse
should include which of the following in the plan of care?
A. Ambulation at this time
B. Applying abdominal binder
C. Administering a dulcolax suppository
D. Listening of bowel sounds

3. A woman of 16 weeks gestation telephones you because she has passed some
berry-like blood clots and now has continued dark brown vaginal bleeding. Which
of the following would you instruct the woman to do?
A. Maintain bed rest and count the number of perineal pads used
B. Come to the health care facility if uterine contractions begin
C. Continue normal activity, but take your pulse every hour
D. Come to the health care facility with any vaginal material passed

4. A woman 30 weeks pregnant is admitted to the hospital with a diagnosis of

placenta previa. She and the fetus are stable. To help achieve the goal of avoiding
premature delivery, the nurse anticipates the client will:
A. Receive a blood transfusion
B. Be placed on bed rest
C. Receive betamethasone
D. Avoid sexual intercourse upon discharge

5. A client on the labor and delivery unit has spontaneous rupture of membranes at
2cm dilatation. The nurse notes that the fetal heart rate has dropped to 80 and
suspects a prolapsed cord. The most appropriate immediate action of the nurse is
to:
A. Call for an emergency caesarean section
B. Place the woman in knee chest position
C. Place the expelled cord back into the vagina
D. Open up the main intravenous line

6. A 28 year old woman comes to the prenatal clinic because she thinks she might
be pregnant. She tells the nurse that her menstrual periods are irregular but, since
her last menses seven weeks ago, she noticed some physiologic changes in her
body. Which of the following should the nurse expect when assessing the woman for
a probable sign of pregnancy?
A. Morning sickness
B. Urinary frequency
C. A positive pregnancy test
D. Auscultation of fetal heart sounds

7. A woman delivered a healthy baby 18 hours ago has just been given Rho (D)
immune globulin. Which finding indicates the need for administration of this
medication?
A. The mother is Rho (D) negative with Rho (D) antibodies
B. The infant is Rh (D) positive
C. There is a positive indirect Coombs test of cord blood
D. The mother is Rho (D) positive
8. In evaluating the effectiveness of IV Pitocin for a client with secondary dystocia
( uterine inertia ), the nurse should expect
A. a precipitate delivery
B. Cervical effacement without delivery
C. Infrequent contractions lasting longer than 90 seconds
D. Progressive cervical dilatation with contractions lasting less than 90 seconds

9. A woman with severe pregnancy-induced hypertension has delivered two hours

ago. Which nursing action should be included in the plan of care for her postpartum
hospital stay?
A. Continuing to monitor blood pressure, respirations and reflexes
B. Encouraging frequent family visitors
C. Keeping her NPO
D. Maintaining an IV access to the circulatory system

10. The nurse realizes that the discharge instructions given to a woman with
placenta previa are understood when the nurse overhears the client tell her
husband
A. We cant have sex.
B. I have to return in a few days for vaginal exam.
C. I will have to have a caesarean section for this and other pregnancies.
D. I can go back to part-time work beginning tomorrow.

11. The nurse is caring for a woman who is 35 weeks pregnant. She comes to the
emergency department with painless vaginal bleeding. This is her third pregnancy
and she states that his had never happened before. In caring for this woman, the
nurse should plan to:
A. Allowing her husband to stay with her
B. Keeping her at rest
C. Shaving the perineum
D. Performing a vaginal examination

12. The nurse is caring for a woman with placenta previa who has been hospitalized
for several weeks. She is now at 38 weeks gestation and her membranes have
ruptured. The amniotic fluid has a greenish color and the woman has started to
bleed again. The nurse should plan to:
A. Administer oxygen
B. Place her in trendelenburgs position
C. Call the physician and prepare for a cesarean birth
D. Move her to the delivery room immediately

13. A maternity nurse is caring for a client with abruption placenta and is monitoring
the client for disseminated intravascular coagulopathy (DIC). Which assessment
finding is least like to be associated with DIC?
A. Swelling of the calf of one leg
B. Prolonged clotting time
C. Decreased platelet times
D.Pretechia, oozing from the injection sites, hematuria

14. A nurse is assessing a pregnant client in the second trimester of pregnancy who
was admitted to the maternity unit with a suspected diagnosis of abruption
placenta. Which of the following assessment findings would the nurse not to expect
to note of this condition is present?
A. Acute abdominal pain
B. A hard boardlike structure
C. Uterine tenderness
D. Painless bright red vaginal bleeding
15. A woman in labor is risk for abruptio placentae. Which of the following
assessments would most likely lead you to suspect that this happened?
A. Sharp fundal pain and discomfort between contractions
B. Painless vaginal bleeding and a fall in blood pressure
C. Pain in a lower quadrant and increased pulse rate
D. An increased blood pressure and oliguria

16. A common symptom that would alert you that a preterm infant is developing
respiratory distress syndrome is
A. Inspiratory stridor
B. Expiratory wheezing
C. Expiratory grunting
D. Inspiratory crowing

17. The presence of which of the following test indicates that lung is immature is
A. Lecithin- sphingomyelin ratio is less than 2:1
B. Surfactant/Albumin (S/A) ratio>55
C. Presence of Phosphatidol glycerol (PG)
D. Chest Xray doesnt show

18. Which of the following best describes the problem of regulation of body
temperature in a best describes the problem of regulation of body temperature in a
3 1/2lb. premature infant?
A. The surface area of the premature infant is relatively smaller that that of a
normal, full-term infant in proportion to body size
B. There is alack of subcutaneous fat that furnishes insulation
C. There are frequent episodes of diaphoresis causing loss of body heat
D. There is a limited ability to produce body proteins

19. Following are considered to be high risk neonate EXCEPT?

A. A Preterm newborn whose weight is 7 lbs
B. A 37 week AOG newborn with weight falling between 10 th to 90th percentile in the
growth chart
C. A term newborn with meconium aspiration
D. A term newborn with an Apgar score of 3

20. premature infants who are exposed to high oxygen concentration for prolonged
period of time would most likely suffer from:
A. Deafness
B. Speech Defect
C. Blindness
D. Anemia

21. In a postterm newborn, you would to expect to find which of the following
assessment?
A. Heel but no anterior creases
B. Possible hypoglycemia
C. Lanugo is found abundantly at babys back
D. Skin is thin with visible veins

22.(wala hahahahahahahahaha)

23. The reason for cleaning the airway of the neonate with meconium staining is
A. Meconium is unsterile and should be removed immediately
B. Meconium is passed-out by babies who had intrauterine stress hence clearing
from the mouth and nose is necessary to assess degree of fetal insult
C. Meconium can obstruct the airways which causes gas exchange interference
hence needed to be cleared prior to babies first breath
d. Meconium can be a dirty sight by the mother hence the need to remove prior to
feeding
24. The mother of a preterm child with meconium aspiration asked the nurse the
reason why her child defecated prior to delivery. The nurse is correct if he tells the
mother:
A. All preterm babies can have meconium aspiration
B. Your baby suffered from intrauterine hypoxia
C. Your babys buttocks might be compressed
D. None of the above

25. You are assigned to take care of a septic neonate. You would expect the
following supportive care to your client. EXCEPT:
A. Apneic neonates should be given physical stimulation and bag-mask ventilation,
if required
B. Enteral feeds are avoided if infant is very sick
C. Appropriate maintenance intravenous fluids are administered
D. Administration of intravenous antibiotics in neonatal sepsis

26. A newborn is being cared for under phototherapy light for jaundice. Which of the
following interventions would be most important?
A. Offering additional fluids
B. Keeping positioned on her abdomen
C. Keeping head slightly elevated
D. assessing temperature at least every 15 minutes

27. The purpose of phototherapy light in Pathologic Jaundice:

A. Works through a process of isomerization that changes the bilirubin into water-
soluble Isomers that can be passed without getting stuck in the liver
B. Converts conjugated bilirubin to unconjugated bilirubin for easy elimination
process
C. to remove unconjugated bilirubin by doing double volume exchange transfusion
D. To convert unconjugated bilirubin so as to hasten via evaporation

28. What republic act concerning NBS?

A. R.A. 9288
B. R.A. 9883
C. R.A. 9828
D. R.A. 9882

29. What condition having a sex organ is abnormal which is called for girls as
ambiguous genitalia?
A. CAH
B. G6PD
C. Glactosemia
D. PKU

30. This is known as salt restraining hormone

A. Cortisol
B. Androgen
C. Aldosterone
D. Cortisone

31. At an amniocentesis just prior to birth, a fetuss lecithin/sphingomyellin ratio

was determined to be 1:1. Based on this, she is prone to which type of respiratory
problem following birth?
A. Wheezing from excess fluid accumulation
B. Bronchial constriction from room air
C. Alveolar collapse on expiration
D. Inspiratory constricture from air contaminants
32. A preterm infant has an umbilical vessel catheter inserted so that the blood can
be drawn readily. Which of the following would be most important to implement
during his procedure?
A. Prevent her from crying
B. Ensure that she is jept warm
C. asses her cranial vascular tension
D. Evaluate her urinary output

33. A preterm infant is transferred to a distant hospital for care. When her parents
visit her, which of the following would be most important for you to urge them to
do?
A. Call the baby by her name
B. Touch her and hold her
C. Stand so the baby can see them
D. Bring a piece of clothing for her

34. A premature infant develops respiratory distress syndrome. With this condition,
circulatory impairment is likely to occur because with increased lung tension
A. The ductus arteriosus remains open
B. The foramen ovale closes prematurely
C. The aorta or aortic valve strictures
D. The pulmonary artery closes

35. . A common symptom that would alert you that a preterm infant is developing
respiratory distress syndrome is
A. Inspiratory stridor
B. Expiratory wheezing
C. Expiratory grunting
D. Inspiratory crowing

36. A preterm infant is placed on ventilator assistance for respiratory distress

syndrome. In light of her lung pathology, which additional ventilator measure would
you anticipate additional planning?
A. Administration of chilled oxygen to reduce lung spasm
B. Increased inspiratory pressure; decreased expiratory pressure
C. administration of dry oxygen to avoid over-humidification
D. Positive end-expiratory pressure to increase oxygenation

37. With the administration of oxygen, a preterm infants Pa02 level is carefully
monitored. It is important to keep this level under which value to help prevent
retinopathy of prematuriry?
A. 40 mmHg
B. 50 mmHg
C. 100 mmHg
D. 180 mmHg

38. A preterm infant will be hospitalized for an extended time. Assuming her
condition is improving, which environment would you devise as the one most
suitable for her?
A. Keep her environment free of color to reduce eye straining
B. Provide a mobile she can see no matter how she is turned
C. Place her Isolette near the window so she can see outside
D. Bring her open bassinet near the desk area so she sees people

39. All infants need to be observe for hypoglycemia during the newborn period.
Based on the facts obtained from pregnancy histories, which infant would be most
likely to develop hypoglycemia?
A. An infant whose labor began with ruptured membranes
B. An infant who had difficulty establishing respiration at birth
C. An infant who has marked acrocyanosis of his hands and feet
D. An infant whose mother craved chocolate during pregnancy

40. Which of the following would you expect to assess in an infant with
hypoglycemia?
A. Prolonged Jaundice
B. Limpness or Jitteriness
C. Pain along the sixth cranial nerve
D. Excessive hunger