Maternal P1
Maternal P1
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A woman could only give birth in an alternative birthing center if: *
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A. She does not have the funds to give birth at a hospital.
B. Her location is far from a hospital.
C. She does not have any complications with her pregnancy.
D. She has a complicated pregnancy.
Feedback
Because women who give birth in ABCs are screened first for complications before being admitted
to the facility.
Which nursing assessment findings are physical signs of sexual abuse of a female
child? Select all that apply. *
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A. Enuresis
B. Red and swollen labia and rectum
C. Vaginal tears
D. Injuries in different stages of healing
E. Cigarette burns
F. Lice infestation
Feedback
These are all indications that a female child has been the victim of sexual abuse. Options D, E, and
F are signs of physical abuse of a child, not sexual abuse.
Which of the following statements best describes the relationship between biologic sex
and gender identity? *
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A. sex is chromosomally determined, while gender is a psychosocial construct
B. biologic sex and gender identity are both modifiable by surgery and medical interventions
C. biologic sex and gender identity are considered synonyms in nursing practice
D. biologic sex is genetically determined but gender identity is chosen during adolescence
Feedback
Biologic sex is the term used to denote chromosomal sexual development. Gender identity is the
inner sense a person has of being male or female. As such, Biologic sex is amenable to medical
intervention, but surgery and hormone therapy will not change individuals inner sense of being male
or female. Gender identity is not commonly thought to be chosen or objectively selecting during
adolescence.
Ethics in Nursing Research has always been an issue when it comes to the identity of
the respondents. When the topics of research are very sensitive, which of the
following rights of individual participants must be ensured when the researcher cannot
link the information given by the respondent from the source of the information? *
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A. Virility
B. Confidentiality
C. Anonymity
D. Volunteerism
Feedback
Anonymity - This is the fundamental right of individuals who participate in a research. Being
anonymous may place the individual respondent’s information to be free from prejudice. Linking the
information from the source or participant is prohibited.
A 28-year old married woman seeks advice from the nurse in her company health
office about oral contraceptives. The nurse should advise her that if she smokes: *
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A. Oral contraceptives can cause thrombophlebitis
B. Some oral contraceptives are safe, others are not.
C. Some oral contraceptives can be used without concern
D. Oral contraceptives can be used with other methods
Feedback
Studies have shown that women who smoke at least 1 pack of cigarettes a day are more prone to
developing cardiovascular problems. There are no “safe” oral contraceptives. Oral contraceptives
are effective if used alone.
A patient reports for a preoperative appointment in preparation for surgery that will
change his body from a female to male. The patient has expressed to the nurse and
physician that he should been born a man. What sexual orientation is the patient
demonstrating? *
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A. Bisexual
B. Transsexual
C. Homosexual
D. Transvestite
Feedback
A transsexual is a person of certain biological gender who has the feelings of the opposite sex, and
the person is trapped within the body of the wrong sex. For many transsexuals, the solution is to
change their bodies. A homosexual is one who experiences sexual fulfillment with a person of the
same gender. A bisexual is a person who finds pleasure with both the opposite sex and same-sex
partners. A transvestite is an individual who desires to take on the role or where the clothes of the
opposite sex.
Mrs. Wright at 35 weeks of gestation has had an amniocentesis. The results reveal
that surface-active phospholipids are present in the amniotic fluid. The nurse is aware
that this finding indicates: *
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A. The fetus is at risk for Down syndrome.
B. The woman is at high risk for developing preterm labor.
C. Lung maturity.
D. Meconium is present in the amniotic fluid
Feedback
The presence of surface-active phospholipids is not an indication of Down syndrome. This result
reveals the fetal lungs are mature and in no way indicates risk for preterm labor. The detection of the
presence of pulmonary surfactants, surface-active phospholipids, in amniotic fluid has been used to
determine fetal lung maturity, or the ability of the lungs to function after birth. This occurs at
approximately 35 weeks of gestation. Meconium should not be present in the amniotic fluid.
Nurse Viola is aware that all of the following statements are applicable in using an
evidence-base in nursing practice, except: *
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A. To ensure the best quality of care given is to patients.
B. To ensure that nursing decisions are based on the best quality of evidence.
C. Evidence used in nursing practice must be appraised for its validity and applicability.
D. The use of research evidence in nursing practice does not need to be evaluated after it is used
or implemented.
Feedback
t is essential that research evidence used to underpin nursing practice is evaluated in order to
ensure that its effectiveness on patient care is determined.
Jena, 36 year old female just had an amniocentesis to determine whether or not her
baby has an inheritable genetic disease. Which of the following intervention is highest
priority at this time? *
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A. Assess the fetal heart rate
B. Check the client’s temperature
C. Answer questions regarding the genetic abnormality
D. Acknowledge the client’s anxiety about the possible findings
Feedback
Assessing the fetal heart rate is the highest priority since, although rare, the fetus may have been
injured during the procedure.
Nurse Mitch is performing an assessment of a primipara who is being evaluated in a
clinic during her second trimester of pregnancy. Which of the following indicates an
abnormal physical finding necessitating further testing? *
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A. Consistent increase in fundal height
B. Fetal heart rate of 180 BPM
C. Braxton Hicks contractions
D. Quickening
Feedback
The normal range of the fetal heart rate depends on gestational age. The heart rate is usually 160-
170 BPM in the first trimester and slows with fetal growth, near and at term, the fetal heart rate
ranges from 120-160 BPM. The other options are expected.
Various biological and psychosocial theories have been proposed regarding
homosexuality. Which etiological factor has emerged consistently? *
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A. Homosexual behavior is the result of negative Oedipal position.
B. Homosexual behavior is an individual preference.
C. Homosexual behavior is based on the orientation of the individual.
D. Homosexual behavior has no definitive etiological evidence supporting either biologic or
psychosocial
Feedback
No one knows for sure why individuals become homosexual or heterosexual. Various theories have
been proposed regarding the issue, but no single etiological factor has emerged consistently. Many
contributing factors likely influence the development of sexual orientation.
Obtaining informed consent is the responsibility of: *
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A. The physician
B. The RN manager
C. The Nurse
D. The CNA manager
Feedback
The physician is RESPONSIBLE for obtaining informed consent. The nurse can witness that the
signature was obtained by the patient.
Nurse Roxy is child care health consultant and is working in different day care centers.
Child care health consultants are professionals who: (Select all that apply) *
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A. Promote healthy and safe environments for the elderly
B. Keep track of the records for children and young adults
C. Know about child health, child development, and health and safety in child care settings
D. Help create environments that best support the healthy growth and development of young
children.
Feedback
Child care health consultants (CCHCs) are health professionals who know about child health, child
development, and health and safety in child care settings. They promote healthy and safe
environments for young children. They have expert information, resources, and referrals to offer.
Through onsite and telephone consultation, they work with individual child care facilities to help
create environments that best support the healthy growth and development of young children.
A Filipino-American registered nurse tries to speak with a Indonesian pregnant client
who cannot understand the English language. To effectively communicate to a client
with a different language, which of the following should the nurse implement? *
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A. Have an interpreter to translate.
B. Speak very slow.
C. Speak loudly and closely to the client.
D. Speak to the client and family together.
Feedback
Having an interpreter would be would be the best practice when communicating with a client who
speaks a different language.
Hilda, a pregnant client is making her first Antepartum visit. She has a two year old
daughters born at 40 weeks, a 6 year old daughter born at 38 weeks, and 8 year old
twin daughters born at 35 weeks. She had a spontaneous abortion 3 years ago at 10
weeks. Using the GTPAL format, the nurse should identify that the client is: *
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A. G4 T3 P2 A1 L4
B. G5 T2 P2 A1 L4
C. G5 T2 P1 A1 L4
D. G4 T3 P1 A1 L4
Feedback
5 pregnancies; 2 term births; twins count as 1; one abortion; 4 living children.
The rebounding of fetus on the examiner’s fingers on palpation is known as: *
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A. Braxton Hicks contractions
B. Hegar’s Sign
C. Ballottement
D. Goodell’s sign
Feedback
Ballottement is the rebounding of the fetus on the examiner’s fingers. Hegar’s sign is softening and
thinning of the lower uterine segment. Braxton Hicks contractions are irregular, painless contractions
and Goodell’s sign is the softening of the cervix.
The senior head nursing student in the maternity unit was asked to calculate the EDD
of Mrs. Juan, pregnant for the second time, whose LMP is April 10, 2009. What is Mrs.
Juan’s EDD/EDC? *
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A. January 27
B. January 30
C. January 25
D. January 17
In conducting a research study, the researcher must guarantee that any information
the subject provides will not be reported in any manner that identifies the subject and
will not be accessible to people outside the research team. This concept is known as *
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A. Anonymity.
B. Confidentiality.
C. Informed consent.
D. The research process.
Feedback
Confidentiality guarantees that any information the subject provides will not be reported in any
manner that identifies the subject and will not be accessible to people outside the research team.
The Clinical Instructor is discussing with the nursing students the differences between
the male and female reproductive organs, emphasizing the organs / parts that are
analogous; which is INCORRECT? *
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A. Penis-vagina
B. Scrotum – labia majora
C. Glans penis-clitoris
D. Spermatocytogenesis-oogenesis
Feedback
Spermatogenesis is the process is the process of producing mature, male gamete the spermatozoa,
more commonly called sperm, where as oogenesis is th process of producing mature female
gamete, the egg cell or ovum. Spermatocytogenesis is the process where the diploid primary
spermatogonium divides to produce 2 diploid primary spermatocytes which in turn divide into 2
haploid secondary spermatocytes.
Knowing that malnutrition is a frequent community health problem, nurse Wally
decided to conduct nutritional assessment. What population is particularly susceptible
to protein energy malnutrition (PEM)? *
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A. Pregnant women and the elderly
B. Under-5 year old children
C. 1-4 year old children
D. School age children
Feedback
Preschoolers are the most susceptible to PEM because they have generally been weaned. Also, this
is the population who, unable to feed themselves, are often the victims of poor intrafamilial food
distribution.
Elle, 20 years old, e-mails the nurse to ask how a tubal ligation prevents pregnancy.
To be certain that she is truly informed, which would be the nurse’s best answer? *
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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.
Feedback
The nurse should teach Elle that tubal ligation is a minor surgical procedure in which the Fallopian
tubes are occluded by cautery, crushed, clamped, or blocked, thereby preventing passage of both
sperm and ova.
41. What is the fetal structure that serves as a bypass or shunt connecting the left and
right atria of the heart? *
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A. Ductus venosus
B. Ductus arteriosus
C. Foramen ovale
D. Umbilical arteries
Feedback
The foramen ovale is an opening between the right and left atria allowing the flow of blood between
those areas. Ductus venosus allows blood to bypass the liver, ductus arteriosus allows blood to
bypass the lungs and umbilical arteries merely carry deoxygenated blood and waste products from
the fetal circulation to the placenta
Glory’s cousin gave birth to an infant with a congenital heart anomaly. Glory asks the
nurse when such anomalies occur during development. Which response by the nurse
is most accurate? *
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A. "We don't really know when such defects occur."
B. "It depends on what caused the defect."
C. "They occur between the third and fifth weeks of development."
D. "They usually occur in the first 2 weeks of development."
Feedback
This is an inaccurate statement. Regardless of the cause, the heart is vulnerable during its period of
development, the third to fifth weeks. The cardiovascular system is the first organ system to function
in the developing human. Blood vessel and blood formation begins in the third week, and the heart
is developmentally complete in the fifth week. This is an inaccurate statement.
32. The Clinical Instructor explains certain obstetrical terms to the junior students in
the OB ward. Which of the following statements are correct? 1. Nidation happens in
the upper third of the uterus. 2. The union of the ovum and the sperm is conception
which happens in the ampulla of the fallopian tube. 3. Gametogenesis is the
development of mature male gamete called egg cell. 4. Oogenesis is the development
of the mature female gamete. *
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A. 1,2,3 & 4
B. 1,3 & 4
C. 2,3 & 4
D. 1,2,& 4
Feedback
Nidation or implantation happens in the upper third of the uterus, usually the posterior fundus; the
union of the mature ovum sperm cell is called fertilization or conception and happens usually in the
ampulla of the fallopian tube; oogenesis is the development of mature female gamete called ovum,
and spermatogenesis the development of mature male gamete called sperm. Gametogennesis is
the process of developing both male and female gametes.
What are some theories about the initiation of labor? Select that all apply: *
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A. An Increase in pituitary output of oxytocin
B. Increased synthesis of prostaglandin
C. An increase in uterine sensitivity to oxytocin
D. An increase in uterine sensitivity to prostaglandin
E. An increase in cervical sensitivity to oxytocin
F. Decrease in progesterone
Feedback
thoughts about labor onset are a decrease in progesterone, increase in prostaglandin and an
increase in uterine sensitivity to oxytocin.
Oral contraceptives are prescribed for a client in the family planning clinic. As part of
the teaching, the nurse plans to inform the client of the possibility of developing: *
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A. Cervicitis
B. Ovarian cysts
C. Fibrocystic disease
D. Breakthrough bleeding
Feedback
Breakthrough bleeding commonly occurs when women start using COCs. It is mid-cycle bleeding
and if it persists, the dosage should be changes. There is no evidence that cervicitis, ovarian cysts
and fibrocystic cysts are related to the use of oral contraceptives
The nurse notes that an advance directive is in the client's medical record. Which of
the following statements represents the best description of guidelines a nurse would
follow in this case? *
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A. A durable power of attorney for health care is invoked only when the client has a terminal
condition or is a persistent vegetative state
B. A living will allows an appointed person to make health care decisions when the client is in an
incapacitated state.
C. A living will is invoked only when the client has terminal condition or is in a persistent
vegetative state.
D. The client cannot make changes in the advance directive once the client is admitted into the
hospital.
Feedback
A living will direct the client’s healthcare in the event of a terminal illness or condition. A durable
power of attorney is invoked when the client is no longer able to make decisions on his or her own
behalf. The client may change an advance directive at any time.
A pregnant client will start to feel the fetus move at what age of gestation? *
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A. 16 to 20 weeks
B. 10 to12 weeks
C. 8 to 10 weeks
D. 6 to 8 weeks
Feedback
he first fetal movement felt by the mother is called quickening. It occurs at 16 to 20 weeks’ gestation.
Earlier than that, the movements are too faint to be felt.
When counseling a client with diabetes mellitus who requests contraceptive
information, it would be most therapeutic for the nurse to focus on: *
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A. Rhythm
B. IUD
C. Diaphragm
D. Oral contraceptives
Feedback
This is the preferred methods for clients with diabetes mellitus because it has no physiological side
effects. Option A requires a great deal of control and is therefore not very effective. Because of the
possibility of perforation, the IUD increases the risk for an infection on a client with diabetes. Oral
contraceptives have a diabetogenic effect.
What best describes the pattern of genetic transmission known as autosomal
recessive inheritance? *
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A. Disorders in which the abnormal gene for the trait is expressed even when the other member
of the pair is normal
B. Disorders in which both genes of a pair must be abnormal for the disorder to be expressed
C. Disorders in which a single gene controls the particular trait
D. Disorders in which the abnormal gene is carried on the X chromosome
Feedback
Autosomal dominant inheritance occurs when the abnormal gene for the trait is expressed, even
when the other member of the pair is normal, such as Huntington disease or Marfan syndrome. An
autosomal recessive inheritance disorder occurs when both genes of the pair are abnormal, such as
phenylketonuria or sickle cell anemia. Disorders in which a single gene controls the particular trait
describe the unifactorial inheritance. X-linked recessive inheritance occurs when the abnormal gene
is carried on the X chromosome, such as hemophilia or Duchenne muscular dystrophy.
What lunar month is considered the age of gestation when sex (gender) of the fetus
can be determined? *
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A. Second
B. Third
C. Fifth
D. Fourth
Feedback
The external genitalia of the fetus appear by two months, fetal sex is determined by three months,
and the gender is obvious by four months
Jasmin, a pediatric nurse is preparing to care for a five (5)-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? *
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A. Books with large pictures
B. A radio
C. Crayons and coloring book
D. A sports video
Feedback
In the preschooler, play is simple and imaginative and includes activities such as crayons and
coloring books, puppets, felt and magnetic boards, and Play-Doh.
When scheduling an annual pelvic examination and Pap test, the client asks if she
should abstain from intercourse before the test. Which is the nurse's best response? *
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A. "Yes. Avoid having intercourse for 24 hours before the test."
B. "Yes. Avoid having intercourse for 2 hours before the test."
C. "No. Intercourse does not interfere with this test."
D. "No. Intercourse can actually enhance the test results."
Feedback
The woman should not douche, use vaginal medications or deodorants, or have sexual intercourse
for at least 24 hours before the test. Such activities may prevent the accurate evaluation of smears,
cultures, and cytologic data.
Honey, a registered nurse is caring for a 40 year old male patient in the emergency
department. The patient has been drinking alcohol and is asking for medication. When
you instruct the patient that they have to wait to be seen by the doctor, the patient
becomes verbally abusive. You then obtain a set of restraints and instruct the patient if
they do not calm down you will restrain them. What can you be charged with? *
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A. Invasion of privacy
B. Battery
C. Negligence
D. Assault
Feedback
You as the nurse can be charged with assault for threatening to restrain the patient. You as the
nurse have put the patient in fear of harmful or offensive contact. In order for this to be a chargeable
offense, the patient must be aware of the threat.
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? *
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A. March17
B. July 3
C. January 3
D. January 17
Feedback
To estimate the EDD/EDC, the most accurate formula is Naegele’s Rule. To use it, first identify the
last menstrual period (LMP), subtract 3 months, then add 7 days and 1 year.
The clinical instructor is having a discussion with her students on fetal circulation.
Which of the following statements indicate understanding of the umbilical cord? *
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A. “The umbilical cord is composed of two arteries and one vein.”
B. “The umbilical cord is composed of one artery and two veins.”
C. “The umbilical cord is composed of one artery and one vein.”
D. “The umbilical cord is composed of two veins.”
Feedback
The umbilical cord is composed of two arteries and one vein.
The Reproductive Health Bill R.A.10354 allows the Filipino people right to choose and
make decisions for themselves in accordance with their religious convictions, ethics,
cultural beliefs but does not include the demands of responsible parenthood. *
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A. True
B. False
C. Partly true
D. Partly false
Feedback
RH Bill allows the Filipino people right to choose and make decisions for themselves in accordance
with their religious convictions, ethics, cultural beliefs and include the demands of responsible
parenthood.
Molly, a nurse assigned in the medical-surgical ward is preparing a care plan for a
client who is a Jehovah's Witness Te lien as been old a e surgery is necessary Molly
onsiders e lien’s religious references in making the care plan and documents that: *
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A. Alternative medicines like herbal medicines can be advised.
B. Surgery is strongly not allowed.
C. Blood products can not be administered.
D. Giving any medication is not allowed.
Feedback
For Jehovah’s Witness administration of blood and blood products is prohibited
In starting a focused group discussion, Nurse Bimby wants to stress out the
confidentiality of the topics that they will be discussing. Which of the following
instruction convey confidentiality? *
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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.”
Feedback
Confidentiality of information means that any information discussed in a certain period of time should
not be made available publicly.
The nurse is conducting a reproductive assessment of a postmenopausal woman.
Which assessment finding reported by the client requires immediate intervention by
the nurse? *
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A. Urinary incontinence
B. Vaginal dryness
C. Painful intercourse
D. Returning periods
Feedback
All client reports require some action by the nurse, but the priority would be to further investigate and
report the "returning periods." In a postmenopausal woman, this can signal cancer.
Luna, a maternity nurse is providing instruction to a new mother regarding the
psychosocial development of the newborn infant. Using Erikson’s psychosocial
development theory, the nurse would instruct the mother to *
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A. Allow the newborn infant to signal a need
B. Anticipate all of the needs of the newborn infant
C. Avoid the newborn infant during the first 5 minutes of crying
D. Attend to the newborn infant immediately when crying
Feedback
According to Erikson, the caregiver should not try to anticipate the newborn infant’s needs at all
times but must allow the newborn infant to signal needs. If a newborn is not allowed to signal a
need, the newborn will not learn how to control the environment. Erikson believed that a delayed or
prolonged response to a newborn’s signal would inhibit the development of trust and lead to mistrust
of others.
Freedom of choice is one of the policies of the Family Planning Program of the
Philippines. Which of the following illustrates this principle? *
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A. Information dissemination about the need for family planning
B. Support of research and development in family planning methods
C. Adequate information for couples regarding the different methods
D. Encouragement of couples to take family planning as a joint responsibility
Feedback
Adequate information for couples regarding the different methods. To enable the couple to choose
freely among different methods of family planning, they must be given full information regarding the
different methods that are available to them, considering the availability of quality services that can
support their choice.
Nurse Mimi is providing instructions to a client in the first trimester of pregnancy
regarding measures to assist in reducing breast tenderness. The nurse tells the client
to: *
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A. Avoid wearing a bra
B. Wash the nipples and areola area daily with soap, and massage the breasts with lotion.
C. Wear tight-fitting blouses or dresses to provide support
D. Wash the breasts with warm water and keep them dry
Feedback
The pregnant woman should be instructed to wash the breasts with warm water and keep them dry.
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? *
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A. Contemplation
B. Preparation
C. Action
D. Maintenance
Feedback
These stages range from no intention to change (precontemplation), to considering a change within
the next 6 months (contemplation), to making small changes (preparation), to actively engaging in
strategies to change behavior (action), to maintaining a changed behavior (maintenance). Because
she has been smoke free for 2 years, she is in the maintenance stage.
Cole, a pediatric nurse is working with a child and suspect physical abuse. What is his
primary legal responsibility? *
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A. Document an assessment thoroughly and accurately
B. Report the abuse to local authorities
C. Refer the family to support groups
D. Assist the family in identifying resources and support systems
Feedback
You should report your suspicions to the local authorities so they can investigate. The law makes it
mandatory to report any suspected child abuse. All other options are important in dealing with the
patient and the family, but they would not be the priority.
Why should a couple plan their birth setting in advance? *
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A. To provide more choices on the birth setting.
B. To give the couple a sense of control over the experience.
C. To avoid cramming over last minute decisions.
D. To determine if the woman is allowed to give birth at any birth setting provided that she has no
complications.
Feedback
Because not all women are given the freedom to choose a birth setting especially if she has a
complicated pregnancy.
A patient is in the second stage of labor. During this stage, how frequently should the
nurse in charge assess her uterine contractions? *
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A. Every 5 minutes
B. 15 minutes
C. Every 30 minutes
D. Every 60 minutes
Feedback
During the second stage of labor, the nurse should assess the strength, frequency, and duration of
contraction; every 15 minutes. If maternal or fetal problems are detected, more frequent monitoring
is necessary. An interval of 30 to 60 minutes between assessments is too long because of variations
in the length and duration of patient’s labor.
Nurse Amy is a newly registered nurse. She is very warmhearted and passionate
towards the children. In what nursing field can Amy work in? *
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A. Hospice Care
B. Day care center
C. Specialist care: Pallative
D. Nursing Home
Feedback
Day-care center (nursery or nursery school) is an institution that provides supervision and care of
infants and young children during the daytime, particularly so that their parents can hold jobs.
The nurse measures the fundal height of a client at 20 weeks’ gestation. The nurse
expects to note uterine height to be: *
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A. Halfway between the symphysis pubis and the umbilicus
B. At the level of the umbilicus
C. Slightly below the xiphoid process
D. At the level of the xiphoid process
Feedback
At 20 weeks’ gestation the fundal height should be at the level of the umbilicus. Option A is at 16
weeks, Option C is at 40 weeks due to lightening and Option D is at 36 weeks
Dina, a community nurse is planning to conduct a Family Planning counselling in
Barangay Silang. Which of the following should be considered as special targets for
family planning? *
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A. Those who have two children or more
B. Those with medical conditions such as anemia
C. Those younger than 20 years and older than 35 years
D. Those who just had a delivery within the past 15 months