PNLE: Maternal and Child Health Nursing Exam 2
1. Nurse Bella explains to a 28 year old pregnant woman undergoing a non-stress test that the test is a
way of evaluating the condition of the fetus by comparing the fetal heart rate with:
A. Fetal lie
B. Fetal movement
C. Maternal blood pressure
D. Maternal uterine contractions
2. During a 2 hour childbirth focusing on labor and delivery process for primigravida. The nurse describe
describess
the second maneuver that the fetus goes through during labor progress when the head is the presenting
part as which
which of the following:
A. Flexion
B. Internal rotation
C. Descent
D. External rotation
3. Mrs. Jovel Diaz went to the hospital to have her serum blood test for alpha-fetoprotein. The nurse
informed her about the result of the elevation of serum AFP. The patient asked her what was the test for:
A. Congenital Adrenal Hyperplasia
B. PKU
C. Down Syndrome
D. Neural tube defects
4. Fetal heart rate can be auscultated with a fetoscope as early as:
A. 5 weeks of gestation
B. 10 weeks of gestation
C. 15 weeks of gestation
D. 20 weeks of gestation
5. Mrs. Bendivin states that she is experiencing aching swollen, leg veins. The nurse would explain that
this is most probably the result of which of the following:
A. Thrombophlebitis
B. PIH
C. Pressure on blood vessels from the enlarging uterus
D. The force of gravity pulling down on the uterus
6. Mrs. Ella Santoros is a 25 year old primigravida who has Rheumatic heart disease lesion. Her
pregnancy has just been
been diagnosed.
diagnosed. Her heart
heart disease
disease has not
not caused her to limit
limit physical
physical activity in the
past. Her cardiac
cardiac disease
disease and
and functional capacity classification
classification is:
A. Class I
B. Class II
C. Class III
D. class IV
7. The client asks the nurse, “When will this soft spot at the top of the head of my baby will close?” The
nurse should instruct the mother that the neonate’s anterior fontanel will normally
normall y close by age:
A. 2-3 months
B. 6-8 months
C. 10-12 months
D. 12-18 months
, 8. When a mother bleeds and the uterus is relaxed, soft and non-tender, you can account the cause to:
A. Atony of the uterus
B. Presence of uterine scar
C. Laceration of the birth canal
D. Presence of retained placenta fragments
9. Mrs. Pichie Gonzales’s LMP began April 4, 2010. Her EDD should be which of the following:
A. February 11, 2011
B. January 11, 20111
C. December 12, 2010
D. Nowember 14, 2010
10. Which of the following prenatal laboratory test values would the nurse consider as significant?
A. Hematocrit 33.5%
B. WBC 8,000/mm3
C. Rubella titer less than 1:8
D. One hour glucose challenge test 110 g/dL
11. Aling Patricia is a patient with preeclampsia. You advise her about her condition, which would tell
you that she has not really understood your instructions?
A. “I will restrict my fat in my diet.”
B.
C. “I
“I will
will limit
avoidmy activities
salty foods inand
myrest more frequently throughout the day.”
diet.”
D. “I will come more regularly for check -up.”
12. Mrs. Grace Evangelista is admitted with severe preeclampsia. What type of room should the nurse
select this patient?
A. A room next to the elevator.
B. The room farthest from the nursing station.
C. The quietest room on the floor.
D. The labor suite.
13. During a prenatal check-up, the nurse explains to a client who is Rh negative that RhoGAM will be
given:
A. Weekly during the 8th month because this is her third pregnancy.
B. To
C. During the second
her infant trimester,
immediately if amniocentesis
after amniocent
delivery ifesis
the indicates
Coomb’satest
problem.
is positive.
D. Within 72 hours after delivery if infant is found to be Rh positive.
14. A baby boy was born at 8:50pm. At 8:55pm, the heart rate was 99 bpm. She has a weak cry, irregular
respiration. She was moving all extremities and only her hands and feet were still slightly blue. The nurse
should enter the APGAR score as:
A. 5
B. 6
C. 7
D. 8
15. Billy is a 4 year old boy who has an IQ of 140 which means:
A. average normal
B. very superior
C. above average
D. genius
1. Nurse Bella explains to a 28 year old pregnant woman undergoing a non-stress test that the test is a
way of evaluating the condition of the fetus by comparing the fetal heart rate with:
A. Fetal lie
B. Fetal movement
C. Maternal blood pressure
D. Maternal uterine contractions
2. During a 2 hour childbirth focusing on labor and delivery process for primigravida. The nurse describe
describess
the second maneuver that the fetus goes through during labor progress when the head is the presenting
part as which
which of the following:
A. Flexion
B. Internal rotation
C. Descent
D. External rotation
3. Mrs. Jovel Diaz went to the hospital to have her serum blood test for alpha-fetoprotein. The nurse
informed her about the result of the elevation of serum AFP. The patient asked her what was the test for:
A. Congenital Adrenal Hyperplasia
B. PKU
C. Down Syndrome
D. Neural tube defects
4. Fetal heart rate can be auscultated with a fetoscope as early as:
A. 5 weeks of gestation
B. 10 weeks of gestation
C. 15 weeks of gestation
D. 20 weeks of gestation
5. Mrs. Bendivin states that she is experiencing aching swollen, leg veins. The nurse would explain that
this is most probably the result of which of the following:
A. Thrombophlebitis
B. PIH
C. Pressure on blood vessels from the enlarging uterus
D. The force of gravity pulling down on the uterus
6. Mrs. Ella Santoros is a 25 year old primigravida who has Rheumatic heart disease lesion. Her
pregnancy has just been
been diagnosed.
diagnosed. Her heart
heart disease
disease has not
not caused her to limit
limit physical
physical activity in the
past. Her cardiac
cardiac disease
disease and
and functional capacity classification
classification is:
A. Class I
B. Class II
C. Class III
D. class IV
7. The client asks the nurse, “When will this soft spot at the top of the head of my baby will close?” The
nurse should instruct the mother that the neonate’s anterior fontanel will normally
normall y close by age:
A. 2-3 months
B. 6-8 months
C. 10-12 months
D. 12-18 months
, 8. When a mother bleeds and the uterus is relaxed, soft and non-tender, you can account the cause to:
A. Atony of the uterus
B. Presence of uterine scar
C. Laceration of the birth canal
D. Presence of retained placenta fragments
9. Mrs. Pichie Gonzales’s LMP began April 4, 2010. Her EDD should be which of the following:
A. February 11, 2011
B. January 11, 20111
C. December 12, 2010
D. Nowember 14, 2010
10. Which of the following prenatal laboratory test values would the nurse consider as significant?
A. Hematocrit 33.5%
B. WBC 8,000/mm3
C. Rubella titer less than 1:8
D. One hour glucose challenge test 110 g/dL
11. Aling Patricia is a patient with preeclampsia. You advise her about her condition, which would tell
you that she has not really understood your instructions?
A. “I will restrict my fat in my diet.”
B.
C. “I
“I will
will limit
avoidmy activities
salty foods inand
myrest more frequently throughout the day.”
diet.”
D. “I will come more regularly for check -up.”
12. Mrs. Grace Evangelista is admitted with severe preeclampsia. What type of room should the nurse
select this patient?
A. A room next to the elevator.
B. The room farthest from the nursing station.
C. The quietest room on the floor.
D. The labor suite.
13. During a prenatal check-up, the nurse explains to a client who is Rh negative that RhoGAM will be
given:
A. Weekly during the 8th month because this is her third pregnancy.
B. To
C. During the second
her infant trimester,
immediately if amniocentesis
after amniocent
delivery ifesis
the indicates
Coomb’satest
problem.
is positive.
D. Within 72 hours after delivery if infant is found to be Rh positive.
14. A baby boy was born at 8:50pm. At 8:55pm, the heart rate was 99 bpm. She has a weak cry, irregular
respiration. She was moving all extremities and only her hands and feet were still slightly blue. The nurse
should enter the APGAR score as:
A. 5
B. 6
C. 7
D. 8
15. Billy is a 4 year old boy who has an IQ of 140 which means:
A. average normal
B. very superior
C. above average
D. genius
