NURSING PRACTICE II – Community Health Nursing and Care of the Mother and Child
Situation 1: Mariah is a 31 year old lawyer who has been married for 6 months. She consults you for
guidance in relation with her menstrual cycle and her desire to get pregnant.
1. She wants to know the length of her menstrual period. Her previous menstruation is October 22 to
26. Her LMB is November 21. Which of the following number of days will be her correct response?
a. 29
b. 28
c. 30
d. 31
2. You advised her to observe and record the signs of Ovulation, which of the following signs will she
likely not down?
1. A 1 degree Fahrenheit rise in basal body temperature
2. Cervical mucus becomes copious and clear
3. One pound increase in weigh
4. Mittelscmerz
a. 1, 2, 4
b. 1, 2, 3
c. 2, 3, 4
d. 1, 3, 4
3. You instruct Mariah to keep record of her basal temperature every day. Which of the following
instructions in incorrect?
a. If coitus has occurred, this should be reflected in the client
b. It is best to have coitus on the evening following a drop in BBT to become pregnant
c. Temperature should be taken immediately after waking and before getting out of bed
d. BBT is lowest during the secretory phase
4. She reports an increase in BBT on December 16. Which hormone brings about this change in her
BBT?
a. Estrogen
b. Progesterone
c. gonadotropine
d. follicle stimulating hormone
5. The following month, Mariah suspects she is pregnant. Her uterine is positive for Human Chorionic
Gonadotropin. Which structure produces HCG?
a. Pituitary gland
b. Trophoblastic cells of the embryo
c. Uterine deciduas
d. Ovarian follicles
Situation 2: Mariah came back and she is now pregnant.
6. At 5 months gestation, which of the following fetal development would probably be achieved?
a. Fetal movement are felt by Mariah
, b. Vernix caseosa covers the entire body
c. Viable if delivered within this period
d. Braxton hicks contraction are observed
7. The nurse palpates the abdomen of Mariah. Now at 5 month gestation, what level of the abdomen
can the fundic height be palpated?
a. Symphysis pubis
b. Midpoint between the umbilicus and the xiphoid process
c. Midpoint between the symphysis pubis and the umbilicus
d. Umbilicus
8. She worries about her small breasts thinking that she probably will not be able to breastfeed her
baby. Which of the following responses of the nurse is correct?
a. “the size of your breast will not affect your lactation”
b. “you can switch to bottle feeding”
c. “you can try to have exercise to increase the size of your breast”
d. “Manual expression of milk is possible”
9. She tells the nurse that she does not take milk regularly. She claims that she does not want to gain
too much weight during her pregnancy. Which of the following nursing diagnosis is the priority?
a. Potential self esteem disturbance related to physiologic changes in pregnancy
b. Ineffective individual coping related to physiologic changes in pregnancy
c. Fear related to the effects of pregnancy
d. Knowledge deficit regarding nutritional requirements of pregnancies related to lack of
information sources
10. Which of the following interventions will likely ensure compliance of Mariah?
a. Incorporate her food preferences that are adequately nutritious in her meal plan
b. Consistently counsel toward optimum nutritional intake
c. Respect her right to reject dietary information if she chooses
d. Inform her of the adverse effects of inadequate nutrition to her fetus
Situation 3: Susan is a patient in the clinic where you work. She is inquiring about pregnancy.
11. Susan tells you she is worried because she develops breasts later than most of her friends. Breast
development is termed as:
a. Adrenarche
b. Mamarche
c. Thelarche
d. Menarche
12. Kevin, Susan’s husband tells you that he is considering vasectomy after the birth of their new child.
Vasectomy involves the incision of which organ?
a. The testes
b. The vas deferens
c. The epididymis
d. The scrotum
, 13. On examination, Susan has been found of having a cystocele. A cystocele is
a. A sebaceous cyst arising from the vulvar fold
b. Protrusion of intestines into the vagina
c. Prolapsed of the uterus into the vagina
d. Herniation of the bladder into the vaginal wall
14. Susan typically has menstrual cycle of 34 days. She told you she had coitus on days 5, 10, 15, ad
20 of her menstrual cycle. Which is the day on which she is most likely to conceive?
a. 8th day
b. 10th day
c. Day 15
d. Day 20
15. While talking with Susan, 2 new patients arrived and they are covered with large towels and the
nurse noticed that there are many cameramen and news people outside of the OPD. Upon
assessment the nurse noticed that both of them are still nude and the male client’s penis is still
indie the female client’s vagina and the make client said that “I can’t pull it”. Vaginismus was your
first impression. You know that the psychological cause of vaginismus is related to:
a. The male client inserted the penis too deeply that it stimulates vaginal closure.
b. The penis was too large that’s why the vagina triggered its defense to attempt to close it.
c. The vagina does not want to be penetrated.
d. It is due to learning patterns of the female client where she views her as bad or sinful.
Situation 4: Overpopulation is one problem in the Philippines that causes economic drain. Most Filipinos
are against legalizing abortion. As a nurse, mastery of contraception is needed to contribute to the society
and economic growth.
16. Supposed that Dana, 17 years old, tells you she wants to use fertility awareness method of
contraception. How will she determine her fertile days?
a. She will notice that she feels hot as if she has an elevated temperature
b. She should assess whether her cervical mucus is thin, copious, clear and watery
c. She should monitor her emotions for sudden anger or crying
d. She should assess whether her breasts feel sensitive to cool air
17. Dana chooses to use COC as her family planning method. What is the danger sign of COC you
would ask her to report?
a. A stuffy or runny nose
b. Arthritis like symptoms
c. Slight weight gain
d. Migraine headache
18. Dana asks about subcutaneous implants and she asks how long the implants will be effective. Your
best answer is:
a. One month
b. Twelve months
c. Five years
Situation 1: Mariah is a 31 year old lawyer who has been married for 6 months. She consults you for
guidance in relation with her menstrual cycle and her desire to get pregnant.
1. She wants to know the length of her menstrual period. Her previous menstruation is October 22 to
26. Her LMB is November 21. Which of the following number of days will be her correct response?
a. 29
b. 28
c. 30
d. 31
2. You advised her to observe and record the signs of Ovulation, which of the following signs will she
likely not down?
1. A 1 degree Fahrenheit rise in basal body temperature
2. Cervical mucus becomes copious and clear
3. One pound increase in weigh
4. Mittelscmerz
a. 1, 2, 4
b. 1, 2, 3
c. 2, 3, 4
d. 1, 3, 4
3. You instruct Mariah to keep record of her basal temperature every day. Which of the following
instructions in incorrect?
a. If coitus has occurred, this should be reflected in the client
b. It is best to have coitus on the evening following a drop in BBT to become pregnant
c. Temperature should be taken immediately after waking and before getting out of bed
d. BBT is lowest during the secretory phase
4. She reports an increase in BBT on December 16. Which hormone brings about this change in her
BBT?
a. Estrogen
b. Progesterone
c. gonadotropine
d. follicle stimulating hormone
5. The following month, Mariah suspects she is pregnant. Her uterine is positive for Human Chorionic
Gonadotropin. Which structure produces HCG?
a. Pituitary gland
b. Trophoblastic cells of the embryo
c. Uterine deciduas
d. Ovarian follicles
Situation 2: Mariah came back and she is now pregnant.
6. At 5 months gestation, which of the following fetal development would probably be achieved?
a. Fetal movement are felt by Mariah
, b. Vernix caseosa covers the entire body
c. Viable if delivered within this period
d. Braxton hicks contraction are observed
7. The nurse palpates the abdomen of Mariah. Now at 5 month gestation, what level of the abdomen
can the fundic height be palpated?
a. Symphysis pubis
b. Midpoint between the umbilicus and the xiphoid process
c. Midpoint between the symphysis pubis and the umbilicus
d. Umbilicus
8. She worries about her small breasts thinking that she probably will not be able to breastfeed her
baby. Which of the following responses of the nurse is correct?
a. “the size of your breast will not affect your lactation”
b. “you can switch to bottle feeding”
c. “you can try to have exercise to increase the size of your breast”
d. “Manual expression of milk is possible”
9. She tells the nurse that she does not take milk regularly. She claims that she does not want to gain
too much weight during her pregnancy. Which of the following nursing diagnosis is the priority?
a. Potential self esteem disturbance related to physiologic changes in pregnancy
b. Ineffective individual coping related to physiologic changes in pregnancy
c. Fear related to the effects of pregnancy
d. Knowledge deficit regarding nutritional requirements of pregnancies related to lack of
information sources
10. Which of the following interventions will likely ensure compliance of Mariah?
a. Incorporate her food preferences that are adequately nutritious in her meal plan
b. Consistently counsel toward optimum nutritional intake
c. Respect her right to reject dietary information if she chooses
d. Inform her of the adverse effects of inadequate nutrition to her fetus
Situation 3: Susan is a patient in the clinic where you work. She is inquiring about pregnancy.
11. Susan tells you she is worried because she develops breasts later than most of her friends. Breast
development is termed as:
a. Adrenarche
b. Mamarche
c. Thelarche
d. Menarche
12. Kevin, Susan’s husband tells you that he is considering vasectomy after the birth of their new child.
Vasectomy involves the incision of which organ?
a. The testes
b. The vas deferens
c. The epididymis
d. The scrotum
, 13. On examination, Susan has been found of having a cystocele. A cystocele is
a. A sebaceous cyst arising from the vulvar fold
b. Protrusion of intestines into the vagina
c. Prolapsed of the uterus into the vagina
d. Herniation of the bladder into the vaginal wall
14. Susan typically has menstrual cycle of 34 days. She told you she had coitus on days 5, 10, 15, ad
20 of her menstrual cycle. Which is the day on which she is most likely to conceive?
a. 8th day
b. 10th day
c. Day 15
d. Day 20
15. While talking with Susan, 2 new patients arrived and they are covered with large towels and the
nurse noticed that there are many cameramen and news people outside of the OPD. Upon
assessment the nurse noticed that both of them are still nude and the male client’s penis is still
indie the female client’s vagina and the make client said that “I can’t pull it”. Vaginismus was your
first impression. You know that the psychological cause of vaginismus is related to:
a. The male client inserted the penis too deeply that it stimulates vaginal closure.
b. The penis was too large that’s why the vagina triggered its defense to attempt to close it.
c. The vagina does not want to be penetrated.
d. It is due to learning patterns of the female client where she views her as bad or sinful.
Situation 4: Overpopulation is one problem in the Philippines that causes economic drain. Most Filipinos
are against legalizing abortion. As a nurse, mastery of contraception is needed to contribute to the society
and economic growth.
16. Supposed that Dana, 17 years old, tells you she wants to use fertility awareness method of
contraception. How will she determine her fertile days?
a. She will notice that she feels hot as if she has an elevated temperature
b. She should assess whether her cervical mucus is thin, copious, clear and watery
c. She should monitor her emotions for sudden anger or crying
d. She should assess whether her breasts feel sensitive to cool air
17. Dana chooses to use COC as her family planning method. What is the danger sign of COC you
would ask her to report?
a. A stuffy or runny nose
b. Arthritis like symptoms
c. Slight weight gain
d. Migraine headache
18. Dana asks about subcutaneous implants and she asks how long the implants will be effective. Your
best answer is:
a. One month
b. Twelve months
c. Five years
