DIAGNOSTIC EXAM (LEVEL 4)
1. Nurse would suspect an ectopic pregnancy if the client complained of:
A. An adherent painful ovarian mass
B. lower abdominal cramping for a long period of time.
C. Leukorrhea and dysuria a few days after the first missed period
D. Sharp lower right or left abdominal pain radiating to the shoulder.
2. A client who has missed two menstrual cycle period comes to the prenatal clinic complaining of
vaginal bleeding and one-sided lower-quadrant pain. The nurse suspects that this client has.
A. Abruptio placentae
B. An ectopic pregnancy
C. An incomplete abortion
D. A rupture of a graafian follicle.
3. Variable decelerations indicates:
A. cord compression
B. placental insufficiency
C. fetal head compression
D. hypoxia
4. Late deceleration indicates:
A. cord compression
B. placental insufficiency
C. fetal head compression
D. hypoxia
5. Early deceleration indicates:
A. cord compression
B. placental insufficiency
C. fetal head compression
D. hypoxia
6. Blood therapeutic level of magnesium So4?
A. 1.3 – 2.1 mEq/L
B. 0.5 – 1 meq/L
C. 1.3 – 5meq/L
D. 0.5 – 2 meq/L
7. A client is on Magnesium So4 therapy for severe preeclampsia. The nurse must be alert for the
first sign of an excessive blood magnesium level which is:
A. Disturbance in sensorium
B. Increased in respiratory rate
,C. Development of cardiac dysrythmia
D. Disappearance of the knee-jerk reflex
Situation: Diane is arrived to the labor and delivery area in labor. She complains of regular
uterine contractions with 8 to 10 minutes interval and states that her bag of water has been
ruptured. The fetus is in a left occiput anterior position (LOA).
8. The nurse’s first action should be to:
A. check the FHR
B. start IV fluid as ordered
C. call the physician
D. place to lying position
9. Which procedure would best determine if Diane’s BOW has ruptured
A. A complete blood count
B. Nitrazine Paper test
C. Urinalysis
D. Vaginal examination
10. Initial assessment done and revealed the following FH = 30cm, FHT 145bpm, BP =110/70
mmHg. IE done by Dr. Mar and revealed 4 cm cervical dilatation. Diane asked for Demerol. The
nurse’s best response is:
A. “Try to wait until you really need it.”
B. “It is too early in your labor; medication will retard progress of uterine contraction.”
C. “I know you are in pain. I’ll just prepare the medication.”
D. “Perhaps a change in position will make you more comfortable.”
11. The pregnant woman ask “When does the heart and the brain of the baby form”. The best
response made by the nurse is:
A. First month
B. Second month
C. Third month
D. Fourth month
12. When the client is only 15 years old, the nurse caring for such client during labor process
should assess the client for signs of:
A. uterine atony
B. cephalo-pelvic disproportion
C. rapid second stage of labor
D. early deceleration pattern
13. Due to hyperventilation ,the nurse should assess the client for signs and symptom of:
A. metabolic alkalosis
B. metabolic acidosis
C. respiratory acidosis
,D. respiratory alkalosis
14. The client experiences severe back pain the nurse should instruct that her severe back pain is
cause by what fetal position?
A. oblique
B. transverse
C. posterior
D. anterior
15. The client calls out the nurse, ”the baby is coming” the nurse first action is:
A. inspect the perineum
B. open the emergency delivery box
C. auscultate the heart sound
D. contact the birth attendant
16. To help the client remain calm and cooperative during imminent delivery, the nurse should tell
the client:
A. ”you are right the baby is coming”
B. ”do you want to help me get you through this”
C. “your doctor will see you soon”
D. ”ill explain what’s happening”
17. The nurse is caring to woman in active labor. Which information is most important to assess in
order to prevent the complication during labor and delivery.
A. family history of lung illness
B. food allergies
C. number of cigarette smoked per month
D. last food intake
18. When the bag of water rupture’s, the nurse should expect to see?
A. a large amount of bloody fluid
B. a moderate amount of clear to straw-colored
C. a small segment of umbilical cord
D. greenish fliud
19. When bag of water rupture, the nurse first action is?
A. notify the physician
B. measure the amount of fluid
C. monitor fetal heart tone
D. perform vaginal examination
, 20. The client has midline episiotomy. The purpose of the episiotomy is?
A. allow forcep to be applied
B. enlarge the vaginal opening
C. eliminate possibility of laceration
D. eliminate the need for CS
21. Baby boy Ross is under photo therapy, the nurse should;
A. limit fluid intake
B. cover infant’s eye
C. keep the baby covered with cloth
D. The light is 25 inches away from the baby
22. During the oedipal stage of growth and development, the child:
A. Loves and hates both parents
B. Loves the parent of the same sex and the parent of the opposite sex
C. Loves the parent of the opposite sex and hates the parent of the same sex
D. Loves the parent of the same sex and hates the parent of the opposite sex
23. When teaching a parents’ class, the nurse explains that medication and household cleaning
products should be kept out of the reach of the pre – school because:
A. They have high level of curiosity
B. Their sense of taste is developing at this time
C. Their appetite is greater to support rapid growth
D. They rebel against parental authority during this phase
24. A 5-year-old boy believes that there are “bogeymen and monsters” in his bedroom at night.
What advice can the nurse give to Joey’s parent to help Joey cope with his fears?
A. Let Joey sleep with his parent
B. Tell Joey that bogeymen and monster do not exist
C. Keep a night-light on in Joey’s room
D. Tell Joey that no one else sees any monsters, so he must not see them either
25. A 6 year old is brought to the pediatric clinic for a routine visit. When assessing the child’s
relationship with other children, the nurse would expect to observe:
A. Solitary play
B. Parallel play
C. Initiative play
D. Cooperative play
26. The mother of a 5 year old asks, “When do the deciduous teeth usually begin to fall out?”
Which of the following is the nurse’s most appropriate response?
A. Age 5 years
1. Nurse would suspect an ectopic pregnancy if the client complained of:
A. An adherent painful ovarian mass
B. lower abdominal cramping for a long period of time.
C. Leukorrhea and dysuria a few days after the first missed period
D. Sharp lower right or left abdominal pain radiating to the shoulder.
2. A client who has missed two menstrual cycle period comes to the prenatal clinic complaining of
vaginal bleeding and one-sided lower-quadrant pain. The nurse suspects that this client has.
A. Abruptio placentae
B. An ectopic pregnancy
C. An incomplete abortion
D. A rupture of a graafian follicle.
3. Variable decelerations indicates:
A. cord compression
B. placental insufficiency
C. fetal head compression
D. hypoxia
4. Late deceleration indicates:
A. cord compression
B. placental insufficiency
C. fetal head compression
D. hypoxia
5. Early deceleration indicates:
A. cord compression
B. placental insufficiency
C. fetal head compression
D. hypoxia
6. Blood therapeutic level of magnesium So4?
A. 1.3 – 2.1 mEq/L
B. 0.5 – 1 meq/L
C. 1.3 – 5meq/L
D. 0.5 – 2 meq/L
7. A client is on Magnesium So4 therapy for severe preeclampsia. The nurse must be alert for the
first sign of an excessive blood magnesium level which is:
A. Disturbance in sensorium
B. Increased in respiratory rate
,C. Development of cardiac dysrythmia
D. Disappearance of the knee-jerk reflex
Situation: Diane is arrived to the labor and delivery area in labor. She complains of regular
uterine contractions with 8 to 10 minutes interval and states that her bag of water has been
ruptured. The fetus is in a left occiput anterior position (LOA).
8. The nurse’s first action should be to:
A. check the FHR
B. start IV fluid as ordered
C. call the physician
D. place to lying position
9. Which procedure would best determine if Diane’s BOW has ruptured
A. A complete blood count
B. Nitrazine Paper test
C. Urinalysis
D. Vaginal examination
10. Initial assessment done and revealed the following FH = 30cm, FHT 145bpm, BP =110/70
mmHg. IE done by Dr. Mar and revealed 4 cm cervical dilatation. Diane asked for Demerol. The
nurse’s best response is:
A. “Try to wait until you really need it.”
B. “It is too early in your labor; medication will retard progress of uterine contraction.”
C. “I know you are in pain. I’ll just prepare the medication.”
D. “Perhaps a change in position will make you more comfortable.”
11. The pregnant woman ask “When does the heart and the brain of the baby form”. The best
response made by the nurse is:
A. First month
B. Second month
C. Third month
D. Fourth month
12. When the client is only 15 years old, the nurse caring for such client during labor process
should assess the client for signs of:
A. uterine atony
B. cephalo-pelvic disproportion
C. rapid second stage of labor
D. early deceleration pattern
13. Due to hyperventilation ,the nurse should assess the client for signs and symptom of:
A. metabolic alkalosis
B. metabolic acidosis
C. respiratory acidosis
,D. respiratory alkalosis
14. The client experiences severe back pain the nurse should instruct that her severe back pain is
cause by what fetal position?
A. oblique
B. transverse
C. posterior
D. anterior
15. The client calls out the nurse, ”the baby is coming” the nurse first action is:
A. inspect the perineum
B. open the emergency delivery box
C. auscultate the heart sound
D. contact the birth attendant
16. To help the client remain calm and cooperative during imminent delivery, the nurse should tell
the client:
A. ”you are right the baby is coming”
B. ”do you want to help me get you through this”
C. “your doctor will see you soon”
D. ”ill explain what’s happening”
17. The nurse is caring to woman in active labor. Which information is most important to assess in
order to prevent the complication during labor and delivery.
A. family history of lung illness
B. food allergies
C. number of cigarette smoked per month
D. last food intake
18. When the bag of water rupture’s, the nurse should expect to see?
A. a large amount of bloody fluid
B. a moderate amount of clear to straw-colored
C. a small segment of umbilical cord
D. greenish fliud
19. When bag of water rupture, the nurse first action is?
A. notify the physician
B. measure the amount of fluid
C. monitor fetal heart tone
D. perform vaginal examination
, 20. The client has midline episiotomy. The purpose of the episiotomy is?
A. allow forcep to be applied
B. enlarge the vaginal opening
C. eliminate possibility of laceration
D. eliminate the need for CS
21. Baby boy Ross is under photo therapy, the nurse should;
A. limit fluid intake
B. cover infant’s eye
C. keep the baby covered with cloth
D. The light is 25 inches away from the baby
22. During the oedipal stage of growth and development, the child:
A. Loves and hates both parents
B. Loves the parent of the same sex and the parent of the opposite sex
C. Loves the parent of the opposite sex and hates the parent of the same sex
D. Loves the parent of the same sex and hates the parent of the opposite sex
23. When teaching a parents’ class, the nurse explains that medication and household cleaning
products should be kept out of the reach of the pre – school because:
A. They have high level of curiosity
B. Their sense of taste is developing at this time
C. Their appetite is greater to support rapid growth
D. They rebel against parental authority during this phase
24. A 5-year-old boy believes that there are “bogeymen and monsters” in his bedroom at night.
What advice can the nurse give to Joey’s parent to help Joey cope with his fears?
A. Let Joey sleep with his parent
B. Tell Joey that bogeymen and monster do not exist
C. Keep a night-light on in Joey’s room
D. Tell Joey that no one else sees any monsters, so he must not see them either
25. A 6 year old is brought to the pediatric clinic for a routine visit. When assessing the child’s
relationship with other children, the nurse would expect to observe:
A. Solitary play
B. Parallel play
C. Initiative play
D. Cooperative play
26. The mother of a 5 year old asks, “When do the deciduous teeth usually begin to fall out?”
Which of the following is the nurse’s most appropriate response?
A. Age 5 years
