100 Item Obstetrics-Maternal And Child Health Nursing Examination Answers and
Rationale
100 Item Obstetrics-Maternal And Child Health Nursing Examination
Budek
http://www.pinoybsn.tk
Question Pool
DISCLAIMER: Care has been taken to verify that all answers and rationale below are
accurate. Please comment up if you noticed any errors or contradictions to maintain
accuracy and precision of the answers as not to mislead the readers.
-Budek
DEGREE OF QUESTION DIFFICULTY
4 – Very hard question, 25% Chance of answering correctly
3 – Hard question, 50% Chance of answering correctly
2 – Moderately hard question, 75% of answering correctly
1 – Easy question, 99% will answer the question correctly
Introduction: The questions are coded according to their sources and will only be for my
personal reference. RED questions are original questions I created. FATIMA students
READ and DIGEST each of these questions carefully. Goodluck.
SITUATION : [ND89] Aling Julia, a 32 year old fish vendor from baranggay matahimik
came to see you at the prenatal clinic. She brought with her all her three children. Maye,
1 year 6 months; Joy, 3 and Dan, 7 years old. She mentioned that she stopped taking oral
contraceptives several months ago and now suspects she is pregnant. She cannot
remember her LMP.
1. Which of the following would be useful in calculating Aling Julia's EDC? [3]
A. Appearance of linea negra
B. First FHT by fetoscope
C. Increase pulse rate
D. Presence of edema
* The answer of some people is A because they say linea negra appears at 2nd trimester.
Appearance of Linea negra is not the same with all women. Some will have it as early as
first trimester while other on the 2nd trimester. It is very subjective and non normative.
However, First FHT by fetoscope is UNIVERSAL and it is arbitrarily accepted that it
starts at the 4th month of gestation. Therefore, If I heard the First FHT by fetoscope, I
can say that Aling Julia's EDC is at 4th month and the EDC will be around 5 months
from now.Pulse rate and Edema will never suggest the estimated date of confinement nor
,age of gestation.
2. Which hormone is necessary for a positive pregnancy test? [1]
A. Progesterone
B. HCG
C. Estrogen
D. Placental Lactogen
* HCG is responsible for positive pregnancy test. But it is NOT a positive sign of
pregnancy. Only PROBABLE. Purpose of HCG is to maintain the secretion of
progestrone by the corpus luteum. It will deteriorate by 2nd trimester as the placenta
resumes its funciton. HCG is also use to stimulate descend of the testes in case of
cryptorchidism or undescended testes. HCG peaks at 10 weeks then decline for the rest of
the pregnancy. Non pregnant females will have less than 5 mIU/ml and can reach up to
100,000 mIU/ml in pregnant women. By the way, undescended testes repair is done when
the child is 1 year old according to Lippinncots, the doctor will try to wait baka kasi
bumaba pa before they do surgery.
3. With this pregnancy, Aling Julia is a [1]
A. P3 G3
B. Primigravida
C. P3 G4
D. P0 G3
* She has 3 children, so para 3. Since she is pregnant, this is her 4th gravida. Remember
that even if the pregancy is beyond the age of viability [ >7 months ] consider it as PARA
and not GRAVIDA as long as the baby is still inside the uterus. A common error of the
old nurses in a puericulture center where I dutied in is that they count the child inside the
mother's womb as GRAVIDA when it is greater than 7 months! [ kawawang nanay, mali
na ang home based mothers record mo ] I tried to correct it but they still INSISTED. I
read pillitteri thinking that I might be wrong nakakahiya naman... but I was right.
4. In explaining the development of her baby, you identified in chronological order of
growth of the fetus as it occurs in pregnancy as [1]
A. Ovum, embryo, zygote, fetus, infant
B. Zygote, ovum, embryo, fetus, infant
C. Ovum, zygote, embryo, fetus, infant
D. Zygote, ovum, fetus, embryo, infant
* The Ovum is the egg cell from the mother, the sperm will fertilize it to form a zygote.
This usually happens in the AMPULLA or the distal third of the fallopian tube.
Hyalorunidase is secreted by the sperm to dissolve the outer memberane of the ovum.
The zygote now containes 46 chromosomes. 23 from each germ cell. The zygote is now
termed as an embryo once it has been implanted. Implantation takes 3-4 days. When the
embryo reach 8th weeks, it is now termed as a FETUS until it has been delivered and
,then, neonate then infant.
5. Aling Julia states she is happy to be pregnant. Which behavior is elicited by her during
your assessment that would lead you to think she is stressed? [3]
A. She told you about her drunk husband
B. She states she has very meager income from selling
C. She laughs at every advise you give even when its not funny
D. She has difficulty following instructions
* Stressed is manifested in different ways and one of them, is difficulty following
instructions. Telling you that her husband is drunk and has meager income from selling is
not enough for you to conclude she is stressed. Assessment is always based on factual
and specific manifestations. A diagnosis is made from either ACTUAL or
POTENTIAL/RISK problems. A and B are both potential problems, but not actual like
D. C is automatically eliminated first because laughing is not indicative of stress.
6. When teaching Aling Julia about her pregnancy, you should include personal common
discomforts. Which of the following is an indication for prompt professional supervision?
[2]
A. Constipation and hemorrhoids
B. Backache
C. Facial edema
D. frequent urination
*Facial edema is NOT NORMAL. Facial edema is one sign of MILD PRE ECLAMPSIA
and prompt professional supervision is needed to lower down the client's blood pressure.
Blood pressure in Mild Pre Eclampsia is around 140/90 and 160/110 in severe. Treatment
involves bed rest, Magnesium sulfate, Hydralazine, Diazoxide and Diazepam [ usually a
combination of Magsul + Apresoline [ Hydralazine ] ] Calcium gluconate is always at the
client's bed side when magnesium toxicity occurs. It works by exchanging Calcium ions
for magnesium ions. A,B and D are all physiologic change in pregnancy that do not need
prompt professional supervision. Frequent urination will disappear as soon as the
pressure of the uterus is released against the bladder and as soon as the client's blood
volume has returned to normal. Backache is a common complaint of women with an
OCCIPUT POSTERIOR presentation due to pressure on the back. Intervention includes
pelvic rocking or running a tennis ball at the client's back. Constipation and hemorrhoids
are relieved by increasing fluid intake and hot sitz bath.
7. Which of the following statements would be appropriate for you to include in Aling
Julia's prenatal teaching plan? [1]
A. Exercise is very tiresome, it should be avoided
B. Limit your food intake
C. Smoking has no harmful effect on the growth and development of fetus
D. Avoid unnecessary fatigue, rest periods should be included in you schedule
, * Exercise is not avoided in pregnancy, therfore eliminate A. Food is never limited in
pregnancy. Calories are even increased by around 300 cal a day as well as vitamins and
minerals. Smoking, alcohol and drug use are avoided for the rest of the pregnancy
because of their harmful effects on the growth and development of the fetus. Rest period
and avoiding unecessary fatigue is one of the pillars in health teaching of the pregnant
client.
8. The best advise you can give to Aling Julia regarding prevention of varicosities is [3]
A. Raise the legs while in upright position and put it against the wall several times a day
B. Lay flat for most hours of the day
C. Use garters with nylon stocking
D. Wear support hose
* A thigh high stocking or a support hose WORN BEFORE GETTING UP in the
morning is effective in prevention of varicosities. Stocking should have NO GARTERS
because it impedes blood flow, they should be made of COTTON not nylon to allow the
skin to breathe. Lying flat most of the day WILL PREVENT VARICOSITIES but will
not be helpful for the client's overall health and function. Raising the legs and putting it
against the wall will still create pressure in the legs.
9. In a 32 day menstrual cycle, ovulation usually occurs on the [2]
A. 14th day after menstruation
B. 18th day after menstruation
C. 20th day after menstruation
D. 24th day after menstruation
* To get the day of ovulation, A diary is made for around 6 months to determine the
number of days of menstrual cycle [ from onset of mens to the next onset of mens ] and
the average is taken from that cycles. 14 days are subtracted from the total days of the
menstrual cycle. This signifies the ovulation day. A couple would abstain having sex 5
days before and 5 days after the ovulation day. Therefore, a 32 day cycle minus 14 days
equals 18, hence... ovulation occurs at the 18th day.
10. Placenta is the organ that provides exchange of nutrients and waste products between
mother and fetus. This develops by [4]
A. First month
B. Third month
C. Fifth month
D. Seventh month
* The placenta is formed at around 3 months. It is a latin word for PANCAKE because of
it's appearance. It arises from the trophoblast from the chorionic villi and decidua basalis.
It functions as the fetal lungs, kidney, GI tract and an endocrine organ.
Rationale
100 Item Obstetrics-Maternal And Child Health Nursing Examination
Budek
http://www.pinoybsn.tk
Question Pool
DISCLAIMER: Care has been taken to verify that all answers and rationale below are
accurate. Please comment up if you noticed any errors or contradictions to maintain
accuracy and precision of the answers as not to mislead the readers.
-Budek
DEGREE OF QUESTION DIFFICULTY
4 – Very hard question, 25% Chance of answering correctly
3 – Hard question, 50% Chance of answering correctly
2 – Moderately hard question, 75% of answering correctly
1 – Easy question, 99% will answer the question correctly
Introduction: The questions are coded according to their sources and will only be for my
personal reference. RED questions are original questions I created. FATIMA students
READ and DIGEST each of these questions carefully. Goodluck.
SITUATION : [ND89] Aling Julia, a 32 year old fish vendor from baranggay matahimik
came to see you at the prenatal clinic. She brought with her all her three children. Maye,
1 year 6 months; Joy, 3 and Dan, 7 years old. She mentioned that she stopped taking oral
contraceptives several months ago and now suspects she is pregnant. She cannot
remember her LMP.
1. Which of the following would be useful in calculating Aling Julia's EDC? [3]
A. Appearance of linea negra
B. First FHT by fetoscope
C. Increase pulse rate
D. Presence of edema
* The answer of some people is A because they say linea negra appears at 2nd trimester.
Appearance of Linea negra is not the same with all women. Some will have it as early as
first trimester while other on the 2nd trimester. It is very subjective and non normative.
However, First FHT by fetoscope is UNIVERSAL and it is arbitrarily accepted that it
starts at the 4th month of gestation. Therefore, If I heard the First FHT by fetoscope, I
can say that Aling Julia's EDC is at 4th month and the EDC will be around 5 months
from now.Pulse rate and Edema will never suggest the estimated date of confinement nor
,age of gestation.
2. Which hormone is necessary for a positive pregnancy test? [1]
A. Progesterone
B. HCG
C. Estrogen
D. Placental Lactogen
* HCG is responsible for positive pregnancy test. But it is NOT a positive sign of
pregnancy. Only PROBABLE. Purpose of HCG is to maintain the secretion of
progestrone by the corpus luteum. It will deteriorate by 2nd trimester as the placenta
resumes its funciton. HCG is also use to stimulate descend of the testes in case of
cryptorchidism or undescended testes. HCG peaks at 10 weeks then decline for the rest of
the pregnancy. Non pregnant females will have less than 5 mIU/ml and can reach up to
100,000 mIU/ml in pregnant women. By the way, undescended testes repair is done when
the child is 1 year old according to Lippinncots, the doctor will try to wait baka kasi
bumaba pa before they do surgery.
3. With this pregnancy, Aling Julia is a [1]
A. P3 G3
B. Primigravida
C. P3 G4
D. P0 G3
* She has 3 children, so para 3. Since she is pregnant, this is her 4th gravida. Remember
that even if the pregancy is beyond the age of viability [ >7 months ] consider it as PARA
and not GRAVIDA as long as the baby is still inside the uterus. A common error of the
old nurses in a puericulture center where I dutied in is that they count the child inside the
mother's womb as GRAVIDA when it is greater than 7 months! [ kawawang nanay, mali
na ang home based mothers record mo ] I tried to correct it but they still INSISTED. I
read pillitteri thinking that I might be wrong nakakahiya naman... but I was right.
4. In explaining the development of her baby, you identified in chronological order of
growth of the fetus as it occurs in pregnancy as [1]
A. Ovum, embryo, zygote, fetus, infant
B. Zygote, ovum, embryo, fetus, infant
C. Ovum, zygote, embryo, fetus, infant
D. Zygote, ovum, fetus, embryo, infant
* The Ovum is the egg cell from the mother, the sperm will fertilize it to form a zygote.
This usually happens in the AMPULLA or the distal third of the fallopian tube.
Hyalorunidase is secreted by the sperm to dissolve the outer memberane of the ovum.
The zygote now containes 46 chromosomes. 23 from each germ cell. The zygote is now
termed as an embryo once it has been implanted. Implantation takes 3-4 days. When the
embryo reach 8th weeks, it is now termed as a FETUS until it has been delivered and
,then, neonate then infant.
5. Aling Julia states she is happy to be pregnant. Which behavior is elicited by her during
your assessment that would lead you to think she is stressed? [3]
A. She told you about her drunk husband
B. She states she has very meager income from selling
C. She laughs at every advise you give even when its not funny
D. She has difficulty following instructions
* Stressed is manifested in different ways and one of them, is difficulty following
instructions. Telling you that her husband is drunk and has meager income from selling is
not enough for you to conclude she is stressed. Assessment is always based on factual
and specific manifestations. A diagnosis is made from either ACTUAL or
POTENTIAL/RISK problems. A and B are both potential problems, but not actual like
D. C is automatically eliminated first because laughing is not indicative of stress.
6. When teaching Aling Julia about her pregnancy, you should include personal common
discomforts. Which of the following is an indication for prompt professional supervision?
[2]
A. Constipation and hemorrhoids
B. Backache
C. Facial edema
D. frequent urination
*Facial edema is NOT NORMAL. Facial edema is one sign of MILD PRE ECLAMPSIA
and prompt professional supervision is needed to lower down the client's blood pressure.
Blood pressure in Mild Pre Eclampsia is around 140/90 and 160/110 in severe. Treatment
involves bed rest, Magnesium sulfate, Hydralazine, Diazoxide and Diazepam [ usually a
combination of Magsul + Apresoline [ Hydralazine ] ] Calcium gluconate is always at the
client's bed side when magnesium toxicity occurs. It works by exchanging Calcium ions
for magnesium ions. A,B and D are all physiologic change in pregnancy that do not need
prompt professional supervision. Frequent urination will disappear as soon as the
pressure of the uterus is released against the bladder and as soon as the client's blood
volume has returned to normal. Backache is a common complaint of women with an
OCCIPUT POSTERIOR presentation due to pressure on the back. Intervention includes
pelvic rocking or running a tennis ball at the client's back. Constipation and hemorrhoids
are relieved by increasing fluid intake and hot sitz bath.
7. Which of the following statements would be appropriate for you to include in Aling
Julia's prenatal teaching plan? [1]
A. Exercise is very tiresome, it should be avoided
B. Limit your food intake
C. Smoking has no harmful effect on the growth and development of fetus
D. Avoid unnecessary fatigue, rest periods should be included in you schedule
, * Exercise is not avoided in pregnancy, therfore eliminate A. Food is never limited in
pregnancy. Calories are even increased by around 300 cal a day as well as vitamins and
minerals. Smoking, alcohol and drug use are avoided for the rest of the pregnancy
because of their harmful effects on the growth and development of the fetus. Rest period
and avoiding unecessary fatigue is one of the pillars in health teaching of the pregnant
client.
8. The best advise you can give to Aling Julia regarding prevention of varicosities is [3]
A. Raise the legs while in upright position and put it against the wall several times a day
B. Lay flat for most hours of the day
C. Use garters with nylon stocking
D. Wear support hose
* A thigh high stocking or a support hose WORN BEFORE GETTING UP in the
morning is effective in prevention of varicosities. Stocking should have NO GARTERS
because it impedes blood flow, they should be made of COTTON not nylon to allow the
skin to breathe. Lying flat most of the day WILL PREVENT VARICOSITIES but will
not be helpful for the client's overall health and function. Raising the legs and putting it
against the wall will still create pressure in the legs.
9. In a 32 day menstrual cycle, ovulation usually occurs on the [2]
A. 14th day after menstruation
B. 18th day after menstruation
C. 20th day after menstruation
D. 24th day after menstruation
* To get the day of ovulation, A diary is made for around 6 months to determine the
number of days of menstrual cycle [ from onset of mens to the next onset of mens ] and
the average is taken from that cycles. 14 days are subtracted from the total days of the
menstrual cycle. This signifies the ovulation day. A couple would abstain having sex 5
days before and 5 days after the ovulation day. Therefore, a 32 day cycle minus 14 days
equals 18, hence... ovulation occurs at the 18th day.
10. Placenta is the organ that provides exchange of nutrients and waste products between
mother and fetus. This develops by [4]
A. First month
B. Third month
C. Fifth month
D. Seventh month
* The placenta is formed at around 3 months. It is a latin word for PANCAKE because of
it's appearance. It arises from the trophoblast from the chorionic villi and decidua basalis.
It functions as the fetal lungs, kidney, GI tract and an endocrine organ.
