DIAGNOSTIC EXAMINATION (OBSTETRICS AND FUNDAMENTALS OF HEALTH CARE)
1. Which term term describes describes a pelvis with with the widest widest anterior anterior and and posterior posterior diameters diameters as well well as a pubic arch wide enough for child birth? A. Platypelloi Platypelloid d B. Gynecoid Gynecoid C. Anthropoid Anthropoid D. Android Android 2. The chief chief funct function ion of of the prog progest estero erone ne is the: the: A. Stimulati Stimulation on of follicl follicles es for ovulation ovulation to occur occur B. Development Development of female reproductive reproductive organs organs C. Preparatio Preparation n of the uterus uterus to receive receive a fertil fertilized ized ovum D. Establishmen Establishmentt of the secondary secondary male male sex characteris characteristics tics 3. After the the first three three months months of pregnancy pregnancy the chief source source of estrogen estrogen and progester progesterone one is: A. Placen Placenta ta C. Adrenal Adrenal cortex cortex B. Corpus luteum D. Anterior Anterior hypophysi hypophysiss 4. Johanna Johannah, h, a 13-yea 13-yearr-old old girl, girl, express expresses es her desire desire to learn learn more about the physiolo physiologic gic changes associated with puberty. puberty. Which is the normal time sequence of bodily changes that is manifested by Johannah? 1. Thelarc Thelarche/ he/bre breast ast enlar enlargem gement ent 2. Appeara Appearance nce of of axill axillary ary and pubi pubicc hair hair 3. Menarche A. 1, 2, 3, B. 2, 1, 3 C. 3, 2, 1 D. 3, 1, 2 5. First First fetal fetal movement movement felt by the the mother mother are are known known as: A. Lightening B. Quickening C. Ballottement Engagement
D. D.
6. A clien clientt rela relate tess that that the firs firstt day of her her last last menstr menstruat uatio ion n peri period od was July July 22. The estimated date of birth would be: A. May 15 B. May 29 C. April 15 D. April 29 7. Anticipatory Anticipatory guidance guidance during during the first trimes trimester ter of pregnancy pregnancy is primarily primarily directed directed toward toward increasing the pregnant woman’s knowledge of: A. Labor and delivery C. Signs of complications B. Physical Physical changes resulting resulting from pregnancy pregnancy D. Role transitio transition n into parenthood parenthood 8. In prenatal prenatal development, development, the growth growth is is most most rapid rapid in the: the: A. Implanataio Implanataion n period period C. Second Trimest Trimester er B. First First Trimest Trimester er D. Third Trimest Trimester er
9. A client client asks the nurse nurse why menstruati menstruation on ceases once pregnancy pregnancy occurs, occurs, the nurse’ nurse’ss best response would be that this occurs because of the: A. “Reduction “Reduction in the the secretio secretion n of hormones hormones by the ovaries ovaries.” .” B. “Productio “Production n of estrogen estrogen and progeste progesterone rone by the the ovaries.” ovaries.” C. “Secretio “Secretion n of luteinizing luteinizing hormone hormone produced produced by the pituitary pituitary.” .” D. “Secretio “Secretion n of follicle-st follicle-stimula imulating ting hormone produced produced by the pituitary pituitary.” .” 10. The nurse is aware that the nausea and vomiting commonly experienced by many women women during the first trimester of pregnancy is an adaptation to the increased level of: A. Estrogen C. Progesterone B. Luteinizing Luteinizing hormone hormone D. Chorionic Chorionic gonadotropin gonadotropin 11. A client who is pregnant asks the nurse nurse if she can continue to have sexual relations. The nurse’s response is based on the knowledge that coitus during pregnancy would be contraindicated in the presence of: A. Leukor Leukorrhe rheaa C. Increas Increased ed FHR FHR B. Gestation Gestation of 30 weeks or more D. Premature Premature rupture rupture of membrane membrane 12. The nurse would instruct a pregnant woman to to notify the physician immediately immediately if which of the following symptoms occur during the pregnancy? A. Swelling of the face C. Br Breast tenderness B. Increased vaginal discharge D. The presence of chloasma 13. Which of the following changes is is a pregnant woman most likely to notice in her breasts? breasts? A. Darkening Darkening of the areolas, areolas, tingling tingling sensations sensations,, and engorgement engorgement B. Lightening Lightening of the areolas, areolas, colustrum colustrum secreti secretion, on, and increased increased size size C. Colustrum Colustrum secretion secretion,, tingling tingling sensations, sensations, and darkening darkening of the the areolas D. Increased Increased size, size, engorgement engorgement,, and flattening flattening of the nipple nipple 14. Constipatio Constipation n during pregnancy is best treated treated by A. Regula Regularr use of mild mild laxat laxative ive B. Increa Increased sed bulk bulk and and fluid fluid in in the diet diet C. Limiti Limiting ng excess excessive ive weig weight ht gain gain D. Regular Regular use of bisacody bisacodyll (Dulcolax) (Dulcolax) supposi suppositorie toriess 15. The nurse nurse determine determiness that a woman woman is in her tenth tenth week of gestati gestation. on. Which Which of the following signs of pregnancy would the nurse expect to observe? A. Breast Breast tender tendernes nesss C. Quicken Quickening ing B. Dyspn Dyspnea ea D. Depende Dependent nt edema edema 16. A 13-year old female visits visits the clinic clinic for a routine examination. The nurse notes that she exhibits changes in her appearance that commonly occur during pregnancy, including an increase in breast size. Which hormone is partly responsible responsible for the growth and increased vascularity of breast tissue during pregnancy? A. Estrogen C. Lactoferrin
B. Follicle Follicle stimulatin stimulating g hormone hormone D. Chorionic Chorionic gonadotropin gonadotropin 17. Which hormone is responsible for stimulating stimulating the maternal metabolism of protein and fat fat to ensure adequate amino and a nd fatty acids for the mother and the fetus? A. Human chorionic chorionic gonadotropin gonadotropin C. Progestero Progesterone ne B. Human placental lactogen D. Estriol 18. Mrs X., age 25, suspects suspects she is pregnant pregnant and calls the the health center center. She tells tells the nurse she is experiencing experiencing amenorrhea, amenorrhea, urinary urinary frequency frequency,, and nausea and vomiting. These signs of pregnancy are: A. Presumpti Presumptive ve B. Probable Probable C. Positive Positive D. Possible Possible 19. Which findings would be considered positive signs of pregnancy? pregnancy? A. Fatigu Fatigue, e, skin skin chang changes es B. Quicken Quickening ing,, breast breast enlar enlargeme gement nt C. Fetal heartbeat, heartbeat, fetal movement movement on palpation palpation D. Abdominal Abdominal enlargem enlargement, ent, Braxton Braxton Hicks Hicks contractio contractions ns 20. Mrs. M., a 30-year-old primiparous primiparous patient at 34 weeks’ gestation, comes to the prenatal clinic concerned about the increasing reddish streaks she has developed on her breast and abdomen. abdomen. She asks what these skin changes changes are and whether they are are permanent. permanent. What should the nurse tell her? A. “These “These streaks are are called linea nigra; nigra; they’ll they’ll fade after childbir childbirth.” th.” B. “These “These streaks are are called hemangiomas; hemangiomas; they are are permanent permanent changes of pregnancy pregnancy.” .” C. “These “These streaks streaks are called striae striae gravid gravidaru arum, m, or stretc stretch h marks; marks; they’ll they’ll grow lighte lighter r after delivery.” D. “These “These streaks are are called nevi; they’ll they’ll fade after the postpart postpartal al period.” 21. Which of the following terms terms is regarded as an indicator indicator of a country’s country’s general health? A. Birth rate C. Infant mortality rate B. Maternal mortality rate D. Fe F ertility rate 22. A client asks, asks, “How much blood do I lose during menstruation?” Which of the following would be the nurse’s nurse’s best response? A. “Normal “Normal blood blood loss loss can be be a little little or not.” not.” B. “Norma “Normall blood blood loss loss is about about 1 cup.” cup.” C. “Norma “Normall blood blood loss loss is about about ¼ cup.” cup.” D. “Normal “Normal blood blood loss loss is is about about 1/8 1/8 cup.” cup.” 23. During the menstrual cycle, ovulation ovulation generally occurs at which of the following times? A. 7 days after the last last day of menstrua menstruation tion B. 14 days after the last last day of menstruat menstruation ion C. 7 days befo before re the end end of menstr menstruat uation ion D. 14 days before before the end of of the menstr menstrual ual cycle cycle 24. Which Which of the followi following ng would the nurse nurse estimate estimate as the approxim approximate ate age for a 19-cm 19-cm fetus expelled by a client?
A. 2 months B. 3 months C. 4 months months D. 5 months months 25. An expectant mother mother asks the nurse nurse in the prenatal clinic, clinic, “When can I expect to feel my baby move?” Which of the following would be b e the nurse’s best response? A. At about 2 months C. At about 3 months B. At about about 4 months months D. At about about 5 months months 26. An expectant mother mother in the prenatal clinic clinic informs the nurse nurse that she smokes and asks if she could continue to do so. Which of the following responses best demonstrates the nurse’s nurse’s understanding of smoking’s effect on a pregnancy? A. “How “How much much do do you you smok smoke?” e?” B. “You “You should should decrease decrease the number number of cigarettes cigarettes used.” used.” C. “Smoking “Smoking may adversely adversely affe affect ct your baby’ baby’s development.” development.” D. “That is is something something that you you should ask ask the physician physician.” .” 27. Which male hormone is responsible responsible for maintaining maintaining spermatogene spermatogenesis, sis, increasing increasing sperm production, and producing seminal fluid? A. Insulin B. Testosterone C. Semen D. HCG 28. In a regular 32-day cycle, the client will probably ovulate: A. On day 18 C. 10 days after the start of the last menses menses B. On day 22 D. On day 11 29. How many weeks is the gestational gestational period of a full-term pregnancy? A. 35 to 37 B. More than 42 C. 38 to 42 D. 33 to 35 30. A nurse is teaching a class about the reproductive system. She explains that that fertilization most often takes place in the: A. Fallop Fallopian ian tube tube C. Ovary Ovary B. Vagina agina D. Uter Uterus us 31. As a client client advocate, advocate, the nurse: nurse: A. Explains Explains concepts concepts and facts facts about health B. Protects Protects the the client’ client’ss human and and legal legal rights rights C. Coordinates Coordinates the the activities activities of other other health health care team team members members D. Is a decis decisio ion n make maker r 32. The manager role of the nurse is best demonstrated when when she: A. Plans nursing nursing care with the patient patient C. Intercedes Intercedes on behalf of the patient patient B. Refers Refers the patient patient to other services services D. Works Works together together with the nursing nursing team 33. The most important communication skill skill to be developed by the nurse nurse manager is: A. Firmness Firmness B. Assertive Assertiveness ness C. Questioning Questioning D. Attentive Attentive listening listening 34. According to Maslow’s Maslow’s Hierarchy of Needs, which which of the following is a basic physiologic physiologic need after oxygen? A. Water C. Freedom Freedom from infection infection B. Love Love and belongi belongingne ngness ss D. SelfSelf-est esteem eem
35. Who among the following clients should be attended to first by the nurse? A. The client client with cough and cold C. The client client with pain on the chest B. The client client fever due to infection infection D. The client who is for discharge discharge 36. Informed consent is characterized by the following except: A. Given Given vol volunt untar aril ily y B. Given by a client with capacity capacity and and competence competence to underst understand and C. There’s There’s an agreement by a client to accept accept course of treatment treatment after after being provided provided with complete information D. It is designed designed to protect protect the the nurse from from lawsuits lawsuits and and assault assault 37. Mr. Mr. X. practices practices excessive alcohol alcohol intake. This is considered as which type of precursor to illness? A. Behavioral Behavioral factor C. Environmenta Environmentall factor factor B. Heredit Hereditary ary factor factor D. Geneti Geneticc factor factor 38. Health promotion activities activities are directed to achieve the following: following: 1. Increas Increasing ing level level of wellnes wellnesss 2. Impr Improv ovin ing g qual qualit ity y lif lifee 3. Relying Relying on health care personnel personnel to maintai maintain n health health 4. Promot Promoting ing healthf healthful ul lifest lifestyl ylee A. 1, 2, 4 B. 2, 3, 4 C. 1, 2, 3 D. 1, 3, 4 39. Autonomy Autonomy in nursing nursing means that: that: A. A pers person on has free freedom dom in in speech speech B. A person person is is independent independent and self-g self-governi overning ng in decision decision making making C. A person person is responsi responsible ble for the nursing nursing care care given given D. A pers person on assert assertss her rights rights 40. Health promotion includes the following except: A. Efforts Efforts to improv improvee quality quality life B. Community Community activiti activities es to promote promote healthful healthful lifes lifestyle tyless C. Activities Activities like like routine routine exercise, exercise, good good nutritio nutrition n D. Activities Activities like like dieting, dieting, alcohol alcohol intake, intake, and fitness fitness 41. Physical agents that could cause disease disease include the following, following, except: A. Heat and cold substances substances C. Ultraviolet Ultraviolet rays B. Radiation Radiation D. Emissions Emissions from smoke-belchi smoke-belching ng cars 42. Extern External al variab variables les that that influe influence nce health health and health health practi practices ces include include the follow following ing,, except: A. Family Family practices practices C. Perception Perception of functioning functioning & intellectual intellectual background background B. Socioeconomi Socioeconomicc factors factors D. Daily practices, practices, beliefs beliefs
43. Tertiary level level of prevention prevention includes: 1. Self-m Self-moni onitor toring ing of diabeti diabetics cs 2. Physica Physicall therapy therapy after after strok strokee (CVA) (CVA) 3. Educat Educatio ion n for for diabe diabete tess 4. main mainta tain in ide ideal al body body weig weight ht A. 1, 2, 4 B. 1, 2, 3 C. 4, 3, 1
D. 1, 2, 3, 4
44. Secondary level of prevention includes the following, except: A. Pap’s Pap’s smear for women C. Annual stool exam for blood in the stool B. Sputum exam for PTB
D. Speech therapy for patient’ patient’ss post laryngectomy laryngectomy
45. Complete Complete immunization immunization program program is under: A. Primary Primary level of prevention prevention C. Secondary Secondary level of prevention prevention B. Tertiary level of prevention D. Fourth level of prevention 46. Which of the following situations situations may cause droplet transmissions transmissions of microorganisms? microorganisms? A. Facing Facing a client who who is coughing coughing and sneezing sneezing within within a close close distance distance B. Eating Eating cont contami aminat nated ed shell shell fish fish C. Punctu Puncture re from from an intraven intravenous ous needl needlee D. Exposu Exposure re to to flood flood water water 47. Breaking the chain of infection include the following practices, except: A. Handwashing C. Cleaning, disinfection B. Taking antibiotic antibioticss D. Sterilizat Sterilization ion 48. Inappropriat Inappropriatee behaviors of a nurse include: A. Hitting Hitting client client in in any part of the the body B. Assist Assisting ing in crim crimina inall abortio abortion n C. Taking drugs drugs from client’ client’ss supply for for personal personal use D. All All of of the the above above 49. Nurses Nurses using holistic holistic model: model: A. Consider Consider only the mind mind and body in nursing nursing care B. Consider Consider only the spiritu spiritual al aspect aspect in giving giving care care C. Utilize Utilize only only complementar complementary y interven interventions tions D. Reco Recogni gnize ze the whol wholee being being of the the pers person on and thus thus nursi nursing ng care care is base based d on that principle 50. Health promotion promotion behaviors behaviors include: include: A. Exposure Exposure to air pollutants pollutants B. Exercise Exercise and good nutrition nutrition
C. Unsafe Unsafe sex D. Smoking Smoking and drinking drinking excessive excessive alcohol
51. An example of a subjecti subjective ve data is: A. Feelin Feeling g of dizzin dizziness ess C. Cyanos Cyanosis is
B. Diaphor Diaphoresi esiss
D. Hemato Hematoma ma