1.
1. Postpartum Period:
The fundus of the uterus is expected to go down normally postpartally about __ cm per day.
Correct Answer
A. 1.0 cm
Explanation
The uterus will begin involution right after delivery. It is expected to regress/go down by 1 cm. per day and becomes no longer palpable about 1 week after delivery.
2.
2. The lochia on the first few days after delivery is characterized as
Correct Answer
C. Reddish with some mucus
Explanation
Right after delivery, the vaginal discharge called lochia will be reddish because there is some blood, endometrial tissue and mucus. Since it is not pure blood it is non-clotting.
3.
3. Lochia normally disappears after how many days postpartum?
Correct Answer
B. .7-10 days
Explanation
Normally, lochia disappears after 10 days postpartum. What’s important to remember is that the color of lochia gets to be lighter (from reddish to whitish) and scantier everyday.
4.
4. After an Rh(-) mother has delivered her Rh (+) baby, the mother is given RhoGam. This is done in order to:
Correct Answer
B. Prevent the mother from producing antibodies against the Rh(+) antigen that she may have gotten when she delivered to her Rh(+) baby
Explanation
In Rh incompatibility, an Rh(-) mother will produce antibodies against the fetal Rh (+) antigen which she may have gotten because of the mixing of maternal and fetal blood during labor and delivery. Giving her RhoGam right after birth will prevent her immune system from being permanently sensitized to Rh antigen.
5.
5. To enhance milk production, a lactating mother must do the following interventions EXCEPT:
Correct Answer
C. Exercise adequately like aerobics
Explanation
All the above nursing measures are needed to ensure that the mother is in a healthy state. However, aerobics does not necessarily enhance lactation.
6.
6. The nursing intervention to relieve pain in breast engorgement while the mother continues to breastfeed is
Correct Answer
B. Apply warm compress on the engorged breast
Explanation
Warm compress is applied if the purpose is to relieve pain but ensure lactation to continue. If the purpose is to relieve pain as well as suppress lactation, the compress applied is cold.
7.
7. A woman who delivered normally per vagina is expected to void within ___ hours after delivery.
Correct Answer
C. 6-8 hrs
Explanation
A woman who has had normal delivery is expected to void within 6-8 hrs. If she is unable to do so after 8 hours, the nurse should stimulate the woman to void. If nursing interventions to stimulate spontaneous voiding don’t work, the nurse may decide to catheterize the woman.
8.
8. To ensure adequate lactation the nurse should teach the mother to:
Correct Answer
A. Breast feed the baby on self-demand day and night
Explanation
Feeding on self-demand means the mother feeds the baby according to baby’s need. Therefore, this means there will be regular emptying of the breasts, which is essential to maintain adequate lactation.
9.
9. An appropriate nursing intervention when caring for a postpartum mother with thrombophlebitis is:
Correct Answer
D. Elevate the affected leg and keep the patient on bedrest
Explanation
If the mother already has thrombophlebitis, the nursing intervention is bedrest to prevent the possible dislodging of the thrombus and keeping the affected leg elevated to help reduce the inflammation.
10.
10. The nurse should anticipate that hemorrhage related to uterine
atony may occur postpartally if this condition was present during the
delivery:
Correct Answer
A. Excessive analgesia was given to the mother
Explanation
Excessive analgesia can lead to uterine relaxation thus lead to hemorrhage postpartally. Both B and D are normal and C is at the vaginal introitus thus will not affect the uterus.
11.
11. According to Rubin’s theory of maternal role adaptation, the mother
will go through 3 stages during the post partum period. These stages
are:
Correct Answer
B. Taking-in, taking-hold and letting-go
Explanation
Rubin’s theory states that the 3 stages that a mother goes through for maternal adaptation are: taking-in, taking-hold and letting-go. In the taking-in stage, the mother is more passive and dependent on others for care. In taking-hold, the mother begins to assume a more active role in the care of the child and in letting-go, the mother has become adapted to her maternal role.
12.
12. The neonate of a mother with diabetes mellitus is prone to developing hypoglycemia because:
Correct Answer
B. There is rapid diminution of glucose level in the baby’s circulating blood and his pancreas is normally secreting insulin
Explanation
If the mother is diabetic, the fetus while in utero has a high supply of glucose. When the baby is born and is now separate from the mother, it no longer receives a high dose of glucose from the mother. In the first few hours after delivery, the neonate usually does not feed yet thus this can lead to hypoglycemia.
13.
13. Which of the following is an abnormal vital sign in postpartum?
Correct Answer
B. BP diastolic increase from 80 to 95mm Hg
Explanation
All the vital signs given in the choices are within normal range except an increase of 15mm Hg in the diastolic which is a possible sign of hypertension in pregnancy.
14.
14. The uterine fundus right after delivery of placenta is palpable at
Correct Answer
B. Level of umbilicus
Explanation
Immediately after the delivery of the placenta, the fundus of the uterus is expected to be at the level of the umbilicus because the contents of the pregnancy have already been expelled. The fundus is expected to recede by 1 fingerbreadths (1cm) everyday until it becomes no longer palpable above the symphysis pubis.
15.
15. After how many weeks after delivery should a woman have her postpartal check-up based on the protocol followed by the DOH?
Correct Answer
C. 6 weeks
Explanation
According to the DOH protocol postpartum check-up is done 6-8 weeks after delivery to make sure complete involution of the reproductive organs has be achieved.
16.
16. In a woman who is not breastfeeding, menstruation usually occurs after how many weeks?
Correct Answer
B. 6-8 weeks
Explanation
When the mother does not breastfeed, the normal menstruation resumes about 6-8 weeks after delivery. This is due to the fact that after delivery, the hormones estrogen and progesterone gradually decrease thus triggering negative feedback to the anterior pituitary to release the Folicle-Stimulating Hormone (FSH) which in turn stimulates the ovary to again mature a graafian follicle and the menstrual cycle post pregnancy resumes.
17.
17. The following are nursing measures to stimulate lactation EXCEPT
Correct Answer
D. Application of cold compress on the breast
Explanation
To stimulate lactation, warm compress is applied on the breast. Cold application will cause vasoconstriction thus reducing the blood supply consequently the production of milk.
18.
18. When the uterus is firm and contracted after delivery but there is vaginal bleeding, the nurse should suspect
Correct Answer
A. Laceration of soft tissues of the cervix and vagina
Explanation
When uterus is firm and contracted it means that the bleeding is not in the uterus but other parts of the passageway such as the cervix or the vagina.
19.
19. The following are interventions to make the fundus contract postpartally EXCEPT
Correct Answer
C. Massage the fundus vigorously for 15 minutes until contracted
Explanation
Massaging the fundus of the uterus should not be vigorous and should only be done until the uterus feel firm and contracted. If massaging is vigorous and prolonged, the uterus will relax due to over stimulation.
20.
20. The following are nursing interventions to relieve episiotomy wound pain EXCEPT
Correct Answer
D. Perineal care
Explanation
Perineal care is primarily done for personal hygiene regardless of whether there is pain or not; episiotomy wound or not.
21.
21. Postpartum blues is said to be normal provided that the following characteristics are present. These are 1. Within 3-10 days only; 2. Woman exhibits the following symptoms- episodic tearfulness, fatigue, oversensitivity, poor appetite; 3. Maybe more severe symptoms in primpara
Correct Answer
A. All of the above
Explanation
All the symptoms 1-3 are characteristic of postpartal blues. It will resolve by itself because it is transient and is due to a number of reasons like changes in hormonal levels and adjustment to motherhood. If symptoms lasts more than 2 weeks, this could be a sign of abnormality like postpartum depression and needs treatment.
22.
22. The neonatal circulation differs from the fetal circulation because
Correct Answer
A. The fetal lungs are non-functioning as an organ and most of the blood in the fetal circulation is mixed blood.
Explanation
The fetal lungs is fluid-filled while in utero and is still not functioning. It only begins to function in extra uterine life. Except for the blood as it enters the fetus immediately from the placenta, most of the fetal blood is mixed blood.
23.
23. The normal respiration of a newborn immediately after birth is characterized as:
Correct Answer
A. Shallow and irregular with short periods of apnea lasting not longer than 15 seconds, 30-60 breaths per minute
Explanation
A newly born baby still is adjusting to xtra uterine life and the lungs are just beginning to function as a respiratory organ. The respiration of the baby at this time is characterized as usually shallow and irregular with short periods of apnea, 30-60 breaths per minute. The apneic periods should be brief lasting not more than 15 seconds otherwise it will be considered abnormal.
24.
24. The anterior fontanelle is characterized as:
Correct Answer
A. 3-4 cm antero-posterior diameter and 2-3 cm transverse diameter, diamond shape
Explanation
The anterior fontanelle is diamond shape with the antero-posterior diameter being longer than the transverse diameter. The posterior fontanelle is triangular shape.
25.
25. The ideal site for vitamin K injection in the newborn is:
Correct Answer
D. Middle third of the thigh
Explanation
Neonates do not have well developed muscles of the arm. Since Vitamin K is given intramuscular, the site must have sufficient muscles like the middle third of the thigh.
26.
26. At what APGAR score at 5 minutes after birth should resuscitation be initiated?
Correct Answer
A. 1-3
Explanation
An APGAR of 1-3 is a sign of fetal distress which requires resuscitation. The baby is alright if the score is 8-10.
27.
27. Right after birth, when the skin of the baby’s trunk is
pinkish but the soles of the feet and palm of the hands are bluish this
is called:
Correct Answer
B. Acrocyanosis
Explanation
Acrocyanosis is the term used to describe the baby’s skin color at birth when the soles and palms are bluish but the trunk is pinkish.
28.
28. The minimum birth weight for full term babies to be considered normal is:
Correct Answer
C. 2,500gms
Explanation
According to the WHO standard, the minimum normal birth weight of a full term baby is 2,500 gms or 2.5 Kg.
29.
29. The procedure done to prevent ophthalmia neonatorum is:
Correct Answer
B. Crede’s method
Explanation
Crede’s method/prophylaxis is the procedure done to prevent ophthalmia neonatorum which the baby can acquire as it passes through the birth canal of the mother. Usually, an ophthalmic ointment is used.
30.
30. Which of the following characteristics will distinguish a postmature neonate at birth?
Correct Answer
D. Almost leather-like, dry, cracked skin, negligible vernix caseosa
Explanation
A post mature fetus has the appearance of an old person with dry wrinkled skin and the vernix caseosa has already diminished.
31.
31. According to the Philippine Nursing Law, a registered nurse is
allowed to handle mothers in labor and delivery with the following
considerations: 1. The pregnancy is normal.; 2. The labor and delivery is uncomplicated; 3. Suturing of perineal laceration is allowed provided the nurse had special training; 4. As a delivery room nurse she is not allowed to insert intravenous fluid unless she had special training for it.
Correct Answer
B. 1, 2, and 3
Explanation
To be allowed to handle deliveries, the pregnancy must be normal and uncomplicated. And in RA9172, the nurse is now allowed to suture perineal lacerations provided s/he has had the special training. Also, in this law, there is no longer an explicit provision stating that the nurse still needs special training for IV insertion.
32.
32. Birth Control Methods and Infertility: In basal body temperature (BBT) technique, the sign that ovulation has occurred is an elevation of body temperature by
Correct Answer
B. 0.2-0.4 degrees centigrade
Explanation
The release of the hormone progesterone in the body following ovulation causes a slight elevation of basal body temperature of about 0.2 – 0.4 degrees centigrade
33.
33. Lactation Amenorrhea Method(LAM) can be an effective method of natural birth control if
Correct Answer
B. The mother breastfeeds exclusively and regularly during the first 6 months without giving supplemental feedings
Explanation
A mother who breastfeeds exclusively and regularly during the first 6 months benefits from lactation amenorrhea. There is evidence to support the observation that the benefits of lactation amenorrhea lasts for 6 months provided the woman has not had her first menstruation since delivery of the baby.
34.
34. Intra-uterine device prevents pregnancy by the ff. mechanism EXCEPT
Correct Answer
D. Sperms will be barred from entering the fallopian tubes
Explanation
An intrauterine device is a foreign body so that if it is inserted into the uterine cavity the initial reaction is to produce inflammatory process and the uterus will contract in order to try to expel the foreign body. Usually IUDs are coated with copper to serve as spermicide killing the sperms deposited into the female reproductive tract. But the IUD does not completely fill up the uterine cavity thus sperms which are microscopic is size can still pass through.
35.
35. Oral contraceptive pills are of different types. Which type is most appropriate for mothers who are breastfeeding?
Correct Answer
B. Progesterone only
Explanation
If mother is breastfeeding, the progesterone only type is the best because estrogen can affect lactation.
36.
36. The natural family planning method called Standard Days (SDM), is
the latest type and easy to use method. However, it is a method
applicable only to women with regular menstrual cycles between ___ to
___ days.
Correct Answer
B. 26-32 days
Explanation
Standard Days Method (SDM) requires that the menstrual cycles are regular between 26-32 days. There is no need to monitor temperature or mucus secretion. This natural method of family planning is very simple since all that the woman pays attention to is her cycle. With the aid of CycleBeads, the woman can easily monitor her cycles.
37.
37. Which of the following are signs of ovulation? 1. Mittelschmerz; 2. Spinnabarkeit; 3. Thin watery cervical mucus; 4. Elevated body temperature of 4.0 degrees centigrade
Correct Answer
B. 1, 2, & 3
Explanation
Mittelschmerz, spinnabarkeit and thin watery cervical mucus are signs of ovulation. When ovulation occurs, the hormone progesterone is released which can cause a slight elevation of temperature between 0.2-0.4 degrees centigrade and not 4 degrees centigrade.
38.
38. The following methods of artificial birth control works as a barrier device EXCEPT:
Correct Answer
D. Intrauterine device (IUD)
Explanation
Intrauterine device prevents pregnancy by not allowing the fertilized ovum from implanting on the endometrium. Some IUDs have copper added to it which is spermicidal. It is not a barrier since the sperms can readily pass through and fertilize an ovum at the fallopian tube.
39.
39. Which of the following is a TRUE statement about normal ovulation?
Correct Answer
B. It may occur between 14-16 days before next menstruation
Explanation
Not all menstrual cycles are ovulatory. Normal ovulation in a woman occurs between the 14th to the 16th day before the NEXT menstruation. A common misconception is that ovulation occurs on the 14th day of the cycle. This is a misconception because ovulation is determined NOT from the first day of the cycle but rather 14-16 days BEFORE the next menstruation.
40.
40. If a couple would like to enhance their fertility, the following means can be done: 1. Monitor the basal body temperature of the woman everyday to determine peak period of fertility; 2. Have adequate rest and nutrition; 3. Have sexual contact only during the dry period of the woman; 4. Undergo a complete medical check-up to rule out any debilitating disease
Correct Answer
C. 1,2,4
Explanation
All of the above are essential for enhanced fertility except no. 3 because during the dry period the woman is in her infertile period thus even when sexual contact is done, there will be no ovulation, thus fertilization is not possible.
41.
41. In sympto-thermal method, the parameters being monitored to determine if the woman is fertile or infertile are:
Correct Answer
A. Temperature, cervical mucus, cervical consistency
Explanation
The 3 parameters measured/monitored which will indicate that the woman has ovulated are- temperature increase of about 0.2-0.4 degrees centigrade, softness of the cervix and cervical mucus that looks like the white of an egg which makes the woman feel “wet”.
42.
42. The following are important considerations to teach the woman who is on low dose (mini-pill) oral contraceptive EXCEPT:
Correct Answer
B. If the woman fails to take a pill in one day, she must take 2 pills for added protection
Explanation
If the woman fails to take her usual pill for the day, taking a double dose does not give additional protection. What she needs to do is to continue taking the pills until the pack is consumed and use at the time another temporary method to ensure that no pregnancy will occur. When a new pack is started, she can already discontinue using the second temporary method she employed.
43.
43. To determine if the cause of infertility is a blockage of the fallopian tubes, the test to be done is
Correct Answer
B. Rubin’s test
Explanation
Rubin’s test is a test to determine patency of fallopian tubes. Huhner’s test is also known as post-coital test to determine compatibility of the cervical mucus with sperms of the sexual partner.
44.
44. Infertility can be attributed to male causes such as the following EXCEPT:
Correct Answer
C. Sperm count of about 20 million per milliliter
Explanation
Sperm count must be within normal in order for a male to successfully sire a child. The normal sperm count is 20 million per milliliter of seminal fluid or 50 million per ejaculate.
45.
45. Spinnabarkeit is an indicator of ovulation which is characterized as:
Correct Answer
A. Thin watery mucus which can be stretched into a long strand about 10 cm
Explanation
At the midpoint of the cycle when the estrogen level is high, the cervical mucus becomes thin and watery to allow the sperm to easily penetrate and get to the fallopian tubes to fertilize an ovum. This is called spinnabarkeit. And the woman feels “wet”. When progesterone is secreted by the ovary, the mucus becomes thick and the woman will feel “dry”.
46.
46. Vasectomy is a procedure done on a male for sterilization. The organ involved in this procedure is
Correct Answer
D. Vas deferens
Explanation
Vasectomy is a procedure wherein the vas deferens of the male is ligated and cut to prevent the passage of the sperms from the testes to the penis during ejaculation.
47.
47. Breast self examination is best done by the woman on herself every month during
Correct Answer
C. Right after the menstrual period so that the breast is not being affected by the increase in hormones particularly estrogen
Explanation
The best time to do self breast examination is right after the menstrual period is over so that the hormonal level is low thus the breasts are not tender.
48.
48. A woman is considered to be menopause if she has experienced cessation of her menses for a period of
Correct Answer
B. 12 months
Explanation
If a woman has not had her menstrual period for 12 consecutive months, she is considered to be in her menopausal stage.
49.
49. Which of the following is the correct practice of self breast examination in a menopausal woman?
Correct Answer
B. Any day of the month as long it is regularly observed on the same day every month
Explanation
Menopausal women still need to do self examination of the breast regularly. Any day of the month is alright provided that she practices it monthly on the same day that she has chosen. The hormones estrogen and progesterone are already diminished during menopause so there is no need to consider the time to do it in relation to the menstrual cycle.
50.
50. In assisted reproductive technology (ART), there is a need to
stimulate the ovaries to produce more than one mature ova. The drug
commonly used for this purpose is:
Correct Answer
B. ClomipHene
Explanation
Clomiphene or Clomid acts as an ovarian stimulant to promote ovulation. The mature ova are retrieved and fertilized outside the fallopian tube (in-vitro fertilization) and after 48 hours the fertilized ovum is inserted into the uterus for implantation.