Manila Adventist College

School of Nursing
Online Assignment

Name: _______________________

Instruction: Write the correct answer on the space provided and then write your rationale cited from
textbooks, manuals, etc., as a support to your answer.

1. A young primigravida at 12 weeks gestation tells the nurse that she is having a hard time to quit
smoking. The nurse explains to her that smoking during pregnancy is associated with:
A. Low Birth weights C. placenta previa on the third trimester
B. Large for gestational age infants D. Early decelerations during labor

Answer:_____

Rationale:

2. What is the proteolytic enzyme released by the sperm cell to achieve active penetration in the
egg cell’s protective cell membrane?
A. Hyaluronidase C. Spermatogenesis
B. Chlironidase D. Corona radiate

Answer: _____

Rationale:

3. Continuous assessment of fetal well-being after umbilical cord proplapse is accomplished

primarily by?
A. Palpating the cord to determine FHR
B. Observing the patient’s emotional status
C. Determining the station of the presenting part
D. Ensuring that the amniotic fluid contains no meconium

Answer: _____

Rationale:

4. Which of the following assessment findings done by the nurse after birth of the newborn should
be reported to the physician?
A. Newborn has irregular beating C. Fontanelles are slightly elevated
B. Newborn is pink in color D. newborn has vernix caseosa

Answer: _____

Rationale:
 5. A pregnant diabetic client at 16 weeks gestation has her first prenatal check-up. Which of the
following information would be provided if the client undergoes an ultrasound examination?
A. Placental maturity C. gestational age
B. Estimated fetal weight D. Fetal lung maturity

Answer: ____

Rationale:

6. Maternal care according to the DOH guidelines consists of the following except:
A. Care of the pregnant woman
B. Safe delivery of the mother
C. Postnatal care of the infant
D. That the child receives adequate nourishment

Answer: ______

Rationale:

7. Nurse Evelyn is assigned to handle postpartum mothers focusing on home care. She is scheduled
to do a first home visit to Mrs. Sandoval. When is the first postpartum visit typically done?
A. Within a week after discharge C. 6 weeks postpartum
B. 1 week postpartum D. immediately after delivery

Answer: _____

Rationale:

8. Postpartum haemorrhage is defined as loss of how many ml of blood documented in the first 24
hours postpartum?
A. 200 C. 400
B. 300 D. 500

Answer: _____

Rationale:

9. Mrs. Marciano undergoes bilateral tubal ligation after the birth of her 6 th baby. After the
procedure, she is discharged and given instructions. She understood her discharge instructions
when she says..
A. Rest for one week C. Not carry her youngest child
B. Take a bath immediately D. Have a sexual contact with her husband immediately

Answer: ____
Rationale:

10. Kathleen at 32 weeks gestation is advised to have an ultrasound. She has understood the
procedure if she says:
A. Turn client on her left lateral position C. Increased IVF rate
B. Administer oxygen to the patient D. Assess client for maternal hypotension

Answer: ____

Rationale:

11. In doing postpartum assessment, the first hour is most critical. Which of the following
interventions is a priority?
A. Massage uterine fundus gently at the slightest sign of relaxation.
B. Check vital signs until stable.
C. Administer oxytocin as ordered
D. Infuse intravenous fluids as ordered.

Answer: ______

Rationale:

12. Kelly asks about supplemental vitamins that she should take during her pregnancy. Which of the
following should she advised to take in order to enhanced absorption of iron?
A. Warm milk C. Prune juice
B. Orange juice D. Coffee

Answer: ____

Rationale:

13. A nurse on duty at the labor room is assessing Mrs. Arevalo’s amniotic fluid fluid. Which
characteristics of the amniotic fluid indicates fetal distress?
A. Mucus-tinged C. Greenish
B. Colorless D. Pinkish

Answer: ____

Rationale:

14. Client Sharon delivered a healthy term baby boy. She asks the nurse why her baby’s hands and
feet are bluish in color. The nurse refers to this condition as:
A. Port wine stain C. Epstein pearls
B. Acrocyanosis D. Mongolian spots

Answer: ____
Rationale:

15. A client at 37 weeks gestation, started to have a bloody vaginal discharge while doing errands
and was immediately rushed to the ER. What is the nurse’s initial intervention?
A. Monitor FHR every 15 minutes C. Administer oxygen therapy
B. Position the client on her left lateral position D. Start the client on IV tocolytic

Answer: ____

Rationale:

16. Julia, a primigravida is admitted at the medical facility in labor. Which finding indicates that Julia
has achieved the first stage of labor?

A. Presenting part is in station +1

B. Cervical dilatation of 10 cm
C. Cervix is 75% effaced
D. There is severe back pain radiating to the hypogastrium

Answer:

Rationale:

17. Julia is then brought to the delivery room after the physician has examined her. Which of the
following routine procedures should not be done considering her cervical dilatation?
A. Do perineal prep C. Monitor vital signs and FHT

B. Place her on NPO D. Doing a cleansing enema

Answer: ____

Rationale:

18. While assessing a client in labor, which of the following observations should the nurse refer
immediately to the physician?
A. Frequent urination C. Sudden gush of amniotic fluid

B. Blood streaked mucus in the vaginal discharge D. FHT 130/min after uterine
contraction

Answer: ____

Rationale:

19. Which of the following indicates placental separation after delivery of the baby?

1. Protrusion of the umbilical cord

2. Descent of the uterus into the pelvis
 3. Uterus becomes firm and rounded
4. Sudden gush of blood

A. 1, 3, 4 C. 2, 3, 4
B. 1, 2, 4 D. 1, 2, 3

20. A newly delivered baby manifest with outlined color change. When the infant lies on one side,
the lower half of the body becomes pink and the upper half becomes pale. The nurse is correct
when she says that this known as:

A. Erythema toxicum C. Acrocyanosis

B. Harlequin sign D. Mongolian spot

Answer: ____

Rationale:

21. A 28 weeks gestation primigravida is diagnosed with Class 2 heart disease. The nurse instructs
her to contact her physician immediately if she experiences :

A. Mild ankle edema C. Weight gain of one pound a week

B. Emotional stress on the job D. Increase dyspnea at rest

Answer: _____

Rationale:

22. Susan’s last LMP was started on October 12. on her first prenatal check-up, the nurse informs
her that her EDC will be on:

A. June 5 C. July 5
B. June 19 D. July 19

Answer: ____

Rationale:

23. In a childbirth preparation class, the nurse explains that in the postpartum period the process
where the uterus shrinks to it’s prepregnant state is known as:

A. Puerperium C. Involution
B. Subinvolution D. Uterine Atony

Answer: _____

Rationale:
 24. On her first trimester of pregnancy, which of the following hormones is responsible for
maintaining Susan’s pregnancy?

A. HCG C. Estrogen
B. Relaxin D. Progesterone

Answer: ___

Rationale:

25. A sign of pregnancy that relaxes to painless, irregular false labor is known as:

A. Goodell’s sign C. Fetal movement

B. Braxton Hick’s D. Leukorrhea

Answer: ____

Rationale:

PART 2 (NCP)

Case: Pregnancy Induced Hypertension