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IMMACULATE CONCEPTION COLLEGE-ALBAY A.

6th - 8th week


Daraga, Albay B. 8th - 10th week
NCM 101 (Care of Mother, Child, and Family) C. 10th - 12th week
FINAL EXAMINATION D. 12th – 14th week

Name: _________________________ Block: __________ 1. The fetal heart sounds are audible with an ordinary
stethoscope at the end of:
INSTRUCTIONS: Say your prayers. Read each item carefully. A. 12th week
Choose the best response to each question and shade the B. 16th week
circle of the corresponding letter in the separate answer
sheet provided. Keep your answer sheet clean. Do not make
C. 20th week
any unnecessary markings on your answer sheet. SRICTLY D. 24th week
NO ERASURES. Good luck!
1. Which of the following immunoglobulins crosses the
1. The functions of the ovaries are the following EXCEPT: placenta to provide the fetus a temporary passive
A. Produce, mature, and discharge ova immunity against diseases for which the mother has
B. Produce oxytocin antibodies?
C. Produce estrogen A. IgA
D. Produce progesterone B. IgG
C. IgM
1. The layer of the uterine wall that grows and thickens D. IgE
each menstrual cycle in preparation for implantation is
the: 1. The immunoglobulin described in item no. 12 crosses
A. Endometrium the placenta during the:
B. Myometrium A. 1st trimester
C. Perimetrium B. 2nd trimester
D. Epimetrium C. 3rd trimester
1. What type of pelvis is the most favorable for labor and D. 4th trimester
delivery?
A. Android 1. At20 weeks age of gestation, the fundus is:
B. Gynecoid A. Just above the symphysis pubis
C. Platypelloid B. At the level of the umbilicus
D. Anthropoid C. Midway between the symphysis pubis and the
umbilicus
1. For a woman having a 30-day cycle, ovulation would D. At the level of the xiphoid process
occur on:
A. Day 13 1. When teaching a pregnant woman the position to
B. Day 14 maximize uterine perfusion, the nurse instructs the
C. Day 15 client to lie:
D. Day 16 A. Supine
B. Prone
1. While discussing the growth and development of the C. On her right side
fetus, you were asked by the patient, “During what time D. On her left side
in my pregnancy is my baby most vulnerable?” as a
nurse your best response is: 1. Pregnancy tests are based on detecting the presence of
A. “As your baby is forming in the first 2 months what hormone in the urine or blood serum of a pregnant
because organ development takes place at this woman?
time.” A. Human Placental Lactogen
B. “Throughout your pregnancy.” B. Estrogen
C. “Near the end of your pregnancy.” C. Human Chorionic Gonadotropin
D. “Halfway through your pregnancy: around 20 weeks D. Progesterone
or 5 months.”
1. Which of the following is NOT a positive sign of
1. Ellain, a student nurse, is asked by a patient, “What pregnancy?
determines if my baby’s lungs are mature?” Ellain’s A. Positive pregnancy test
correct response is: B. Audible fetal heart tones
A. Fern test C. Fetal movements felt by an examiner
B. Nitrazine test D. Fetal outline by ultrasound
C. Phosphatidylglycerol test
D. Lecithin-sphingomyelin ratio 1. A pregnant woman asks the nurse if the reddish streaks
on her abdomen will disappear after pregnancy. The
1. The L/S ratio that indicates fetal lung maturity is: nurse’s best response will be:
A. 2:1 A. “Yes. That is only transient and will completely
B. 2:2 disappear after you give birth.”
C. 1:2 B. “Yes. That is only a result of overproduction of
D. 1:1 pigment hormones.”
C. “No. Those reddish streaks will be permanent.”
D. “No. It will be permanent but it will lighten and
1. At about 24th week of pregnancy the fetus starts become barely noticeable.”
producing surfactant. The function of surfactant is to:
A. Lubricate the fetus 1. During a prenatal visit, a pregnant woman complains of
B. Cushion the fetus nasal stuffiness. What will you advise this client for the
C. Increase the surface tension in the alveoli relief of nasal congestion?
D. Prevent collapse of the alveoli A. Oral antihistamine
B. Oral decongestant
1. The portion of the uterus whose significant C. Cold compression
characteristic is to stretch during childbirth is the: D. Saline nasal drops
A. Corpus
B. Fundus 1. A pregnant woman comes to the clinic complaining of
C. Cervix lightheadedness, faintness, and palpitations while lying
D. Internal os down. The nurse based on these data suspects:
A. Supine hypotension syndrome
1. The fetal heart beat can be heard using a Doppler at: B. Orthostatic hypotension
C. Shock A. It facilitates detection of congenital anomalies.
D. Physiologic anemia B. It provides the opportunity to obtain the client’s
baseline data
1. To prevent the occurrence of vena cava syndrome, the C. It determines cephalopelvic proportion.
nurse must instruct a pregnant woman to: D. It serves as the best opportunity for client
A. Lie on her right side preparation for labor and delivery.
B. Lie on her left side
C. Elevate her legs while lying down 1. Which of the following is NOT includes in the first
D. Lie on her back prenatal visit?
A. Leopold’s maneuver
1. What condition is chiefly attributed to cause nausea and B. Complete physical examination
vomiting in pregnant women? C. Laboratory tests
A. Hyperglycemia D. Extensive health history
B. Decreased serum estrogen
C. Decreased serum progesterone 1. As part of gathering Mrs. Evangelista’s health history,
D. Increased serum hCG you asked for her last menstrual period (LMP) and
learned that it was last September 25. Using this data,
1. The psychological task during the first trimester is: when is Mrs. Evangelista’s expected date of delivery?
A. Accepting the baby A. June 29
B. Accepting the pregnancy B. June 30
C. Preparing for parenthood C. July 1
D. Preparing for childbirth D. July 2

1. What is the common emotional reaction by the 1. Mrs. Evangelista asked you how often she should have
expectant parents during the first trimester? her prenatal visits. Knowing that she is in her 4th week
A. Anticipatory role-playing of pregnancy, you will tell her to come to the clinic:
B. Impatience A. Every week
C. Ambivalence B. Every 2 weeks
D. Narcissism C. Every 3 weeks
D. Every 4 weeks
1. To prevent breast discomfort, what kind of bra will you
instruct a pregnant client to wear? 1. You will also tell Mrs. Evangelista that from week 32 to
A. Firm, supportive bra with wide straps week 36 of her pregnancy, she will have to visit the
B. Firm, supportive bra with narrow straps clinic:
C. Loose, push-up bra with wide straps A. Every week
D. Loose, push-up bra with narrow straps B. Every 2 weeks
C. Every 3 weeks
1. What would you instruct a pregnant woman on what to D. Every 4 weeks
use for washing her breasts?
A. Antibacterial soap and water 1. How frequent should a woman on her 36 weeks age of
B. Mild soap and water gestation onwards have her prenatal visit?
C. Water only A. Every week
D. Diluted hydrogen peroxide solution B. Every 2 weeks
C. Every 3 weeks
1. A pregnant woman asks the nurse what is the best D. Every 4 weeks
exercise during pregnancy. The nurse correctly
responds by saying that it is: 1. Mrs. Evangelista has had 3 previous pregnancies. Her
A. Swimming firstborn was delivered full term and is now 7 years old.
B. Jogging She had a miscarriage with her second pregnancy. On
C. Boxing the third time she became pregnant, she bore twins on
D. Walking its 35th week of gestation. One of the twins did not
survive and died just after 2 days following birth but the
1. Which of the following would be a favorable sleeping other one has survived and is now 4 years old. Mrs.
position for a pregnant woman? Evangelista is presently pregnant and is on her 4 weeks
A. Prone age of gestation. Using the GTPALM format, determine
B. Supine Mrs. Evangelista’s OB Score based on the given data.
C. Modified trendelenburg A. Gravida 4, Para 11122
D. Modified Sims’ B. Gravida 4, Para 11121
C. Gravida 4, Para 12122
1. A nurse teaching a primigravid client about prevention D. Gravida 4, Para 12121
of constipation in pregnancy. Which statement if made
by the client indicates the need for further teaching by 1. During the first prenatal visit, the nurse should teach
the nurse? the client how to identify danger signs of pregnancy and
A. “I need to drink at least 8 oz of fluids in a day.” to immediately report any of these signs if they occur.
B. “I have to move my bowel regularly.” Which of the following is NOT a danger sign of
C. “I need to exercise regularly.” pregnancy?
D. “I should avoid roughage in my diet.” A. Continuous and severe headache
B. Blurring of vision
1. Which of the following will be helpful in reducing the C. Swelling of the ankle
pressure on rectal veins in a pregnant woman having D. Bleeding from the vagina
hemorrhoids?
A. Knee-chest position for 10-15 minutes daily
B. Prone position for 10-15 minutes daily 1. For the first trimester, how much is the recommended
C. Semi-Fowler’s position for 10-15 minutes daily weight gain of a pregnant woman?
D. High-Fowler’s position for 10-15 minutes daily A. 1 kg per week
B. 1 kg per month
Situation: Mrs. Evangelista comes to the prenatal clinic for C. 0.4 kg per week
her first prenatal visit after testing positive for pregnancy D. 0.4 kg per month
using a home test kit.
1. For the second and third trimester, how much is the
For Item Nos. 31 to 38, refer to the above situation. recommended weight gain of a pregnant woman?
A. 1 kg per week
1. What is the primary importance of the first prenatal B. 1 kg per month
visit? C. 0.4 kg per week
D. 0.4 kg per month D. Withhold the medication

1. How many additional calories is recommended to meet For Item Nos. 51-60, identify if the statement is referring to
the increased needs of pregnancy? TRUE LABOR CONTRACTIONS or FALSE LABOR
A. 200 kcal CONTRACTIONS. Write your answers in the space provided
B. 250 kcal in the separate answer sheet. STRICTLY NO ERASURES.
C. 300 kcal
D. 350 kcal _________ 51. Do not increase in duration, intensity, and
frequency
1. A pregnant woman was prescribed Ferrous sulfate for
daily iron supplementation. When providing client _________ 52. Begin and remain irregular
instruction, the nurse tells the client to take the
supplement: _________ 53. Achieve cervical dilatation
A. On an empty stomach with milk
B. On an empty stomach with orange juice _________ 54. Often disappear with ambulation or sleep
C. On a full stomach with milk
D. On a full stomach with orange juice _________ 55. Begin irregularly but become regular and
predictable
1. A woman on active labor had an escape (sudden gush)
of clear fluid from the vagina. The FIRST nursing action _________ 56. First felt abdominally and remain confined
to take is: to the abdomen and groin
A. Transfer the woman onto the delivery table
B. Perform an internal examination _________ 57. Do not achieve cervical dilatation
C. Place the woman in a knee-chest position
D. Auscultate the fetal heart tone _________ 58. Increase in duration, intensity, and
frequency
1. The fetus is said to be “engaged” if the fetal head is at
station 0. What anatomical landmark is in line with _________ 59. Felt first in the lower back and sweep
station 0? around the abdomen in a wave
A. Symphysis pubis
B. Ischial spine _________ 60. Continue no matter what the woman’s level
C. Ischial tuberosities of activity
D. Sacral prominence

1. What is the MOST common fetal position?


A. Right occipitoposterior
B. Right occipitoanterior
C. Left occipitoposterior
D. Left occipitoanterior
Have a restful sem
1. What is the correct sequence of the cardinal
movements of labor?
break! Enjoy!
1. Flexion
2. Extension
3. Engagement
– Sir PJ
4. External rotation
5. Expulsion
6. Descent
7. Internal rotation
A. 3,6,1,4,2,7,5
B. 3,6,1,4,7,2,5
C. 3,6,1,7,4,2,5
D. 3,6,1,7,2,4,5

1. Which parameter indicates that a woman in labor can


start pushing?
A. Full cervical effacement
B. 10 cm cervical dilatation
C. Crowning fetal head
D. Rupture of membranes

1. In order to prevent the fetal head from being expelled


too rapidly, it should be delivered between contractions.
To accomplish this, you instruct the mother to:
A. Push with contractions
B. Pant with contractions
C. Perform long, sustained pushing
D. Push as hard as she can

1. Which of the following actions is your priority


immediately after the delivery of the head?
A. Suction out the infant’s mouth using a bulb syringe
B. Inspect for a nuchal cord
C. Wipe the infant’s nostrils with a sterile gauze
D. Apply Crede’s prophylaxis into the newborn’s eyes

1. Methylergonovine maleate (Methergine) 0.2 mg IM is


ordered for a client to stimulate uterine contraction
after delivery of the placenta. Prior to administering the
medication, you assessed the client’s blood pressure
and obtained a reading of 150/90 mm Hg. What is the
most appropriate action in this situation?
A. Give the medication
B. Reassess client’s BP after 15 minutes
C. Give oxytocin instead