Bicol University College Of Nursing Legazpi City Name:________________________________________ Pre-Test Section:_________ Date:________________

1. Mrs. White, a pregnant woman, is 54 tall and weighs 130 lbs. Calculate her body mass index.
a.

b. c. d. e.

22 30 24 28

1. What is the best interpretation of Mrs. Whites calculated BMI?

a.

b. c. d. e.

Under weight Normal Overweight Obese

1. Change in the consistency of the lower uterine segment causing extreme softening is referred as:
a.

b. c. d. e.

Hegars sign Chadwicks sign Goodells sign Vaginal sign

1. A pregnant woman came in to the clinic expressing concern about her genitalia that has been observed for a

change in color. The nurse explained the physiology adaptations to pregnancy and stated that this discoloration of the vagina is called: a. b. Hegars sign c. Chadwicks sign d. Goodells sign e. Vaginal sign

1. The easiest method for determining if a womans caloric intake is adequate is assessing: a. Food intake b. Bowel pattern c. Weight she is gaining d. A typical day history or a 24-hour nutrition recall 1. Physical assessment is very important during prenatal visits to evaluate the overall health status of a pregnant
woman. Weight is one indicator of the health status. A pregnant woman on her second trimester of pregnancy should gain how many kilograms per month? a. b. 0.45 c. 1.82 d. 1.36 e. 2

1. A patient on labor is offered ice chips. What is the purpose of giving ice chips to a woman on labor?
a. To reduce a womans anxiety b. To prevent impulses reach the distracted brain c. To promote cutaneous stimulation d. To allow more blood to pool in the uterus, thus alleviating pain

1. A pregnant woman is diagnosed with toxemia or pregnancy induced hypertension. The following are signs of
toxemia apart from: a. Edema of the lower extremities b. Sudden Weight gain c. Blurry vision d. Protein in urine

1. The priority management for Hyperemesis Gravidarum is: a. Eating dry toast or crackers 30 mins before arising in the morning b. Complete bed rest (CBR) c. D5NSS 3L in 24 hours d. Administer Milk of Magnesia 1. Which is true regarding the fontanels of the newborn? a. The anterior is large in shape when compared to the posterior fontanel. b. The anterior is triangular shaped; the posterior is diamond shaped. c. The anterior is bulging; the posterior appears sunken. d. The posterior closes at 18 months; the anterior closes at 8 to 12 months. 1. During the first hours following delivery, the post partum client is given IVF with oxytocin added to them. The
nurse understands the primary reason for this is: a. To facilitate elimination b. To promote uterine contraction c. To promote analgesia d. To prevent infection

1. Which of the following danger sings should be reported immediately during the antepartum period? a. blurred vision b. nasal stuffiness c. breast tenderness d. constipation 1. Mrs. Precilla Abuel, a 32 year old mulripara is admitted to labor and delivery. Her last 3 pregnancies in short stage
one of labor. The nurses decide to observe her closely. The physician determines that Mrs. Abuels cervix is dilated to 6 cm. Mrs. Abuel states that she is extremely uncomfortable. To lessen Mrs. Abuels discomfort, the nurse can advise her to: a. lie face down b. not drink fluids c. practice holding breaths between contractions d. assume Sims position

1. Nurse Luis is assessing the newborns heart rate. Which of the following would be considered normal if the
newborn is sleeping? a. 80 beats per minute b. 100 beats per minute c. 120 beats per minute d. 140 beats per minute

1. Bettine Gonzales is hospitalized for the treatment of severe preecplampsia. Which of the following represents an
unusual finding for this condition? a. generalized edema b. proteinuria 4+

c. blood pressure of 160/110 d. convulsions 1. A client asks the nurse what a third degree laceration is. She was informed that she had one. The nurse explains
that this is: a. that extended their anal sphincter b. through the skin and into the muscles c. that involves anterior rectal wall d. that extends through the perineal muscle. trimester: a. b. Frequency c. Dysuria d. Incontinence e. Burning

1. Which of the following urinary symptoms does the pregnant woman most frequently experience during the first

1. Which of the following situations would alert you to a potentially developmental problem with a child? a. Pointing to body parts at 15 months of age. b. Using gesture to communicate at 18 months. c. Cooing at 3 months. d. Saying mama or dada for the first time at 18 months of age. 1. The uterus has already risen out of the pelvis and is experiencing farther into the abdominal area at about the:
a.

1.

b. c. d. e.

8th week of pregnancy 10th week of pregnancy 12th week of pregnancy 18th week of pregnancy

2. The mother brought her child to the clinic for

that 14 days after starting an oral iron supplement, her childs stools are black. Which of the following is the best nursing response to follow-up check up. The mother tells the nurse the mother? a. I will notify the physician, who will probably decrease the dosage slightly b. This is a normal side effect and means the medication is working c. You sound quite concerned. Would you like to talk about this further? d. I will need a specimen to check the stool for possible bleeding

Rationale: PRE-TEST

1. A. 2. B.
Category Severely underweight Underweight Normal Overweight Obese Class I Obese Class II Obese Class III
3.

OR

BMI range kg/m2 less than 16.0 from 16.0 to 18.5 from 18.5 to 25 from 25 to 30 from 30 to 35 from 35 to 40 over 40

4. A. Hegars sign is the softening of the uterus.

Goodells sign is the change in cervix consistency resembling to that of an earlobe. Chadwicks sign is the increased vascularity of the vagina changing its color from light pink to deep purple or violet. There is no known vaginal sign in pregnancy. 5. B. Chadwicks sign is the increased vascularity of the vagina changing its color from light pink to deep purple or violet. Hegars sign is the softening of the uterus. Goodells sign is the change in cervix consistency resembling to that of an earlobe. There is no known vaginal sign in pregnancy. 6. C. The easiest method for determining if a womans caloric intake is adequate is assessing the weight she is gaining. (Pillitteri, 5th Ed). A typical day history or a 24 hour nutrition recall is the best method for assessing overall nutritional intake. 7. B. Normal weight gain pattern in pregnancy is 1 lb (0.45 kg) per month in the first trimester and 1 lb per week in the second and third trimesters. Meaning to say, in the second and third trimester the pregnant woman should be gaining 4 lbs (1.82 kg) per month. To easily remember the pattern of weight gain in pregnancy is 3-12-12. 3 lbs in the first trimester and 12 lbs each in the second and third trimester. 8. C. In Lamaze method one technique of alleviating pain is by cutaneous stimulation. It is done by effleurage, sacral pressure, thermal stimulation (offering ice chips) and positioning. Preventing impulses to reach the brain is employing the distraction or imagery technique. Reducing a womans anxiety is done by a continuous support system. Allowing more blood to pool in the uterus to alleviate pain is a principle in Dick-Read method. 9. A. Toxemia or Pregnancy induced hypertension has the following manifestations: Edema of the face, hands, ankle and feet, proteinuria, visual disturbances, sudden weight gain, headache, fever. Edema of lower extremity alone is not a sign of toxemia as it is a normal adaptation to pregnancy that is the result of the poor circulation in the lower extremities due to the pressure from the gravid uterus. It is managed by raising the legs above the hip level. Edema of the Lower Extremities plus the upper extremities is a sign of toxemia. 10. C. The priority treatment for Hyperemesis gravidarum is giving 3 L of D5NSS for 24 hours. CBR is also important but the main treatment is D5NSS to replace the lost fluids. Eating dry crackers before arising in

the morning is the management for morning sickness not Hyperemesis gravidarum. Milk of magnesia is an antacid used to manage heartburn in pregnant woman. 11. A. The anterior fontanel is larger in size than the posterior fontanel. Additionally, the anterior fontanel, which is diamond shaped closes at 18 month, whereas the posterior fontanel, which is triangular in shape closes at 8 to 12 weeks. Neither fontanel should appear bulging, which may indicate increases ICP or sunken, which may indicate hydration. 12. B. Oxytocin is a hormone produced by the pituitary gland that produces intermittent uterine contractions, helping to promote uterine involution. 13. A. Danger signs that require prompt reporting are leaking of amniotic fluid, blurred vision, vaginal bleeding, rapid weight gain and elevated blood pressure. Nasal stuffiness, breast tenderness, and constipation are common discomforts associated with pregnancy. 14. D. When the woman is in Sims position, this puts the weight of the fetus on bed, not on the woman and allows good circulation in the lower extremities. 15. B. The normal heart rate for a newborn that is sleeping is approximately 100 beats per minute. If the newborn was awake, the normal heart rate would range from 120 to 160 beats per minute. 16. D. Options A, B and C are findings of severe preeclampsia. Convulsions is a finding of eclampsia an obstetrical emergency. 17. A. Third degree laceration involves all in the second degree laceration and the external sphincter of the rectum. Options B, C and D are under the second degree laceration. 18. A. Pressure and irritation of the bladder by the growing uterus during the first trimester is responsible for causing urinary frequency. Dysuria, incontinence and burning are symptoms associated with urinary tract infection. 19. D. A child should say mama or dada during 10 to 12 months of age. Options A, B and C are all normal assessments of language development of a child. 20. D. On the 8th week of pregnancy, the uterus is still within the pelvic area. On the 10th week, the uterus is still within the pelvic area. On the 12th week, the uterus and placenta have grown, expanding into the abdominal cavity. On the 18th week, the uterus has already risen out of the pelvis and is expanding into the abdominal area.

21. B. When oral iron preparations are given correctly, the stools normally turn dark green or black. Parents of children receiving
this medication should be advised that this side effect indicates the medication is being absorbed and is working well.

a.