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1. Situation: The goals of perinatal education are to D. "Exposure to

help parents become knowledgeable consumers take teratogens poses
active role in maintaining health during pregnancy. the greatest risk
Anna a 25 year old Gravida 3 Para 2 seeks prenatal during the first
consultation. eight weeks."

1. Nurse Yolly discusses Teratogens with a client

during pre-conceptual counseling. The client demon-
strates understanding by stating:

A. "I should stop taking all my medications while I am

pregnant."
B. "The fetus is at greatest risk for developing anom-
alies during the first 16 weeks of pregnancy."
C. "After 12 weeks, the placenta protects the fetus
from teratogens."
D. "Exposure to teratogens poses the greatest risk
during the first eight weeks."

2. 2. Anna had her menstruation last April 12, 2014. She A. April 25, 2014
has a 27-day cycle. Given the scenario, the expected
date of next ovulation is:

A. April 25, 2014

B. April 26, 2014
C. May 25, 2014
D. May 26, 2014

3. 3. Following an ultrasound at 6 weeks gestation, the C. "The embryo

client comments, "The embryo doesn't look human." becomes a fetus
She asks, "When will it begin to look like a baby?" The and looks human
nurse's best response is: after 8 weeks ges-
tation."
A. "In one more week the embryo will take on a human
appearance."
B. "The embryo looks like a baby already. Let me
show you again."
C. "The embryo becomes a fetus and looks human
after 8 weeks gestation."
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D. "You are right, the embryo doesn't look human. Is
this important to you?"

4. 4. Carla another patient in the clinic just found out A. January 17

that she is pregnant. She asks when would be her de-
livery date. What is the expected date of confinement
(EDC) of a pregnant woman whose menstruation was
from April 10 to April 13?

A. January 17
B. January 20
C. July 17
D. July 20

5. 5. The nurse noted the Fundic height of Anna is at C. 20 weeks

the level of the umbilicus. In documenting the data
using Bartholomew's rule, the most probable age of
gestation (AOG) in week is :

A. 12 weeks
B. 16 weeks
C. 20 weeks
D. 32 weeks

6. Situation: A pregnant woman is monitored continu- A. Increased

ously for a range of signs and symptoms that indicate hematocrit
potential complication. Nurse Carol attends to differ-
ent discomforts and problems of pregnant women.

6. Carol an O.P.D nurse admitted Mrs. Felia to the an-

tepartum unit with a diagnosis of severe Hypereme-
sis Gravidarum. When the nurse reviews the laborato-
ry tests, she would expect which of these findings?

A. Increased hematocrit
B. Decreased blood urea nitrogen
C. Increased potassium
D. Low urine specific gravity

7. D. VDRL
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7. Nurse Carol suspects presence of sexually trans-
mitted infection to Mrs. Felia specifically Syphilis to
a pregnant client. Which of the following tests will be
recommended to the client to confirm diagnosis?

A. Complete blood count

B. Urinalysis
C. Benedict's test
D. VDRL

8. 8. Mrs. Ibrado a 26 year old Primigravida is being D. Fetal heart

prepared for a nonstress test. This is an assessment sounds increase
test based on what phenomenon? in connection with
fetal movement.
A. Braxton-Hicks contractions cause fetal heart rate
alterations.
B. Fetal heart rate slows in response to a uterine
contraction.
C. Fetal movement causes an increase in maternal
heart rate.
D. Fetal heart sounds increase in connection with
fetal movement.

9. 9. After a non-stress test is completed, Nurse Ibrado A. Reactive test

observes on a monitor of the fetal strip results that
the fetal heart rate accelerated 15 BPM with each fetal
movement. The acceleration lasted for 20 seconds
and occurred 3 times during the 20 minute test. The
Nurse is correct in interpreting the test as a:

A. Reactive test
B. Non- reactive test
C. Positive test
D. Negative test

10. 10. Another client is also scheduled for Amniocente- B. Premature la-
sis. Nurse Carol explains to the client that one of the bor
risks of amniocentesis is:

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A. Rupture of membranes
B. Premature labor
C. Fetal death
D. Malformation

11. Situation: The client in active labor is admitted in the a. No late decel-
labor room. erations after any
contractions on a
11. The nurse is assessing the fetal heart monitor strip with three
strip of a client having a contraction stress test. contractions with-
Which of the following, if noted by the nurse, would in a 10-minute
indicate a negative test? time frame.

a. No late decelerations after any contractions on a

strip with three contractions within a 10-minute time
frame.
B. Late decelerations after at least 2 contractions on a
strip with three contractions within a 10-minute time
frame.
C. Late decelerations after one contraction on a
strip with three contractions within a 10-minute time
frame.
D. An increase in fetal heart rate after three contrac-
tions within a 10-minute time frame.

12. 12. The client complains of feeling tired and thirsty. B. the digestive
The nurse evaluates that the mother understand the process is normal-
reason for taking only small sips of water and ice ly slower during la-
chips during labor. Which of the following statement bor
expressed by the mother would reflect she under-
stands the situation? When:

A. the body normally has a sufficient store of energy

B. the digestive process is normally slower during
labor
C. the intestinal tract should be completely empty
before delivery in order to avoid infecting the baby
D. Cesarian section is always a possibility even in
normal labor

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13. 13. Kim, a 27 year old, multigravida client, has been C. The perineum
transferred to the delivery room after spontaneous is thin and stretch-
rupture of membrane and crowning was noted by ing around the oc-
the nurse in charge. You know that your teaching ciput.
has been effective when the laboring client's partner
shouts, "She's crowning!" as:

A. You first start to see a little of the baby's head.

B. The baby's head recedes upward between pushing
contractions.
C. The perineum is thin and stretching around the
occiput.
D. The mouth and nose are being suctioned.

14. 14. To deliver her infant, a woman is ask to push C. Head elevated,
with contractions to deliver. Ensuring the standards grasping knees,
of nursing practice, which of the following is the most breathing out.
effective and safest pushing technique to teach her?

A. Lying supine with legs in lithotomy stirrups.

B. Squatting while holding her breath.
C. Head elevated, grasping knees, breathing out.
D. Lying on side, arms grasped on abdomen.

15. 15. The delivery room nurse based on the standards B. To relieve pres-
of nursing practice, episiotomy is usually indicated sure on the fetal
for which of the following purposes? head.

A. To prevents distention of the bladder.

B. To relieve pressure on the fetal head.
C. To aid in contraction of the uterus following deliv-
ery.
D. Done primarily for the physician's benefit.

16. 16. The Nurse in the delivery room is attending to Mrs. A. Massage the
Cruz on labor to make sure that maternal injury will fundus regularly
be prevented during the postpartum period. Which of
the following instruction should the nurse consider
to prevent postpartum hemorrhage?
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A. Massage the fundus regularly

B. Postpone breastfeeding of the baby- encourage
breastfeeding to stimulate release of oxytocin there-
by promoting uterine contraction
C. Apply warm compress to her abdomen
D. Have bed rest and avoid early ambulation- encour-
age ambulation

17. 17. When the placenta has been delivered, the first A. Inspect the pla-
thing the nurse should do in adherence with the stan- centa for com-
dards of nursing practice is to: pleteness of the
cotyledons
A. Inspect the placenta for completeness of the
cotyledons
B. Palpate the uterus to see if it is contracted
C. Administer oxytoxic agents as ordered
D. Estimate the blood loss to detect any bleeding

18. 18. The delivery room nurse palpates the client's A. Oxytocin
fundus immediately after delivery of the placenta (Pitocin)
and assess that it is boggy. The nurse massages
the patient's uterus until it is firm. Considering ev-
idence-based nursing practice, which medication
would the nurse anticipate might need to be adminis-
tered if the uterus becomes boggy again?

A. Oxytocin (Pitocin)
B. Ibuprofen
C. Rho (D) immnune globulin (RhoGAM)
D. Magnesium sulfate

19. 19. Mrs. Evita 28 years old gave birth through Ce- B. 4 to 5 days post-
sarian section. The Nurse examines her and identify partum
the presence of lochia serosa and feels the fundus
4 fingerbreadths below the umbilicus. This indicated
that the time elapsed is:

A. 1 to 3 days postpartum

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B. 4 to 5 days postpartum
C. 6 to 7 days postpartum
D. 8 to 9 days postpartum

20. 20. In assessing a new mother's response to her son's a. Talkativeness

birth on the first post partum day, which behavior and dependency
does the Nurse expect to find present?

a. Talkativeness and dependency

b. Autonomy and Independence
c. Disinterest in her own body function
d. Interest in learning to care for the baby

21. Situation: A Maternal-Child staff nurse is attending to B. Low placental

the pregnant mothers with varied obstetric disorders. implantation
A comprehensive assessment was conducted. One
of the clients seeks further question regarding Pla-
centa Previa.

21. Which of the following would be the physiologic

basis for a Placenta Previa?

A. A loose placental implantation.

B. Low placental implantation.
C. A placenta with multiple lobes.
D. A uterus with a midseptum.

22. 22. A patient diagnosed with Placenta Previa should C. Avoid sexual in-
be given specific instruction before discharge from tercourse
the hospital. To ensure standards of nursing practice,
which among the following should be considered by
the nurse as part of instruction to the client?

A. Eat a low calorie diet

B. May resume with regular exercise if minimal bleed-
ing has been noted.
C. Avoid sexual intercourse.
D. Avoid intake of spicy foods.- hemorrhoids

23. B. Rh positive
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23. Another pregnant mother wants to be clarified on
her laboratory studies which reveals blood Type -A
and she is Rh negative. Problems related to incom-
patibility may develop in her infant if the infant is:

A. Type O
B. Rh positive
C. Delivered preterm
D. Type B, Rh negative

24. 24. An Obstetric nurse is assessing a 39 year old B. If the result of

pregnant woman who is married to an American citi- Indirect Coomb's
zen and Rh negative, is seen by the Physician during test is negative
the first trimester of pregnancy. A test to detect pres-
ence of antibodies was conducted to her. The nurse's
teaching is effective if the client understands that she
will first receive Rho (D) immunoglobulin (RhIg):

A. If the result of Indirect Coomb's test is positive

B. If the result of Indirect Coomb's test is negative
C. If the result of Direct Coomb's test is positive
B. If the result of Direct Coomb's test is negative

25. 25. During the prenatal visit the Nurse explains fur- b. Within 72 hours
ther to a client who is Rh negative that RhoGAM will after delivery if in-
be administered: fant is found to be
Rh positive
a. Weekly during the ninth month, because this is her
third pregnancy
b. Within 72 hours after delivery if infant is found to
be Rh positive
c. During the second trimester , if an Amniocentesis
indicates a problem
d. To her infant , immediately after delivery if the
Coomb's test is positive

26. Situation: The birth process affects the physiologic A. place a hand
systems of the mother and the fetus. Staff nurse gently on the fetal
Jamie is assigned in the Labor and Delivery Room

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Area. head to guide de-
livery.
26. A G7P 6 woman is in the hospital only 15 minutes
when she begins to deliver precipitously. The fetal
head begins to deliver as you walk into the labor
room. The best action of Nurse Jamie would be to:

A. place a hand gently on the fetal head to guide

delivery.
B. ask her to push with the next contraction so deliv-
ery is rapid.
C. assess blood pressure and pulse to detect placen-
tal bleeding.
D. attach a fetal monitor to determine fetal status.

27. 27. Nurse Jamie in a labor room is preparing to care B. Provide pain re-
for a hypertonic uterine dysfunction. The nurse ob- lief measures
served that the client is experiencing uncoordinated
contractions and erratic in their frequency, duration
and intensity. The priority nursing intervention in car-
ing for the client is to:

A. Monitor the oxytocin (Pitocin) infusion closely

B. Provide pain relief measures
C. Prepare client for amniotomy
D. Promote ambulation every 30 minutes

28. 28. Mrs. Barbara 34 years old is being admitted in the D. In the back hall-
hospital unit for severe Preeclampsia. When deciding way where there
on where to place her, which of the following areas is a quiet, private
would be most appropriate? room.

A. By the nursery so she can maintain hope she will

have a child.
B. Near the elevator so she can be transported quick-
ly.
C. Near the nurse's station so she can be observed
closely.

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D. In the back hallway where there is a quiet, private
room.

29. 29. The Physician orders intravenous Magnesium b. Calcium Glu-

Sulfate for Mrs. Barbara. Which of the following med- conate
ications would the Nurse has readily available at the
client's bedside?

a. Diazepam (Valium )
b. Calcium Gluconate
c. Hydralzine (Apresoline)
d. Phynetoin ( Dilantin )

30. 30. Which of the following signs would alert the d. Hyporeflexia
Nurse that Mrs. Barbara's whose latest blood pres-
sure 160/110, may be about to experience a seizure?

a. Decreased contraction intensity

b. Epigastric pain
c. Decreases temperature
d. Hyporeflexia

31. Situation: As a Pediatric Nurse you are confronted C. respond to her

with varied concerns regarding growth and develop- consistently.
ment from parents, teachers, and children. The nurse
recognizes the need for health supervision and antic-
ipatory guidance for these groups.

31. The best way for an infant's father to help his child
complete the developmental task of the first year is
to:

A.expose her to many caregivers to help her learn

variability.
B. talk to her at a special time each day.
C. respond to her consistently.
D. keep her stimulated with many toys.

32. 32. Whenever the parents of a 10-month-old leave

their hospitalized child for short periods, he begins to
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cry and scream. The nurse explains that this behavior B. Is experiencing
demonstrates that the child: separation anxi-
ety.
A. Needs to remain with his parents at all times.
B. Is experiencing separation anxiety.
C. Is experiencing discomfort.
D. Is extremely spoiled.

33. 33. Dennis, a preschooler sees you pour his liquid A. the amount of
medicine from a tall, thin glass into a short, wide one, medicine is less
he will probably reason that: (the glass is not as
full).
A. the amount of medicine is less (the glass is not as
full).
B. the amount of medicine did not change, only the
appearance.
C. pouring medicine hurts it in some way because it
changes.
D. the glass changed shape to accommodate the
medicine.

34. 34. A school nurse prepares a lecture on Puberty A. "The appear-

changes for first year high school girls. She asks the ance of breast
group, "What is the first sign of Puberty?" A student buds."
correctly replies :
A. "The appearance of breast buds."
B. "An increase in energy and appetite."
C. "The occurrence of the first menarche."
D. "Appearance of body odor."

35. 35. When encouraging the hospitalized physically A. provide the op-
challenged or chronically ill adolescent to develop portunity for in-
and maintain a sense of identity, you would: dividual decision
making.
A. provide the opportunity for individual decision
making.
B. provide physical comfort to the individual.
C. ask the parents what the adolescent is capable of
doing.

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D. provide care until the adolescent insists on being
independent.

36. Situation: A Pediatric Nurse formulates a Nursing B. tell her to come

Care Plan to children with different health disorders. outside the play-
room for the injec-
36. A school-age child needs 5 units of regular insulin tion.
to be administered. She is in the playroom when you
are ready to give the injection. Your best action would
be to:

A. inject it in the playroom; insulin injections do not

hurt.
B. tell her to come outside the playroom for the injec-
tion.
C. ask the other children if they would mind if you
gave the injection in the playroom.
D. ask the girl if she would mind if you gave the
injection in the playroom.

37. 37. Which toy would you expect to provide the best C. A syringe
therapeutic play for a child who has to receive daily to practice injec-
medicine injections? tions.

A. An anatomically correct puppet.

B. A doll with a cast in place.
C. A syringe to practice injections.
D. A stuffed bear with Band-Aids.

38. 38. A 3-year-old is admitted to the hospital for eye D. Ask her if
surgery. You provide her with a doll and syringe for she thinks having
therapeutic play. She sticks the doll in the eye with the surgery is punish-
syringe and says, "You won't watch TV again when I ing her.
tell you not to!" What is your best response to this?

A. Ask her if she ever accidentally stuck herself in the

eye.
B. Explain that nurses never give injections into eyes.
C. Pretend that you are the doll and say, "Ouch!"

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D. Ask her if she thinks having surgery is punishing
her.

39. 39. An infant's mother does not visit her in the hos- D. development of
pital for 3 days. The infant cries insistently for her a sense of de-
during this time, and then becomes extremely quiet spair.
and withdrawn. This reaction best indicates:

A. the infant's temperament is resistant.

B. the infant is denying she is hospitalized.
C. beginning fatigue from illness.
D. development of a sense of despair.

40. 40. Visiting is limited to 10 minutes every hour in the C. avoid perform-
intensive care unit where a child is receiving care. In ing procedures
order not to disrupt the child-parent time you would: during family vis-
its.
A. perform procedures during visiting hours to as-
sure the parents that their child is receiving continual
care.
B. leave the immediate care area while the parents are
visiting.
C. avoid performing procedures during family visits.
D. tell the parents to perform all care while they are
visiting.

41. Situation: Nurse Paterno a Pediatric Nurse enjoys A. He states he is

taking care of children in the ward even though it is tired and wants to
so difficult and takes so much time to attend to their sleep.
needs.

41. Elvis 8 months old was diagnosed with Acute

Laryngotracheobronchitis (LTB) and is managed in-
side a mist tent. As Nurse Paterno conducts assess-
ment, which of the following observations would lead
her to suspect that airway occlusion is occurring?

A. He states he is tired and wants to sleep.

B. His respiratory rate is gradually increasing.

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C. His cough is becoming harsher.
D. His nasal discharge is increasin

42. 42. A child is scheduled for a Myringotomy with place- D. To equalize

ment of Tympanostomy tube. What is the goal of this pressure in the
procedure that Nurse Paterno will discuss with the tympanic mem-
parents? brane

A. To decrease infection in the ear

B. To irrigate the eustachian tube
C. To correct a malformation in the inner ear
D. To equalize pressure in the tympanic membrane

43. 43. An 8 year old female child was admitted in the D. a sore throat
hospital with medical diagnosis of Acute Rheumatic
fever. When obtaining a health history from the child's
mother, the nurse should ask the questions to deter-
mine if the child was recently ill with:

A. Mumps
B. Measles
C. a viral flu
D. a sore throat

44. 44. You would teach the mother of a boy with Tetralo- D. place him in
gy of Fallot (TOF) that if he suddenly becomes cyan- a knee-chest posi-
otic and dyspneic to: tion.

A. place him in a semi-Fowler's position in an infant

seat.
B. lie him supine with the head turned to one side.
C. lie him prone, being sure he can breathe easily.
D. place him in a knee-chest position.

45. 45. Dyspnea, cough, weight gain, weakness, and ede- A. Pericarditis
ma are classic signs and symptoms of which condi- B. Hypertension
tion? C. Myocardial in-
farction (MI)
A. Pericarditis D. Heart failure
B. Hypertension
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C. Myocardial infarction (MI)
A. Pericarditis
B. Hypertension
C. Myocardial infarction (MI)
D. Heart failure

46. Situation: There are varied Pediatric disorders that B. Tracheoe-

require comprehensive assessment and nursing in- sophageal Fistula
terventions. The following scenarios refer to health
problems of children.

A. Hirschsprung's disease
B. Tracheoesophageal Fistula
C. Pyloric stenosis
D. Intussusception

47. 47. A Pediatric Nurse admitted a post cleft palate re- B. Prone.
pair child and immediately the nurse should position
the child:

A. Left side lying.

B. Prone.
C. Dorsal recumbent.
D. Semi Fowler's.

48. 48. Another neonate is suspected of having a tra- D. feeding nothing

cheoesophageal fistula. Priority nursing care until the by mouth
diagnosis is confirmed includes:

A. monitoring the neonate carefully during and after

feedings
B. elevating the neonate's head after feedings
C. feeding only glucose
D. feeding nothing by mouth

49. 49. Upon interviewing the parents of the child with B. Streptococcal
Acute Glomerulonephritis, the nurse understands throat infection 2
that which information collected is most often asso- weeks prior to di-
ciated with this condition? agnosis

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A. Nausea and vomiting for the last 24 hours
B. Streptococcal throat infection 2 weeks prior to
diagnosis
C. History of urinary tract infection for 5 days
D. Pruritus for 1 week prior to diagnosis

50. 50. A newly admitted 5-year old child in the Pediatric C. All the pants
ward is diagnosed with Wilm's Tumor. Upon initial have become tight
interview, the nurse would be most concerned about around the waist.
which statement by the child's mother?

A. My child has lost 3 pounds in the last month.

B. Urinary output seemed to be less over the past 2
days.
C. All the pants have become tight around the waist.
D. The child prefers some salty foods more than oth-
ers.

51. Situation: A newly married couple Berta and Bart C. Sympto-ther-

wants to practice Family Planning to prepare a good mal Method
future for their family. Nurse Bing a Family Planning
Counselor is planning a lecture regarding the differ-
ent methods of family planning.

51. Which of the following family planning method

which identifies the fertile and infertile days of the
menstrual cycle as determined through a combina-
tion of observations made on the cervical mucus,
basal body temp recording and other signs of ovula-
tion?

A. Basal Body Temperature

B. Standard Days Method
C. Sympto-thermal Method
D. Lactational Amenorrhea Method

52. 52. During a family planning seminar conducted in D. "No, Once

the Barangay Health Center, Nurse Bing was asked you stop us-
by Berta, a married woman who wants to try using ing the contracep-

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contraceptives, if it is true that contraceptives will tive method, you
render couples sterile. Nurse Bing's response should can have children
be: again."

A. "Yes, It's true."

B. "Yes, If you are already using it for more than 3
months."
C. "No, It will not cause sterility if you are also using
condoms."
D. "No, Once you stop using the contraceptive
method, you can have children again."

53. 53. Bart the husband, further asked Nurse Bing if con- D. "No, it can
traceptive method will result to loss of sexual desire. actually enhance
Nurse Bing's most appropriate response would be: you sexual rela-
tionship."
A. "No, but it will make you uncomfortable with your
sexual relationship."
B. "Yes, it causes lack of sexual desire of the male
partner."
C. "Yes, it causes lack of sexual desire of the female
partner.'
D. "No, it can actually enhance you sexual relation-
ship."

54. 54. In a CHN class, a student asked Mr. Pablo, the A. "No, family
Clinical Instructor, if family planning methods can planning prevents
cause abortion. As an instructor, Mr. Pablo's re- pregnancy, but it
sponse should be: does not termi-
nate pregnancy."
A. "No, family planning prevents pregnancy, but it
does not terminate pregnancy."
B. "No, family planning puts a pregnant woman at risk
for miscarriage, but not abortion."
C. "Yes, family planning can cause abortion."
D. "Yes, if the couple is using the artificial methods of
family planning."

55.

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55. Nurse Maja, a Public Health Nurse (PHN), is as- B. Ensure avail-
signed in conducting seminars on Family Planning ability of fami-
Program in the different Barangays. She is aware that ly planning sup-
the roles of PHNs on Family Planning Program are the plies and lo-
following EXCEPT: gistics for the
PHNs and other
A. Provide counseling among the clients to help in- barangay health
crease family planning acceptors and avoid default- workers only.
ers.
B. Ensure availability of family planning supplies and
logistics for the PHNs and other barangay health
workers only.
C. Provide packages of health services among repro-
ductive age group in all health facilities.
D. Inform the clients about the importance and bene-
fits/advantages/disadvantages of family planning.

56. Situation: Nurse Maja continues to expand her roles A. Adolescent

by actively participating in the activities of the Screening
Health Center in collaboration with the Department of
Health.

56. Which of the following is not included in the Child

Health Programs of the DOH?

A. Adolescent Screening
B. Expanded Program on Immunization
C. Dental Health
D. Micronutrient Supplementation

57. 57. Breastfeeding is the most essential feeding for A. Infant and
infants that has nutritional , immunologic values childhood morbidi-
and maternal advantages for the mother. Exclusive ty and mortality
breastfeeding during the first half-year of life is an
important factor that can prevent:

A. Infant and childhood morbidity and mortality

B. Infant and childhood Mental Disorders

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C. Occurrence of Cancer
D. Occurrence of Heart Disease

58. 58. Rona, G1P1, is on her 2nd post partum day. She D. giving the baby
asks Nurse Maja about the definition of exclusive breast milk only.
breastfeeding. Nurse Maja responds based on his Drops or syrups
knowledge that exclusive breastfeeding means: consisting of vita-
mins, mineral sup-
A. giving the baby breast milk and water only. plements, or med-
B. giving the baby breast milk and solid food only. icines should not
C. giving the baby breast milk and drops or syrups yet be given until
consisting of vitamins, mineral supplements, or med- the 6th month of
icines only. life.
D. giving the baby breast milk only. Drops or syrups
consisting of vitamins, mineral supplements, or med-
icines should not yet be given until the 6th month of
life.

59. 59. The following are the benefits of breastfeeding to C. Safely dehy-
the infants EXCEPT: drates and pro-
vides essential nu-
A. Provides a nutritional complete food for the young trients to a sick
infant. child.
B. Strengthens the infant's immune system, prevent-
ing many infections.
C. Safely dehydrates and provides essential nutrients
to a sick child.
D. Increases IQ points.

60. 60. During a Ward class in the Obstetric Ward of a B. "It reduces the
community hospital, a mother asked the Nurse re- woman's risk of
garding the benefits of breastfeeding to the mothers. excessive blood
The Nurse best response would be: loss after birth."

A. "It increases the woman's risk of excessive blood

loss after birth."
B. "It reduces the woman's risk of excessive blood
loss after birth."
C. "It provides artificial methods of delaying pregnan-

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cies."
D. "It increases the risk of ovarian and breast cancers
and osteoporosis."

61. Situation: As a Community Health Nurse, you must be B. Occupational

aware of the different legal laws related to health care Health Act
to promote awareness on proper health teaching to
the people.

61. Republic Act 1054 is known as the:

A. School Health Act

B. Occupational Health Act
C. Mother and Child Health Act
D. Family Health Act

62. 62. A muriatic acid factory has 195 workers. As man- D. Occupational
dated by Republic At 1054, the factory needs to have health nurse

A. A graduate first aid provider

B. Part time physician & dentist
C. Full time physician & dentist
D. Occupational health nurse

63. 63. Almost all Hospitals in the Philippines observe the C. RA 7600
Rooming-In and Breastfeeding Act of 1992 which is:

A. RA 6700
B. RA 9800
C. RA 7600
D. RA 8900

64. 64. It is mandated that a Community health Nurse C. PD 6

must be aware of the Universal Law on Immunization
which is the:

A. PD 4
B. PD 5
C. PD 6
D. PD 7
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65. 65. Nurse Rona explains to the mother the importance A. EO 51

of Breastfeeding which is based on Milk Code of :

A. EO 51
B. PD 51
C. EO 15
D. PD 15

66. 66. Nurse Dorothy is preparing to administer vacci- D. Use one sy-
nations to children. She knows that the following are ringe one needle
correct EXCEPT: for all the chil-
dren receiving the
A. The vaccination schedule should not be restarted same vaccination.
from the beginning even if the interval between doses
exceeded the recommended interval by months or
years.
B. Giving doses of a vaccine at less than the rec-
ommended 4 weeks interval may lessen the antibody
response.
C. Lengthening the interval between doses of vac-
cines leads to higher antibody levels.
D. Use one syringe one needle for all the children
receiving the same vaccination.

67. 67. Rose, a mother of a 7-month-old baby, is asking D. Dengue

the nurse in the Health Center regarding the 7 vaccine
preventable diseases. All of the following diseases
are included EXCEPT:

A. Diphtheria
B. Measles
C. Poliomyelitis
D. Dengue

68. 68. Kurt, 4 years old, has Measles. His mother asks the B. immunity from
nurse if there is a chance that Kurt will contract the Measles is lifelong
virus again. The nurse's response should be based after the first at-
on her knowledge that: tack.

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A. reactivation of old infection is common with
Measles.
B. immunity from Measles is lifelong after the first
attack.
C. no immunity is induced by the infection.
D. immunity from Measles is just for 6 months after
the first attack.

69. 69. When can you say that a child is already a "Fully D. If he received
Immunized Child"? one dose of BCG,
3 doses of OPV,
A. If he received one dose of BCG, 3 doses of OPV, 2 3 doses of DPT,
doses of DPT, 3 doses of HB and one dose of measles 3 doses of HB
before his/her first birthday. and one dose
B. If he received two doses of BCG, 3 doses of OPV, 3 of measles before
doses of DPT, 3 doses of HB and one dose of measles his/her first birth-
before his/her first birthday. day.
C. If he received one dose of BCG, 2 doses of OPV, 3
doses of DPT, 3 doses of HB and one dose of measles
before his/her first birthday.
D. If he received one dose of BCG, 3 doses of OPV, 3
doses of DPT, 3 doses of HB and one dose of measles
before his/her first birthday.

70. 70. Annabelle, a new mother, asks the nurse about the C. "BCG given
purpose of the first BCG vaccination given to her son. at earliest possi-
The nurse's best response should be: ble age protects
the possibility of
A. "An early start with BCG reduces the chance of TB meningitis and
severe pertussis." other TB infections
B. "The extent of protection against polio is increased in which infants
the earlier the BCG is given." are prone."
C. "BCG given at earliest possible age protects the
possibility of TB meningitis and other TB infections
in which infants are prone."
D. "An early start of BCG reduces the chance of be-
ing infected and becoming a carrier. It prevents liver
cirrhosis and liver cancer."

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71. 71. A Public health nurse prepares the necessary B. 1,5
equipment before immunization. Which of the follow-
ing vaccines is/are most sensitive to heat?

1. OPV
2. DPT
3. BCG
4. HepB
5. Measles

A. 1,3,5
B. 1,5
C. 2,3,4
D. 2,4

72. 72. This is a practice in immunization that aims to A. "first expiry and
assure that all vaccines are utilized before its expiry first out"
date.

A. "first expiry and first out"

B. "last expiry and last out"
C. "first expiry and last out"
D. "last expiry and first out"

73. 73. Nurse George, the Public Health Nurse is prepar- C. Subcutaneous-
ing to administer Measles vaccine. He knows that this ly
vaccine is administered:

A. Orally
B. Intradermally
C. Subcutaneously
D. Intramuscularly

74. 74. Nurse George administered DPT1 to Baby Lynzee. B. pus formation
Maria, Lynzee's mom, asked Nurse George about within 3 months
what she needs to expect after the administration
of DPT1? The Nurse response would be based on
his knowledge of the following side effects of DPT
EXCEPT:

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A. fever within 24 hours

B. pus formation within 3 months
C. swelling within 3-4 days
D. pain within 3-4 days

75. 75. Rosalie, 2 months pregnant, came to the health B. at least 4 weeks
center for her first dose of Tetanus Toxoid Immuniza- later
tion. After the administration, she asks the nurse
when she needs to come back for the next dose. The
nurse's response should be:

A. after one year

B. at least 4 weeks later
C. at least 4 months later
D. after 6 months

76. 76. Nurse Harold, a new Public health Nurse, upon B. in the RHU
conducting his assessment following the integrated
case management process in the Rural Health Unit,
classified Baby Lou under the color yellow. He knows
that the management of baby Lou will be done:

A. at home
B. in the RHU
C. in the ambulance, on their way to the hospital
D. in the hospital

77. 77. The following are the danger signs that need to be C. Fever
assessed following the Integrated Case Management
process EXCEPT:

A. Convulsions
B. Vomits everything
C. Fever
D. Unable to drink

78. 78. Which of the following statements made by a D. My son sleeps

mother about her one year old son reflects a need for more often than
immediate referral? usual
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A. My son is restless at all times

B. My son drinks normally
C. My son's eyes looks sunken
D. My son sleeps more often than usual

79. 79. What would be the most appropriate way to mea- C. Lay the child
sure the height and weight of a 13-month-old child? down to measure
length, and then
A. Stand the child on the scale for weight, and then lay the child on a
measure the height with the child standing up. baby scale.
B. Lay the child down to measure length, and then
stand the child on the scale.
C. Lay the child down to measure length, and then lay
the child on a baby scale.
D. Stand the child up to measure height, and then lay
the baby on the baby scale for weight.

80. 80. Nurse Harold is reviewing the appropriate ap- C. Environmental

proach of health promotion. Which of the following sanitation
defined as the study of all factors in man's physical
environment, which may exercise a deleterious effect
on his well-being and survival?

A. Food sanitation
B. Excreta disposal
C. Environmental sanitation
D. Water sanitation

81. Situation: Barangay Dionisia is situated in a remote A. Diarrhea and

area. The Public Health Nurse conducted several Stomachache
health training programs regarding Herbal plants that
would be useful in the treatment of illness and health
problems. The following can be found in the small
garden of the Barangay.

81. Tsaang Gubat is used to treat which of the follow-

ing?

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A. Diarrhea and Stomachache
B. Cough and Fever
C. Colds and Pain
D. Hypertension

82. 82. Niyug-niyogan is an: B. Anti-helminthic

A. Analgesic
B. Anti-helminthic
C. Anti-hypertensive
D. Anti-gout

83. 83. Ulasimang Bato or Pansit-pansitan is used to: D. lower uric acid
levels
A. lower cholesterol levels
B. lower blood sugar levels
C. lower ammonia levels
D. lower uric acid levels

84. 84. This refers to a drug outlet managed by a legiti- D. Botika ng

mate community organization, non-government orga- Barangay
nization, and the local government unit with a trained
operator and a supervising pharmacist, and specif-
ically licensed by the Bureau of Food and Drugs to
sell, distribute, offer for sale, and or make available
low-priced generic home remedies, Over the Counter
(OTC) drugs, antibiotics, and medication for chronic
diseases.

A. Mercury drugs
B. Right Med
C. Generic Pharmacy
D. Botika ng Barangay

85. 85. One strategy to address the problem in a poor B. Planting plenty
Barangay aside from Herbal Plants is food produc- of Malunggay
tion. Which of the following is a priority?

A. A community managed poultry and piggery

B. Planting plenty of Malunggay
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C. Planting tomatoes and eggplants in containers
D. Engaging in a home -based food processing busi-
ness

86. Situation: Community Health Nurse Sebastian is col- A. RA 9288

laborating with the Health team on the topics to be
discussed in the Community Health Sessions. The
topics are about Newborn Screening (N.S.) and Elder-
ly Care. Newborn screening is a simple procedure to
determine if the infant has congenital conditions that
may lead to serious complications.

86. The Newborn Screening Act of 2004 is:

A. RA 9288
B. RA 8829
C. RA 8299
D. RA 9928

87. 87. The following are diseases included in the new- D. Hepatitis
born screening EXCEPT:

A. Galactosemia
B. G6PD
C. Phenylketonuria
D. Hepatitis

88. 88. Congenital Hypothyroidism is one of the dis- a. Thyroid hor-

eases screened in Newborn Screening Program. mone can pass
When asked by the mother why her newborn baby through placental
does not manifest signs of hypothyroidism when it barrier and the fe-
is a congenital condition , the Nurse's response will
tus had received
reflect an understanding of which of the following: enough to delay
the onset of the
a. Thyroid hormone can pass through placental bar- signs of hypothy-
rier and the fetus had received enough to delay the roidism
onset of the signs of hypothyroidism
b. The mother's own antibodies act to protect the
Newborn from early signs of hypothyroidism

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c. The immaturity of the thyroid gland at the same time
of birth favors the delayed onset of hypothyroidism
d. The influence of anterior pituitary gland is not so
much in the neonatal period causing delay in the
onset signs

89. 89. Nurse Sebastian also discusses the different pro- B. RA 7432
grams and legal benefits of our Elderly to promote
Health Care. The law that mandates the provision of
20% discount in all public establishments for the El-
derly is:

A. RA 7423
B. RA 7432
C. RA 7342
D. RA7243

90. 90. This is also a beneficial legal act for every in- A. Generics Act of
dividual especially to those who are economically 1988
conscious of their medical maintenance. This refers
to Republic Act 6675 which is:

A. Generics Act of 1988

B. Dangerous Drug Act
C. Hospital Licensure Act
D. AIDS Prevention and Control

91. Situation: A Community health Nurse plans to an- C. Health is in-

alyze the health status in her assigned community fluenced by many
area. She is aware of the knowledge on the different factors
concepts of health and health promotion.

91. She used a problem tree to analyze the community

problems. The diagram includes that :

A. Health problems have solution

B. Poverty s the cause of all health problems
C. Health is influenced by many factors
D. People can solve existing problems

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92. 92. Health needs and interventions are categorized C. Tertiary
as primary, secondary, and tertiary. If the outcome of
health is 'complications from disease: this is classi-
fied under "

A. Primary
B. Secondary
C. Tertiary
D. All of the above

93. 93. In order to help achieve it's mission of the Philip- C. People cen-
pine Health Care Delivery System ( PHCDS) the De- tered programs
partment of Health ( DOH) adopted which of the fol-
lowing best strategies?

A. Focusing on programs that will fight poverty at the

family and community level
B. Family empowerment rather than individual
C. People centered programs
D. All these strategies

94. 94. Public Health Nurse Clarita is guided by the Pri- B. Reduction in the
mary Health Care's contribution to National Health Community's mor-
Development. Nurse Clarita is aware that this is best tality and morbidi-
illustrated by: ty

A. Provision of adequate health services

B. Reduction in the Community's mortality and mor-
bidity
C. Mobilization of people effort for production activi-
ties
D. Increase social awareness and civic conscious-
ness

95. 95. In the Health Center Integrated Management of B. Severe Dehy-

Childhood Illness (IMCI), conditions are classified so dration
that corresponding urgency could be determined.
Which of the following severe conditions does not
always require urgent referral to a hospital?

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A. Mastoiditis
B. Severe Dehydration
C. Severe Pneumonia
D. Severe Febrile disease

96. Situation: Essential Newborn Care is one of the best B. 1,3,4

strategies to improve newborn care and help reduce
neonatal morbidity and mortality.

96. Which off the following describes the Essential

Newborn Care protocol?

1. Series of time - bond , chronologically - ordered,

standard procedures that babies receive at birth
2. Strategy to improve the health of the newborn
through interventions before conception, at soon af-
ter birth and in postnatal period
3. It aims to reduce global mortality and morbidity
associated with the major causes of diseases in chil-
dren and to contribute to healthy growth and devel-
opment of children
4. Provides an evidence- based, low cost low tech-
nology package of interventions that will save thou-
sands of lives.

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

97. 97. Interventions carried out that are done within A. Suctioning the
a prescribed period would include all except one. Infant
Which should not be included in this category?

A. Suctioning the Infant

B. Drying the infant
C. Early skin t skin contact
D. Non- separation from the mother

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98. 98. Essential Newborn Care (ENC) gets away with the D. 1,2,3,4
usual conscientious use of evidences incorporated
into practice. Which intervention is/are removed from
practice?

1. Early Bathing
2. Routine suctioning
3. Bandaging the cord
4. Application of antiseptic in the cord stump

A. 3.4.
B. 2,3,4
C. 1,2,3
D. 1,2,3,4

99. 99. The Philippines is one of the 42 countries that B. Unang Yakap
account for 90 % of Under Five Mortality worldwide. Campaign
More than 82,000 Filipino children under five years
old die every year. Which strategy by the department
of health is sought to attain the objectives of Essen-
tial Newborn Care?

A. Integrated management on childhood Illness

B. Unang Yakap Campaign
C. Expanded program on Immunization
D. Basic Emergency Obstetric Care

100. 100. As a Maternal-Newborn Nurse you are aware that D. Exclusive

the significant components of Kangaroo Mother Care scheduled breast-
are the following except: feeding

A. Continuous skin to skin contact (SSC)

B. No or minimal separation of mother and baby
C. Maternal support
D. Exclusive scheduled breastfeeding

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