D.

Hemorrhage secondary to uterine atony

Far Eastern University
Institute of Nursing
Multiple Choice. Encircle the letter you think
has the BEST answer.
1. A pregnant client tells a nurse that she has
been craving unusual foods. The nurse
gathers additional assessment data from the
client and discovers that the client has been
ingesting daily amounts of white clay dirt
from her backyard. Laboratory studied are
performed on the client. The nurse reviews the
results and determines that which of the
following indicates a physiological
consequence of the clients practice?
A. Hematocrit 38%
B. Glucose 86 mg/dL
C. Hemoglobin 9.1 g/dL
D. White blood cell count 12,400/mm3
2. A client in the first trimester of pregnancy
arrives at a health care clinic and reports that
she has been experiencing vaginal bleeding. A
threatened abortion is suspected, and the nurse
instructs the client regarding the management
of care. Which statement made by the client
indicates a need for further instructions?
A. I will watch for the evidence of passage
of tissue.
B. I will remain strict bed rest throughout
the remainder of the pregnancy.
C. I will count the number of perineal pads
used on a daily basis and note the amount
and color of the blood on the pad.
D. I will avoid sexual intercourse until the
bleeding has stopped, and for 2 weeks
following the last evidence of bleeding.
3. Upon assessment, the nurse got the
following findings: 2 perineal pads highly
saturated with blood within 2 hours post
partum, PR= 80 bpm, fundus soft and
boundaries not well defined. The
appropriate nursing diagnosis is:
A. Normal blood loss
B. Blood volume deficiency
C. Inadequate tissue perfusion related to
hemorrhage

4. After how many weeks after delivery

should a woman have her postpartal
check-up based on the protocol followed
by the DOH?
A. 2 weeks
B. 3 weeks
C. 6 weeks
D. 12 weeks
5. 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.
A. 21-26 days
B. 26-32 days
C. 28-30 days
D. 24- 36 days
6. 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.
A.1 and 2
B.1, 2, and 3
C.3 and 4
D.1, 2, and 4
7. The procedure done to prevent ophthalmia
neonatorum is:
A. Marmets technique
B. Credes method
C. Ritgens method
D. Ophthalmic wash
8. Which of the following causes of
infertility in the female is primarily
psychological in origin?

A.
B.
C.
D.

Vaginismus
Dyspareunia
Endometriosis
Impotence

9. The normal umbilical cord is composed

of:
A. 2 arteries and 1 vein
B. 2 veins and 1 artery
C. 2 arteries and 2 veins
D. none of the above
10. When the shiny portion of the placenta
comes out first, this is called the ___
mechanism.
A. Schultze
B. Ritgens
C. Duncan
D. Marmets
11. The mother of a 3 year old is concerned
because her child still is insisting on a
bottle at nap time and at bedtime. Which
of the following is the appropriate
suggestion to the mother?
A. Allow the bottle if it contains juice.
B. Allow the bottle if it contains water.
C. Do not allow the child to have the
bottle.
D. Allow the bottle during naps but not at
bedtime.
12. A mother of a 3-year-old child tells a
clinic nurse that the child is rebelling
constantly and having temper tantrums.
Using Eriksons psychosocial
development theory, the nurse tells the
mother to:
A. Set limits on the childs behaviour.
B. Ignore the child when this behaviour
occurs.
C. Allow the behaviour, because this is
normal at this age period.
D. Punish the child every time the child
says no to change the behaviour.
13. A nursing instructor asks a nursing student
to present a clinical conference to peers
regarding Freuds psychosexual stages of
development, specifically the anal stage.
The student plans the conference, knowing
that which of the following most

appropriately relates to this stage of

development?
A. This stage is characterized by the
gratification of self.
B. This stage is characterized by a
tapering off of conscious biological
and sexual urges.
C. The stage is associated with toilet
training.
D. This stage is associated with
pleasurable and conflicting feelings
about the genital organs.
14. A nurse is caring for a child with a
suspected diagnosis of rheumatic fever.
The nurse reviews the laboratory results,
knowing that which laboratory study
would assist in confirming the diagnosis?
A. Immunoglobulin
B. Red Blood Cell count
C. White blood cell count
D. Antistreptolysin O titer
15. A nurse is caring for a child after a
tonsillectomy. The nurse monitors the
child, knowing that which of the following
indicates that the child is bleeding?
A. Decreased pulse rate
B. Complaints of discomfort
C. Frequent swallowing
D. An elevation in blood pressure
16. Which of the following procedures always
requires surgical asepsis?
A. Vaginal instillation of conjugated
estrogen
B. Urinary catheterization
C. Nasogastric tube insertion
D. Colostomy irrigation
17. The physician orders an IV solution of
dextrose 5% in water at 100ml/hour. What
would the flow rate be if the drop factor is
15 gtt = 1 ml?
A. 5 gtt/minute
B. 13 gtt/minute
C. 25 gtt/minute
D. 50 gtt/minute
18. All of the following are good sources of
vitamin A except:

A.
B.
C.
D.

White potatoes
Carrots
Apricots
Egg yolks

19. Clay colored stools indicate:

A. Upper GI bleeding
B. Impending constipation
C. An effect of medication
D. Bile obstruction
20. If patient asks the nurse her opinion about
a particular physicians and the nurse
replies that the physician is incompetent,
the nurse could be held liable for:
A. Slander
B. Libel
C. Assault
D. Respondent superior
21. A prescribed amount of oxygen s needed
for a patient with COPD to prevent:
A. Cardiac arrest related to increased
partial pressure of carbon dioxide in
arterial blood (PaCO2)
B. Circulatory overload due to
hypervolemia
C. Respiratory excitement
D. Inhibition of the respiratory
hypoxic stimulus
22. A patient is admitted to the hospital with
complaints of nausea, vomiting, diarrhea,
and severe abdominal pain. Which of the
following would immediately alert the
nurse that the patient has bleeding from
the GI tract?
A. Complete blood count
B. Guaiac test

C. Vital signs
D. Abdominal girth
23. She dies of yellow fever in her search for
truth to prove that yellow fever is carried
by a mosquitoes.
A. Clara louise Maas
B. Pearl Tucker
C. Isabel Hampton Robb
D. Caroline Hampton Robb
24. The type of lochia the nurse would expect
on the fifth postpartum day is:
A. Lochia Rubra
B. Lochia Serosa
C. Lochia Alba
D. Lochia Negra
25. A woman in the 2nd month of pregnancy
has intestinal parasitic infection and
comes to the health center for
consultation. What is the appropriate
management for this?
A. Give mebendazole as soon as possible
to avoid infection of the fetus
B. Give mebendazole on the 4th month of
pregnancy regardless of when the
previous dose was given.
C. Give mebendazole on the 4th month of
pregnancy if none was given in the
past 6 months
D. Do not give any anti-helminthic as
this may cause problems during
pregnancy.
Prepared by:
Abin, Jonalene S.
Del Rosario, Patricia Nicole Q.