Republic of the Philippines

BATANGAS STATE UNIVERSITY

ARASOF-Nasugbu
College of Nursing and Allied Health Sciences
Nasugbu, Batangas

Preliminary Examination in NCM 107

First Semester A.Y. 2019-2020

Name: _________________________________________ Year Level: ___________ Score/Rating: _________________

I. Multiple Choice. Read each question carefully. Shade the best answer. NO ERASURES.

1. It is the physical act of joining a sperm and egg

together to create another biological being. [ ] a. 37 weeks old
[ ] b. 38 weeks old
[ ] a. Creation [ ] c. 39 weeks old
[ ] b. Creativity [ ] d. 40 weeks old
[ ] c. Procreation
[ ] d. Procreative health 8. Ovulation age or Fertilization age is nearly being
identical and shorted by ____ weeks than
2. It is the moral obligation of parents to have the gestational age.
healthiest children through all natural and
artificial means available. [ ] a. 1
[ ] b.1.5
[ ] a. Creation [ ] c. 2
[ ] b. Creativity [ ] d. 2.5
[ ] c. Procreation
[ ] d. Procreative health 9. A client arrives at the prenatal clinic for the first
prenatal assessment. The client tells the nurse
3. It is the making of all things from nothing, by an that the first day of her last menstrual period was
act of God. September 19, 2007. Using Naegele’s rule, the
nurse determines the estimated date of
[ ] a. Creation confinement as:
[ ] b. Creativity
[ ] c. Procreation [ ] a. July 26, 2008
[ ] d. Procreative health [ ] b. June 12, 2008
[ ] c. June 26, 2008
4. Pregnant women generally want to know when [ ] d. July 12, 2008
the baby is coming, which is known as the:

[ ] a. Due Date 10. It is defined as any agent that results in structural

[ ] b. Date of Confinement or functional abnormalities (malformation) in
[ ] c. Date of Birth the fetus, or in the field after birth, as a
[ ] d. All of the above. consequence of maternal exposure during
pregnancy.
5. The date of the onset of the last normal
menstrual period is of clinical importance for [ ] a. Teratogen
determining the __________ and ___________. [ ] b. Alcohol
[ ] c. Cocaine
[ ] a. EDD and gestational age [ ] d. None of the above
[ ] b. EDD and fetal age
[ ] c. LMP and AOG 11. Birth defects are known to occur in _____% of
[ ] d. LMP and fetal age all newborns.

6. To start counting the gestational age, start [ ] a. 1-2%

counting from the _________ of Last menstrual [ ] b. 2-3%
period, a time that precedes fertilization or [ ] c. 3-4%
conception. [ ] d. 3-5%

[ ] a. Last Day 12. Cytomegalovirus infection early in gestation is

[ ] b. Before the 1st day fatal while infection of later embryos might lead
[ ] c. 1st day to:
[ ] d. None of the above
[ ] a. Blindness
7. At EDD, the infant is __________ , the average [ ] b. Deafness
of gestational or menstrual age. [ ] c. Cerebral Palsy

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 [ ] d. All of the above
21. Toxoplasma goondii is a protozoan parasite
13. CMV damage including: carried by rabbits and cats. It can cross the
placenta causing:
[ ] a. Hepatitis
[ ] b. Pneumonia [ ] a. Hydrocephaly
[ ] c. Hydrocephaly [ ] b. Microphthalmia
[ ] d. All of the above [ ] c. Brain Lesions
[ ] d. All of the above
14. It is a physical and mental damage in a child due
to alcohol exposure while in the womb. 22. The fetal damage caused by the teratogen is
maximum if the mother is infected in third
[ ] a. Fetal Alcohol Syndrome trimester resulting in ___% of the infected
[ ] b. Hydrocephaly newborn.
[ ] c. Micropthalmia
[ ] d. None of the above [ ] a. 50%
[ ] b. 60%
15. Smoking while pregnant significantly ________ [ ] c. 70%
the chances of having complications during [ ] d. 80%
pregnancy.
23. Babies who are born with Fetal Alcohol
[ ] a. increases Syndrome can suffer from:
[ ] b. decreases
[ ] c. stabilizes [ ] a. Learning Disabilities
[ ] d. none of the above [ ] b. Intellectual Disabilities
[ ] c. Delayed Development
16. Smoking cigarettes can also cause a _________ [ ] d. All of the above
in newborns.
24. The nurse should advise the patient to be careful
[ ] a. low birth weight in taking drugs during pregnancy.
[ ] b. high birth weight [ ] a. The statement is correct.
[ ] c. none of the above [ ] b. The statement is not correct.

17. All but one is the Physical symptoms of fetal 25. Nora is a first time mom at 35 weeks of
alcohol syndrome: pregnancy. How frequent should she visit a
doctor?
[ ] a. Thin Upper Lip
[ ] b. Wide-set eyes [ ] a. Once a month
[ ] c. Deformed joints, fingers and limbs [ ] b. Twice a month
[ ] d. Large head as well as brain size [ ] c. Thrice a month
[ ] d. Weekly
18. A woman’s use of aspirin during the first
trimester of pregnancy appears to significantly 26. Cecille is pregnant for her third baby. She is at
increase the risk of: 20 weeks of pregnancy. How frequent should
she visit a doctor?
[ ] a. Cleft Lip
[ ] b. Cerebral Palsy [ ] a. Once a month
[ ] c. Gastroschisis [ ] b. Twice a month
[ ] d. None of the above [ ] c. Thrice a month
[ ] d. Weekly
19. Intravenous chloramphenicol use has been
associated with: 27. This is conduct to serve as basis for comparison
with information gathered on subsequent visits.
[ ] a. Black Baby Syndrome
[ ] b. Gray Baby Syndrome [ ] a. Obstetrical History
[ ] c. Blue Baby Syndrome [ ] b. Baseline Data Collection
[ ] d. Yellow Baby Syndrome [ ] c. Family Histiry
[ ] d. Medical and Surgical History
20. Demands for ___________ increase during
pregnancy required for growth and development 28.
of the fetus.

[ ] a. Iron [ ] a. Left Lateral recumbent position

[ ] b. Folate [ ] b. Lithotomy
[ ] c. Calcium [ ] c. Supine Position
[ ] d. Niacin [ ] d. None of the above
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 35. A nurse is collecting data during an admission
assessment of a client who is pregnant with
29. twins. The client has a healthy 5 year old who
was delivered at 38 weeks, and tells the nurse
that she does not have a history of any type of
abortion or fetal demise. The nurse would
document the GTPAL for this client as:
[ ] a. Left Lateral recumbent position
[ ] b. Lithotomy [ ] a. 32001
[ ] c. Prone Position [ ] b. 20101
[ ] d. None of the above [ ] c. 11101
[ ] d. 20001
30. A pregnant woman comes to the clinic for a
visit. This is her third pregnancy. She had a 36. It is a bluish discoloration of the cervix, vagina
miscarriage at 12 weeks and gave birth to a son, and labia resulting from increased blood flow.
now 3 years old at 32 weeks. Using GTPAL
system, the nurse would document this woman’s [ ] a. Chadwicks sign
obstetric history as: [ ] b. Goodells sign
[ ] c. Hegars Sign
[ ] a. 31021 [ ] d. All of the above
[ ] b. 30111
[ ] c. 21212 37. Softening in the consistency of the lower uterine
[ ] d. 20111 segment:

31. A nurse is collecting data on a pregnant client [ ] a. Chadwicks sign

who is at 28 weeks of gestation. The nurse [ ] b. Goodells sign
measures the fundal height in centimeters and [ ] c. Hegars Sign
expects the findings to be which of the [ ] d. All of the above
following?
38. Softening of the vaginal portion of the cervix
[ ] a. 22 cm from increased vascularisation.
[ ] b. 28 cm
[ ] c. 36 cm [ ] a. Chadwicks sign
[ ] d. 40 cm [ ] b. Goodells sign
[ ] c. Hegars Sign
32. A woman is 20 weeks pregnant. The nurse [ ] d. All of the above
would expect to palpate the fundus at which of
the following locations? 39. It measures age of gestation by determining the
[ ] a. Symphysis pubis position of the fundus in the abdominal cavity.
[ ] b. Between the symphysis pubis and [ ] a. Bartholomew’s Rule of Fours
umbilicus [ ] b. Naegel’s Rule
[ ] c. At the Umbilicus [ ] c. Mcdonals Rule
[ ] d. Just below the ensiform cartilage [ ] d. Johnson’s Rule

33. Susan is experiencing her fourth pregnancy. Her 40. Pregnancy Tests detect the presence of a
first pregnancy ended in a spontaneous abortion hormone called:
at 8 weeks, the second resulted in the live birth [ ] a. Human Chorionic Gonadotropin
of twin boys at 38 weeks and the third resulted [ ] b. Estrogen
in the live birth of a daughter at 34 weeks. Using [ ] c. Progesterone
the GTPAL system, the nurse would document [ ] d. All of the above
this women’s obstetric history as:
[ ] a. 42113 41. It measures the exact amount of HCG in the
[ ] b. 43102 blood.
[ ] c. 42013 [ ] a. Quantitative Blood Test
[ ] d. 42004 [ ] b. Qualitative Blood Test
[ ] c. Pregnancy Test
34. A nurse is collecting data during an admission [ ] d. All of the above
assessment on a client who is pregnant with
twins. The client also has a 5-year-old child. The 42. It gives a simple yes or no answer to whether
nurse would document which gravid and para you are pregnant or not.
status on this client? [ ] a. Quantitative Blood Test
[ ] a. G3P2 [ ] b. Qualitative Blood Test
[ ] b. G2P2 [ ] c. Pregnancy Test
[ ] c. G1P1 [ ] d. All of the above
[ ] d. G2P1
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 43. Blood Test can detect a pregnancy earlier than a
urine test at about ______ days from possible
conception.
[ ] a. 1-7 days
[ ] b. 1-12 days
[ ] c. 7-12 days
[ ] d. 7-10 days 10. Calculate EDD for LMP of 4/20/15

II. Compute for the following and show the solution

(2 points each)

1. Calculate EDD for LMP of 5/20/2017 11. Calculate EDD for LMP of 6/12/15

2. Calculate EDD for LMP of 3/18/17 12. Calculate EDD for LMP of 08/01/2019

13. Given the ovulation age of 37 weeks, estimate

3. Calculate EDD for LMP of 9/28/16 the gestational age?

4. Calculate EDD for LMP of 11/11/16

14. Given the ovulation age of 36 weeks, estimate
the gestational age?

5. Calculate EDD for LMP of 6/10/17 15. Given the gestational age of 40 weeks, what is
the ovulation age?

6. Calculate EDD for LMP of 7/4/17 16. Given the gestational age of 41 weeks, what is
the fertilization age?

7. Calculate EDD for LMP of 1/24/17

Prepared by:

Assoc. Prof. GLORIA L. ARAOS

Dean, CONAHS
8. Calculate EDD for LMP of 8/6/16 Date:______________________

Reviewed and Approved by:

Asst. Prof. RENALYN D. MALABANAN

9. Calculate EDD for LMP of 12/25/16 In-charge, BS in Nursing program
Date: ______________________

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