PANPACIFIC UNIVERSITY

(formerly Pangasinan Colleges of Science and Technology)

PACUCOA ACCREDITED · ISO 9001:2008 CERTIFIED
SCHOOL OF HEALTH SCIENCES
Department of Nursing

NCM 107 CARE OF MOTHER, CHILD, ADOLESCENT (WELL CLIENTS)

MIDTERMS EXAMINATION

 Strictly no erasures or superimpositions.

 No tearing of test booklet.
 No changing of test booklet.
 Write the capital letters of your answers.
 Use black or blue pens only, no friction pen or pencils.

I. MULTIPLE CHOICE.
1.What theory of onset of labor states that the fetal presenting part exerts pressure on the cervix it would
cause a certain hormone to release from pituitary gland thus leading to the onset of labor contractions
a. Uterine strength theory
b. Oxytocin theory
c. Progesterone theory
d. Prostaglandin theory
2.In monitoring the uterine contraction of the pregnant client in labor, it is best to get the duration of the
contraction. Which of the following would guide you in timing the duration time the contraction from
the:
a. Beginning of one contraction to the end of the next contraction
b. Beginning of one contraction to the end of the same contraction
c. End of true contraction to the beginning of the next contraction
d. End of one contraction to the beginning of the next contraction
3.Which of these signs is the least indicator of pregnancy?
a. Quickening c. Chadwick’s sign
b. Braxton Hick’s Contraction d. Ballottement
4.Which of the following physiologic changes is the gastro intestinal tract during pregnancy is normal?
a. Increase GI peristalsis c Increase gastric emptying
b. Increase sphincter action d. Increase salivation
5.Which of the following changes is a pregnant woman most likely to notice in her breast?
a. Darkening of the areola, tingling sensation, and engorgement
b. Lightening of the areola, colostrum increase in size
c. Colostrum, tingling sensation darkening of the areola
d. Increased size, tenderness, flattening of the nipples
6.When measuring the fundal height, which of the following technique denotes the correct method of
measurement used by the nurse?
a. From xiphoid process to the umbilicus
b. From the symphisis pubis to the xiphoid process
c. From symphisis pubis to the fundus
d. From the fundus to the umbilicus
7.During which of the following stages of labor would the nurse assess crowning
a. 1st stage c. 3rd stage
nd
b. 2 stage d. 4th stage
8. Which of the following factors affecting labor is associated with the passageway?
a. Size of the fetal head and its ability to mold in the maternal pelvis
b. The presentation of the fetus in relation to the maternal pelvis
c. The structure of the maternal pelvis
d. The frequency, duration, and strength of uterine contraction
9. Which of the following could be considered as a positive sign of pregnancy?
a. Amenorrhea, nausea, and vomiting
b. Braxton Hicks contraction
c. Frequency of urination
d. Fetal outline by sonography
10. Quickening is experienced first by multigravida clients. At what week of gestation do they start to
experience quickening?
a. 16th week c. 20th week
 b. 24th week d. 28th week
11. On which of the following areas would the nurse expect to observe chloasma?
a. Breast, areola and nipples
b. Chest, arm, neck and legs
c. Abdomen, breast and thighs
d. Cheeks, forehead and nose
12. Which of the following danger signs should be reported promptly during the antepartum period?
a. Constipation c. Nasal stiffness
b. Breast tenderness d. Leaking amniotic fluid
13. A woman presents to the clinic because she missed her last menstrual periods and thinks she maybe
pregnant. She reports fatigue, breast tenderness, urinary frequency and nausea and vomiting in the
morning. The health care provider will interpret these findings as which of the following changes of
pregnancy
a. Positive c. Presumptive
b. Probable d. Possible
14. Abruptio placenta may result in shock. Thus you should monitor for signs of this condition. Signs of
shock are the following EXCEPT
a. Tachycardia c. Pallor
b. Hypotension d. Pink conjunctiva and nail beds
15. Which of the following is a characteristic of false labor?
a. Bloody show
b. Contraction that are regular and increase in frequency and duration
c. Contraction are felt in the back and radiates towards the abdomen
d. None of the above

II. IDENTIFICATION
________________1. Passage of a small amount of blood or blood tinged mucus through vagina near the
end of pregnancy
________________2. Refers to the strength of uterine contraction
________________3. A condition where the placenta lies low in the uterus and partially or completely
covers the cervix
________________4. Breakage of the amniotic sac before the onset of labor
________________5. When the muscles of the uterus tighten up like a fist and then relax
________________6. Softening or ripening of the cervix
________________7. Process of enlargement or stretching of the cervix
________________8. Refers to the length of contraction measured from the beginning of contraction to the
end of the same contraction
________________9. Premature separation of the placenta from the uterus
________________10. Fluid that surrounds and protects a baby during pregnancy containing cells and
various proteins
________________11. It is a significant softening of the cervix from increase vascularization
________________12. Bluish discoloration of the cervix, vagina and labia resulting from increased blood
flow
________________13. It is called the mask of pregnancy
________________14. The average blood loss after birth of single baby in vaginal delivery
________________15. Measures the baby’s color, heart rate reflexes, muscle tone and respiratory effort or
a quick test performed on a baby at 1 and 5 minutes after birth

III. ENUMERATION
A. Probable signs of pregnancy (1-5)
B. Presumptive signs of pregnancy (6-10)
C. Characteristics of False Labor (11-15)
D. Characteristics of True Labor (16-20)

Prepared by:

Lourdes C. Muñoz, RN MAN

Instructor