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POST-TEST
(OBSTETRICS NURSING)
Prepared By: Prof. Kenneth Arzadon
MAY 2023 PHILIPPINE NURSE LICENSURE EXAMINATION
NAME:
1. A pregnant woman the nurse she doesn’t know whether
she’s ready to have another baby, even though this was a
planned pregnancy. Which response should the nurse
offer?
a. “You may want to discuss these concerns with a
social worker.”
b. “You’re feeling ambivalent, which is normal
during the first trimester.”
c. “You need to share these feelings with your
partner.”
d. “You may want to consider having an abortion.”
2. A 9-week primigravida client asks you, “Is it possible for
me to listen to my baby’s fetal heart beat?” Which of the
following responses by the nurse would be appropriate?
a. “We can listen to your baby’s heart beat with a
Doppler but we still have to wait for additional 4
weeks.”
b. “Fetoscope is best used during the 16th week of
your pregnancy to listen to the baby’s heart
beat.”
c. “The heart beats 8 weeks before delivery so I
don’t think you can listen to it now.”
d. “Your obstetrician would probably use the
Doppler to check for fetal heart tones, she may
let you listen to it.”
3. A primigravida client, 24 y/o, 18 weeks AOG verbalized
her concern, “Why is my baby not yet moving, my
neighbor who is also pregnant for the second time says
she felt her baby move yesterday. We have the same
AOG, I’m afraid there is something wrong with my baby!”
what would be your best response:
a. “Quickening is usually felt by first-time mothers a
week before delivery.”
b. “Don’t worry everything is alright.”
c. “Normally for a primigravida client like you will
feel the first movement on the 20th week”
d. “You’re overreacting ma’am, that might harm the
baby.”
4. During their rotation in the OB ward, a student nurse was
asked by her clinical instructor about the changes in a
woman’s body during pregnancy. The student nurse is
aware that a common adaptation during pregnancy would
be:
a. Hypoventilation
b. Increased pH of the vagina
c. Decreased gastrointestinal motility
d. Decreased glomerular filtration rate
5. All but one are principles in identifying parity:
a. Stillbirth is counted
b. Count the number of fetus delivered before 20
weeks
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c. Count the number of pregnancy that reached 20
weeks AOG and subsequently delivered dead or
alive
d. Multiple pregnancy is considered as one parity
6. Suppose the primigravida woman had her last menstrual
period for 4 days and the menstrual flow ended May 5,
2021. What would be her expected date of confinement?
a. February 5, 2022
b. February 9, 2022
c. January 29, 2022
d. January 5, 2022
7. During the physical assessment on a pregnant woman on
her late 20’s, the nurse notes the uterus is firm under the
abdominal wall just in line with the umbilicus.
Approximately what week of gestation is the client in:
a. 20th week
b. 22nd week
c. 36th week
d. 12th week
8. A woman 19 weeks pregnant, has been admitted to the
emergency department following. Contractions are noted
which lasted 35 seconds, and cervix dilated at 7cm. She
has passed tissue fragments and no fetal heart was heard
upon auscultation. Obstetrical history tells that he had a
previous cesarean section 3 years ago due to placenta
previa @ 38th week AOG giving birth to a small-for-
gestational age infant. Her first pregnancy successfully
ended via normal spontaneous vaginal delivery @ 37
weeks giving birth to twins. What is her obstetrical score?
a. G-3, T-2, P-1, A-0, L-2
b. G-3, T-2, P-0, A-1, L-2
c. G-2, T-2, P-1, A-0, L-2
d. G-3, T-3, P-0, A-1, L-3
9. Emergency nursing interventions for a 16-week pregnancy
woman who is suspected to have a miscarriage would
include all but one of the following :
a. Withhold oral fluids
b. Save perineal pads and any tissue passed
c. Ensure adequate hydration by letting mother
drink plenty of fluids to prevent dehydration
d. Monitor uterine contractions and fetal heart rate
10. Early detection of an ectopic pregnancy is paramount in
preventing a life-threatening rupture. Which symptoms
should alert the nurse to the possibility of an ectopic
pregnancy?
a. Unilateral lower abdominal tenderness and a
positive pregnancy test
b. Hyperemesis and weight loss
c. Amenorrhea and a negative pregnancy test
d. Copious discharge of clear mucous and prolonged
epigastric pain
11. The characteristic manifestation of gestation trophoblastic
disease is:
a. Uterus tends to expand faster than a normal
pregnancy
 b. Lower abdominal quadrant pain
c. Emesis Gravidarum
d. An HCG level of 400,000 IU
12. Which of the following discharge instructions must be
given to a woman who has just undergone suction
and curettage for gestational trophoblstic disease?
a. “Visit your physician after one year for a follow-
up examination to find out if there is still a
possibility that get pregnant.”
b. “Women who has had molar pregnancy must
avoid sexual intercourse for a year or two.”
c. “HCG levels usually return to normal 48 hours
after evacuation.”
d. “Use a reliable contraceptive method for 12
months.”
13. The insulin dosage during throughout pregnancy is:
a. Increased throughout the duration of pregnancy
b. Decreased during the second trimester an
increase during the first and third trimester
c. Increased during the first trimester and
decreased on the second and third trimester
d. Decreased during the first trimester of pregnancy
and increased on the second and third trimester\
14. A primigravida is receiving magnesium sulfate for the
treatment of pregnancy induced hypertension (PIH).
The nurse who is caring for the client is performing
assessments every 30 minutes. Which assessment
finding would the nurse document as normal?
I. Urinary output of 60ml/hour
II. Presence of Patellar reflex
III. Respiratory rate of 16bpm
IV. Urinary output of 10 ml/hour
V. Respiratory rate of 9bpm
VI. Patellar reflex is negative
a. I, III, and VI
b. II, III, and IV
c. I, III, and V
d. I, II, and III
15. A 34 y/o client is 34 weeks pregnant and is
experiencing bleeding caused by placenta previa. The
fetal heart sounds are normal and the client isn’t in
labor. Which of the following interventions should the
nurse perform?
a. Allow the client to ambulate with assistance
b. Perform an internal examination to check for
cervical dilatation
c. Do perineal pad count
d. Notify the physician of FHT of 130 bpm
16. A nurse is assigned to care for a client with hypotonic
uterine dysfunction and signs of a slowing labor. The
midwife is reviewing the physician’s order and would
expect to note which of the following prescribed
treatments for this condition?
a. Increase hydration
b. Oxytocin (Pitocin) infusion
c. Medication that will provide sedation
d. Administration of a tocolytic medication
17. The nurse is developing a plan of care for a client in
her 34th week of gestation who's experiencing
premature labor. What non-pharmacologic intervention
should the plan include to halt premature labor?
a. Encouraging ambulation
b. Serving a nutritious diet
c. Promoting adequate hydration
d. Performing nipple stimulation
18. A client at 28 weeks’ gestation is complaining of
contractions. Following admission and hydration,
physician writes an order for the nurse to give 12 mg
of betamethasone I.M. The nurse should explain that
this medication is given to:
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a. Slow contraction
b. Enhance fetal growth
c. Prevent infection
d. Promote fetal lung maturity
19. The nurse would best position a pregnant woman with
prolapsed umbillical cord to:
a. Supine position with hips elevated on a pillow
b. Exaggerated Sim’s Lateral Position
c. Right Side lying position
d. Prone position turned to the side
20. During a contraction stress test, a decrease in the fetal
heart rate occurs with the onset of contractions. The best
nursing action would be to:
a. Reposition the client
b. Continue monitoring the client
c. Stop oxytocin administration
d. Notify the physician
21. A nurse is monitoring a client labor. The nurse
suspects umbilical cord compression if which of the
following is noted on the external monitor tracing
during a contraction?
a. Late decelerations
b. Early decelerations
c. Short-term variability
d. Variable decelerations
22. A nurse in the labor room is caring for a client in the
active phases of labor. The nurse is assessing the fetal
patterns and notes a late deceleration on the monitor
strip. The most appropriate nursing action is to:
a. Place the mother in the supine position and
administer magnesium sulfate
b. Document the findings and continue to monitor
the fetal patterns
c. Stop oxytocin administration, reposition the
woman, administer oxygen via face mask and
notify the physician
d. Increase the rate of Pitocin IV infusion
23. Glycosylated hemoglobin level is obtained to determine
compliance to treatment plan for GDM.A level of 6%
indicates:
a. The client is a candidate for above the knee
amputation to prevent further complications
b. There is a risk for spontanoues abortion
c. Client’s education in blood sugar control is
adequate
d. Client needs further instruction regarding the
treatment plan for GDM.
24. A nurse is assessing the fundus in a postpartum woman
and notes that the uterus is soft and spongy and not
firmly contracted. The midwife prepares to implement
which of the following interventions EXCEPT:
A. Massaging the uterus
B. Assisting the woman to urinate
C. Checking for distended bladder
D. Administration of ritodrine hydrochloride
25. A primigravid client is admitted to the labor and
delivery area. Assessment reveals fetal
malpresentation, yellow amniotic fluid, and a fetal
heart rate (FHR) of 80 beats/minute. What should the
nurse do?
a. Increase the I.V. oxytocin flow rate, as ordered,
to hasten labor and delivery.
b. Reassess the client for continued normal findings
in 15 minutes.
c. Help the client into the lithotomy position for
delivery.
d. Notify the physician and surgical team of an
emergency.