July 2011 Nurse Licensure Examination Result - July 2011 Nurse Board Exam Result

SITUATION : [ND89] Aling Julia, a 32 year old fish vendor from baranggay matahimik came to see you at the prenatal clinic. She brought with her all her three children. Maye, 1 year 6 months; Joy, 3 and Dan, 7 years old. She mentioned that she stopped taking oral contraceptives several months ago and now suspects she is pregnant. She cannot remember her LMP.

1. Which of the following would be useful in calculating Aling Julia's EDC? [3]B. First FHT by fetoscope


2. Which hormone is necessary for a positive pregnancy test? [1]B. HCG

3. With this pregnancy, Aling Julia is a [1]C. P3 G4

4. In explaining the development of her baby, you identified in chronological order of growth of the fetus as it occurs in pregnancy as [1]C. Ovum, zygote, embryo, fetus, infant


5. Aling Julia states she is happy to be pregnant. Which behavior is elicited by her during your assessment that would lead you to think she is stressed? [3]C. She laughs at every advise you give even when its not funny

6. When teaching Aling Julia about her pregnancy, you should include personal common discomforts. Which of the following is an indication for prompt professional supervision? [2] C. Facial edema

7. Which of the following statements would be appropriate for you to include in Aling Julia's prenatal teaching plan? [1]
D. Avoid unnecessary fatigue, rest periods should be included in you schedule

8. The best advise you can give to Aling Julia regarding prevention of varicosities is [3]

D. Wear support hose

9. In a 32 day menstrual cycle, ovulation usually occurs on the [2]

B. 18th day after menstruation

10. Placenta is the organ that provides exchange of nutrients and waste products between mother and fetus. This develops by [4]

B. Third month

11. In evaluating the weight gain of Aling Julia, you know the minimum weight gain during pregnancy is [3]

A. 2 lbs/wk

12. The more accurate method of measuring fundal height is [2]

B. Centimeter

13. To determine fetal position using Leopold's maneuvers, the first maneuver is to [1]

D. Determine what part of fetus is in the fundus

14. Aling julia has encouraged her husband to attend prenatal classes with her. During the prenatal class, the couple expressed fear of pain during labor and delivery. The use of touch and soothing voice often promotes comfort to the laboring patient. This physical intervention is effective because [2]

D. Empathy is communicated by a caring person

15. Which of the following could be considered as a positive sign of pregnancy ? [1]

D. Fetal outline by sonography

SITUATION : [FFC] Maternal and child health is the program of the department of health created to lessen the death of infants and mother in the philippines. [2]

16. What is the goal of this program?

A. Promote mother and infant health especially during the gravida stage

17. One philosophy of the maternal and child health nursing is [1]

D. The father is as important as the mother

18. In maternal care, the PHN responsibility is [2]

C. To reach all pregnant woman

19. This is use when rendering prenatal care in the rural health unit. It serves as a guide in Identification of risk factors [1]

B. Home based mother's record

20. The schedule of prenatal visit in the RHU unit is [4]

C. Once in each trimester, more frequent for those at risk

SITUATION : Knowledge of the menstrual cycle is important in maternal health nursing. The following questions pertains to the process of menstruation

21. Menarche occurs during the pubertal period, Which of the following occurs first in the development of female sex characteristics? [2]

B. Accelerated Linear Growth

22. Which gland is responsible for initiating the menstrual cycle? [3]

D. Hypothalamus

23. The hormone that stimulates the ovaries to produce estrogen is [1]

A. GnRH

24. Which hormone stimulates oocyte maturation? [2]

D. FSH

25. When is the serum estrogen level highest in the menstrual cycle? [4]

B. 13th day

26. To correctly determine the day of ovulation, the nurse must [2]

D. Add 14 days from the end of the cycle

27. The serum progesterone is lowest during what day of the menstrual cycle? [4]

B. 13th day

28. How much blood is loss on the average during menstrual period? [4]

B. 4 tablespoon

29. Menstruation occurs because of which following mechanism? [2]

B. Degeneration of the corpus luteum

30. If the menstrual cycle of a woman is 35 day cycle, she will approximately [2]

A. Ovulate on the 21st day with fertile days beginning on the 16th day to the 26th day of her cycle

SITUATION : Wide knowledge about different diagnostic tests during pregnancy is an essential arsenal for a nurse to be successful.

31. The Biparietal diameter of a fetus is considered matured if it is atleast [4]

B. 8.5 cm

32. Quickening is experienced first by multigravida clients. At what week of gestation do they start to experience quickening? [4]

A. 16th

33. Before the start of a non stress test, The FHR is 120 BPM. The mother ate the snack and the practitioner noticed an increase from 120 BPM to 135 BPM for 15 seconds. How would you read the result? [3]

C. Reactive

34. When should the nurse expect to hear the FHR using a fetoscope? [4]

B. 8th week

35. When should the nurse expect to hear FHR using doppler Ultrasound? [4]

C. 2nd week

36. The mother asks, What does it means if her maternal serum alpha feto protein is 35 ng/ml? The nurse should answer [4]

D. 35 ng/ml indicates neural tube defect

37. Which of the following mothers needs RHOGAM? [1]

B. RH - mother who delivered an RH + fetus

38. Which family planning method is recommended by the department of health more than any other means of contraception? [4]

D. Abstinence

39. How much booster dose does tetanus toxoid vaccination for pregnant women has? [4]

C. 3


40. Baranggay pinoybsn.tk has 70,000 population. How much nurse is needed to service this population? [4]

B. 7


SITUATION : [ND2I246] Reproductive health is the exercise of reproductive right with responsibility. A married couple has the responsibility to reproduce and procreate.

41. Which of the following is ONE of the goals of the reproductive health concept? [3]

A. To achieve healthy sexual development and maturation

42. Which of the following is NOT an element of the reproductive health? [4]

B. Family planning

43. In the international framework of RH, which one of the following is the ultimate goal? [3]

D. Quality of life

44. Which one of the following is a determinant of RH affecting woman's ability to participate in social affairs? [3]

A. Gender issues

45. In the philippine RH Framework. which major factor affects RH status? [4]

C. Poor living conditions lead to illness

46. Which determinant of reproductive health advocates nutrition for better health promotion and maintain a healthful life? [4]

A. Socio-Economic conditions

47. Which of the following is NOT a strategy of RH? [3]

A. Increase and improve contraceptive methods

48. Which of the following is NOT a goal of RH? [3]

D. Strengthen outreach activities and the referral system

49. What is the VISION of the RH? [2]

A. Attain QUALITY OF LIFE

SITUATION : [SORANGE19] Baby G, a 6 hours old newborn is admitted to the NICU because of low APGAR Score. His mother had a prolonged second stage of labor

50. Which of the following is the most important concept associated with all high risk newborn? [1]

B. Identify complications with early intervention in the high risk newborn to reduce morbidity and mortality
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51. Which of the following would the nurse expect to find in a newborn with birth asphyxia? [1]

B. Acidosis

52. When planning and implementing care for the newborn that has been successfully resuscitated, which of the following would be important to assess? [1]

D. Spontaneous respiration

SITUATION : [P-I/46] Nurses should be aware of the different reproductive problems.

53. When is the best time to achieve pregnancy? [2]

C. 14 days before the next period is expected

54. A factor in infertility maybe related to the PH of the vaginal canal. A medication that is ordered to alter the vaginal PH is: [2]

D. Na HCO3 Douches

55. A diagnostic test used to evaluate fertility is the postcoital test. It is best timed [2]

B. Immediately after menses

56. A tubal insufflation test is done to determine whether there is a tubal obstruction. Infertility caused by a defect in the tube is most often related to a [3]

D. Previous injury to a tube

57. Which test is commonly used to determine the number, motility and activity of sperm is the [2]

B. Huhner test

58. In the female, Evaluation of the pelvic organs of reproduction is accomplished by [2]

D. Hysterosalpingogram

59. When is the fetal weight gain greatest? [3]

C. 3rd trimester

60. In fetal blood vessel, where is the oxygen content highest? [3]

B. Ductus Venosus

61. The nurse is caring for a woman in labor. The woman is irritable, complains of nausea and vomits and has heavier show. The membranes rupture. The nurse understands that this indicates [1]

A. The woman is in transition stage of labor

SITUATION : [J2I246] Katherine, a 32 year old primigravida at 39-40 weeks AOG was admitted to the labor room due to hypogastric and lumbo-sacral pains. IE revealed a fully dilated, fully effaced cervix. Station 0.

62. She is immediately transferred to the DR table. Which of the following conditions signify that delivery is near? [2]

I - A desire to defecate
II - Begins to bear down with uterine contraction
III - Perineum bulges
IV - Uterine contraction occur 2-3 minutes intervals at 50 seconds duration

B. I,II,III,IV

63. Artificial rupture of the membrane is done. Which of the following nursing diagnoses is the priority? [2]

A. High risk for infection related to membrane rupture

64. Katherine complains of severe abdominal pain and back pain during contraction. Which two of the following measures will be MOST effective in reducing pain? [4]

I - Rubbing the back with a tennis ball
II- Effleurage
III-Imagery
IV-Breathing techniques

D. I,II

65. Lumbar epidural anesthesia is administered. Which of the following nursing responsibilities should be done immediately following procedure? [1]

D. Assess for maternal hypotension

66. Which is NOT the drug of choice for epidural anesthesia? [4]

C. Ephedrine

SITUATION : [SORANGE217] Alpha, a 24 year old G4P3 at full term gestation is brought to the ER after a gush of fluid passes through here vagina while doing her holiday shopping.

67. She is brought to the triage unit. The FHT is noted to be 114 bpm. Which of the following actions should the nurse do first? [2]

A. Monitor FHT ever 15 minutes

68. The nurse checks the perineum of alpha. Which of the following characteristic of the amniotic fluid would cause an alarm to the nurse? [1]

A. Greenish

69. Alpha asks the nurse. "Why do I have to be on complete bed rest? I am not comfortable in this position." Which of the following response of the nurse is most appropriate? [3]


C. You need to save your energy so you will be strong enough to push later

70. Alpha wants to know how many fetal movements per hour is normal, the correct response is [4]

C. Four times

71. Upon examination by the obstetrician, he charted that Alpha is in the early stage of labor. Which of the following is true in this state? [1]

D. Cervical dilation 1-3 cm

SITUATION : Maternal and child health nursing a core concept of providing health in the community. Mastery of MCH Nursing is a quality all nurse should possess.

72. When should be the 2nd visit of a pregnant mother to the RHU? [2]

C. Second trimester

73. Which of the following is NOT a standard prenatal physical examination? [1]

D. Examination of the legs for varicosities

74. Which of the following is NOT a basic prenatal service delivery done in the BHS? [2]

A. Oral / Dental check up

75. How many days and how much dosage will the IRON supplementation be taken? [4]

B. 210 days / 200 mg

76. When should the iron supplementation starts and when should it ends? [4]

A. 5th month of pregnancy to 2nd month post partum

77. In malaria infested area, how is chloroquine given to pregnant women? [4]

C. 150 mg / twice a week for the duration of pregnancy

78. Which of the following mothers are qualified for home delivery? [2]

D. 2nd pregnancy, Has a history of 20 hours of labor last pregnancy.

79. Which of the following is not included on the 3 Cs of delivery? [2]

C. Clean Equipments

80. Which of the following is unnecessary equipment to be included in the home delivery kit? [4]

C. Flashlight

SITUATION : [NBLUE166] Pillar is admitted to the hospital with the following signs : Contractions coming every 10 minutes, lasting 30 seconds and causing little discomfort. Intact membranes without any bloody shows. Stable vital signs. FHR = 130bpm. Examination reveals cervix is 3 cm dilated with vertex presenting at minus 1 station.

81. On the basis of the data provided above, You can conclude the pillar is in the [1]

C. In the latent phase of labor

82. Pitocin drip is started on Pilar. Possible side effects of pitocin administration include all of the following except [3]

A. Diuresis

83. The normal range of FHR is approximately [3]

B. 120 to 160 bpm

84. A negative 1 [-1] station means that [1]

B. Fetus is floating

85. Which of the following is characteristics of false labor [1]

D. None of the above

86. Who's Theory of labor pain that states that PAIN in labor is cause by FEAR [4]

A. Bradley

87. Which sign would alert the nurse that Pillar is entering the second stage of labor? [1]

D. Vulva encircles the largest diameter of presenting part

88. Nursing care during the second stage of labor should include [1]

B. Coach breathing, Bear down with each contraction and encourage patient.

SITUATION : [NBLUE170] Baby boy perez was delivered spontaneously following a term pregnancy. Apgar scores are 8 and 9 respectively. Routine procedures are carried out.

89. When is the APGAR Score taken? [1]

C. At 1 minute after birth and at 5 minutes after birth

90. The best way to position a newboarn during the first week of life is to lay him [3]

B. On his back, flat

91. Baby boy perez has a large sebaceous glands on his nose, chin, and forehead. These are known as [1]

A. Milia

92. Baby boy perez must be carefully observed for the first 24 hours for [2]

A. Respiratory distress

93. According to the WHO , when should the mother starts breastfeeding the infant? [4]

A. Within 30 minutes after birth

94. What is the BEST and most accurate method of measuring the medication dosage for infants and children? [3]

C. Nomogram

95. The first postpartum visit should be done by the mother within [4]

A. 24 hours
B. 3 days
C. a week
D. a month

96. The major cause of maternal mortality in the philippines is [3]

D. Other complications related to labor,delivery and puerperium

97. According to the WHO, what should be the composition of a commercialized Oral rehydration salt solution? [4]

A. Potassium : 1.5 g. ; Sodium Bicarbonate 2.5g ; Sodium Chloride 3.5g; Glucose 20 g.

98. In preparing ORESOL at home, The correct composition recommnded by the DOH is [4]

A. 1 glass of water, 1 pinch of salt and 2 tsp of sugar

99. Milk code is a law the prohibits milk commercialization or artificial feeding for up to 2 years. Which law provides its legal basis? [4]

D. EO 51

100. A 40 year old mother in her third trimester should avoid [4]

C. Smoking

(darn! i got tired of answering those CHN questions! kindly check my answers, dervid)

im going to change my answer... hehehe, fetoscope can be used to hear FHT at 4 mos. doppler at 3 mos. and stethoscope at 5 mos.

3 mos. - Doppler
4 mos. - Fetoscope
5 mos. - Stethoscope

Is this the exam leakage that they were talking about?


thanks

about question #95 the answer should be ONE WEEK AFTER POSTPARTUM and on number #98, the answer should be i tsp of sugar, 1 pinch of salt in a glass of water.

86. Who's Theory of labor pain that states that PAIN in labor is cause by FEAR [4]

I think it is dick-read's theory.

pls check answer # 26 ovulation is 14 days before the next cyle (MCN by Olds) so di ba dapat subtract 14 days kaya nga sa ques 30 if cycle is 35 days ovulation is on the 21st day and also pls check answer # 42, elements of RH, I checked the DOH book and family planning is included.

Pls. check answer # 49 vision of RH (DOH book) is : Reproductive health practice as a way of life for every man and woman throughout life. Also # 38 Strategy of DOH is to increase andd improve use of more effective or modern contraceptive methods. Increase the type of methods offered available in the program.