OUR LADY OF THE PILLAR COLLEGE-CAUAYAN

College of Nursing and Midwifery

1) A nurse in the newborn nursery is monitoring a preterm newborn infant for respiratory distress syndrome.
Which assessment signs if noted in the newborn infant would alert the nurse to the possibility of this syndrome?
a.Hypotension and Bradycardia
b.Tachypnea and retractions
c.Acrocyanosis and grunting
d.The presence of a barrel chest with grunting

2) All of this are characteristics of a preterm infant except:

a.Poikilothermic
b.Long and thin body
c.Male scrotum has very few rugae
d.Minimal or absent recoil of extremities

3) A nurse on the newborn nursery floor is caring for a neonate. On assessment the infant is exhibiting signs of
cyanosis, tachypnea, nasal flaring, and grunting. Respiratory distress syndrome is diagnosed, and the physician
prescribes surfactant replacement therapy. The nurse would prepare to administer this therapy by:
a.Subcutaneous injection
b.Intravenous injection
c.Instillation of the preparation into the lungs through an endotracheal tube
d.Intramuscular injection

4) Which action best explains the main role of surfactant in the neonate?
a.Assists with ciliary body maturation in the upper airways
b.Helps maintain a rhythmic breathing pattern
c.Promotes clearing mucus from the respiratory tract
d.Helps the lungs remain expanded after the initiation of breathing



5) In caring for preterm infants, the precautions that should be taken against retrolental fibroplasias include:

a. Keeping oxygen at less than 40% concentration and discontinuing it as soon as feasible
b. Carefully controlling humidity and temperature
c. Maintaining high concentration of oxygen (above 75%)
d. Using phototherapy to p/t jaundice and retinopathy

6) A nursing instructor asks a nursing student to describe the procedure for administering erythromycin
ointment into the eyes if a neonate. The instructor determines that the student needs to research this procedure
further if the student states:
a. I will cleanse the neonates eyes before instilling ointment.
b. I will flush the eyes after instilling the ointment.
c. I will instill the eye ointment into each of the neonates conjunctival sacs within one hour after birth.
d. Administration of the eye ointment may be delayed until an hour or so after birth so that eye contact and
parent-infant attachment and bonding can occur.

7) The nurse understands that the purpose of instilling a broad spectrum antibiotic or silver nitrate in the
newborn infant's eyes is to prevent:

a.Ophthalmia neonatorum.
b. Retrolental fibroplasia.
c.Erythroblastosis fetalis.
d.Icterus neonatorum.

8) Moments after birth, a neonate of 32 weeks' gestation develops asphyxia (unable to breathe normally).
As the neonatal team starts resuscitation, the nurse must:


a. Remain calm and watch as the team resuscitates the neonate
b. Monitor IVF
c. Keep the neonate's head in the "stiff" position.
d. Administer medication as ordered by the doctor

9) A client with group AB blood whose husband has group O has just given birth. The major sign of ABO
blood incompatibility in the neonate is which complication or test result?
a.Negative Coombs test
b.Bleeding from the nose and ear
c.Jaundice after the first 24 hours of life
d.Jaundice within the first 24 hours of life


10) Primary cause of Meconium Aspiration Syndrome is?
a.fetal hypoxia
b.diarrhea
c.water intoxication
d.uterine contractions

11) Ms. Cherry pop, a client with diabetes asks the nurse for advice regarding methods of birth control. Which
method of birth control is most suitable for the client with diabetes?

a. Intrauterine device
b. Oral contraceptives
c. Diaphragm
d. Contraceptive sponge

12) Which of the following instructions should be included in the nurses teaching regarding oral
contraceptives?

a. Weight gain should be reported to the physician.
b. An alternate method of birth control is needed when taking antibiotics.
c. If the client misses one or more pills, two pills should be taken per day for 1 week.
d. Changes in the menstrual flow should be reported to the physician.

13) Nurse Baklitang Kris was asked by a student nurse about the signs and symptoms of uterine prolapse. He is
correct when he answers:

a.vaginal pain radiating to the back
b. Urinary incontinence
c. Lower abdominal pain accompanied by severe headache
d. Grayish vaginal discharge and pain

14) These are types of uterine prolapse except?

a.anterior
b.posterior
c.transverse
d.middle



15) All of the following are signs and symptoms of rectocele except?

a.constipation
b.urinary frequency
c.pelvic pressure
d.fatigue

16) Kinit Coccemia is advised to do this kind of exercise to strengthen the muscles that support the uterus and
as a preventive measure for rectocele

a. Zumba
b. Hillers exercise
c. Sexual intercourse
d. Kegels exercise

17) Signs and symptoms for cystocele. Select all that apply

a.pelvic pressure
b. fatigue
c.fecal incontince
d.back and pelvic pain
e.urinary frequency
f.uncontrollabe gas
g.creamy vaginal discharge

18) Bachoy was experiencing vaginal discharge, lower abdominal pain, fever, general malaise, and increase
pain during defecating and voiding. She was then diagnosed with Pelvic Inflammatory Disease. Which of the
following is a possible complication of PID?

a.Uterine obstruction
b.Peritonitis
c.Abortion
d.Cervical cancer



19) Bachoy was then advised to have bed rest by her physician.What type of position is suitable for Bachoy
who has PID?

a. Trendelenburg
b. assume a frog like position
c. right side lying
d. semi-fowlers

20) Which of the following is not true in minimizing transmission others?

a.Discarding soiled pads
b. putting pads in autoclave
c. carefully handling perineal pads
d. meticulous hand hygiene






































Answer: A
A) Ophthalmia neonatorum is caused by the gonococcus organism in the birth canal. Erythromycin is often the preferred choice
because it also kills Chlamydia, the most common sexually transmitted disease.
2. The infant with respiratory distress syndrome may present with signs of cyanosis, tachypnea or apnea, nasal flaring, chest wall
retractions, or audible grunts.
3. The aim of therapy in RDS is to support the disease until the disease runs its course with the subsequent development of surfactant.
The infant may benefit from surfactant replacement therapy. In surfactant replacement, an exogenous surfactant preparation is instilled
into the lungs through an endotracheal tube.
2. Eye prophylaxis protects the neonate against Neisseria gonorrhoeae and Chlamydia trachomatis. The eyes are not flushed after
instillation of the medication because the flush will wash away the administered medication.
4. Surfactant works by reducing surface tension in the lung. Surfactant allows the lung to remain slightly expanded, decreasing the
amount of work required for inspiration.
4. The neonate with ABO blood incompatibility with its mother will have jaundice (pathologic) within the first 24 hours of life. The
neonate would have a positive Coombs test result.

10)Answer C is correct. The best method of birth control for the client with diabetes is the diaphragm. A permanent intrauterine device
can cause a continuing inflammatory response in diabetics that should be avoided, oral contraceptives tend to elevate blood glucose
levels, and contraceptive sponges are not good at preventing pregnancy. Therefore, answers A, B, and D are incorrect.

11. nswer B is correct. When the client is taking oral contraceptives and begins antibiotics, another method of birth control should be
used. Antibiotics decrease the effectiveness of oral contraceptives. Approximately 510 pounds of weight gain is not unusual, so
answer A is incorrect. If the client misses a birth control pill, she should be instructed to take the pill as soon as she remembers the pill.
Answer C is incorrect. If she misses two, she should take two; if she misses more than two, she should take the missed pills but use
another method of birth control for the remainder of the cycle. Answer D is incorrect because changes in menstrual flow are expected in
clients using oral contraceptives. Often these clients have lighter menses.