Prelim Exam-M102

1.
The following are characteristics of hyperemesis gravidarum EXCEPT
Presence of ketonuria
Dehydration
*Weight gain
Weight loss
2. Which of the following statement describes hyperemesis gravidarum?
Vomiting subsides after 12 weeks
Nausea sometimes accompanied by vomiting
Vomiting does not cause severe dehydration
*Nausea accompanied by severe vomiting
3. What drug is commonly prescribed to control the vomiting of the patient who experience
hyperemesis gravidarum?
Meclizine
*Metocploramide
Promethazine
Dexamethasone
4. In H-mole, at what week does the uterus tends to expand reaching the symphysis brim?
20th
8th
16th
*12th
5. Which hormone is high in the woman’s body during pregnancy?
Oxytocin
*HCG
Estrogen
Progesterone
6. A client makes a routine visit to the prenatal clinic. Although she’s 14 weeks pregnant, the size of her
uterus approximates that in an 18- to 20-week pregnancy. Dr. Valdez diagnoses gestational
trophoblastic disease and orders ultrasonography. The midwife expects ultrasonography to reveal
an extrauterine pregnancy
an empty gestational sac
a severely malformed fetus
*grapelike clusters
7. Which of the following signs will require a mother to seek immediate medical attention?
Slight dyspnea on the last month of gestation
When the first fetal movement is felt
Mild uterine contraction
*No fetal movement is felt on the 6th month
8. What is the action of the drug misoprostol?
induce vaginal pain
*uterine contractions
prevents implantation of fertilized ovum
prevents the growth of zygote
9. Which among the following situations are contraindicated in medical abortion EXCEPT:
*Leni who previously had a miscarriage
Ana who has an intrauterine device at place
Fe who is currently undergo anticoagulant therapy
Lorna who is diagnosed with a chronic adrenal failure
10. A patient who just had undergo post- dilatation and curettage (D&C) must notify the midwife
immediately if she experience…
menstrual period return in 2 weeks
mild vaginal spotting
*abdominal tenderness
Cramping
11. The removal of uterus is called
Radical trachelectomy
*Hysterectomy
Salpingectomy
Oopherectomy
12. What is the recommended surgical elective termination procedure for a 14th week pregnant
woman?
Saline induction
Menstrual extraction
*Dilatation and vacuum extraction
Dilatation and Curettage
13. The serious potential complication of saline induction is
Hyperkalemia
*Hypernatremia
Hypokalemia
Hyponatremia
14. Which is NOT true about Incompetent cervix?
minimal symptoms
*occurs in second trimester
shortened cervical length

painless and bloodless dilatation
15. Restriction of activities and cervical cerclage are the treatments for
H-mole
Abruptio Placenta
*Incompetent Cervix
Placenta Previa
16. Ectopic pregnancy is most often occurs in
Abdomen
Ovary
Uterus
*fallopian tube
17. All of the following increase the risk for placenta abruption EXCEPT:
Maternal abdominal trauma
Hypertensive disorders of pregnancy
*A woman's first pregnancy
Maternal cocaine use
18. Which of the following is described as premature separation of a normally implanted placenta during
the second half of pregnancy, usually with severe hemorrhage?
Placenta previa
Ectopic pregnancy
Spontaneous Abortion
*Abruptio placenta
19. A 39-year-old at 37 weeks gestation is admitted to the hospital with complaints of vaginal bleeding
following the use of cocaine 1 hour earlier. Which complication is most likely causing the client’s
complaint of vaginal bleeding?
Placenta previa
Ectopic pregnancy
Abortion
*Abruptio placenta
20. A pregnant woman arrives at the emergency department (ED) with abruptio placentae at 34 weeks’
gestation. She’s at risk for which of the following blood dyscrasias?
Thrombocytopenia
Idiopathic thrombocytopenic purpura (ITP)
*Disseminated intravascular coagulation (DIC)
Heparin-associated thrombosis and thrombocytopenia (HATT).
21. Which of the following would the nurse assess in a client experiencing abruptio placenta?
Bright red, painless vaginal bleeding
Palpable fetal outline
*Concealed or external dark red bleeding
Soft and non -tender abdomen
22. A midwife is assessing a pregnant client in the 2nd trimester of pregnancy who was admitted to the
maternity unit with a suspected diagnosis of abruptio placentae. Which of the following assessment
findings would the nurse expect to note if this condition is present?
Absence of abdominal pain
A soft abdomen
*Uterine tenderness and pain
Painless, bright red vaginal bleeding
23. An ultrasound is performed on a client at term gestation that is experiencing moderate vaginal
bleeding. The results of the ultrasound indicate that an abruptio placentae is present. Based on these
findings, the midwife would prepare the client for:

Complete bed rest for the remainder of the pregnancy
Strict monitoring of intake and output
*Delivery of the fetus
The need for weekly monitoring of coagulation studies until the time of delivery
24. What is placenta previa?
High blood pressure during pregnancy
High blood sugar during pregnancy
*Partial or total covering of the cervix by the placenta
Excessive Nausea and vomiting during pregnancy
25. What type of diabetes mellitus characterized by having absolute insulin deficiency?
Type 1
Type 2
Impaired fasting glucose
*Gestation diabetes mellitus
26. A pregnant woman suffering fatigue and palpitations during normal activity. What classification of
heart diseases it will fall?
Class I
Class II
*Class III
Class IV
27. In DASH diet, sodium intake is limited to
*2.4 g
3.4 g
4.4 g
6g
28. The midwife explains to a pregnant client under giving a nonstress test that the test is a way of
evaluating the condition of the fetus by comparing the fetal heart rate with
Fetal lie
*Fetal movement
Maternal blood pressure
Maternal uterine contractions

Prelim Exam-M102

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1.

The following are characteristics of hyperemesis gravidarum EXCEPT

2. Which of the following statement describes hyperemesis gravidarum?

Vomiting subsides after 12 weeks

Nausea sometimes accompanied by vomiting

Vomiting does not cause severe dehydration

*Nausea accompanied by severe vomiting

5. Which hormone is high in the woman’s body during pregnancy?

an empty gestational sac

a severely malformed fetus

Slight dyspnea on the last month of gestation

When the first fetal movement is felt

Mild uterine contraction

*No fetal movement is felt on the 6th month

8. What is the action of the drug misoprostol?

induce vaginal pain

prevents implantation of fertilized ovum

prevents the growth of zygote

*Leni who previously had a miscarriage

Ana who has an intrauterine device at place

Fe who is currently undergo anticoagulant therapy

Lorna who is diagnosed with a chronic adrenal failure

mild vaginal spotting

11. The removal of uterus is called

*Dilatation and vacuum extraction

Dilatation and Curettage

13. The serious potential complication of saline induction is

14. Which is NOT true about Incompetent cervix?

*occurs in second trimester

shortened cervical length

16. Ectopic pregnancy is most often occurs in

Maternal abdominal trauma

Hypertensive disorders of pregnancy

*A woman's first pregnancy

Maternal cocaine use

Idiopathic thrombocytopenic purpura (ITP)

*Disseminated intravascular coagulation (DIC)

Heparin-associated thrombosis and thrombocytopenia (HATT).

Bright red, painless vaginal bleeding

Palpable fetal outline

*Concealed or external dark red bleeding

Soft and non -tender abdomen

Absence of abdominal pain

*Uterine tenderness and pain

Painless, bright red vaginal bleeding

Complete bed rest for the remainder of the pregnancy

Strict monitoring of intake and output

*Delivery of the fetus

24. What is placenta previa?

High blood pressure during pregnancy

High blood sugar during pregnancy

*Partial or total covering of the cervix by the placenta

Excessive Nausea and vomiting during pregnancy

Impaired fasting glucose

*Gestation diabetes mellitus

27. In DASH diet, sodium intake is limited to

Maternal blood pressure

Maternal uterine contractions

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