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HOOKLET CODE W) A 22 year-old primigravida mother came to a hospital with a complaint of labor pain for live hours. On evaluation the had three regular uterine contractions and cervis is Scin dilated After an hour, the cervis became fully dilated.fetal beart beat is 90mm and there is three regular uterine contractions The nurse decided to deliver the ferus using vacuum. What is the most likely indication for the above procedure? (A) Tight perincum (C) Poor matemal expulsive effort (B) Prolonged second stage of labor (D) Non reassuring fetal heart rate 91. A nurse administered three doses of 2 III of oxytocin in 1000 ml of normal saline solution for a pregnant mother who was indicated for labor induction. The dose was started with 20 drop per minute and increased every 30 minutes till adequate uterine contraction is achieved After few hours, the uterus became tense, strong and highly contracted. What is the most likely complication the mother could develop? (A) Uterine inertia (C) Retained placenta (B) Uterine rupture (D) Chorioamnionitis 92. A 31-year-old primigravida mother visited a health center for delivery.On examination, the contraction was adequate with vertex presentation the head was visible on the vulva and there was a bulged thinned perineum. The nurse conducted delivery of the baby by performing episiotomy. What is the most likely indication used to decide this procedure? (A)Vertex presentation (C) Thinned perineum (B) Uterine contraction (D) Head visible in vulva 93. A 20-year-old primigravida mother visited a health center for delivery. On arrival she is on active first stage of labor with 8 cm cervical dilatation and three strong contractions in 10 minute. She shouts when she had pain secondary to uterine contraction. What is the most appropriate pain management for this mother? (A) Provide tocolytics to rest labor (B) Teach labor breathing technique (C) Encourage movement with attendant (D) Establish a relationship with the mother 22 SUBMECT CODE: 01

BOONLET CODE: 011 SUBJECT COME to a hospital with complaint of penetrated skin of two days C. Auration. He also complains hematuria and dysuria. On laborator there are cercanae ova in unine Most of the time the patient has sit imming habit from their local river. What is the most appropicle management for this case? (4) Administration of (A) Administration of Praziquantel (C) Avoid swimming in water bodies 10 (D) Clearing of vegetation in water bodies 77. A 34-year-old man came to a hospital from malaria endemic area with the complaints of fatigue, headache and fever. The nurse performed further assessment and the patient with malaria. What clinical finding is most helpful to diagnose the patient is in complication? (C) Jaundice (A)Fever (D) Headache (B) Myalgia 78. A.36-year-old female patient comes to a health institution with complaint of skin rash on her area for two months She has hard symmetrical chancre but do not itch and the serological test (VDRI.is positive. The chancre was painless and disappeared within one husband tells her that he had similar case for the last six months. What is the best clinical feature to diagnose this case? (C) Positive serological test (A) Non itchable chancre (B) Chancre on genital area (D) Hard symmetrical chancre 79. A 27-year-old patient comes to a hospital with the complaints of acute onset profuse and purulent urethral discharge, urgency itching sensation of the urethra and burning sensation during micturition. The patient have also painless and regular ulcer on genitalia. What is the most likely diagnosis of this patient? (A) Syphilis (C) Gonorrhea (B) Chancroid (D) Herpes genitalia 0.An old man came to a hospital and was diagnosed with rabies after dog bite. The patient ha open and deep wound paraesthesia, and tingling sensations at the site of the bite. What is the initial management for this patient? (A) Suture the wound (B) Administer antibiotics (C) Administer post exposure prophylaxis (D) Wash the wound with soap and water UEUDLE Nursing 20150003

ODE: 012 45. A 21-year-old woman,with no previous history of mental illness, came to a clime complaining hearing of persistent voices commenting all her actions in thelast three months. Mental status examination revealed that she has frequent derailment of speech and looks apathetic. What is the most likely diagnosis of this patient? (A)Schizophrenia (C)disorder (B) Brief psychoi disorder (D) Schizophreniform disorder 46. A known adult patient with schizophrema and who is currently on halopendol 5mg/dxy came for follow up visit.His reports that he was doing well with this medication but started to show returning of symptoms after he resistedto take his medication.No evidence of drug side effect observed What is the most appropriate drug of choice for this patient? (A) Thioridazine (B)Chloropromizine (C)Fluphemazinedecanoate (D)I haloperidol and Carbamazepine 47. A 19-year-old male student reports sleep disturbance, difficulty of concentrating and periods of extreme muscle tension. He is constantly worried about the health of his parents,his university study and many others since joining university eight months ago. He recognizes that his worries are often unfounded, but can't stop worrying. What is the most likely diagnosis of this patient? (A) Panic disorder (C) Separation anxicty disorder (B) Social anxiety disorder (D) Generalized anxiety disorder 48. A 20-year-old university student was brought by the school counselor to an emergency department.He is on mood stabilizer medication for anxicty disorder Currently, he was found sitting in the lift of the residential hall. He claims that he hears a voice talking to him despite no one is around What is the most likely current psychopathology of this student? (A) Thought disturbance (C) Emotional disturbance (B) Cognitive disturbance (D) Perceptual disturbance 49. A 30-year-old male patient came to a psychiatric department with a complaint of persistent low mood and insommi for the last two wee ks. He has feeling of hopelessness . worthlessness and suicidal ideation. He has no underlined medical condition. The nurse diagnosis the patient with major depressive disorder. What is the most likelycriterion used to diagnose the patient's problem? (A) Insomnia (B) Low mood (C) Hopelessness (D) suicidal ideation

MOOKLET CODE: 013 SURJECT CODE: 02 14. A mother beought he a one-day-old neonate to a hospital with a complaint of inability to was born at 36 weeks of gestation skin, and can the 37^circ C and pulse rate is130 min. is somint temperature is strongly, but sucking relles was weak. The neonate respiratory rate What is the most likely indicator to be used to classify the child as preterm birth? (C)Tachypnea (A) Thick skin (D) Weak sucking reflex (B) Tachycardia 20. A four-year-old child is brought to a hospital due to fever of two days duration The child has no nunny nose and mouth uleer, but chills and loss of appetite: Her temperature is 38.5^circ C and respiratory rite is 55 min The nurse diagnoses the case as pncumonia. What additional manifestation is needed to confirm the diagnosis? (A) Chost in drawing (C) Convulsion (B) Inspiratory stridor (D) Cyanosis 21. A seven-year-old child came to a hospital with a complaint of cough of three weeks durution. The child had weight loss and history of contact with tuberculosis patient in the last six months. The nurse wants to screen the child for Tuberculosis. What is the most likely confirmatory screening method for this child? (A) Radiography (C) Clinical manifestations (B) Tuberculin Skin Test (D) Acid fast bacilli test of sputum 22. A two-year-old child is brought to a hospital with a complain!of diarrhea of two das duration. The child is lethargic and unable to drink on arrival.The child also has sunke eyes. The nurse wants to classify the level of dehydration based on IMNCl protocol. What is the most likely classification of this child? (A) No dehydration (C) Some dehydration (B) Dehydration (D) Severe dehydration 23. A neonate was brought to a hospital with complaints of inability to breast feed and yello discoloration of the palms and soles. The neonate was born at 36 weeks of gestation w birth weight of 2200 gram Serum bilirubin level was 12mg/dl What is the most appropriate nursing intervention for this neonate? (A) Provide exchange transfusion (B) Put the neonate on Phototherapy (C) Warm the infant by skin-to-skin contact (D) Advise the mother to expose to natural light

23 MOONLIT CODE: 011 evaluation, she had adequate pelvis with vertex presentation. down Nuas a cm dilated with 3 mild uterine contractions. After four hours, she has the senged cervical dilation with two mild uterine contractions. a complaint of pushing What is the most likely management for this mother? (C) Prepare the mother for CS (A) Induction (B) Start using partograph (D) Start augmentation protocol 05. A 10-year-old womantery to a hospital with vaginal bleeding and lower abdominal pain for has history of fall hefore 12 hours and she was amenorrhic for the past two month, Her blood pressure is 70/40mmHg and pulse rate and her priority nursing diagnosis is fluid volume deficit. 100/min She is in emergency unit What is the most appropriate outcome criterion for the identified nursing diagnosis? (A) Blood loss will decrease by 500ml/day (B) urine output will increase by 30ml/day (C) Patient will walk safely for short distance (D) Fluid volume will be maintained at factional level 96. A mother visited a postnatal clinic on the fifth day of postpartum with a complaint of breast for one day. On evaluation, the left breast is tender, dry, swoller and red with wedge. shaped area. Her pulse rate is 88/min respiratory rate is 22/min and temperature is 38^circ C What is the most likely diagnosis of this mother? (A) Superficial cellulites (C) Acute mastitis (B) Breast engorgement (D) Breast abscess 97. A 20-year-old primiparous mother gave birth to a 2 .8kg female neonate with spontaneous vaginal delivery. The health care provider advises the mother about good attachment and positioning. What is the most appropriate positioning the nurse should teach her? (A) Infant should face away from the mother (B) Infant head should be turn toward the mother (C) Infants body should touch mother's abdomen (D) Infant should be perpendicular with the mother lap SUBIECT CODE: 01