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3. A married couple came to a hospital for infertility investigation They were trying to for the last two years. They do not have previous history of contraception Accordingly the gynecologist ordered laboratory investigations for the couple. What is the most likely first laboratory investigation to be done for this couple? (A) Urine HCG test (C) Hormonal assay (B) Semen analysis (D) Serum FSH level 6. A 30-year-old mother was admitted to gynecology ward with vesco-vaginal fistul second to obstructed labor. The mother gave birth at home before 2 months.She is scheduled for listula repair after a week. What is the most appropriate nursing intervention for this mother? (A) Emotional support (C) Maintain patient on clear liquids (11) Insert catheter in the bladder (D) Encourage frequent sitsbaths 7. An 18-year-old lady came to a gynecology OPD with a complaint of abdominal distension for one month. She has abdominal swelling, and dull like pain. On examination. solid, more than 10 cm in diameter The imaging result showed that the tumor is which has originated from the primitive yolk sack. What is the most likely diagnosis of this woman? (A) Dysgerminoma turnor (B) Chonocarcinoma tumor (C) Immature teratom tumor (D) Endodermal sinus tumor 8. A 26-year-old non inal histoman came to a hospital with of Inter-menstrual cervical tuntal vaginal bleeding for third of them hs. CT scan She was diagnosed for stage II. stage th lower third or it e vagina without vestigation resull itchy What is the most likely manifestation that corresponds to this stage? (E) Adenexial excitation tenderness (C) (D) Excessive flui accumulatio

98. A postpartum mother was admitted to a hospital for complaints of pain the episiotomy wound for me day. On evaluation.dinner is hematoma formation appears to be moist studient and has pus containing discharge. What is the most likely nursing diagnosis of this mother? (c) Delayed wound healing (A) Self-care delicit (D) Impaired tissue integrity (B) Impaired sexuality 99. A nurse was providing a care for a 2 days postnatal mother The nursing care plan for the mother focused on an intervention that helps the nurse to promote health and prevent disease for both the mother and the new born. What is the most appropriate intervention that should be included? (A) Episiotomy care for the mother (B) Treatment of postnatal infection (C) Inspecting the vagina for bleeding (D) Providing iron folic acid supplementation 100. A pregnant mother gave birth to a 3.8kg male neonate with vacuum. After one hour of delivery, the uterus was well contracted and there was a bright red vaginal bleeding . On examination, there is laceration of the vagina and cervix. The nurse shouted for help and started an IV fluid transfusion. What is the most appropriate next management for this woman? (A) Repairing the tears (B) Give Oxytocinl units IM (C) Removal of the placenta manually (D) Bimanual compression of the uterus

21 No A pregrant woman came to ANC clinic with complaints of headache and difficulty of for one month.On A. aminstion, she has pale conjunctiva, pulse and respiratory rate 30min. He hemoglohin level is 10g/dl.The health care provider gave for anemia What is most appropriate outcome criterion used to measure the woman's improvement? (A) Hemoglobin level of 13g/dl (C) Absence of headache (B) Pulse rate of 100/min (D) Respiratory rate of 24/min MOOKLET CODE: 011 97. A 24-year-old pregnant woman came to ANC clinic for antenatal visit at her 36-weeks gestalited fetal veight less than the tenth percentile and inadequate fetal head and body measurement is 16.5cm The ultrasound finding highly suggesis an growth. What is the most appropriate management for this woman? (A) Provide bed rest (C) Decrease fluid intake (B) Terminate the pregnancy (D) Improve nutrition intake 88. A 23-year-old 34 weeks pregnant mother came to a hospital for her third ANC visit On assessment, her blood pressure is 150/90mmHg measured two times six hours apart and her pulse rate 75/min abdominal assessment shows cephalic presentation and positive fetal heart beat. Laboratory investigation revealed 2 proteins in urine, negative for glucose and ketone in the urine. She was diagnosed with mild preeclampsia. What is the most appropriate management for this mother? (A) Admit the mother and administer diuretics (B) Follow the mother as an outpatient twice a week (C) Admit the mother and initiate magnesium sulfate (D) Give anticonvulsant:and antihypertensive before discharge 89. A 32 weeks gestational age pregnant woman is admitted in obstetric ward for pregnancy- induced hypertension During admission,the woman had blurred vision, blood pressure 160/110mmHg protein urea 0.3gm and oliguria. The woman was conscious and she had n any scizure. She also took the recommended intervention to manage her problem. What is the most appropriate outcome criterion to evaluate the woman's prognosis? (A) Proteinuria 1+ (C) Absence of blurred vision (B) Blood pressure 140/90mmHg (D) Urine output 600ml/24hrs SUBJECT CODE: 01

BOOKLET CODE: 012 duration. Crate is 90 min temperature of 38^circ C take to do ur-year-playsical examination, the child has chest in drawing Hi min, pulse What is the appropriate management for this child? (4) Refer urgently to hospital (B) Provide oral Amoxicillin for 5 days (B) Pros with and gentamycin (D) Counsel the mother to give fluid remedies 25. A characterized by abrupt onset of fever, dry cough, tachypnes opportunistic infection Ohysical reveals scattered rales in the lungs and What is the most likely infectious disease that the patient exhibits? ystis carini pneumonia (C) Millary Tuberculosis (B) Pulmonary Tuberculosis (D) Severe Pneumonia 26. A nursing team has prepared a nursing care plan to provide a holistic care to HIV exposed The mother has planned to stop breast feeding today. The team planned to do antibody test and appointed her for the next visit. What is the most appropriate time to do this test? (A) At birth (B) At 6 weeks (C) At 10 weeks (D) At 12 weeks 27. A pediatric nurse started giving essential new born care by drying the bahy thoroughly During drying, the nurse observed that the child breaths spontaneously. What is the next appropriate step the nurse should do in thecase of this new born? (C) Initiate breastfeeding immediately (A) Cord care (B) Apply Tetracycline eye ointment (D) Place the baby in skin-to-skin contact 28. A five-day-old term neonate, with a diagnosis of neonatal sepsis, was admitted to a hospital.Prenatal history shows that the mother was febrile with offensive vaginal discharus before delivery. Mode of delivery was spontancous vaginal delivery. The nurse suspects the woman with sepsis. What is the most likely cause of this woman's problem? (C) Haemophilus influenza (A) Staphylococci (B) Escherichia coli (D) Group B streptococcus 29. A preterm baby has been admitted in the intensive care unit The care giver reported that the neonate had mild fever and difficulty of feeding.Base line temperature was 37.8^circ C pulse rate is 120 min. Also he has pale eye lid with yellow conjunctivitis. The nurses discnosed the newborn with icterus neonatrum. What is the most likely criterion to diagnose this neonate's problem? (A) Mild fever (C) Difficulty of feeding (B) Pale eye lid (D) Yellow conjunctiva VEHPLE-Nursing 2015/2023

24. A four-year-old child is brought to a health center with a complaint in duration. On physical examination, the child has chest in drawing the min, pulse rate is 90/min and body temperature of 38^circ C What is the appropriate management for this child? (A)Refer urgently to hospital (B) Provide oral Amoxicillin for 5 days (C) Treat with Ampicillin and gentamycin (D) Counsel the mother to give fluid remedies 25. A 6-month-old HIV positive baby was admitted to a pediatric ward due to infection(C 15) characterized by abrupt onset of fever dry cough, tachypne cyanosis. Physical examination reveals seattered rales in the What is the most likely infectious disease that the patient exhibits? (A) Pneumocystis carin pneumonia (C) Millary Tuberculosis (B) Pulmonary Tuberculosis (D)Severe Pneumonia 26. A nursing team has prepared a nursing care plan to provide a holistic care to HIV infants. The mother has planned to stop breast feeding today. The team planned to do a ramd antibody test and appointed her for the next visit. What is the most appropriate time to do this test? (A) At birth (B) At 6 weeks (C) At 10 weeks (D) At 12 weeks 27. A pediatric nurse started giving essential new born care by neously. the baby thoroughly During drying, the nurse observed that the child breaths spontaneously. What is the next appropriate step the nurse should do in thecase of this new bom? (A) Cord care (C) Initiate breastfeeding immediately (B) Apply Tetracycline eye ointment (D) Place the baby in skin-to-skin contact 28. A five-day-old term neonate,with a diagnosis of neonatal sepsis, was admitted to a hospital.Prenatal history shows that the mother was febrile with offensive vaginal dischares before delivery. Mode of delivery was spontancous vaginal delivery. The nurse suspects the woman with sepsis. What is the most likely cause of this woman's problem? (A) Staphylococci (B) Escherichia coli (C) Haemophilus influenza (D) Group B streptococcus 29. A preterm baby has been admitted in the intensive care unit The care giver reported that the neonate had mild fever and difficulty of feeding.Base line temperature was 37.8^circ C pulse rate is 120min Also he has pale eye lid with yellow conjunctivitis. The nurses diagnosed the newborn with icterus neonatrum. What is the most likely criterion to diagnose this neonate'problem? (A) Mild fever (B) Pale eye lid (C) Difficulty of feeding (D)conjunctiva Cookin?