TEST I: MULTIPLE CHOICE; ENCIRCLE YOUR ANSWER. ERASURES ARE NOT ALLOWED.

1. A primigravida gave birth to a normal baby, what is the best way to give warmth;
a. Cuddle the baby near the body of the mother c. Put the baby in a warm crib
b. Cover with warmth cloth d. Borrow an incubator
2. A baby suffering from anemia, which of the following is needed to include in supplementary feeding?
a. Chicken liver c. Chicken breast
b. Fruits like papaya d. Yellow vegetable
3. Which of the following is not a sign of tetanus neonatorum?
a. Cough, body malaise and fever c. Body spasm
b. Clenched mouth d. Inability to suck
4. What should you advice the mother when bathing and skin care to the baby?
a. Use oil and lotion after bath
b. Use cotton tipped applicators to clean ears
c. Bathe the infant by shampooing the head and rinse well
d. Applying deodorant soap for cleansing the face and perineal area
5. How many days should fever last if it is only a side effect of DPT?
a. 1 c. 3
b. 2 d. 3-4
6. Which of the following situations are you going to suspect that the cord is infected?
a. Redness and discharges c. Wetness
b. Protrusion of the cord d. Dryness
7. You are caring for a 1 month old infant with a 2 nd degree burn, which should not be done?
a. Cover the burn loosely to keep dust and flies away
b. Break the blisters
c. If blisters are broken, wash with solution with sterile water and salt
d. Refer to the physician
8. A 1 year old child suffering from night blindness. What should you include in her meal?
a. Squash c. Tomatoes
b. Eggs d. Mongo
9. Which factors affects growth and development?
1. Nutrition 2. Heredity 3. Genetics
a. 1, 2, and 3 c. 3
b. 1 and 2 d. 2 and 3
10. Which of the following can be prevented by leaning the passageway after birth?
a. ARI c. Primary complex
b. Asphyxia neonatorum d. Tetanus neonatorum
11. Breastmilk content that protects baby from infection;
a. Lactalbumin c. Antibodies
b. Estrogen d. prolactin
12. What observations indicate the baby is getting enough milk?
a. 5-9 wet diapers c. Infant has occasional chalasia
b. Cries often after feeding d. Weight gain
13. Period of infancy describes;
a. Period of social development c. Period of rapid growth
b. Period of ideal toilet training d. Period of developing autonomy
14. In providing infant care, which of the following should be discouraged?
a. Giving fluoride supplement c. Bedtime rituals
b. Bottle and breast feeding during sleep d. None of these
15. When providing care in newborn, the midwife should avoid the following;
a. Clamped the cord 2.5 cm from the baby c. Clamped the cord when the beats stop
b. Clean baby with cold boiled water d. Remove all vernix caseosa
16. Normal weight gain of newborn 6-12 months in pounds/month;
a. 2 c. 1:5
b. .75 d. 1
17. Which of the following is true in providing immediate care of the newborn?
1. Establishing and maintaining respiration 3. Providing warmth
2. Preventing and maintaining respiration 4. Assessing using APGAR score
a. 1 and 2 c. 4 only
b. 1 and 3 d. 1,3 and 4
18. Which of the following is an acquired opthalmia neonatorum?
a. Redness, purulent eye discharges c. Difficulty seeing at night
b. Periorbital edema d. Yellow sclera
19. What represents muscle tone in APGAR?
a. Color c. Respiration
b. Heart rate d. Reflex irritability
e.
20. In assessing the Newborn, APGAR score which determines the absence of difficulties in adjusting to extrauterine life is?
 a. 5-7 c. 7-10
b. 0-3 d. 4-6
21. Tomatoes and ripe mango is given to infant for this is good source of;
a. Carbohydrates c. Minerals
b. Protein d. Vitamin C
22. Appropriate health teaching to mother with 6-8 months infant;
a. Self -feeding with cookies c. Cruising
b. Teach to drink in a cup d. Give some fruits and vegetables one at a time
23. Normal newborn’s heart rate an hour after delivery;
a. 180 c. 115
b. 140 d. 60-100
24. Normal newborn’s BP at birth;
a. 80/46 c. 115/90
b. 100/58 d. 120/80
25. 1 year old infant cries without tears. This is an indication that;
a. Eye prophylaxis should be done as possible c. Impaired vision
b. Refer immediately to the physician d. Lacrimal glands are not yet fully matured
26. Mother complains about her baby that always puts things on her baby’s mouth. What is your best response?
a. Explain that it is normal behavior of an infant d. Ignore the mother’s complaint because this is a
b. It needs immediate referral normal behavior
c. It runs in the family
27. A 12 month breastfed infant has;
a. Yellow, golden soft stool c. Yellow, golden hard stool
b. Pale, soft stool d. Greenish blackish stool
28. When the mother asks you the difference between measles and German measles among infants, what would be your
appropriate response?
a. Both are caused by bacteria d. The rashes of the German measles are warm to
b. Both are covered by EPI touch
c. Both are caused by virus
29. Which of the following is a true statement?
a. TT is given is given even on an empty stomach c. Giving Mebendazole on the first 3-4 months
b. Vitamin A is given before 4th week d. At least 4 antenatal visits routinely
30. What pattern of growth and development refers if you teach the caregiver that her baby lifts head first before chest and
trunk;
a. Proximodistal c. Simple to specific
b. Cephalocaudal d. Gross to simple
31. A mother was about to breastfeed her child, she observed a lockjaw in the NB, and she reported this to you. What would
you advice to the mother?
a. Give small and frequent feeding c. Refer ASAP to the physician
b. Hire a special midwife for the child d. Do nothing
32. Best source for calcium and protein;
a. Milk and cheese c. Fruit juice and flavored milk products
b. Yellow vegetables and dried fruits d. Meat and rice
33. In some occasions referral is necessary in providing proper care; which action must be done first?
a. Instruct the mother on what measures/proper care to be done on the way to the hospital
b. Explain the reason for referral and encourage to bring him to the hospital
c. Make referral note to be given to the mother to bring to the hospital
d. Calm the mother and help her solve her problem
34. 3 F’s in home treatment;
a. Fluids, feeding, fingers c. Fluids, breastfeeding, fomites
b. Fluids, feeding, fast referral d. None of these
35. Indication of underfed infant;
a. Vomiting big amount after feeding without abnormal pathology
b. With colic and abdominal pain
c. Slow duration of sleep and awake few minutes after feeding
d. Sleep longer period
36. Standing alone is a manifestation of a 1 year old infant’s;
a. Motor development c. Personal-social development
b. Language development d. Social adaptive development
37. Weight gain of infant per day in the first 5 months;
a. 20 grams c. 15 grams
b. 10 grams d. 1 ounce
38. Which of the following disease in infant is caused by virus?
a. Pertussis c. Measles
b. Tetanus neonatorum d. tuberculosis
39. Who needs immediate referral?
a. Infant weighs 7lbs d. Infant with irregular respirations varying from
b. NB with APGAR of 4-6 35-50 bpm
c. Male infant measuring 20 inches
40. You are the special midwife to a normal NB after 3 days; the NB had difficulty and effective breastfeeding due to generalized
stiffness and convulsions, what is your management?
a. Apply moist heat to the stiffness c. Refer the newborn
b. TSB for fever d. Assess the NB
41. Which of the following is the most effective method in teaching the mother how to prepare and give food for
complimentary feeding;
a. Lecture c. Coaching
b. Demonstration d. discussion
42. What is the appropriate health teaching for a mother who has 3-4 months old infant;
a. put the poison out of reach of children c. avoid putting small objects on the floor
b. plug the outlet d. raise the side rails in the highest and locked
43. Which of the following are the needs of the infant?
1. Sensory stimulation 3. Feeding
2. Love 4. Security
a. 2 and 3 c. 3 only
b. 1, 2, 3, 4 d. 1 and 3
44. Which of the following should be avoided in feeding 10-12 months old infant?
a. Finger foods c. Self -demand feeding
b. Feeding using spoon d. Fruits and flavored milk
45. Which of the following statement is correct in feeding infants?
a. Breastfeeding is best for NB infant c. Supplemental feeding is best during 3-4 months
b. Feeding in bottle during bedtime is best for d. Burping twice a day
infant
46. Abnormal characteristics of NB;
a. Wet/soils diaper 6-8 times per day c. Doubles weight at 6 months
b. Gains 0.1 to 0.2 oz. /day d. Triples weight at 1 year
47. You are informing a patient’s mother that the best way to prevent poliomyelitis is;
a. Proper hygiene c. Clean environment
b. Avoid using the articles of a sick child d. immunizations
48. What would you do if the mother has cracked nipples?
a. Breastfeed the baby at unaffected area c. Leave one drop of milk to the nipple to promote
b. Avoid breastfeeding the baby healing
d. Wash breast with soap and water
49. Which of the following indicates an overfed infant?
a. Sucking of thumb after feeding c. With colic and abdominal pain
b. Vomiting big amount after feeding without d. Slow duration of sleep and awake few minutes
abnormal pathology after feeding
50. What
a. Active
kind of
artificial
immunity does measles vaccine gives? c. Passive artificial
b. Passive natural d. Active natural

51. Mrs. Luis was 38 years old when she gave birth to her baby girl. She noticed that her baby has low set ears, slanted eyes,
broad flat nose and protruding tongue; of which you know well that this is a chromosomal aberration is called;
a. Trisomy 21 c. Patau’s syndrome
b. Edward’s syndrome d. Turner’s syndrome
52. Another name for trisomy 21;
a. Down’s syndrome c. Patau’s syndrome
b. Edward’s syndrome d. Turner’s syndrome
53. At a point of Mary’s growth, she developed poorly her female secondary sex characteristics. She predominantly has of a
male features at adolescent stage; if you are the midwife attending to her concerns, what will be your best response to her
mother;
a. Explain to the mother that it is Edward’s syndrome, it needs surgery
b. Explain to the mother that it is Turner’s syndrome, needs hormonal replacement therapy estrogen
c. Explain to the mother that it is klinefelter’s syndrome, needs administration of androgen
d. Explain to the mother that it is Patau’s syndrome, needs an ophthalmologist for further treatment
54. Mary’s brother Peter on the other side of this condition developed poorly his male secondary characteristics. Voice not deep
and gynecomastia is prominently noticed in him at age 12,this chromosomal aberration is called;
a. Edward’s syndrome c. Turner’s syndrome
b. Patau’s syndrome d. Klinefelter’s syndrome
55. A defect having such signs and symptoms of micropthalmia or eye agenesis;
a. Klinefelter’s syndrome c. Patau’s syndrome
b. Edward’s syndrome d. Turner’s syndrome
56. Rocker’s bottomfoot, a sign and symptom of a defect of which the sole of the foot is rounded, infants having such may
manifest misshapen fingers and toes, this defect is called;
a. Edward’s syndrome c. Turner’s syndrome
b. Patau’s syndrome d. Trisomy 21
57. Solid foods are offered according to the following sequence for supplemental feeding;
a. Cereal, meat, fruits, vegetables, finger and table
b. Table, meat, finger, vegetables, fruits and cereals
c. Cereal, fruits, vegetables, meat, finger and table
d. Finger, meat, cereal, table, fruits and vegetables
58. A common sign of both tonsillitis and adenoiditis in obese children is;
a. Obstructive sleep apnea c. Severe diarrhea
b. Projectile vomiting d. Intermittent fever
59. An antifungal solution was ordered for baby boy Castro for oral thrush, he is 3 months old. As a midwife how will you teach
the mother in applying Nystatin to her baby;
a. Swish and swallow c. Via oral swab and via dropper
b. Gargling it at least BID d. Via IVTT
60. Mrs. Nava’s 18 months old baby undergone uraroplasty, in order not to impair speech and palatial growth; in feeding her
infant you advised her to give by; Except;
a. Rubber tipped Asepto syringe with large hole c. Soup spoon
b. Paper cup d. Plastic cup
61. Cheiloplasty is the repair of what condition in infants, done as early as 1-3 months so as not to remove sucking reflex;
a. Moniliasis c. Cleft lip
b. Talipes d. Cleft palate
62. If the infant hypoventilates, there is apnea and carbon dioxide/ air trapping. The infant is experiencing;
a. Respiratory acidosis c. Metabolic acidosis
b. Respiratory alkalosis d. Metabolic alkalosis
63. If infant is having tachypnea, asthma or respiratory distress syndrome, the infant is experiencing;
a. Respiratory acidosis c. Metabolic acidosis
b. Respiratory alkalosis d. Metabolic alkalosis
64. If infant is having chronic diarrhea, severe hypothermia especially in newborns and infants, the infant is experiencing;
a. Respiratory acidosis c. Metabolic acidosis
b. Respiratory alkalosis d. Metabolic alkalosis
65. Chronic vomiting and prolonged suctioning of the GI contents can cause;
a. Respiratory acidosis c. Metabolic acidosis
b. Respiratory alkalosis d. Metabolic alkalosis
66. It is caused by decrease in dietary intake, malabsorption syndrome and catabolic response to an infection; you know well
that this is;
a. Catalyst
b. Maladaptation
c. Maladjustment
d. Malnutrition
67. Andrew a 5 year old, was vomiting since yesterday. As the midwife in your barangay, what food should not be given to a
child with diarrhea;
a. Banana and applesauce c. All of the above
b. Rice and toast d. None of the above
68. The most common accident in toddlers;
a. Poisoning c. Drowning
b. Electrocution d. Burns
69. Given as oral emetic to cause vomiting after a drug overdose or poisoning;
a. Vinegar c. Table spoon of sugar
b. Syrup of Ipecac d. Mebendazole
70. All are universal antidote for poisoning; Except;
a. Activated charcoal c. Sodium Carbonate
b. Milk of magnesia d. Burned toast
71. It is understood that you should not give this before ipecac;
a. Sugar c. Vinegar
b. Charcoal d. Salt

74. Mrs. Jayme gave birth to a baby girl, as soon as baby opened her eyes she noticed that there is something wrong with her
child’s eye, you know that it is a cataract; unusual for an infant, what would be your response in getting pertinent data about
the mother’s history;
a. Asks her if she had roseola, during the entire pregnancy
b. Asks her if she had sexual contact with different partners
c. Asks her if she was exposed with rubella during pregnancy
d. Asks her if she had itchiness during the entire pregnancy
75. Which of the following single gene defect having dominant inheritance?
a. Polydactyl c. Thalassemia
b. PKU d. Hemophilia
76. Recessive inheritance under a single gene defect are; except;
a. Polydactyl c. Thalassemia
b. PKU d. Hemophilia
77. X-linked single gene defect are;
a. Color blindness c. Both a and b are correct
b. Hemophilia d. Both a and b are not correct
78. The dosage of toxicity for an aspirin is;
a. 200 to 250mg/ kg c. 500mg to 750 mg/kg
b. 300 to 500mg/kg d. 50 to 100mg/kg
79. Which is not a type of vascular tumors of the skin;
a. Nevus flammeus c. Cavernous hemangiomas
b. Nevus vasculosus d. Erythema toxicum
80. Bregma is also your;
a. Posterior fontanel c. Parietal suture
b. Anterior fontanel d. Occiput suture
81. Lambda is also your;
a. Frontal suture c. Posterior fontanel
b. Parietal suture d. Anterior fontanel
82. You noted the skin color’s significance during assessment, blue is cyanosis, white is to edema, pale is to anemia, yellow is to
jaundice while gray is to;
a. Inflammation c. Poor circulation
b. Infection or sepsis d. Papules
83. You have seen a herniation of umbilical cord of baby boy Daniel with intact peritoneal sac; this abdominal defect is called;
a. Gastrochisis c. Omphalocele
b. Omphalitis d. Omphalanghia
84. Bowel is exposed in this abdominal defect, hernia of the intestine lateral to the umbilical ring is known as;
a. Gastrochisis c. Omphalocele
b. Omphalitis d. Omphalanghia
85. It is a condition of which the testes of an infant is undescended, common in preterms;
a. Hydrocele c. Varicocele
b. Cryptorchidism d. Hypospadias
86. Urinary meatus is situated either ventral or below glans penis;
a. Hydrocele c. Varicocele
b. Cryptorchidism d. Hypospadias
87. Urinary meatus is situated above or dorsal to glans penis;
a. Hypospadias c. Varicocele
b. Epispadias d. Chordee
88. You have seen baby boy Cruz’ prepuce is very type resulting to accumulation of smegma causing infection of the glans penis;
 a. Varicocele c. Chordee
b. Phimosis d. Cryptorchidism
89. Hydrocele is to abdominal fluid in scrotum while Varicocele is;
a. Rectal fluid in the scrotum c. Enlarged vein of epididymis
b. Pus in the scrotum d. Shrinking of the vein of epididymis
90. Signs and symptoms of this genitourinary defect includes; abdominal mass, urinary retention and hematuria; the other
name for Wilm’s tumor is;
a. GERD c. Genitourinary fistula
b. Nephroblastoma d. PKU
91. What is the first solid food given to an infant because it is rich in iron;
a. Vegetables c. Fruits
b. Cereals d. Table foods
92. A 3 year old child with Kawasaki disease was given intravenous immunoglobulin. You understand that which of the following
vaccinations will be temporarily delayed because of the effect to the treatment regimen;
a. MMR c. Varicella Zoster
b. Hepatitis B d. DPT
93. Among the following, what is the safest finger food that can prevent choking?
a. Hotdog balls c. Grapes
b. Mashed ripe bananas d. Corn kernels
94. What is the greatest source of stress among hospitalized toddlers?
a. Separation anxiety c. Loss of routine
b. Fear of intrusive procedures d. Bodily harm
95. A child swallowed 30 paracetamol tablets in an hour ago are admitted to the ER. Which of the following orders should you
should first initiate;
a. Perform gastric lavage c. Insert IV at KVO rate
b. Administer Mucomyst d. Administer activated charcoal
96. What is the most hazardous activity of a 7 month old child?
a. Riding a car c. Electrical outlets
b. Falling off a sofa d. Eating corn kernels
97. Which is the best technique in giving 5 month old liquid medications?
a. In a cup c. Mix it to bottle feeding
b. Giving it using a needleless syringe d. Give it in a spoon
98. Which is the best site in giving liquid medications to infants;
a. Sides of the mouth c. Tip of the tongue
b. Back of the mouth d. A and b is correct
99. What implies color in Apgar score;
a. Heart rate c. Muscle tone
b. Appearance d. Reflex irritability
[Link] and odorous feces are expelled by infants who are;
a. Breastfeeding c. Transitional feeding
b. Formula feeding d. Supplemental feeding