INFANT CARE AND FEEDING 2 IV solutions

d) check frequently the number of drops of solutions running

MULTIPLE CHOICE into the vein and regulate the flow as ordered by the
doctor
1. In how many months grasps reflex will be replaced by active 13. When you touch the newborn cheek or the skin around the
voluntary grasp activity? mouth the head turns and the mouth searches for food. The
a) 6 reflex being demonstrated is:
b) 4 a) sucking
c) 8 b) grasping
d) 2 c) swallowing
2. Which of the following determines the sex of the baby? d) rooting
a) gene in the sperm 14. Which of the following statement about breastfed infants is/are
b) gene in the ovum true?
c) chromosomes in the ovum a) less likely to have gastro intestinal order
d) chromosomes in the sperm b) less prone to anemia or vitamin deficiency
3. Which of the following diseases typically has an incubation c) all of these
period of 16 to 18days d) have greater immunity to certain childhood disease
a) measles 15. Newborn infant often require lower doses of drugs compared to
b) mumps adults because of the following reasons:
c) rabies a) renal tubular secretion is lower in newborns
d) chicken pox b) newborns have lower glomerular filtration rate
4. Contents of breast milk which support brain and nerve c) newborn have normal blood pH
development d) newborn have lower blood protein and albumin
a) Zinc concentrations
b) taurine 16. Developments denotes an increase in mental and social skills.
c) fats This denotes:
d) protein a) quantitative change
5. after the cord has been clamped of ligature is tied in a square b) qualitative change
knot about how many inch/inches from the abdominal wall? c) learning change
a) 2 ½ d) maturation
b) 3 17. Which of the following is the shape of posterior fontanel
c) 2 a) diamond
d) 1 b) triangle
6. An infant enjoys being held, and holding him develops c) round
a) independence d) oblong
b) trust 18. Which of the following organ is most likely to decrease in size
c) security during period of under nutrition:
d) love a) liver
7. To dose for oral polio vaccine in drop is: b) thymus
a) 0.1 c) brains
b) 3 d) heart
c) 2 19. Otitis media is an infection of the middle ear caused by:
d) 0.5 a) clostridium tetani
8. The dose for oral polio vaccine in drop is: b) staphylococcus aurean
a) remove the vernix caseosa c) candida ablicans
b) stimulate the circulating system d) hemiphilus influenza
c) remove organism acquired during delivery 20. You assess a newborn baby, which color is NOT considered
d) avoid excess heat loss normal?
9. Which of the following dietary deficiency that is likely to be a) pink body blue soles
responsible for rickets b) pink sole blue body
a) vitamin A c) pink body pink soles
b) vitamin C d) pink reddish when crying
c) vitamin E 21. How long or within period does the body temperature of an
d) Vitamin D infant stabilized?
10. The infant should be dried and provided with radiant heat to a) 48 hours
avoid hypothermia which will increase the newborn's oxygen b) 24 hours
consumption. This routine procedure is: c) 16 hours
a) circulation d) 8 hours
b) ventilation 22. Which of the following is not true about the effect of
c) maintenance of body heat breastfeeding on bowel movement
d) phototherapy a) many babies appear to strain as they pass their stool
11. The DOH develop a program to address the problem of b) breastfeed baby may not pass stool for several days
diarrhea, this is called c) hard stool is common
a) people's health d) breast milk is almost totally absorbed into the baby's body
b) sangkap pinoy therefore, there is very little waste
c) tubig-kubeta-oresol 23. The best time to cut the cord when handling delivery:
d) measles prevention a) when the cord stops pulsating
12. An infant received intravenous therapy. An important b) when sign of placental separation appear
responsibilities that the midwife should do ( if assigned in the c) 60 seconds after the baby is out
hospital) is: d) when the baby starts to cry
a) remove the needle as soon as the fluid which has been 24. Within the few hours after birth the entire skin of normal infant
ordered has run out of the vein often becomes
b) add a new bottle of solution when the first bottle has been a) edematous
consume with or without order from the doctor b) red
c) change the linen promptly, it becomes moistened form the c) pale
 d) dry 38. Which of the following characteristics is NOT TRUE for a
25. Which of the following can prevent the baby from colic? premature infant?
a) put abdominal binder a) soft tears and receding chin
b) burp the baby after feeding b) abdomen protrude
c) rub the baby abdomen with vapoub c) engorgement of the breast
d) apply the compress d) head is relatively large with prominent eyes
26. Phototherapy is ordered for baby Reyes. The most likely reason 39. The following routine procedures in the immediate care of the
for this is the infant has a: newborn, but priority is given to:
a) jaundice skin a) eye care
b) cyanotic skin b) cord dressing
c) wrinkled skin c) clearing of air passageway
d) scaly skin d) skin care
27. What factors has the Least effect on the quality and quantity of 40. Attachment is a developmental issue appropriate for discussion
mother's milk? during:
a) the amount of rest and relaxation she consumed a) 12 months
b) the amount of her fluid intake b) 9 months
c) the type of her diet c) 7 months
d) the size and shape of her breast d) 5 months
28. A condition wherein the scrotum is soft and the testes are not 41. Babies who suffered from sudden onset of respiratory distress
palpable is known as: associated with coughing, gagging, stridor should be suspected
a) scrotal hermia of:
b) orchitis a) pertussis
c) testitis b) pneumonia
d) crytorchidism c) foreign body aspiration
29. The presence of Koplik's spot is found in d) poisoning
a) measles 42. when the baby is placed on a prone position, she usually do
b) poliomyelitis which of the following?
c) diphtheria a) turn to sides
d) tetanus b) lift her head
30. Premature rupture of the infant's membranes may cause: c) lags her head
a) anencephaly d) crawl; her feet
b) sepsis neonatarum 43. Which of the following is NOT a complication of measles?
c) hydrocephalus a) encephalitis
d) caput succedanum b) arthritis
31. The first and most common finding in mild hemolytic disease in c) otitis media
the newborn? d) pneumonia
a) anemia 44. The most traumatic for the neonate is during:
b) pallor a) ear holing for female and circumcision for male
c) jaundice b) cutting of umbilical cord
d) bilirubinuria c) bathing
32. Protein malnutrition is known as: d) birth
a) dehydration 45. An important reason why one or more blood transfusions are
b) marasmus done on infant having ethroblastosis fetalis is to prevent:
c) kwashiorkor a) tetanus neonatarum
d) underweight b) kernicterus
33. APGAR score should be done by the midwife: c) hemorrhagic disease of the newborn
a) twice d) opthalmia neonatarum
b) four times 46. Most infant death care to diarrhea could have been prevented
c) thrice by:
d) once a) isolation
34. Physical factors in the supply of breast milk includes which of b) medication
the following c) hospitalization
a) increased fluid and protein intake d) health education
b) normal exercise such as house work 47. The following are signs that the baby has a fixed on the breast
c) all of these in good position, EXCEPT:
d) stimulate in the infant sucking a) too much areola is visible, especially below the lower lip
35. A mother ask you about various immunization for her child. For b) the mother does not feel nipple pain
which of the following diseases is routine immunization no c) the whole body is close to his mother and is facing her
longer recommended? d) mouth and chin are close to the breast
a) tetanus 48. Vitamin A capsule is given to a 9 to 11 months in which of the
b) polio following dose/doses
c) diphtheria a) 2
d) small pox b) ½
36. DPT and Polio immunization is given at 6 weeks of age with the c) 1 capsule
following interval, (in weeks): d) 1 ½
a) 2 49. An infant sits well with support, grasp a rattle and puts it in her
b) 8 mouth, smiles and laugh spontaneously. Her age in month is
c) 6 most likely:
d) 4 a) 6
37. Which of the following abnormalities is NOT associated with b) 8
post natal infections? c) 4
a) anemia d) 10
b) feeding intolerance 50. The normal beat of fatal heart rate is between
c) apnea a) 80 to 100
d) jaundice b) 160 to 80
 c) 100 to 120 d) use iodized salt for home cooking
d) 120 to 160 63. The first nutrient the baby received in supplementary feeding is:
51. A reflex when an infant jerk their legs when the soles of their a) mineral
feet are pricked: b) carbohydrates
a) more c) vitamins
b) withdrawal d) proteins
c) dancing 64. Mother should be instructed to cleanse the vulva from the
d) babinski urethra toward the anus to minimize the possibility of infection
52. The major risk factor for transmission of HIV virus infection to known as:
newborn is a mother who: a) cervicitis
a) is a midwife in a dialysis unit b) cystitis
b) is an IV drug user c) urithritis
c) has received blood products d) vaginitis
d) migrated from an endemic area 65. Effects of maternal hormone among neonates includes all of the
53. As a baby born below the 10th percentile of the intrauterine following EXCEPT:
growth chart and weigh les than 2,500 grams is considered; a) milk secretion
a) large for gestational age b) breast engorgement
b) post mature c) vaginal bleeding
c) low birth weight d) undescended testes
d) small for gestational age 66. Which of the following is not considered as supplementary
54. The following factors can lead to increased jaundiced among feeding for 1 to 11 months
newborn, EXCEPT: a) white egg at least once a week
a) traumatic delivery b) chopped table foods
b) babies born spontaneously c) cook vegetable
c) babies with cephalhematoma d) bread cereal
d) breastfeeding 67. The infant need is placed in neutral or slightly extend position
55. The mother in the hospital wants to feed her cleft-lip baby who thereby cleaning the mouth,nose and pharynx. This is routine
have undergone operation ten(10) days ago procedure in:
a) the baby should lie flat in bed during feeding because of a) establishing circulation
the possibility of injury to his lip b) evaluating APGAR score
b) the mother could hold the baby on her lap and feel him to c) establishing airway
rubber tipped medicine dropper d) monitoring reflexes
c) only nurses were permitted to feed babies while they were 68. At what age of the baby when measles immunization if given:
hospitalized a) 6 months
d) the baby should be fed by gavages for at least a few more b) 12 months
days and that the mother would have to wait until the c) school entrance
baby will be discharge d) 9 months
56. Which of the following is NOT contraindication in breastfeeding 69. To drain secretions of the newborn the right position is:
the newborn baby? a) prone position
a) erythroblastosis fetalis b) slight Trendelenburg
b) cleft palate c) supine position
c) cleft lip d) knee chest
d) facial nerve paralysis 70. Caution should be considered in the administration of oxygen to
57. The infants need referral if which of the following sign appear? pre-term newborn as this may affect to:
a) pulse rate is 140 per minute a) brain
b) regurgitates after his last feeding b) heart
c) sternum moves inward with inspirations c) lungs
d) sleep most of the time d) eye
58. Of the following vitamins, which is NOT fat soluble? 71. The average head circumference of a full term infant at birth is
a) Vit. E about:
b) Vit C a) 55
c) Vit A b) 35
d) Vit D c) 25
59. Two clamps are used to compress the cord. They are placed d) 45
about how many inch/inches from the abdomen: 72. The infant should put to the breast as soon after delivery as the
a) 4 condition of the mother and her infants permits:
b) 2 a) stimulation of lactation
c) 3 b) all of these
d) 1 c) emotional satisfaction from both mother and child
60. The most allergenic food to infant is: d) early sucking assists in the involution of the uterus
a) meat 73. Which of the following is NOT a cause of bad sucking position
b) cereals during breastfeeding
c) egg a) fever
d) fish b) sore nipples
61. The correct technique when giving medicine to infant is: c) refusal to feed
a) pinching the baby's nose after giving the medicine d) irritability
b) mixing the drug with milk formula 74. What vaccine became controversial due to its alleged chronic
c) diluting the drug with water and pinch of sugar that use of gonadotropin content:
dropper a) BCG
d) using the dropper and giving the medicine gradually b) tetanus toxoid
62. A mother with goiter should be given the following advice, c) DPT
EXCEPT: d) measles
a) eat food rich with iodine shellfish and seaweeds 75. In cleansing the penis of the infant which of the following should
b) eat cabbage, turnips and bamboo shoots NOT be done?
c) take iodine capsule a) the midwife should not bother to teach the mother the
 cleansing process because it is a delicate matter b) cerebral edema and seizures
b) if the foreskin is adherent to the glands during the c) sustained rise in systemic blood pressure
neonatal period retraction should be postponed d) electrolyte abnormalities
c) the foreskin may be retracted when possible each day if 87. which of the following is NOT a characteristic of post mature
the infant has not been circumcised infants?
d) the cleansing process should be done very gently a) nails and scalp hair are longer
76. The newborn's eye are usually closed at birth to open or inspect b) no lanugo or vernix caseosa
the eyes, the midwife should: c) very large infant
a) stimulate thereby in order to cry d) skin may be peeling and appear to have the consistency
b) rock the head of the study of parchment
c) open the eyelids thru her fingers 88. Immunologic mechanism is most likely when symptoms follow
d) lift the head of the baby forward after the ingestion os:
77. When the mother wants to remove the infant from her nipple a) fruit juice
after breastfeeding, she should put gentle pressure on the b) shell fish
infant's: c) food coloring
a) cheeks d) cheese
b) chin 89. what method of infant identification is considered “mistake proof”
c) jaw a) a name bracelet or necklace place on the wrist or neck
d) forehead b) foot or palm prints of the infant taken while the mother is
78. Baby A was hospitalized for several weeks. His mother was not still on the delivery
able to visit him frequently than twice a month, to prevent c) an adhesive label bearing identification information
emotional deprivation during this time the most important applied to the infant back
measure could be taken by a midwife or a nurse is: d) identification tape marked with identification numbers for
a) place him each day in a playpen near other same his age both the baby and the mother
b) give him many toys to keep him occupied 90. The goal of the midwife in the initial assessment of the newborn
c) assign the same staff on duty to provide care for him each is to determine:
day a) deformities and handicaps
d) place his crib near the entrance so he will not be lonely b) heart rate
79. Gestational age of the newborn can be estimated thru the c) state of oxygenation and ventilation
following EXCEPT: d) level of hemoglobin
a) amount of vernix present in the body 91. If the infant is underfed which is not likely to happen:
b) scalp hair and lanugo a) the baby will be constipated
c) appearance of scrotum and testes b) may be irritable
d) absence or presence of sole creases c) free from colic and will not vomit
80. Which of the following laboratory test determine the presence or d) alternate crying and sucking his fingers
absence of possible hemolytic disease? 92. Full term infants their birth weight by the end of the :
a) Schick a) 2nd week
b) Mentoux b) 4th week
c) PPD c) 1st week
d) Coombs d) 3rd week
81. Possible explanations for a child's language delay include all of 93. Which of the following mis the immediate priority in assessing a
the following EXCEPT newborn?
a) prenatal rubella syndrome a) temperature
b) genetic deafness due to single gene defects b) reflex
c) normal child who is slow to start talking c) nutritional status
d) multiple chest x-ray of the mother during pregnancy d) weight
82. Which of the following statement is correct about vitamin K? 94. Scald burns is best treated initially by:
a) the amount of vitamin K in breast milk and in cows milk a) applying cool water
are the same b) applying pressure to the site of the burn
b) The vitamin K content of cow's milk is lower than breast c) applying butter or margarine
milk d) covering the wound with a bandage
c) the vitamin K content of breast milk is lower than that of 95. when the infant sucks only the tip of the nipple of her mother,
cow's milk which of the following indication is NOT true?
d) there is no vitamin K in breast or cow's milk a) the baby is already satisfied
83. A common childhood disease which is caused by virus that b) the mother feels pain and the nipple skin might be
attack the motor cells of the spinal cord is known as: damaged
a) paralysis c) the baby fails to stimulate the nipple enough to work the
b) meningitis oxytocin and prolactin reflexes
c) poliomyelitis d) the body fails to express the milk because the tongue
d) tetanus does not press a lactiferous viruses
84. What particular organ is affected if there are less than three (3) 96. Liver is a good dietary source of which vitamin?
blood vessels in the cord a) C
a) liver b) A
b) heart c) D
c) lung d) B
d) kidney 97. While the mother is breastfeeding, her body releases oxytocin.
85. Which of the following month an infant begins to say”dada” and The effect of this to the mother is:
“mama” a) desire to sleep
a) 10 b) desire to void
b) 5 c) firmness of the areola
c) 3 d) abdominal discomfort
d) 8 98. Two weeks before the start of labor, the fetus usually settles into
86. In neonate who has asphyxia all of the following could be the brim of the pelvis. This phenomenon is called:
expected to develop except: a) preparing
a) heart failure b) lighting
 c) show
d) molding
99. The midwife inject vitamin K to the newborn shortly after birth,
the purpose of which is to:
a) improve blood coagulation
b) increase calcium absorption
c) stimulate respiration
d) start peristaltic movement
100. Deformities of the structure of bones of the foot:
a) athlete foot
b) club foot
c) claw foot
d) flat foot