14.

The following provides the infant with passive immunity:

a. Colostrums c.Polio Vaccine
b. BCG d. Measles Vaccine
15. If the cord stump is moist, the midwife can do which of the
following to hasten drying of the stump:
MOCK BOARD EXAMINATION a. Paint the stump with 40 % alcohol
INSTRUCTIONS: There are 200+items to be answered in this b. Lace and aid over stump
test. Select the BEST ANSWER for the following questions. Mark c. Paint the stump with betadine
only ONE answer for each item by shading the box d. Apply antibiotic ointment
corresponding to the letter of choice. Use Mongol No. 2. 16. A reflex elicited by a loud sound:
STRICTLY no erasures allowed. a. Moro reflex c.Yawn reflex
Infant Care & Feeding b. Grasp reflex d.Sucking reflex
17. A newborn who has a unilateral cleft-lip most likely unable
1. Which of the following APGAR score reflex good to:
oxygenation and ventilation which does not need vigorous a. Swallow c.Suck
resuscitation? b. Breath d.salivate
a. 8-10 b.0-3 c.4-6 d.5-7 18. Umbilical cord is normally expected to fall off for how many
2. The bone which is usually affected in caput succedaneum days?
is: a. 3 days c.7 days
a. Frontal c.Parietal b. 12 days d.5 days
b. Temporal d. occipital 19. Infants begin to have a social smile at what age?
3. The midwife should refer the babies under which of the a. 2 weeks c.4 weeks
following conditions? b. 8 weeks d.16 weeks
a. Remains blue despite of resuscitation 20. Desquamation in neonate is considered normal if it occur at
b. Breathing is too fast what age?
c. Birth weight is less than 2,500 g a. 1st week c.2nd to 4th week
d. All of these b. 3rd to 8th week d.10th week
4. Infants who are breastfeeding received antibodies from 21. An inexpensive and effective method of relieving itchiness
their mothers thru the 1st few feeding, the type of immunity in prickly heat among babies is by applying:
is called: a. Baby oil c.Corn starch
a. A natural active c.Natural passive b. Alcohol d.Cologne
b. Artificial passive d.Artificial active 22. Main cause of death of premature infant is:
5. Some newborn experienced colic, in order to prevent this a. Immaturity c.Infection
the midwife should apply which of the following b. Birth injury d.bleeding
intervention? 23. Lanugo is found in almost all parts of newborn’s body. Your
a. Give warm water correct assessment of this condition is the baby is:
b. Let the baby lie in prone position a. Premature c.Post mature
c. Rub the abdomen with baby oil b. Full term d.Post term
d. Burp the baby after each feeding 24. When assessing a male newborn, the genitals are inspected
6. Refers to the newborn, genetically transmitted capacity for to check if there is cryptorchidism which means that:
development: a. Testes are descended
a. Eugenics c.Learning b. Testes have not descended into the aortal sac
b. Growth d.maturation c. Testes are within the scrotal sac
7. A 6 months old baby has a temperature of 37.8 °C, her d. Fluid in scrotum
mother ask the midwife what kind of bath she can give her 25. Infancy is a period characterized by:
baby. The midwife tell her to give: a. Rapid growth and development
a. Tub bath with tap water b. Period of developing initiative in the child
b. Sponge bath with ice water c. Period of developing autonomy
c. Sponge bath with lukewarm water with alcohol d. Developing trust
d. Sponge bath with warm water 26. A practical guide that can be used when the determining
8. Which is not true about anterior fontanel? the amount of formula milk to be given per feeding is:
a. Diamond shape a. Age in months multiply by 2
b. Not palpable b. Age in months divided by 2
c. Soft level of bone c. Age in months + 2
d. Bulge when there is brain damage 27. Which of the following is physiologic condition in a neonate
9. Bonding occurs when the: a. Milia c.Cephalhematoma
a. Mother feed the baby through bottle b. Syndactyl d.Cleft palate
b. Mother cuddles her baby while sleeping 28. A practical way of reducing jaundice at home is by:
c. Mother cuddles and looks at her baby a. Exposure to floor light
d. Mother sleep at separate room b. Exposure to ultra violet rays
10. Under what condition erythroblastosis fetalis does occurs? c. Exposure to early morning sunlight
a. Both are positive 29. Which of the following common methods used in identifying
b. Both are negative newborns in the DR is least risky for interchanging babies?
c. Mother is RH (+) and father is RH (+) a. Wrist band c.Footprints
d. Mother is (-) and father is (+) b. Nametag/ID hand d.fingerprints
11. The principle of premature care is: 30. The birth certificate of the baby should be properly
a. Gentle and minimal handling accomplished because of the following use of the BC,
b. Protect against infection except:
c. Prepare infant formula a. Proof of citizenship
d. Maintain body temperature b. Proof of legitimacy
12. Failure to administer Vitamin K most often leads to: c. Proof of professional competency
a. Bleeding within 24 hours after delivery 31. Neonates are more prone to dehydration because their
b. Prolong prothrombin time body weight has more water content which is
c. Early blood clotting approximately:
d. anemia a. 90 % of body weight c.70% of body weight
13. The 1st deciduous teeth usually appears between: b. 50% of body weight
a. 9-12 months c.5-9 months 32. The infant motor abilities can be developed through:
b. 12-18 months d.Before 5 months a. Play c. Both a & b
b. Stimulation

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33. The most important in the APGAR scoring system: a. Premature c. LGA
a. Muscle tone c.Heart rate b. Post mature d. SGA
b. Respiration d.color 54. How long or within what period does the body temperature
34. In Silverman scoring system for preterm newborn, a score of an infant stabilized?
of 10 denotes: a. 48 hours c. 8 hours
a. Normal ventilation c.Good metabolism b. 24 hours d. 12 hours
b. Respiratory distress 55. You’re assessing a neonate who has blackish blue marks
35. A normal Filipino newborn is expected to weigh a minimum around his buttocks. What are these marks called?
of: a. Milia c. Vernix Caseosa
a. 3.0 kg c. 2.5 kg b. Mongolian spots d. Nevus Flammeus
b. 4.0 kg d. 5.0 kg 56. When teaching the mother of a child with eczema, which of
36. These are the characteristics of a neonate cardiac rate, the following instructions should be included in the
except: midwife’s teaching?
a. Regular c. Rapid a. Dress the infant warmly to prevent undue chilling
b. Irregular d.May increase while crying b. Cut the infants’ fingernails and toenails regularly
37. The most common danger sign of newborn is: c. Use a bubble bath instead of soap for bathing
a. Cyanosis c.Excessive secretions d. Wash the infants’ clothes with the mild detergent
b. Irregular breathing d. Pink color and fabric softener
38. Motor development in children normally proceeds in a 57. The midwife is caring for a new mother. The mother asks
cephalocaudal order, meaning it’s from: why her baby lost weight since he was born. The best
a. Head to lower extremities explanation of the weight loss is:
b. Proximal to distal a. The baby is dehydrated
c. Gross to refined b. The baby is hypoglycemic
39. Comparatively speaking, the toddler’s head is: c. The baby is allergic to the formula the mother is
a. Smaller than his chest c.Bigger than his chest giving him
b. As big as his chest d. A loss of 10% is normal in the first week due to
40. An abnormal condition that usually accompanied by meconium stools
teething: 58. The midwife is caring for a newborn infant with a suspected
a. Gum irritability c. Salivation diagnosis of imperforate anus. The midwife monitors the
b. Diarrhea infant, knowing that which of the following manifestation
41. When there is a jaundice of the sclera within 24 hours after associated with this disorder?
birth: a. Sausage-shaped mass palpated in the upper right
a. It need referral abdominal quadrant
b. Needs close observation b. Bile stained fecal emesis
c. It is physiologic c. Failure to pass meconium stool in the first 24 hours
42. Insufficient milk supply in breastfeeding mothers are usually after birth
due to: d. The passage of currant jelly like stools
a. Anxiety and fatigue 59. During drying and stimulation of the baby, your rapid
b. Poor maternal nutrition assessment shows that the baby is crying. What is your next
c. Both a & b action?
43. An infant whose mother has PROM should be observed a. Suction baby’s mouth and nose
closely for: b. Clamp and cut the cord
a. Asphyxia c. Convulsion c. Do skin-to-skin contact
b. Infection d. dehydration d. Do early latching on
44. Which of the following milk teeth usually erupts first? 60. Which of the following is an expected activity of a 8 month
a. Lateral incisors c. Molars old with a normal growth:
b. Central incisors a. Stand alone c. Eat alone
45. Jaundice is considered physiologic if it occurs on the: b. Sit alone d. Crawl
a. 1st – 3rd day c. 2nd-7th day 61. The chest and head circumference of the baby is taken
b. 1 -7 day
st th during home visits in order to:
46. Which of the following is expected to be done by a normal 7 a. Detect possible brain abnormality
months old infant? b. Determine accurate measurement
a. Crawl c. Sit alone c. Measure the size of the fontanel
b. Stand alone d. All of these
47. An infant usually expected to say “ da-da” or “ma-ma” to 62. After the extension of the newborns’ head before the chest
refer to his parents at the age of: is delivered the mouth and nose should be cleared to:
a. 5 months c. 10 months a. Prevent meconium aspiration
b. 6 months d. 8 months b. Provide abnormal distention
48. When taking the v/s of an infant, when of the following is c. Avoid renal problem
taken last? d. Avoid vomiting
a. Respiration c. Cardiac rate 63. If the rectal pouch ends blindly at a distance above the anus
b. Temperature and there is no anal orifice at birth the suspected
49. The primary food of an 0-6 months old abnormality is:
a. Cereals c. Soup a. Omphalocele c. Hydrocephalus
b. Noodles d. milk b. Imperforate anus d. Cleft lip palate
50. The bilirubin of term babies peaks on the 3rd day of life in 64. The midwife caring a newborn of an Rh-negative mother
pre-term it is on the: determines the newborn may be at risk for which of the
a. Beyond 10 days c. 6th -10th days following:
b. 3rd – 7th days d. 5th – 7th days a. Hemolytic Diseases c.Cardiac Anomalies
51. The deformities structure of the bones of the foot: b. Sepsis d. Petechiae
a. Athletes foot c. Claw foot 65. Infant usually at risk for hypothermia. Because of this, when
b. Club foot d. Big foot examining infants, you must do which of the following?
52. The first micronutrient the baby received in supplementary a. Place the infant in an incubator
feeding is: b. Place the infant in a little away from a goose-neck
a. Iron c. Vitamins lamp
b. Mineral d. Carbohydrates c. Undress only the body area to be examined
53. As a baby born below the 10th percentile of the intrauterine d. Undress, examine then dress the newborn quickly
growth chart and weighs less than 2, 500 mgs is
considered:

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66. Toddlers usually engage in parallel plays. Which of the d. 15-17”
following best illustrates parallelism? 78. If the rectal pouch ends blindly at a distance above the anus
a. 2 toddlers sitting together but playing and there is no anal orifice at birth the suspected
independently with separate toys abnormality is:
b. 2 toddlers sitting together with blocks a. Omphalocele
c. 2 toddlers sitting together with match boxes b. Imperforate anus
d. 4 toddlers sitting together with school age brother c. Hydrocephalus
67. Mommy Linda is playing with her infant, who is sitting d. Cleft lip palate
securely alone on the floor of the clinic. The mother hides a 79. This is NOT included in the natural family planning methods:
toy behind her back and the infant looks for it. The midwife a. BBT
is aware that estimated age of the infant would be: b. Symptothermal
a. 6 months c. Withdrawal
b. 4 months d. Cervical Mucus
c. 8 months 80. The milk ejection reflex influence by which of the following
d. 10 months hormone?
68. Marie brought her 10 month old infant for consultation a. Prolactin
because of fever, started 4 days prior to consultation. The b. Oxytococ
medical term epistaxis is commonly known as: c. Progesterone
a. Nose bleeding d. Estrogen
b. Vaginal bleeding 81. According to the new EINC protocol the cord of a newborn
c. Vomiting of blood can be clamped and cut at:
d. Spitting of blood a. Immediately after delivery
69. The mother of a 6 month old infant is concern that the b. 10 seconds after expulsion
infants’ fontanel is still open. The midwife would inform the c. 2-3 minutes after expulsion or until pulsation
mother that further evaluation is needed if the anterior disappears
fontanel is still open after: d. After immediate drying of the newborn
a. 6 months 82. The precursor of Vitamin A essential for the prevention of
b. 10 months Vitamin A Deficiency in infants are:
c. 18 months a. Cassava and potato
d. 24 months b. Papaya and squash
70. The natural sedatives in milk and meat product that can c. Banana and Carrots
help to induce sleep is: d. Pork liver
a. Flurazepam 83. Which of the following is NOT TRUE regarding the treatment
b. Chlorpromazine of breast engorgement?
c. Tryptophan a. After a fed apply cold compress on the breast to
d. Methotrimephazine reduce edema
71. Another child shows a typical “old man’s look” with enlarge b. If the baby is able to suck, fed frequently
head and abdomen. Loose wrinkled skin, very poor weight c. Before a feed, to stimulate oxytocin reflex,
gain, prominent ribs and thin flabby muscles. This condition stimulate the nipple skin and give massage
is known as: d. If the baby is not able to suck, express milk by
a. Failure to thrive hand or with a pump
b. Marasmus 84. Gastrointestinal diseases are prevented by which of the
c. Kwashiorkor following things found in breastmilk?
d. Hypervitaminosis a. Lymphocytes
72. What is the importance of turning the head of the patient b. Lactogenic bacteria
during the convulsion? c. Lactobacillus bifidus
a. To lower the temperature d. Immunoglobulin
b. Lessen the attack of convulsion 85. Which of the following is not TRUE regarding prolactin and
c. Prevent mouth injury breastfeeding?
d. Prevent aspirations of vomitus a. Prolactin induces Ovulation
73. Properties of colostrums include all the following EXCEPT? b. More prolactin is secreted at night
a. Purgative c. Prolactin is secreted about after breastfeeding to
b. Vitamin A rich produce the milk for the next feed
c. Antibody Rich d. Prolactin is secreted about 30 minutes after
d. Few white cells breastfeeding
74. Sometimes a baby is injured during delivery. This is most 86. Symptoms manifested by night blindness and white spots
likely to happen in the following abnormal delivery EXCEPT? among infants and children is deficiency in:
a. 1st and 5th week a. Vitamin C
b. 1st and 2nd week b. Iron
c. 2nd and 3rd week c. Vitamin K
d. 3rd and 4th week d. Vitamin A
75. A 6 months old baby has stop feeding well, accompanied by 87. If the height of the newborn is 19-21 inches, which is the
fast breathing and chest indrawing. What is your average measurement in centimetres?
appropriate action? a. 50
a. Give amoxicillin for 1 week b. 45
b. Give steam inhalation c. 55
c. Refer baby immediately to the hospital d. 60
d. Give cotrimoxazole 88. Deficiency disease cause by inadequate Vitamin C in the diet
76. A baby born 33 weeks AOG with a birth weight of 2, 000 of infants is:
gms is considered as: a. Kwashiorkor
a. Normal b. Infantile Eczema
b. Low birth weight c. Iron deficiency
c. Large for gestational age (LGA) d. Scurvy
d. Small for gestational age (SGA) 89. Exclusive breastfeeding means that the baby should be only
77. In the head circumference is 33-35 cm. What is the breastfed from what month?
appropriate measurement in inches? a. Birth to 4 months old
a. 13-14 “ b. Birth to 6 months old
b. 16-18 “ c. 1 month to 2 months old
c. 14-16 “ d. 1 month to 1 year old

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90. When the baby is not correctly latched on the breast, which a. Exchange of gases occurs in the lungs
problem will most likely occur? b. Exchange of gases occurs in the placenta
a. Cracked nipples c. Umbilical arteries carry oxygenated blood
b. Sore nipples d. Foramen ovale is the opening between the
c. Engorge breast pulmonary artery and aorta
d. All of these 104. A breastfed infant weighed 3.4 kgs at birth. At 4 days old,
91. Which of the following activities should a mother do in order he now weighs 3.2 kgs. Which is the most appropriate
to ensure an adequate flow of milk? action that you would take?
a. Exercise daily a. Notify the physician for this is abnormal
b. Empty her breast with each feeding b. Tell the mother that the feeding is inadequate
c. Drink soup every meal c. Monitor the baby closely during each feeding
d. Eat plenty of fruits and vegetables d. Reassure the mother that most babies normally
92. The loosing of heat to the cool surrounding by the newborn lose this much weight
is: 105. The major energy source for heat production in the neonate
a. Evaporation is:
b. Convection a. Norepinephrine secretion
c. Radiation b. Steroid secretion
d. Conduction c. Subcutaneous fat
93. Physiological jaundice of the newborn appears definitely d. Brown fat
between the third and seventh days after birth. How many 106. Opthalmia neonatorum in the newborn occurs as a
days will it disappear? consequence of contact with which of the following?
a. 1-2 a. Monilia
b. 2-3 b. Gonococcus
c. 4-5 c. Streptococcus
d. 7-10 d. syphilis
94. The normal temperature of the baby taken per rectum is: 107. A newborn’s heart rate is 80 at 1 minute after birth. On an
a. 36.1 – 37.2 °C APGAR score, you would give this a rating of:
b. 36.7 – 37.8 °C a. 4
c. 36.6 – 36.7 °C b. 2
d. 36.0 – 38.0 °C c. 1
95. Partial paralysis of one arm due to excessive stretching of d. 0
the nerve fibers that run from the neck through the 108. At 28 weeks of age, a normal baby should be able:
shoulder is called: 1. Roll over
a. Impetigo 2. Reach for and grasp 1 object
b. Down’s Syndrome 3. Sit with support
c. Brachial Plexus paralysis 4. Utter repetitive vowel sounds
d. Congenital heart disease a. 1 and 2
96. While assessing a child with pyloric stenosis, the midwife is b. 3 and 4
likely to note which of the following? c. 2 and 4
a. Regurgitation d. All of the above
b. Steatorrhea 109. Infants first LOL or laugh out loud is heard at:
c. Projectile vomiting a. 7 months c. 3 months
d. “currant jelly” stools b. 1 month d. 5 months
97. The midwife dries the newborn after birth in order to: 110. Solid foods are not given until this reflex disappears :
a. Remove organism acquired during delivery a. Gagging
b. Avoid excess heat loss by hypotherma b. Swallowing
c. Stimulate circulation system c. Extrusion
d. Remove vernix caseosa d. Rooting
98. Kwashiorkor is characterized by the following EXCEPT? 111. Lucy was 7 lbs at birth. By one year of the new born, she
a. History of Inadequate protein should weigh:
b. Edema a. 14 lbs
c. Hypoalbuminemia b. 21 lbs
d. Prolonged breastfeeding c. 24 lbs
99. BCG and measles has the same doses? d. 28 lbs
a. 3 112. Whitish lesion appearing like milk curds on the tongue and
b. 1 mucus membrane of the mouth of the infant is:
c. 4 a. Thrush
d. 2 b. Imetigo
100. An infant can be able to pick up small objects using pincer c. Furunculosis
grasp at which age: d. Scurvy
a. 10 months 113. By one year, these are expected of a child except:
b. 5 months a. Knows his name
c. 7 months b. BW-6 lbs, WT-18 lbs at 1 year
d. 8 months c. Can stand alone and walk with help
101. A 9 month old infant can demonstrate which of the d. Number of teeth is 8-10
following characteristics? 114. The midwife documents which of the following reflexes as
a. Stand-alone being responsible for an infant incurving the toes with
b. Build a tower of two blocks uncurling and fanning out of the toes when the lateral
c. Vocalizes single syllables plantar surface is stroked.
d. Drink from a cup a. Moro reflex
102. You would expect the baby to have his first stool or b. Gallant reflex
meconium within: c. Rooting reflex
a. 8-10 hours d. Babinski reflex
b. 24 hours 115. In giving partial bath, it should proceed from the cleanest to
c. 2 days the soiled areas of the body. The sequence should be:
d. 5 days a. Face and eyes, hair, trunk diaper area
103. Fetal circulation differs from the newborn’s circulation. b. Hair, face and eyes, trunk, diaper area
Which among of the following is TRUE in the fetal c. Extremities, trunk, face and eyes, hair
circulation? d. Trunk, extremities, face and eyes, diaper area

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116. Caput succedaneum usually disappears at least how many c. Greenish in color, watery in consistency
days after birth : d. Brownish to greenish in color, firm in consistency
a. 5-8 c. 3-7 130. A child is 2 ¼ years old. You should expect her to have:
b. 2-3 d. 7-9 a. 6 deciduous and 2 permanent teeth
117. When assessing an infant, which of the following would the b. 16 deciduous and 2 permanent teeth
midwife expect from a 4 month old baby: c. 12 deciduous teeth
a. Sit with support d. 20 deciduous
b. Finger to thumb grasp 131. A 12 month child has approximately how many deciduous
c. Ability to reach toy teeth?
d. Says mama and dada a. 2 b.6 c.10 d.16
118. The first word of the baby: 132. Fear of strangers reach its height at:
a. Mama c. Dada a. Six months
b. Tada d. Yaya b. Seven months
119. When using the otoscope to examine the ears of a 2 year c. Eight months
old child, the midwife should: d. Ten months
a. Pull the pinna up and back 133. A ten month old infant can:
b. Pull the pinna down and back a. Pull himself for a standing position
c. Hold the pinna gently but firmly in its normal b. Bring thumb and index finger together in a pincer
position grasp
d. Hold the pinna against the skull c. Ready for a peek a boo
120. In infants, positive Babinski reflex is: d. All of these
a. An indication of a neurological problem 134. The following are true of caput succedaneum in a newborn
b. Dorsiflexion EXCEPT:
c. Fanning of toes a. It is an edema of the scalp
d. Withdrawing the foot from the stimulus b. It subsides withing 48-72 hours
121. When the newborn is place on a cold on a cold crib or c. It needs no treatment
wrapped in a cold blanket, cold stress can occur due to heat d. It indicates injury to the brain
loss by? 135. Negativism and ritualistic behaviours are normal
a. Evaporation characteristic of:
b. Radiation a. Pre schoolers
c. Conduction b. Toddlers
d. Convection c. Infants
122. The losing of heat to the surrounding air by the newborn is: d. Adolescents
a. Evaporation 136. A baby’s cord comes off in about:
b. Radiation a. 6-10 days
c. Convection b. 3-5 days
d. Conduction c. 2-4 days
123. A communicable disease that affects the growth and d. 1-3 days
development among children: 137. The normal weight loss newborn is about:
a. Primary complex a. 2-3 % of the birth weight
b. Leprosy b. 5-10% of the birth weight
c. Asthma c. 10-15% of the birth weight
d. Diabetes d. 15-20% of the birth weight
124. When doing hair shampoo, the baby should be held using 138. When an object is placed on the newborn’s hand, he will
the technique called: take hold of it momentarily. This is a result of:
a. Football hold a. Moro reflex
b. Shoulder hold b. Dancing reflex
c. Cradle hold c. Grasp reflex
d. Neck to Buttocks hold d. Rooting reflex
125. A five day old infant with white, cheesy patches on the 139. The absence of what reflex is the most important for you to
tongue and buccal mucusa is probably infected with: report?
a. Staphylococcus a. Moro c.Babinski
b. Streptococcus b. Gag d. Tonic neck
c. E. Coli 140. Which of the following foods is preferable to introduce first?
d. Candida Albicans a. Chocolate
126. Which of the following months can a baby drink from a cup b. Egg white
and eat well with his fingers: c. Rice cereal
a. 9-12 months d. Beef
b. 5-6 months 141. Which of the following is NOT normal in newborn a few
c. 4-6 months hours after birth?
d. 7-8 months a. Persistent, high pitched cry
127. In sterilizing equipment for immunization, they should be b. Slight cyanosis of the extremities
boiled from boiling point: c. Tar-like stools
a. 15 minutes d. Attitude of general flexion
b. 20 minutes 142. In a baby who is born with trachea-esophageal fistula,
c. 30 minutes which findings during pregnancy would have cause you to
d. 10 minutes suspect this might be present?
128. When the newborn is placed on the cold crib or wrapped in a. A difficult second stage of labor
a cold blanket, cold stress can occur due to heat loss by? b. Polyhydramnios
a. Evaporation c. Bleeding at 32 weeks of pregnancy
b. Conduction d. Oligohydramnios
c. Radiation 143. A food that you would emphasize to a mother to be
d. Convection included in the supplementary feeding of an infant is:
129. A mother decided to breastfeed her baby. You should a. Egg white
expect that the baby’s stool will be generally: b. Pork
a. Golden yellow in color, mushy, occur more c. Egg yolk
frequently d. Milk
b. Greenish yellow in color, pasty, occur less
frequently

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144. When teaching a parent on how to prevent accident when
caring for a 6 month old, you should emphasize that at this
age, the child can usually:
a. Sit up by himself
b. Stand while holding on to the furniture
c. Roll over
d. Walk with help
145. Midwife Jay should expect a 3 year old child to be able to
perform which action?
a. Ride a tricycle c. Tie the shoelaces
b. Roller-skates d. Jump rope
146. After teaching the mother about the neonate’s positive
Babinski reflex, the midwife determines that the mother
understands the instructions when she says that a positive
Babinski reflex indicates?
a. Immature muscle coordination.
b. Immature Central nervous system
c. Possible lower spinal cord defect
d. Possible injury to nerves that innervate the feet.
147. When assessing the newborn’s heart rate, which of the
following ranges would be considered normal if the newborn
were sleeping?
a. 80 beats per minute c.100 beats per minute
b. 120 beats per minute d.140 beats per minute
148. Which of the following groups of newborn reflexes below
are present at birth and remain unchanged through
adulthood?
a. Blink, cough, rooting, and gag
b. Blink, cough, sneeze, gag, swallowing
c. Rooting, sneeze, swallowing, and cough
d. Stepping, blink, cough and sneeze
149. In teaching a mother of a young infant to treat oral thrush,
which of the following actions reflect an inappropriate
teaching of the community health midwife?
a. Wash her hands
b. Wipe the infant’s mouth with a clean, soft cloth
wrapped around her finger and dipped in tap
water.
c. Paint the infant’s mouth with half-strength Gentian
Violet.
d. Wash her hands again.
150. A midwife prepares to administer a Vitamin K injection to a
newborn infant. The mother asks the midwife why her
newborn infant needs the injection. The best response of
the midwife would be:
a. “You infant needs Vitamin K to develop immunity.”
b. “The Vitamin K will protect your infant from being
jaundiced.”
c. “Newborn infants are deficient in Vitamin K, and
this injection prevents your infant from abnormal
bleeding.”
d. “Newborn infants have sterile bowels, and Vitamin
K promotes the growth of bacteria in the bowel.”
151. A baby is born precipitously in the ER. The midwife initial
action should be to:
a. Establish an airway for the baby
b. Ascertain the condition of the fundus
c. Quickly tie and cut the umbilical cord
d. Move mother and baby to the birthing unit
152. A newborn has small, whitish, pinpoint spots over the nose,
which the midwife knows are caused by retained sebaceous
secretions. When charting this observation, the midwife
identifies it as:
a. Milia c. Lanugo
b. Whiteheads d. Mongolian spots
153. The midwife visits Reyes family 2 weeks after hospital
discharge. She observes that the umbilical cord has dried
and fallen off. The area appears healed with no drainage or
erythema present. The mother can be instructed to:
a. Cover the umbilicus with a band aid.
b. Continue to clean the stump with alcohol for one
week.
c. Apply an antibiotic ointment to the stump
d. Give him a bath in an infant tub now.
154. The Newborns mother is concerned on the shape of the
baby’s head after delivery. She states that it looks like a
cone head. The most appropriate response by the midwife
is:
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a. You don’t need to worry about it. It is perfectly
normal after birth.
b. It is molding caused by the pressure during birth;
this is normal and it will disappear in a few days.
c. I will report it to the physician, and he will order a
diagnostic scan.
d. It is a collection of blood related to the trauma of
delivery and will absorb in a few weeks.
155. After the extension of newborn’s head before the chest is
delivered the mouth and nose should be cleared to:
a. Prevent meconium aspiration
b. Provide abnormal distention
c. Avoid renal problem
d. Avoid vomiting
156. Mommy Linda is playing with her infant, who is sitting alone
securely alone on the floor of the clinic. The mother hides a
toy behind her back and the infant looks for it. The midwife
is aware that estimated age of the infant would be:
a. 6 months c. 4 months
b. 8 months d. 10 months
157. At what APGAR score at 5 minutes after birth should
resuscitation be initiated?
a. 1-3 c. 7-8
b. 9-10 d. 6-7
158. Before birth, which of the following structures connects the
right and left auricles of the heart?
a. Umbilical Vein c. Foramen Ovale
b. Ductus Arteriosus d. Ductus Venosus
159. Gracie, the mother of a 3 month old infant calls the clinic
and states that her child has a diaper rash. What should the
midwife advise?
a. “Switch to cloth diapers until the rash is gone.”
b. “Use baby wipes with each diaper change.”
c. “Leave the diaper off while the infant sleeps.”
d. “Offer extra fluids to the infant until the rash
improves.”
160. The midwife is assessing a 4 month old infant. Which motor
skill would the midwife anticipate finding?
a. Hold a rattle c. Bang two blocks
b. Drinks from a cup d. Wave “bye-bye”
161. A midwife in a delivery room is assisting with the delivery
of a newborn infant. After the delivery, the midwife
prepares to prevent heat loss in the newborn resulting from
evaporation by:
a. Warming the crib pad
b. Turning on the overhead radiant warmer
c. Closing the doors to the room
d. Drying the infant in a warm blanket
162. When performing a newborn assessment, the midwife
should measure the vital signs in the following sequence:
a. Pulse, respirations, temperature
b. Temperature, pulse, respirations
c. Respirations, temperature, pulse
d. Respirations, pulse, temperature
163. Within 3 minutes after birth the normal heart rate of the
infant may range between:
a. 100 and 180 c. 130 and 170
b. 120 and 160
164. On the first postpartum day, a primiparous client asks the
midwife, “Why are my baby’s breast so swollen?”. The
midwife explains that breast enlargement in neonates is
caused by which of the following transferred from the
mother?
a. Prolactin c. Estrogen
b. Progesterone d. Growth hormone
165. After describing the rooting reflex, which of the following, if
stated by the mother as the age at which the reflex
disappears, indicates effective teaching?
a. 2 weeks to 1 month c. 6 weeks to 2 months
b. 3 to 4 months d. 5 to 6 months
166. The midwife is assigned to care for a newly delivered
primiparous client and her term neonate 1 hour after a
vaginal delivery the midwife observes that the neonate’s
APGAR score at 5 minutes was 9. The midwife interprets
this indicating which of the following about the neonate?
a. Vigorous resuscitation was needed
b. The neonate was cyanotic at birth
c. Oxygen administration was necessary at birth
d. The neonate is in stable condition
167. When teaching a primiparous client who deliverd a term
male neonate 1 hour ago about the characteristics of her
neonate, which of the following would the midwife include?
a. Obligatory nose breather
b. Testes probably undescended
c. Oxygen administration was necessary at birth
d. The neonate is in stable condition
168. A primipara calls the birthing unit 3 days after a vaginal
delivery. She tells the midwife that she is bottled-feeding
and her breast are swollen and painful. Which of the
following instructions would be most appropriate?
a. Wear a tight breast binder for the next 24 hours
b. Avoid wearing a bra to allow the engorgement to
subside
c. Refrain from taking shower with the water on the
breast
d. Apply ice peak
169. A few days after birth, the mother complained that the
newborn lost weight. What should be the best action?
a. Report the findings to the primary care provider.
b. Assess the newborn for any anomalies or diseases.
c. Assure the mother that this is normal.
d. Instruct the mother to increase her feedings.
170. What should a mother do to the white, cream cheese-like
substance that coats her baby?
a. Have it examined by her primary care provider.
b. Scrape or rub it off using a towel.
c. Allow it to be gradually washed off.
d. Remove it using baby oil.
171. How does breast milk help prevent infection in a newborn?
a. It is rich in fatty acid, so bacteria are destroyed by
it.
b. It is always flowing forward in the breast so it is
not static.
c. It contains maternal antibodies and viral binding
factors.
d. It is low in lactose, so it becomes a poor culture
medium.
172. How is prolactin stimulated so it can also stimulate the
production of breast milk in return?
a. Acinar cells start producing colostrum.
b. Progesterone levels are reduced by the delivery of
the placenta.
c. The letdown reflex takes place.
d. Progesterone increase after the delivery of the
placenta.
173. What would you advise a mother who has an allergy to
protein but still wants to breast feed?
a. Assure her that breast feeding should not pass on
the allergy to the infant.
b. Advise her to consult to her primary health care
provider regarding this issue.
c. Advise her to use formula milk instead to avoid
allergies.
d. Let her alternate between breast milk and formula
milk to reduce chances of acquiring the allergen.
174. What can a mother benefit from breastfeeding?
a. Breastfeeding mothers would lose weight rapidly.
b. Breastfeeding is a 100% effective contraceptives
method of lactation amenorrhea method.
c. Breastfeeding mothers can teach the fathers how
to breastfeed so they can enjoy feeding time.
d. Breastfeeding prevents breast cancer.
175. What should a midwife do when a mother complains that
the infant is not sucking well?
a. Instruct her to place warm compresses on her
breast to soften breast tissue.
b. Advise the woman to apply aloe vera to increase
sucking ability.
c. Guide the mother in adjusting the feeding pattern
of the infants so it can still get the nutrients
needed.
d. Advise her to take warm shower before
breastfeeding.
176. Which of the following when present in the urine may cause
a reddish stain on the diaper of a newborn?
a. Mucus c.Uric Acid crystals
b. Bilirubin d.Excess Iron
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177. A newborn who has an asymmetrical Moro reflex response
should be further assessed for which of the following?
a. Talipes Equinovarus
b. Fractured Clavicle
c. Congenital Hypothyroidism
d. Increased intracranial pressure
178. The midwife hears a mother telling a friend on the phone
about umbilical cord care. Which of the following statements
by the mother indicates effective teaching?
a. “Daily soap and water cleansing is best.”
b. “Alcohol helps it dry and kills germs.”
c. “An antibiotic ointment applied daily prevents
infection.”
d. “He can have a tub bath each day.”
179. Fely has diarrhea for 2 days. She has sunken eyes, skin
pinch goes back very slowly, and she is drinking poorly and
irritable. She is not able to drink and there is no blood in the
stool. How will you classify Fely’s illness?
a. Persistent diarrhea c.Some dehydration
b. Severe dehydration d.No dehydration
180. The midwife is assisting Mr. and Mrs. Cruz to prepare for
childbirth in the home setting. Which of the following
supplies should be readily available for the infant
immediately after birth?
a. Vitamin K to avoid bleeding
b. Mild soap without perfume so as not to irritate the
skin
c. Bulb syringe to suction fluid and mucous from the
mouth
d. Heating lamp to avoid chilling from water
evaporation
181. Which of the four signs of good attachment is true in this
statement?
a. The chin should touch the breast while the mouth
is wide open and while the lower lip is turned
inward more areola is visible above than below.
b. The chin should touch the breast, the mouth is
wide open and while the lower lip is turned
outward and more areola visible above than below.
c. The chin should touch the breast while the mouth
is wide open and while the lower lip is turned
outward and more areola visible below than above.
d. The chin should touch the breast while the mouth
is wide open and while the lower lip is turned
inward, more areola is visible above than below
182. A mother who is breastfeeding her baby asks the midwife
when she should start feeding her baby with vegetables.
The midwife would suggest the MOST APPROPRIATE age to
begin vegetables is:
a. 3 to 4 months c.4 to 5 months
b. 6 to 8 months d.9 to 12 months
183. What is the highest priority in newborn assessment?
a. Reflex irritability c.Breathing
b. Skin color d.Muscle tone
184. A newborn has an APGAR score of 6. What would be the
intervention?
a. Nothing should be done; this is a normal score.
b. The newborn should be placed under a radiant
warmer.
c. Newborn needs resuscitation.
d. Newborn’s airway needs to be cleared.
185. Why is it important to assess the newborn’s height and
weight?
a. To check if the newborn is adapting well to
extrauterine life.
b. To check if the newborn has reached maturity.
c. To establish baseline data.
d. B and C
186. Why is newborn identification and registration essential?
a. So the parents can immediately see the baby.
b. To avoid switching of babies or kidnapping.
c. So it could be recognized as a citizen of the state.
d. To let the nurse identify the babies quickly.
187. When is an appropriate time to bathe the newborn?
a. Immediately after birth
b. After feeding
c. Before feeding
d. Upon discharge
188. These vaccines are given 3 doses at one month intervals: c. An unconscious morbid mother
a. DPT, BCG, TT d. Mother suffering from leprosy
b. DPT, TT, OPV 203. A woman who delivered normally per vagina is expected to
c. OPV, Hepatitis B, DPT void within ____ hours after delivery.
d. Measles, OPV, DPT a. 3 hours c. 4 hours
189. The midwife is completing an assessment to a new born b. 6-8 hours d. 12-24 hours
baby boy. The midwife observes that the skin of the 204. The most common organism causing mastitis is:
newborn is dry and flaking and there are several areas of an a. Gardenella vaginalis c. Streptococcus
apparent macular rash. The midwife charts this as: b. Escherichia Coli d.Staphylococcus aureus
a. Icterus neonatorum 205. Which of the following would the nurse estimate as the
b. Multiple hemangiomas approximate age for a 19-cm fetus expelled by a client?
c. Erythema Toxicum a. 2 months c. 3 months
d. Milia b. 4 months d. 5 months
190. In integrated Management of Childhood Illness, severe 206. Post term infants may present with:
conditions generally require urgent referral to a hospital. a. Unusual alertness
Which of the following severe conditions DOES NOT always b. Increased subcutaneous fats
require urgent referral to a hospital? c. Long nails
a. Mastoiditis c.Severe dehydration d. Shiny skin
b. Severe pneumonia d.Severe febrile disease 207. A large number of neural tube defects may be prevented
191. Breast milk which stands in a room temperature can be woman includes which supplement in her diet?
used up to how many hours: a. Vitamin A c. Vitamin E
a. 6-8 hours c. 24 hours b. Vitamin D d. Vitamin B9
b. 3-5 days d. 1 week 208. Marie brought her 10 months old infant for consultation
192. When is a baby’s first diaper rash most likely to occur? because of fever, started 4 days prior to consultation. The
a. One to 3 weeks old medical term epistaxis is commonly known as:
b. 4 to 6 months old a. Nose bleeding c. Vaginal bleeding
c. 7 to 12 months old b. Vomiting of blood d. Spitting of blood
d. 13 to 24 months old 209. The natural sedatives in milk and meat product that can
193. What is the most common cause of diaper rash? help to induce sleep is:
a. Skin exposure to the pee and poo in the diaper a. Flurazepam c. Chlorpromazine
b. Wet skin b. Tryptophan d. Methotrimephazine
c. Diarrhea 210. After teaching the mother about the neonate’s positive
d. Skin reaction to a chemical Babinski reflex, the midwife determines that the mother
194. What’s the best way to prevent diaper rash? understands the instructions when she says that a positive
a. Change your baby’s diaper every one to three Babinski reflex indicates?
hours and at least once a night. a. Immature muscle coordination
b. Carefully clean his skin and apply a barrier cream b. Immature central nervous system
with petroleum jelly or zinc-oxide after each c. Possible lower spinal cord defect
change. d. Possible injury to nerves that innervate the feet
c. Let your baby have plenty of ‘bare-bum’ time 211. When assessing the newborn’s heart rate, which of the
d. All of the above following ranges would be considered normal if the newborn
195. If your baby suffers from diaper rash, you should: were sleeping?
a. Keep his bottom damp at all times. a. 80 beats per minute
b. Change his diaper less frequently. b. 100 beats per minute
c. Give his bottom some ‘air time’. c. 120 beats per minute
196. You baby’s crib should include: d. 140 beats per minute
a. A firm mattress c. A soft mattress 212. Gracie, the mother of a 3 month old infant calls the clinic
b. Feathered pillows and states that her child has a diaper rash. What should the
197. How many hours after the last feeding should a newborn be midwife advise?
woken for another feeding? a. “Switch to cloth diapers until the rash is gone.”
a. 4 to 6 hours c. 6 to 8 hours b. “Use baby wipes with each diaper change.”
b. 3 to 4 hours c. “Leave the diaper off while the infant sleeps.”
198. For infants, breastfeeding is associated with these health d. “Offer extra fluids to the infant until the rash
benefits: improves.”
a. A reduce risk of obesity and diabetes later in life 213. A midwife in a delivery room is assisting with the delivery of
b. Protection from childhood illnesses like pneumonia a newborn infant. After the delivery, the midwife prepares
c. A reduced risk of SIDS (Sudden Infant Death to prevent heat loss in the newborn resulting from
Syndrome) evaporation by:
d. All of the answers a. Warming the crib pad
199. For mothers, breastfeeding is associated with these health b. Turning on the overhead radiant warmer
benefits: c. Closing the doors of the room
a. Weight loss d. Drying the infant in a warm blanket
b. Birth control (98% protection in the first 6 months 214. The primary critical observation for APGAR scoring is:
after birth) a. Heart rate
c. Decreased rates of breast and ovarian cancer b. Respiratory Rate
d. All of the answers c. Presence of meconium
200. A first time mother asks you about the correct age for d. Evaluation of the Moro reflex
introducing solids in her healthy infant’s diet. What would 215. Within 3 minutes after birth, the normal heart rate of the
you tell her? infant may range between:
a. 2-4 months c. 4-6 months a. 100 and 180 c. 130 and 170
b. 6-8 months d. 8-9 months b. 120 and 160
201. The IUD is not recommended for women who:
a. Have never had children
b. Are pregnant
c. Have multiple sexual partners
d. All of these
202. An absolute contraindication to breast feeding is:
a. Psychotic mother
b. Pregnancy of the mother

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