ICF SET 2 3.

Development denotes an increase in mental

and social skills. This denotes:
1. A normal 3 month old infant is unlikely to do
which of the following? a. Quantitative change

a. Smile in response to human face b. Qualitative change

b. Produce vocal sounds other than you are c. Learning change

c. Cry when hungry d. Maturation

d. Cry at presence of strangers Feedback

3. Development denotes an increase in mental

and social skills. This denotes:
Feedback
b.Qualitative change
1. A normal 3 month old infant is unlikely to do
which of the following? Rationale: Growth – quantitative changes;
development – qualitative changes
d.Cry at presence of strangers

Rationale: Stranger anxiety happens at 7

months 4. APGAR score should be done by he midwife:

a. Twice

2. In how many months, grasp reflex will be b. Four times

replaced by active voluntary grasp activity?
c. Thrice
a. 6
d. Once
b. 4
Feedback
c. 8
4. APGAR score should be done by the midwife:
d. 2
a.Twice
Feedback
Rationale: APGAR scoring is done after 1 minute
2. In how many months, grasp reflex will be and 5 minutes after birth.
replaced by active voluntary grasp activity?

a.6

Rationale: Palmar grasp reflex decreases

gradually and usually disappears by 6 months.

1
5. The proportion of the newborn’s head to its 7. Reflexes in the pediatric developmental are
total length is: important indicators of the neurologic status of
the child. All but one protective reflexes:
a. 1/2
a. Grasp
b. 1/3
b. Gag
c. 1/4
c. Cough
d. 1/8
d. Blink
Feedback
Feedback
5. The proportion of the newborn’s head to its
total length is: 7. Reflexes in the pediatric development are
important indicators of the neurologic status of
c.1/4 the child. All but one are protective reflexes:
Rationale: Proportion of infant head to body is a.Grasp
24% or ¼
Rationale: options b, c and d protects infant
Test Taking Strategy: Recall principle of aspiration, choking and foreign objects in the
cephalocaudal growth. Visualization may help eye, respectively

Test Taking Strategy: Take note of the word

6. Which of the following is NOT INCLUDED in “protective”
the Apgar score.

a. Weight 8. Zendy was assessing melber, a 30 month-old

b. Color child. She is correct if she states that the
expected type of play Melbert should be
c. Respiratory effort exhibiting at his age would be:

d. Muscle tone a. Parallel play

Feedback b. Solitary play

6. Which of the following is NOT INCLUDED in c. Competitive play

the Apgar score.
d. Associative play
a.Weight
Feedback
Rationale: APGAR stands for appearance, pulse
rate, grimace, attitude and respiration. a.Parallel play

Test Taking Strategy: Recall the meaning of

APGAR

2
Rationale: The appropriate play for toddlers (12 Feedback
to 36 months old) is for the to play adjacent to
each other but do not try to influence one b.Inferiority
another’s behavior (Parallel play) Rationale: From 6 to 12 years old an infant need
to overcomes industry vs inferiority

9. Kimpee was a preschooler who just lost his Test Taking Strategy: Recall Erickson’s
grandma in an accident. At his age, he believes psychosocial theory
that death is:

a. Temporary and reversible 11. How many days does a fever last in DPT
b. Irreversible but not inevitable immunization?

c. Universal and acceptable a. 2 days

d. Personal but distant event b. 3 days

Feedback c. 1 day

a.Temporary and reversible d. 3-4 days

Rationale: Pre-school aged children may begin Feedback

to understand that death is something feared d.3-4 days
by adults but they viev it as temporary or
reversible Rationale: Fever from DPT vaccine lasts for 3 to
4 days and at most 7 days
Test Taking Strategy: Recall concept o death in
each age group. Full understanding and realistic Test Taking Strategy: Review side effects of
concept of death is during school age vaccination

10. Jill was 7 year old girl who loves to play with 12. Mara, a 9 months old infant has received
her schoolmates. Based on Erickson’s complete antigen under EPI. Which of the
psychosocial theory, if Jill’s needs were not met, following has she acquired?
she will develop what ?
a. Artificial active
a. Guilt
b. Artificial passive
b. Inferiority
c. Natural active
c. Isolation
d. Natural passive
d. Shame and doubt

3
Feedback c. 4 weeks after the first dose

A.Artificial active d. 4 months after the first dose

Rationale: Since the vaccine introduces was an Feedback

antigen, the body would be the one to create its
own antibodies hence it is active immunity. The c.4weeks after the first dose
fact that it was given through vaccination makes Rationale: OPV vaccine interval is 4 weeks or
it artificial one month
Test Taking Strategy: Clue words: antigen and Test Taking Strategy: Recall the 6-19-14
EPI schedule, their interval is 4 weeks

13. What is the minimum age in weeks of an 15. Vitamin K is given to neonate in order to
infant at which OPV can be given as per DOH? prevent:
a. 4 a. Infection
b. 6 b. Jaundice
c. 8 c. Anemia
d. 10 d. Bleeding
Feedback Feedback
b.6 d.bleeding
Rationale: According to the EPI schedule OPV Rationale: Vitamin K is given to prevent
vaccines are recommended to be given at 6-10- bleeding disorders in newborn as there is the
14 weeks absence of normal flora in the GI system of
Test Taking Strategy: Review vaccination newborns
schedule. Three vaccines are given by 6-10-14 Test Taking Strategy: Recall purpose of Vitamin
weeks K

14. An infant (6months) is brought to the 16. The following can be safely used for Crede’s
hospital and given the 1st dose of OPV. When prophylaxis:
will be the 2nd dose to be given?
1. 1% Silver Nitrate drops
a. After 2 weeks
2. 2.5% povidone iodine drops
b. 2 months after the 1st dose

4
3. 10% tetracycline ointment or erythromycin 18. A one year old baby who regularly visit the
eye drops health center with her mother is expected to
have been immunized against which of the
a. 1 and 2 only following
b. 2 and 3 only a. Cholera, diphtheria, polio, meningitis
c. All except 2 b. Measles, polio, tuberculosis, diphtheria,
d. Any of these tetanus, pertussis

Feedback c. Measles, polio, tuberculosis, hepatitis,

pertussis
c.All except 2
d. Measles, cholera, diphtheria, meningitis
Rationale: Crede’s prophylaxis fopr opthalmia
neonatorum can be 1% tetracycline /0.5% Feedback
erythromycin ointment or 1% silver nitrate b.Measles, polio, tuberculosis, diphtheria
solution tetanus pertussis
Test Taking Strategy: Recall concepts Rationale: The following are the diseases
prevented by BCG, MCV, OPV and DPT vaccines

17. Immunization which requires booster dose Test Taking Strategy: Use process of
at school entrance: elimination. Read Each options

a. BCG

b. DPT 19. A fully immunized child has received:

c. Measles a. 1 dose of BCG, 3 dose of DPT and polio, 3

doses of measles
d. Polio
b. 1 dose of BCG and measles, 3 doses of DPT
Feedback and polio

c.Measles c. 2 doses of BCG and measles, 3 doses of DPT

and polio
Rationale: Check DOH guidelines. Measles
containing vaccine for grade 1 stuident by d. 2 doses of BCG , 3 doses of DPT and polio 2
school entrance doses and measles

Test taking Strategy: Review DOH guidelines. Feedback

According to the EPI schedule a fully immunized
child only has 1 measles vaccine given, hence b.1 dose of BCG and measles 3 doses of DPT
the need for a booster and polio

5
Rationale: BCG1, MCV1, OPV1, OPV2, OPV3, c. Ignore the mothers reactions and give the
DPT1, DPT2, DPT3 according to EPI schedule immunization anyway because it is for the
from DOH baby’s good

Test Taking Strategy: Read each option Feedback

carefully. Use process of elimination
a. Teach the mother that this is natural reaction
of the immunization and just give the
prescribed pediatric antipyretic is needed?
20. The following will provide the infant with
passive natural immunity: Rationale: Health education is an important
component of immunization
a. BCG
Test Taking Strategy: Compare each options,
b. Colostrums use process of elimination
c. Polio vaccine

d. Contraction of measles 22. Condition when administration of measles

Feedback mumps rubella vaccine is indicated:

b.Colostrums a. Women who are about to be pregnant

Rationale: Vaccines are astificial immunity. b. Patients with symptomatic HIV infection
Contacting measles is an active immunity. c. Patients who have recent blood transfusion
Colostrum contain antibodies from the mother
d. When a woman is pregnant
Test Taking Strategy: Identify what type of
immunity each option Feedback

a.Women who are about to be pregnant

21. Some mother do not want their babies Rationale: Patients with immunocompromised
immunized because they get febrile after state may have different reaction with the
injection, what should be the correct reaction of vaccine due to inefficient function of immune
the midwife to these? system. Individual who recently receive
products may have impair reaction to the
a. Teach the mother that this is natural introduction of vaccines. Introducing viral
reaction of the immunization and just give the components to pregnant women may have
prescribed pediatric antipyretic is needed? effect on fetal development
b. Reprimands the mother for not having Test Taking Strategy: Use process of
adequate concern for her baby’s welfare elimination. Recall contraindication for
vaccination

6
23. Which is true regarding delayed application 25. Which of the following provides immediate
of Crede’s prophylaxis to the newborn? care of the NB?

a. To prevent sore eyes during the neonatal 1. Establishing and maintaining respiration
period
2. Preventing and maintaining respiration
b. Not to interfere with the bonding process
3. Providing warmth
c. To prevent infection of the eyes
4. Assessing using APGAR score
d. To prevent gonorrheal conjunctivitis
a. 1&2
Feedback
b. 1&3
d.To prevent gonorrheal conjunctivitis
c. 4 only
Rationale: Crede’s prophylaxis is mainly
effective against gonococcal ophthalimia d. 1,3&4

Test taking Strategy:Recall ophthalmia Feedback

neonatorum d.1,3&4

rationale: Take a look at option 2. The word

24. A 0-1 baby is considered fully immunized “prevent” makes it false
when she had received the following antigens: Test Taking Strategy: Read each option Carefully
a. BCG, Measles, OPV, DPT

b. BCG, OPV2, DPT2, Measles 26. A primipara gave birth to a normal baby,
c. OPV3, DPT2, BCG, Measles what is the best way to provide warmth?

d. OPV3, DPT3, BCG, Measles a. Cuddle the baby near the body

Feedback b. Clothe with warm clothes

d.OPV3, DPT3, BCG, Measles c. Put on in a warm crib

rationale: BCG1, MCV1, OPV1, OPV2, OPV3, d. ALL of the above

DPT1, DPT2, DPT3 according to EPI schedule Feedback
from DOH
a.Cuddle the baby near the body
Test taking Strategy: Read each option carefully.
Use process elimination Rationale: Mother to baby interaction will
provide transfer of heat from the mother, skin
to skin contact

7
Test taking Strategy: Recall EINC protocol. Note Feedback
for the word “best”
28. Appropriate reason why a mother of a 7
month old infant should make the floor free
from small objects:
27. Immediate Newborn Care:
a.Because infants pick up small objects and put
1.Provision of warmth it in the mouth and aspirate them
2.Provide well ventilated and clean Rationale: Infants tend to be on the oral stage
environment and their source of gratification would be
3.Prevent infection sucking or putting objects in their mouth.

4.Establish and maintain respiration Test Taking Strategy: Clue word small objects
and aspiration. Note the development of the
a. 1&2 infant.

b. 2&3

c. 3&4 29. You are supervising a woman with a child

with cleft lip and palate. Which of the following
d. 1&4
statements is an inappropriate health teaching?
Feedback
a. Feeding in an upright position
d.1&4
b. Provide support to mother to accept her child
Rationale: Provision of warmth and
c. Avoidance of burping after feeding
establishment of airways is an important part of
the immediate care for a newborn d. Burping after feeding

Test Taking Strategy: Note of the word Feedback

”immediate”
29. You are supervising a woman with a child
with cleft lip and palate. Which of the following
statements is an inappropriate health teaching?
28. Appropriate reason why a mother of a 7
month old infant should make the floor free c.Avoidance of burping after feeding
from small objects:
Rationale: Burping is a necessary intervention
a. Because infants pick up small objects and for infants with cleft lip and palate, as it is easier
put it in the mouth and aspirate them for air to get into their system while feeding

b. Small objects are health hazards infants Test Taking Strategy: Note for the term
“inappropriate.” Note for the two opposing
c. Because infants do play and hide small
options.
objects

8
30. Which of the following procedures are not mother’s comment that the discharge is from
routinely recommend for all neonates: the:

1.Routine suctioning a. Vagina and is due to hormonal reaction of

the infant’s uterine lining
2.Early bathing or washing
b. Vagina and is due to capillary breaks resulting
3.Foot printing from pressure during delivery
4.giving sugar water, formula or other c. Rectum and is due to capillary breaks
prelacteal feeds and use of bottles and pacifiers resulting from pressure during delivery
5.Application of alcohol, medicines, and other d. Rectum and is due to irritation of meconium
substances on the cord stump and bandaging on intestinal mucosa
the cord stump or abdomen
Feedback
a. Only 3 choices are correct
31. You home visited a 3 day infant and her
b. Only 1 option is incorrect mother told you that she noticed that her baby
c. All options are incorrect girl has a small bloody spots in the diaper. You
examined and it find it to be normal discharge.
d. All options are correct As a midwife, you should respond to the
mother’s comment that the discharge is from
Feedback
the:
30. Which of the following procedures are not
a.Vagina and is due to hormonal reaction of the
routinely recommend for all neonates:
infant’s uterine lining
c.All options are incorrect
Rationale: Newborn vaginal discharge is
Rationale: The following intervention are not completely normal due to remaining hormones
recommended as it may cause trauma, heat from pregnancy. It usually disappears on its
loss, infection and prolonged healing own after 10 days.

Test Taking Strategy: Use process of elimination Test Taking Strategy: Clue word: baby girl and
then look at the possible combinations of normal discharge
options. Recall EINC

32. Which of the following signs of the infant

31. You home visited a 3 day infant and her should the midwife report promptly to the
mother told you that she noticed that her baby doctor?
girl has a small bloody spots in the diaper. You
a. Sternum moves inward with inspiration
examined and it find it to be normal discharge.
As a midwife, you should respond to the b. Pulse rate is 140 beats per minute

c. blood pressure is 84/50

9
d. Regurgitates after his last feeding Test Taking Strategy: Recall EINC protocol and
birth delivery practices done.
Feedback

32. Which of the following signs of the infant

should the midwife report promptly to the 34. A mother informed you that her baby has
doctor? not void for 12 hours, which of the following
interventions you are going to do:
a.Sternum moves inward with inspirations
a. Refer the baby to the physician
Rationale: Retractions or the inwards
movement of chest wall or breastbone during b. Give diuretic medication
inspiration is an abnormal breathing pattern.
Presence of retraction means that the child is in c. Pour the genital with hot and cold water
need of use of accessory muscles to breathe d. Assure the mother that 12 hours is still
which is not normal normal
Test Taking Strategy: Examine each choices. Feedback
Recall normal VS ranges
34. A mother informed you that her baby has
not void for 12 hours, which of the following
33. When is the best time to cut the cord when interventions you are going to do:
handling delivery? d.Assure the mother that 12 hours is still
a. When the baby starts to cry normal

b. When the cord has stopped beating or Rationale: A newborn baby will pass urine
pulsating within the first 12 to 24 hours of life.

c. When signs of placental separation appear Test Taking Strategy: Recall that meconium
passage and urination occurs by 24 hours.
d. 60 seconds when the baby is out

Feedback
35. Rooming-in is a practice in maternal and
33. When is the best time to cut the cord when child care with in:
handling delivery?
a. The mother is in the ward and the baby is
b.When the cord has stopped beating or brought to her in time
pulsating
b. The baby was delivered at home and being
Rationale: The WHO defines the optimal time to breastfed by her mother
clamp and cut the cord when the pulsation
stops. Delayed cord clamping is associated with c. The baby is kept in the nursery and the
neonatal benefits such as improved transitional mother is allowed to enter the nursery to
circulation. breastfed the baby

10
d. The mother and the baby are both in the 37. In transferring the baby to the hospital the
ward and being taken care midwife must do the following, except:

Feedback a. Keep the airway clear

35. Rooming-in is a practice in maternal and b. Leave the mother at home for her not to
child care with in: worry

d.The mother and the baby are both in the c. Remember to send a referral letter
ward and being taken care
d. Keep the baby warm
Rationale: Rooming –in is a practice done by
placing the newborn in the same room as the Feedback
mother in early post-partum period to foster 37. In transferring the baby to the hospital the
maternal-fetal bonding. midwife must do the following, except:
Test Taking Strategy: Read each choices b.Leave the mother at home for her not to
carefully. Clue word: “rooming.” Means that worry
both must be in the ward or in the same room.
Rationale: Maternal-fetal bonding is necessary
in the early post-partum period
36. When infant has mild diarrhea, the mother Test Taking Strategy: Note for the word
should be told to: “except”
a. Do not give her anything until diarrhea stop

b. Give her baby an anti-diarrheal tablet 38. Diaper rash in basic can be avoided. Part of
c. Continue breastfeeding hygiene that the midwife should impart to the
mother is to:
d. Stop breastfeeding and give only tea
a. Wash the perineum with water, pat it and
Feedback dry, replace with a dry one

36. When infant has mild diarrhea, the mother b. Remove the soiled diaper and replace it with
should be told to: adry one

c.continue breastfeeding c. Dry the perineum with a used diaper and

powder it
Rationale: Continuing breastfeing would
prevent the infant from being dehydrated. d. Remove the soiled diaper, pat the perineum
and replace with a dry one
Test Taking Strategy: Note that there are limited
contraindication to breastfeeding

11
Feedback 40. Scald burns is best treated initially by:

38. Diaper rash in basic can be avoided. Part of a. Applying cool water
hygiene that the midwife should impart to the
mother is to: b. Applying pressure to the site of the burn

a.Wash the perineum with water, pat it and dry, c. Applying butter or margarine
replace with a dry one d. Covering the wound with a bandage
Rationale: Intervention for rashes includes Feedback
keeping the area clean and dry with mild soap
and water after each stool and exposing the 40. Scald burns is best treated initially by:
affected area to air
a.Applying cool water
Test Taking Strategy: Option a has an option of
Rationale: Cooling down the effected area helps
washing and cleaning with water
ease the pain.

Test Taking Strategy: Visualize the scenario for

39. If the cord is accidentally pulled off, which of each option for each option. Recall first-aid on
the following intervention the midwife should burn injuries.
do?

a. If the cord bleeds, wait until it stops

41. A routine procedure done by the midwife
b. Put on clean cloth and apply firm pressure wherein the head of the infant is placed in
neutral or slightly extended position thereby
c. Refer to fellow midwife for assistance clearing the mouth nose and pharynx.
d. put betadine solution, cover with gauze then a. Monitoring reflex
binder
b. Establishing circulation
Feedback
c. Evaluation APGAR score
39. If the cord is accidentally pulled off, which of
the following intervention the midwife should d. Establishing airway
do?
Feedback
b.Put on clean cloth and apply firm pressure
41. A routine procedure done by the midwife
Rationale: Applying manual pressure provides a wherein the head of the infant is placed in
more control pressure application on the area neutral or slightly extended position thereby
clearing the mouth nose and pharynx.
Test Taking Strategy: Note the prior to referral
an intervention must be done first d.Establishing airway

12
Rationale: Removal of obstruction and 43. To encourage drainage of secretions from
substances of the airway aloows the infant to the lungs of the normal newborn, the best
initiate inspiration position of the body should be:

Test Taking Strategy: Take note of the word a. Head turn to side
“mouth” and “pharynx” which are parts of the
airways. b. Supine

c. Slight trendelenburg

42. A midwife assigned in the nursery room d. Left side lying

should be very cautious in taking care of a pre- Feedback
term newborn with oxygen. Wrong
administration of O2 might affect the babies. 43. To encourage drainage of secretions from
the lungs of the normal newborn, the best
a. Brain position of the body should be:
b. Lungs c.Slight trendelenburg
c. Eyes Rationale: In the absence of suction device,
d. Heart keep the head slight lower than the feet to
allow drainage by gravity.
Feedback
Test Taking Strategy: Visualize each position.
42. A midwife assigned in the nursery room Recall postural drainage.
should be very cautious in taking care of a pre-
term newborn with oxygen. Wrong
administration of O2 might affect the babies. 44. The midwife should refer the babies under
c.Eyes which of the following conditions

Rationale: Excessive supplemental oxygen can a. Remains blue despite resuscitation

injury the infant’s eyes in the form of b. Breathing is too fast
retinopathy of prematurity.
c. Birth weight is less than 2500 grams
Test Taking Strategy: Note the newborn
structures are very fragile. d. All of these

Feedback

44. The midwife should refer the babies under

which of the following conditions

a.All of these

13
Rationale: Option shows non-responsiveness to c. Let the baby lie in prone position
resuscitative efforts respiratory distress and low
birth weight. d. Burp the bay after each feeding

Test Taking Strategy: Check each option if it is Feedback

normal or abnormal. 46. Some newborn experienced colic. In order
to prevent this the midwife should apply which
of the following intervention?
45. Which of the following intervention should
not be done by the midwife in infant with d.Burp the bay after each feeding
malaria or heatrash Rationale: Excessive accumulation of gas in the
a. Frequent bathing with cool plain after and abdomen can cause abdominal discomfort.
avoiding soap Test Taking Strategy: Burping and colic are
b. Light dressing related terms

c. Keeping environmental cool

d. Applying powder after sponge bath 47. The principle of care of premature is:

Feedback a. Gentle and minimal handling

45. Which of the following intervention should b. Prepare an infant formula

not be done by the midwife in infant with c. Protect against infection
malaria or heatrash
d. Maintain normal body temperature
d.Applying powder after sponge bath
Feedback
Rationale: Application of powder will cause
further blockage of the pores worsening the 47. The principle of care of premature is:
heat rash.
d.Maintain normal body temperature
Test Taking Strategy: Recall the cause of heat
Rationale: Premature infants have less adaptive
rash in infants.
capabilities compared to term newborn. Hence
the importance of prevention of heat loss is
more significant for premature infants.
46. Some newborn experienced colic. In order
to prevent this the midwife should apply which Test Taking Strategy: Recall the first thing
of the following intervention? performed after birth of an infant.

a. Give the baby warm water with honey after

feeding

b. Rubbing the abdomen with baby oil

14
48. The umbilical cord is normally expected to sponge bath. Shampoo may irritate umbilical
fall off for how days? stump.

a. 3 days Test Taking Strategy: Recall the significance of

heat loss in newborn. Recall care for umbilical
b. 7 days stump.
c. 12 days

d. 5 days 50. The mother reported that her infant has

Feedback whitish spots in the mouth which made the
mucosa to bleed when she tried to removing it.
48. The umbilical cord is normally expected to Which of the following is the correct action of
fall off for how days? the midwife.

b.7 days a. Advice the mother to clean the mouth using

cotton swab and warm water to remove the
Rationale: The umbilical stomp dies out and
whitish spots
eventually falls off within a week
b. Refer the mother to the physician since you
Test Taking Strategy: Recall care for umbilical
suspect this as thrush
stump
c. Inform the mother not to worry

Feedback
49. The right technique of bathing a 2 day old
neonate is: 50. The mother reported that her infant has
whitish spots in the mouth which made the
a. Do a tub bath complete with hair shampoo
mucosa to bleed when she tried to removing it.
b. Do only a sponge bath without hair Which of the following is the correct action of
shampoo since the cord is still on the midwife.

c. Do only a tub bath of the baby and avoid the b.Refer the mother to the physician since you
hair shampoo until cord id fallen off suspect this as thrush

Feedback Rationale: Oral thrush appears as white spots or

patches in the mouth and tongue.
49. The right technique of bathing a 2 day old
neonate is: Test Taking Strategy: Clue word “whitish spots”

b.Do only a sponge bath without hair shampoo

since the cord is still on

Rationale: Tub bath’s significantly lowers

temperature of newborn as compared to

15
51. A practical way of reducing physiologic Rationale: Lay the infant down along forearm.
jaundice at home is by: Use lap or thigh for support. Give 5 quick
forceful blows in between infant’s shoulder
a. Exposure to early morning sunlight blade by using heel of hand.
b. Exposure to floor light Test Taking Strategy: Consider anatomical
c. Exposure to ultraviolet light position of airway.

Feedback

51. A practical way of reducing physiologic 53. In lifting a newborn from his bassinet, which
jaundice at home is by: of these points is most essential?

a.Exposure to early morning sunlight a. They have well developed cervical and
lumbar spine
Rationale: UV light can also be used but the
most practical way is from natural and b. They cry when they are uncomfortable
inexpensive source. c. They have very little control of their heads
Test Taking Strategy: Important word is d. They show preference for the fetal position
“practical”
Feedback

53. In lifting a newborn from his bassinet, which

52. Which of the following techniques should of these points is most essential?
you follow in order to facilitate the expulsion of
the swallowed object by the baby: c.They have very little control of their heads

a. Tap the waistline only Rationale: Infants have head lag from
underdeveloped cervical and lumbar spine to
b. Tap the back from the waistline going to the support their heads.
shoulder
Test Taking Strategy: Visualize mechanics of
c. Tap the shoulder level only head movement in infant.
d. Tap the back from the shoulder going down
to the waistline
54. The newborn is placed in Trendelenburg
Feedback positionin a crib placed under drop light. These
52. Which of the following techniques should actions are taken in order to:
you follow in order to facilitate the expulsion of a. Increase circulation of blood to the brain and
the swallowed object by the baby: provide warmth
c.Tap the shoulder level only b. Promote drainage of mucus secretions and
prevent het loose

16
c. Provide for monitoring of vital signs 56. Due to prolonged labor, the baby suffered
from elongated head. The mother is worried. As
d. Provide for temporary isolation a midwife what are you going to tell her?
Feedback a. The baby’s head is is molded during the
54. The newborn is placed in Trendelenburg delivery and will return to normal in a few
positionin a crib placed under drop light. These days
actions are taken in order to: b. The babies head was traumatized during the
b.Promote drainage of mucus secretions and birth and I will take a week before it will return
prevent heat loss normal

Rationale: Postural drainage is done with the c. All newborn babies suffered the same, no
help of gravity to drain secretions need to worry

Test Taking Strategy: Recall indication for infant d. After the fontanel closes the head will return
positioning to normal in a few days.

Feedback

55. Following the proper sequence of 56. Due to prolonged labor, the baby suffered
UnangYakap, this is done after first 30 seconds from elongated head. The mother is worried. As
of life a midwife what are you going to tell her?

a. Skin to skin contact a.The baby’s head is molded during the delivery
and will return to normal in a few days
b. Breastfeeding
Rationale: During delivery the birth canal may
c. Cord clamping cause the head of the fetus. The presence of
fontanelles allow the bones to change shape to
d. Dry the baby
accommodate the passage in delivery.
Feedback

55. Following the proper sequence of

57. The process of loss of heat as liquids leave
UnangYakap, this is done after first 30 seconds
the newborn’s body is:
of life
a. Convection
a.Skin to skin contact
b. Condensation
Rationale: Early skin to skin contact is used to
prevent heat loss and promote maternal-fetal c. Evaporation
bonding.
d. Radiation
Test Taking Strategy: Not that prevention of
heat loss is one of the primary consideration in
newborn care.

17
Feedback c. Babies with caput succedaneum

57. The process of loss of heat as liquids leave d. Babies with congenital anomalies
the newborn’s body is:
Feedback
c.Evaporation
59. All of the following babies need special care,
Rationale: Heat loss through evaporation occurs EXCEPT:
when is converted to vapor.
c.Babies with caput succedaneum
Test Taking Strategy: Clue word “liquid.” Recall
differences of each type of heat loss. Rationale: Caput succedaneum is very common
and is not an indication of deeper injury to skull
and brain. It is a result from the passage of baby
to the birth canal.
58. The three "basics” in routine newborn care
include all of the following, except: Test Taking Strategy: Note of the term “except”

a. Exercise

b. Warmth 60. A 6 month old baby has stopped feeding

well, accompanied by fast breathing and chest
c. Care of the word in drawing. What is your appropriate action?
d. Hygiene a. Give Ampicillin for 1 week
Feedback b. Give steam inhalation
58. The three :basics” in routine newborn care c. Refer the baby immediately to the hospital
include all of the following, except:
d. Give cotrimoxazole tablet
a.Exercise
Feedback
Rationale: Basic newborn care includes
prevention of heat loss and prevention of 60. A 6 month old baby has stopped feeding
neonatal infections well, accompanied by fast breathing and chest
in drawing. What is your appropriate action?
Test Taking Strategy: Note the word “except.” It
is still too early consider exercise for newborns. a.Refer the baby immediately to the hospital

Rationale: Any presence of danger signs,

referral is indicated.
59. All of the following babies need special care
EXCEPT: Test Taking Strategy: Recall IMCI protocols

a. Babies with convulsions and high pitched cry

b. Preterm babies

18
61. Cord dressing is done by the midwife under Rationale: The clamp is placed about an inch or
strict aseptic technique for what important 3 cm from the abdominal wall of the infant
reason?
Test Taking Strategy: Take note of the unit of
a. Prevent skin infection measurement asked.

b. Prevent profuse bleeding

c. Prevent tetanus neonatorum 63. Newborn infants often require lower doses
of drugs compared to adults because of the
d. Prevent opthalmia neonatorum following reasons:
Feedback a. Renal tubular secretion is lower in newborns
61. Cord dressing is done by the midwife under b. Newborns have a lower glomerular filtration
strict aseptic technique for what important rate
reason?
c. Newborn have a normal blood pH
c.Prevent tetanus neonatorum
d. Newborn have a lower blood protein and
Rationale: Clostridium tetani usually gains entry albumin concentrations
through the umbilical stump.
Feedback
Test Taking Strategy: Note that tetanus can
happen form unsterile equipment and through 63. Newborn infants often require lower doses
soiled umbilical stump. of drugs compared to adults because of the
following reasons:

a.Renal tubular secretion is lower in newborns

62. After the cord has been clamped of ligature
is tied in a square knot about how many Rationale: Drugs excreted through the kidney
inch/inches from the abdominal wall? by glomerular fitration and active tubular
secretions. In infants renal tubular secretion are
a. 2 ½ lower and underdeveloped.
b. 3 Test Taking Strategy: Note that the kidney is
c. 2 also responsible for excretion of drugs.

d. 1

Feedback

62. After the cord has been clamped of ligature

is tied in a square knot abouit how many
inch/inches from the abdominal wall?

d.1

19
64. Upon delivery of the neonate, several d.6 mos.
factors can lower down the baby’s temperature.
The use of aircon can cause hypothermia Rationale: The milk code recommends exclusive
through what process? breastfeeding for up to 6 months of age.

a. Conduction Test Taking Strategy: Review common laws

governing maternal and child health
b. Convection

c. Evaporation
66. Signs of adequate breastfeeding:
d. Condensation
a. Wet diapers 6-8 in a day
Feedback
b. Baby is happy and alert
64. Upon delivery of the neonate, several
factors can lower down the baby’s temperature. c. Feeding at least 20 minutes
The use of aircon can cause hypothermia d. All of the above
through what process?
Feedback
b.Convection
66. Signs of adequate breastfeeding
Rationale: Convection occurs from body to
cooler surrounding air depending on the air d.All of the above
currents or velocity of air flow
Rationale: Urination of infant may be as often
Test Taking Strategy: Recall the differences for as every 1 t 3 hours which shows that the infant
each type of mechanism of heat loss. Clue is adequately hydrated. An average of at least
word: aircon 20 to 30 minutes per feeding helps ensure that
the infant is getting adequate breast milk.

Alertness and activity denotes a healthy infant.

65. According to EO 51, Breastmilk is the best
and complete food for the baby for: Test Taking Strategy: Check each options if it is
normal for infants.
a. 12 mos.

b. 2 mos.
67. Which among the following benefits of
c. 36 mos. breastfeeding is inappropriate?
d. 6 mos. a. Breastfeeding promotes lactation
Feedback b. Breastfeeding promotes parent-infant
65. According to EO 51, Breastmilk is the best bonding
and complete food for the baby for:

20
c. Breastfeeding promotes engorgement of the Feedback
breasts
68. During your visit to a 1 day old newborn, the
d. Breastfeeding promotes involution of the mother expressed fear because the newborn is
uterus breathing fast and sometimes slow. Which
among the following responses is the most
Feedback appropriate?
67. Which among the following benefits of d.”There is no need to worry because the
breastfeeding is inappropriate? newborn’s breathing is normal. I’ll stay with you
c.Breastfeeding promotes engorgement of the as you breastfeed your baby.”
breasts Rationale: Infant normally has an irregular form
Rationale: Breast engorgement is not a form of of breathing pattern. Comparing d to b, option d
benefit from breast feeding. Through it may provide a form of comfort to the mother.
indicate the fullness off milk which would signal Test Taking Strategy: Take note that there is
the need to breast feed. “fear”
Test Taking Strategy: Note for the term
“benefit” and “inappropriate”
69. Which of the following is true on initiation
of breastfeeding?
68. During your visit to a 1 day old newborn, the
mother expressed fear because the newborn is
breathing fast and sometimes slow. Which 1. Health workers should immediately help the
among the following responses is the most newborn to latch on
appropriate?
2. Give sugar water to stimulate sucking reflex
a. “There’s no need to worry. I’ll refer him to
the physician.” 3. Do not give bottles or pacifiers.

b. “It’s ok because the baby is breastfeeding.” 4. Do not throw away colostrums.

c. “I’ll immediately refer the baby to the 5. If the mother is HIV positive temporarily
pediatrician.” discontinue BF until medically cleared

d. “There is no need to worry because the a. 1, 3, 4,5

newborn’s breathing is normal. I’ll stay with b. 1, 2,4,5
you as you breasfeed your baby.”
c. 4 and 3 only

d. 3, 4, 5 only

21
Feedback

69. Which of the following is true on initiation b. It may cause persistent diarrhea
of breastfeeding?
c. It may lead to allergy
a.1, 3, 4, 5
d. It may make the baby overweight
Rationale: Infant have their own desire to
breastfeed, and does need a form of stimulant Feedback
such as sugar water 71. Dangers of artificial feeding include all of
Test Taking Strategy: Use process of the following, except:
elimination. a.It makes maternal and child bonding more
stable

70. What is the appropriate feeding in 3 months Rationale: Option a is an advantage of

old infant? breastfeeding

a. Give rice water once a day Test Taking Strategy: Note for the term
“except”
b. Give boiled water in between breastfeeding

c. Exclusive breast feeding

72. Which of the following is NOT a proper way
d. Start rice cereals as supplementary feeding of holding the baby during breastfeeding?

Feedback a. The baby is held with his head and body

straight
70. What is the appropriate feeding in 3 months
old infant? b. The baby’s anterior chest wall is supported,
especially if the baby is a newborn
c.Exclusive breast feeding
c. The baby is held with his face facing her
Rationale: Exclusive breastfeeding is advised up breast and his nose opposite the mother’s
to 6 months nipple
Test Taking Strategy: Recall type of diet d. The baby is held close to mother’s body
recommended for each age group.
Feedback

72. Which of the following is NOT a proper way

71. Dangers of artificial feeding include all of of holding the baby during breastfeeding?
the following, except:
b.The baby’s anterior chest wall is supported,
a. It makes maternal and child bonding more especially if the baby is a newborn
stable

22
Rationale: The infant must be supported on c. The chin should touch the breast while the
posterior chest. mouth is wide open while the lower lip turned
outward and more areola visible than below
Test Taking Strategy: Read option carefully. Not
for the word “not.” d. The chin should touch the breast while the
mouth is wide open while the lower lip turned
inward and more areola visible above than
73. The prevention of IDA in infants and below
children begins with good: Feedback
a. Postpartum care 74. Which of the four signs of good attachment
b. Natal care is true in this statement?

c. Prenatal care c.The chin should touch the breast while the
mouth is wide open while the lower lip turned
d. Family planning care outward and more areola visible above than
below
Feedback
Rationale: Four key points of attachment:
73. The prevention of IDA in infants and
Mouth wide open, lower lop turned outward,
children begins with good:
chin touches breast and less areola visible
c.Prenatal care below

Rationale: Maternal nutrition contributes to the Test Taking Strategy: Check for the differences
type of nutrition received by the infant. of each options.

Test Taking Strategy: Note that prevention of

infant conditions can be prevented during the
75. This is the most common hold during
prenatal period.
breastfeeding:

a. Football hold
74. Which of the four signs of good attachment
b. Cradle hold
is true in this statement?
c. Shoulder hold
a. The chin should touch the breast while the
mouth is wide open while the lower lip turned d. Face-forward hold
inward and more areola visible above than
below Feedback

b. The chin should touch the breast while the 75. This is the most common hold during
mouth is wide open while the lower lip turned breastfeeding:
outward and more areola visible below than b.Cradle hold
above

23
Rationale: Cradle hold is the most common a.Carbohydrate
breastfeeding position.
Rationale: Breastmilk is composed of 0.8 – 0.9%
Test Taking Strategy: Recall and visualize protein, 4.5% fat and 7.1% carbohydrates.
different type of hold while breastfeeding. Carbohydrates are mainly lactose.

Test Taking Strategy: Familiarize component of

breastmilk. Also note that lactose is form of
76. The supplemental food which is first oligosaccharide a form of sugar.
introduced to a baby is:

a. Mashed potato
78. The midwife should teach the mother to
b. Banana start giving food that is soft bland nutritious and
c. Cereals digestible like the following , except:

d. Egg yolk a. Boiled and mashed potato

Feedback b. Fish

76. The supplemental food which is first c. Mashed fruits

introduced to a baby is: d. Lugaw
a.Mahed potato Feedback
Rationale: Supplemental food to be introduced 78. The midwife should teach the mother to
must be smooth and soft such as mashed fruits start giving food that is soft bland nutritious and
or vegetables digestible like the following , except:
Test Taking Strategy: Consider the easy b.Fish
digestibility and ease of intake of the food.
Rationale: First food to be introduces must be
soft and digestible. Food is protein which takes
77. Which of the following accounts for the more time to digest compared to
greatest percentage of calories in breast milk? carbohydrates.

a. Carbohydrate Test Taking Strategy: Consider the preparation

of food and the food group.
b. Fat

c. Protein
79. Which of the following statements about
Feedback breasts fed infants is NOT TRUE?

77. Which of the following accounts for the a. Breast- fed infants have greater immunity to
greatest percentage of calories in breast milk? certain childhood disease

24
b. Breast-fed infants are less likely to have c.The baby is already satisfied
gastrointestinal disorder
Rationale: Failure to perform good attachment
c. Breast-fed infants are less prone to anemia or during breastfeeding will cause the infant to
vitamin deficiency receive inadequate breastmilk

d. Breast-fed infants are prone to food Test Taking Strategy: Note for the
allergies during infancy term :except.”

Feedback

79. Which of the following statements about 81. Which of the following is not considered
breasts fed infants is NOT TRUE? part of Food Fortification Program of DOH?

d.Breast-fed infants are prone to food allergies a. Vitamin A

during infancy
b. Iodine
Rationale: Breastmilk has been shows to
significantly lessen the risk and severity of food c. Calcium
allergies. d. Iron
Test Taking Strategy: Read each option Feedback
carefully. Note that we are looking for “not
true.” 81. Which of the following is not considered
part of Food Fortification Program of DOH?

c.Calcium
80. When the infant sucks only the nipple of the
mother, the following indications are true, Rationale: The Food Fortification Program
except: addresses the following: Vitamin A deficiency,
Iron deficiency anemia and iodine deficiency
a. The mother feels pain and the nipple skin disorders.
might be damaged
Test Taking Strategy: Check on food fortification
b. The baby fails to stimulate the nipple enough programs. Also recall the type of nutrition given
to work the oxytocin and prolactin in pregnant woman and infants
c. The baby is already satisfied

d. The baby fails to express the milk because 82. What factors has the least effect on the
the tongue does not press a lactiferous sinuses quantity and quality of mother’s milk?
Feedback a. The amount of rest and relaxation she
80. When the infant sucks only the nipple of the consumed
mother, the following indications are true, b. The amount of her fluid intake
except:

25
c. The type of her diet 84. The method of feeding the baby whenever
she cries and he is hungry:
d. The size and shape of her breast
a. Mixed feeding
Feedback
b. Demand feeding
82. What factors has the least effect on the
quantity and quality of mother’s milk? c. Supplementary

d.The size and shape of her breast d. Breastfeeding

Rationale: Factors such as maternal dietary Feedback

intake, fluid intake, drug ingestion and
adequate rest can affect milk production. 84. The method of feeding the baby whenever
she cries and he is hungry:
Test Taking Strategy: Note for the word “least.”
b.Demand feeding

Rationale: Demand feeding means supplying

83. In maintaining breast hygiene, it is advised breastmilk on the baby whenever he or she is
the mother to used what liquid in cleaning the hungry.
breast?
Test Taking Strategy: Clue word “demand.”
a. Brine solution

b. Povidone iodine
85. The newborn’s caloric requirement per
c. Breast milk pound each 24 hour for maintenance and
growth
d. Water
a. 120-150
Feedback
b. 80-100
83. In maintaining breast hygiene, it is advised
the mother to used what liquid in cleaning the c. 100-120
breast?
d. 50-80
d.Water
Feedback
Rationale: Using soap and other chemical can
cause dryness, irritation and cracking. 85. The newborn’s caloric requirement per
pound each 24 hour for maintenance and
Test Taking Strategy: Note that water is most of growth
the time used alone for hygiene in infant and
breastfeeding d.50 – 80

Rationale: Caloric intake of 110 – 120

kcal/kg/day or 50 – 55 /kcal/lb/day

26
Test Taking Strategy: Take note of the unit of Feedback
measurement asked.
87. Infants who are breastfed received
antibodies from their mothers thru the first few
feedings, the type of immunity is called:
86. Which of the following causes sore nipples
among breastfeeding mothers: d.Passive immunity

a. Wrong attachment of baby’s mouth to the Rationale: Receiving antibodies is a form of

breast passive immunity and coming from
breastfeeding it is natural
b. Exclusively breastfeeding
Test Taking Strategy: Note that the answer
c. Irregular breastfeeding period should be natural passive immunity, but since
d. Long hour of breastfeeding there s none choose the closest answer.

Feedback

86. Which of the following causes sore nipples 88. 1 year – old child is suffering from night
among breastfeeding mothers: blindness. What should you include in her
meals?
a.Wrong attachment of baby’s mouth to the
breast a. Squash

Rationale: Maintaining the four key point of b. Eggs

attachment ensures adequate amount of breast c. Tomatoes
milk received and also prevent injury on the
nipples. d. Mango

Test Taking Strategy: Recall the importance of Feedback

following four key points of attachment.
88. 1 year – old child is suffering from night
blindness. What should you include in her
meals?
87. Infants who are breastfed received
antibodies from their mothers thru the first few a.Squash
feedings, the type of immunity is called:
Rationale: Squash is rich in vitamin A which
a. Active immunity contributes to eye health.

b. Artificial passive Test Taking Strategy: Recall the purpose of each

vitamin.
c. Artificial active

d. Passive immunity

27
89. Contraindication in breastfeeding DOES NOT b.Rice cereal
include:
Rationale: Supplemental food to be introduced
a. Cleft palate must be smooth and soft

b. Facial nerve paralysis Test Taking Strategy: Consider the easy

digestibility and ease of intake of the food.
c. Cleft lip

d. Erythroblastosis fetails
91. A premature baby increases in weight
Feedback rapidly if she is:
89. Contraindication in breastfeeding DOES NOT a. Breast feed continuously from birth to 2
include: years
c.Cleft lip b. Given cereal at the age of 2 months
Rationale: Facial nerve paralysis prevents c. Taking vitamins from birth until 6 months
sucking. Cleft palate makes it difficult to suck
and maintain pressure. Erythrobalstosis fetalis d. Bottlefed
will have high levels of bilirubin already,
breastfeeding slows down the breakdown of Feedback
bilirubin and possible kernicterus from such 91. A premature baby increases in weight
event. rapidly if she is:
Test Taking Strategy: Note of the double a.Breast feed continuously from birth to 2 years
negatives in the statement.
Rationale: Breast offers the best nutrition in
infants
90. A mother asked what she should feed her Test Taking Strategy: Recall indication and
infant after exclusive breastfeeding. You have contraindication of breastfeeding
accurate understanding id your response is:

a. Honey
92. The following factors do not affect the
b. Rice cereal mother’s milk supply, EXCEPT:
c. Lean meat a. Sexual intercourse
d. Fruits and vegetables b. Age of the mother
Feedback c. Menstruation
90. A mother asked what she should feed her d. Nutrition
infant after exclusive breastfeeding. You have
accurate understanding id your response is:

28
Feedback 94. The following ways are the proper
attachment of a baby while Breastfeeding,
92. The following factors do not affect the EXCEPT:
mother’s milk supply, EXCEPT:
a. There should be an eye contact between the
a.Sexual intercourse mother and the baby
Rationale: Older individual have increase odds b. Tummy/abdomen of baby should be in close
in delay in breast milk production. contact with the abdomen/tummy of the
Menstruation or ovulation results to temporary mother
drop in milk supply. The type of diet affect milk
production. c. Only the nipples should be inside the baby’s
mouth
Test Taking Strategy: Note for the term
“except” d. Mouth of the baby should be wide open

Feedback

93. The following of foods are rich source of 94. The following ways are the proper
iodine EXCEPT: attachment of a baby while Breastfeeding,
EXCEPT:
a. Seaweeds
c.Only the nipples should be inside the baby’s
b. Fish mouth
c. Shellfoods Rationale: Proper attachment includes the
d. Yellow fruits and vegetables areola of the mother as well

Feedback Test Taking Strategy: Recall four key pints of

attachment
93. The following of foods are rich source of
iodine EXCEPT:

d.Yellow fruits and vegetables 95. Calcium and phosphorus are important
nutrients in the diet of a pregnant woman for
Rationale: Seafood are rich in iodine. the proper development of the baby’s

Test Taking Strategy: Note for the term a. Muscles

“except”
b. Veins and arteries

c. Bones and teeth

d. Kidney and lungs

29
Feedback 97. Contents of breastmilk which support brain
and nerve development:
95. Calcium and phosphorus are important
nutrients in the diet of a pregnant woman for a. Zinc
the proper development of the baby’s
b. Taurine
c.Bones and teeth
c. Fats
Rationale: Calcium, vitamin D and phosphorus
play a vital role in bone, gum and teeth health d. Proteins

Test Taking Strategy: Calcium is most of the Feedback

time associated with bones. 97. Contents of breastmilk which support brain
and nerve development:

96. Mature milk is: a.Zinc

a. The milk that women produce in the first few Rationale: Since plays an important role in
days after delivery which is thick and yellowish axonal and synaptic transmission and is a
or clear in color necessary nucleic acid metabolism and brain
tubulin growth and phosphorylation
b. The milk that is produced after a few days
with a larger quantity thus making the breasts Test Taking Strategy: Take note of significant
feel full, hard and heavy function of each type of nutrient

c. The milk that is produced early in a feed

d. None of these 98. Which of the following statement about

breastfed infants is/are true?
Feedback
a. Less likely to have gastrointestinal order
96. Mature milk is:
b. Less prone or anemia or vitamin deficiency
a.The milk that is produced after several days
with a larger quantity thus making the breasts c. All of these
feel full, hard and heavy d. Have greater immunity to certain childhood
Rationale: Mature milk primarily consist of disease
water and is in larger quantities compared to Feedback
other types of breastmilk
98. Which of the following statement about
Test Taking Strategy: Clue word larger quantity breastfed infants is/are true?

c.All of these

Rationale: All are benefits from breastfeeding

30
Test Taking Strategy: Check if each statement is
true or false
Feedback

100. Physical factors in the supply breastmilk

99. Which of the following is Not true about the includes which of the following:
effect of breastfeeding on bowel movement:
d.All of these
a. Many babies appear to strain as they pass
their stool Rationale: Diet, activity and stimulation from
infant sucking can affect the production of
b. Breastfeed baby may not pass stool for breastmilk
several days
Test Taking Strategy: Check whether each
c. Hard stool is common statement is true or false

d. Breastmilk is almost totally absorbed into

the baby’s body therefore, there is very little
waste

Feedback

99. Which of the following is Not true about the

effect of breastfeeding on bowel movement:

d.Breastmilk is almost totally absorbed into the

baby’s body therefore, there is very little waste

Rationale: Options a, b and c shows

constipation. Breastfed infants have less
episodes of constipation.

Test Taking Strategy: Note that a, b and c are

synonymous

100. Physical factors in the supply breastmilk

includes which of the following:

a. Increased fluid and protein intake

b. Normal exercise such as housework

c. Stimulate in the infant sucking

d. All of these

31