Infant care a.

congenital heart disease

b. deafness
1. Condition when administration of measles-mumps-rubella c. paralysis
vaccine is indicated: d. mental retardation
a. women who are about to be pregnant 13. Which of the following diseases were in you can find
b. patients with symptomatic HIV infections Kopliks Spot?
c. patient who have recent blood transfusion a. Tetanus c. Diphtheria
d. when a women is pregnant b. Poliomyelitis d. measles
2. Which part of childs history does not hold clues to the 14. Which of the following is NOT expected when an infant with
reason of language delay? diarrhea has lost about 5 to 10% of his body weight over 2
a. allergy history c. delivery history days?
b. family history d. pre-natal history a. sunken eyes c. dying state
3. You measure the head circumference of the baby and you b. depressed fontanel d. loss of skin elasticity
noticed that it is bigger than his chest by 2 cm, your 15. What conditions best described an APGAR score of 4-6?
evaluation is: a. good, no need of oxygenation
a. abnormal it may lead to hydrocephalus b. poor, severely depressed
b. referral to the nearest clinic/hospital is needed c. fair, moderately depressed
c. the difference is normal d. guarded, needs referral
d. the baby should be closely-watched 16. Contraindication in breast feeding DOES NOT include:
4. Kwashiorkor is characterized by the following, EXCEPT: a. cleft palate
a. history of inadequate protein b. facial nerve paralysis
b. hypoalbuminemia c. cleft lip
c. edema d. erythroblastosis fetali
d. prolonged breast feeding 17. An infection where in the spores grows on a delicate tissue
5. The following characteristic is true about interior fontanel, of the buccal mucosa producing mycelia:
EXCEPT: a. congenital syphilis c. oral moniliasis
a. normally closes by the time the infant is 12 to 18 b. diphtheria d. herpes simplex
months 18. A conditioned characterized by protrusion of the loop of
b. it is diamond in shape intestine at the base of the cord is known as:
c. it is located at the juncture of the two parietal and two a. Miningocele c. Hemangioma
frontal bones b. Omphalocele d. hematoma
d. smaller than posterior fontanel 19. Candida Albicans is a causative agent of:
6. An infant enjoys being held, and holding him develops his a. Pneumonia c. diarrhea
sense of: b. Diarrhea d. mouth thrust
a. Independence c. security 20. Mild physiologic jaundice is primarily in which of the
b. Love d. trust following part?
7. The period associated with high mortality and morbidity a. trunk or body c. nails
a. Infancy c. fetal b. extremities d. head
b. Neonatal d. toddler 21. Sign and symptoms of the newborn wherein the mother
8. The parents of the baby who were diagnosed to have and the midwife should closely watched at home and made
cystic fibrosis want to know whether future off spring will be referral:
born with the same problem. They should be advised that a. jaundice within 24 hours after delivery
the chance that their next child will have the disease is b. APGAR score of 0-3
approximately: c. all of these
a. 25% c. 100% d. the baby does not suck and may be very sleepy
b. 50 % d. 0% 22. The night awakening and night carrying of an 8- month old
9. Breast milk is the best for baby because it contains the is part of the development. The behavioral pattern
protein that is easily digestive, two proteins are known as: associated to this is:
a. Thiamine c. casein a. Autonomy c. attachment
b. Albumin d. lacto albumin b. Trust d. temperament
10. BCG and measles has the same dosage/dosages: 23. Which of the following is NOT likely to happen when the
a. 3 b. 1 c. 4 d. infant is underfed?
11. Which of the following advantages best describes the value a. free from colic and will not vomit
of breast milk for infants? b. the infant will be constipated
a. cheap less incidence of gastroenteritis, higher protein c. maybe irritable
content d. alternate carrying and sucking of fingers
b. less costly, has immune bodies, more digestible 24. When giving bath to baby, which of the following is right?
proteins a. the mother should neither give sponge or full bath until
c. inexpensive, safe and with more protein the cord falls of
d. free you dont have to buy it b. the mother should apply oil over the babys body
12. Abnormalities of rubella in children are the following before giving full bath
EXCEPT:
 c. the mother can give full bath to the baby everyday 36. Which of the following organ of the newborn which cannot
even the cord is still intact, since it is the modern trend adequate handle wastes of the red blood cells that leads to
d. the mother should sponge bath the baby everyday physiologic jaundice:
until the cord off, then give her full bath. a. Liver c. spleen
25. Calcium and phosphorus are important in the development b. Heart d. brain
of the babys? 37. The most allergic food for infant is:
a. kidney and liver a. Meat c. soya
b. heart and blood vessels b. Egg d. fish
c. veins and arteries 38. In how many months an infant can stand alone?
d. bones and teeth a. 12 b. 6 c. 8 d. 10
26. A baby when placed in a prone position usually: 39. Which of the following advice you should give to a mother
a. crawl her feet c. lags her head when her baby suffered mild diarrhea?
b. lift her head d. turn to sides a. do not give anything, until diarrhea stop
27. High risk delivery involves all of the following steps and b. give her anti- diarrheal solution with antibiotic
procedure, EXCEPT: c. tell her to continue breastfeeding
a. requesting a neonatology consultation d. stop breastfeeding, just give tea or am
b. readying the resuscitation equipment 40. Maternal ingestion of significant amounts of alcohol
c. recording the labor history throughout pregnancy can cause the child to be:
d. obtaining the obstetric history a. microcephalic and small foe gestational age
28. The infant need referral if which of the following sign b. normal
appear? c. mongoloid
a. sternum moves inward with inspirations d. delay in development
b. sleeps most of the time 41. An eight (8) months old baby is diagnosed of cystic fibrosis,
c. pulse rate is 140 per minute result of her sweat test would be expected to show:
d. regurgitates after his last feeding a. normal sodium and chloride concentration
29. A baby born anencephaly has no: b. law sodium and chloride concentration
a. Arms c. buttocks c. law sodium concentration and high chloride
b. Cranium d. legs concentration
30. Which of the following signs indicate that the child is ready d. high sodium and chloride concentration
for toilet training? 42. Cradle-cap is treated by:
a. desire to please parents a. scrubbing with sterilize gauze soaked in oil
b. ability to stand b. simultaneous application o oil and washing of soap
c. achievement of pulse control c. application of coconut oil and immediate wiping with
d. pleasure in imitating others the use of gauze
31. Chlamydia trachomatis is responsible for each of the d. application of oil or brand ointment at night and scalp
following infections EXCEPT: 43. All of the following individuals should receive HEPA B
a. encephalitis c. conjunctivitis vaccine, EXCEPT:
b. pneumonia d. urethritis a. infants born to women positive for heap B
32. The mother asked you if there is a need to wipe the mouth b. technicians working in a blood bank
of her baby when she give him bath: c. patient with hemophilia
a. yes, in order to clean away milk curds. d. children is a classroom who is heap B carrier
b. no, she might gag the babys mouth and cause 44. A sexually transmitted disease is caused by virus that
vomiting damages the immune system:
c. no, a baby should not be cleansed except by rinsing a. Syphilis c. gonorrhea
after feeding with boiled water b. AIDS d. herpes zoster
d. yes, cleanse the mouth with a cotton swab moistened 45. Defined as terminations of pre pregnancy approximately
with boric acid solution in order to prevent thrush: from 28th to the end of 37th
33. Immunologic mechanism is most likely when symptoms a. Premature c. abortion
follow after the ingestion of which of the following: b. full term d. term
a. Cereals c. fruit juice 46. A practical intervention that a midwife can do to hasten
b. shell fish d. cheese resolution of physiologic jaundice.
34. The principle of care for the premature is: a. giving the child water therapy
a. prepare an infant formula b. exposing the child under fluorescent lights
b. protect against infection c. exposing the child to early morning sunshine with
c. maintain normal temperature minimal clothing
d. gentle and minimal handling d. giving the child intravenous fluids
35. What are the policies/procedures that promote 47. The following method is in accordance with modern
breastfeeding in a maternity unit? concepts of child care, EXCEPT:
a. early breastfeeding c. demand feeding a. the infant should not be exposed, since he will chill
b. all of these d. 24 hr. rooming in b. vernix caseosa is removed by scrubbing with sterile
gauze because if will rub into the skin or comes off in
the infants clothing
 c. soon after birth the blood on the face and scalp is c. open the eyelids thru her finger
washed away with a very soft cloth or cotton ball with d. stimulate the baby in order to cry
water 62. The disease that DOH wants to be eradicated during the
d. NO attempt is made to remove the vernix caseosa launching of national immunization day is:
which adheres to the skin and has a protect value a. polio c. hepatitis
48. Pre-term babies who cannot suck properly can be given b. AIDS d. pertussis
expressed breast milk thru: 63. The following signs and symptoms may be associated with
a. nasogastric tube c. gavage feeding foreign body aspiration, EXCEPT:
b. dropper d. all of these a. absent of breath sound c. loss of voice
49. There are some newborn with excess vernix caseosa on b. hiccup d. cyanosis
their skin. The midwife can remove this by giving the baby: 64. Due to prolonged labor, the baby suffered from elongated
a. warm water with alcohol c. not supposedly be head. The mother is worried. As a midwife what are you
removed going to tell her?
b. an oil bath d. tepid sponge bath a. the babys head is molded during delivery and will
50. The greatest percentage of calories in breast milk is return to normal in a few days
accounted to: b. the babies head was traumatized during birth and it
a. Protein c. cholesterol will take a week before it will return to normal
b. Carbohydrates d. fat c. all newborn babies suffered the same no need to
51. The following are considered micronutrient, EXCEPT: worry
a. iodine c. iron d. after the fontanel closes the head will return to normal
b. calcium d. vitamin A in a few days
52. Which of the following is NOT congenital anomaly of the 65. You have just attended a mother who delivered a healthy
nervous system? infant. When is the best time to cut the infants cord?
a. esophageal atresia c. hydrocephalus a. when sign of placental separation appear
b. spina bifidus d. miningocele b. 60 second after the baby is out
53. The following is /are TRUE about meconium: c. when the cord stop pulsating
a. sticky and odorless d. when the baby starts to cry
b. greenish black to brownish 66. A disease, which has typically an incubation period of 16 to
c. all of these 18 days
d. First fecal material and passed from8 to 24 hours after a. Measles b. rabies c. chicken pox d.
birth mumps
54. Chaffing of the infants skin can be prevented by: 67. Defined as the inflammation of the umbilical cord:
a. washing and drying a. Gastritis c. colitis
b. applying oil on the affected area b. Stomatitis d. omphalitis
c. powdering of the skin 68. At birth the babys chest has a circumference which is:
d. swabbing with alcohol a. bigger than 1-2 cm than the head
55. Which of the following is NOT found in full term baby? b. the same length as the head
a. abdominal protrusion c. witch milk c. bigger by 4-5 cm than the head
b. genital crisis d. lanugo d. less by approximately 1-2 cm than the head
56. The nutrient of the baby diets, who is suffering from cystic 69. Symptoms or kwashiorkor includes the following, EXCEPT:
fibrosis should be offered in limited to moderate amount: a. emaciated with old man feature
a. Salt c. protein b. loss of muscular tissue
b. Fats d. calcium c. liver enlargement
57. Vitamin K given in excess to babies may predispose to: d. edema
a. brain damage c. hyperbilirubinemia 70. A routine procedure done by a midwife where the infant is
b. neonatal infection d. neonatal bleeding kept dried and provided with radiant heat to avoid
58. Mumps is a viral disease which causes? hypothermia:
a. sterility in male a. maintenance of body heat c. phototherapy
b. sterility in female b. ventilation d. circulation
c. no effect 71. The head of the baby emerges from the vulva in order to
d. frigidity both male and female establish respiration, the midwifes should:
59. Once feeding is well established, it is generally a. suction the nose and mouth with catheter
recommended that the infant should be fed for a period of b. wipe mucos and fluid from mouth to nose with a piece
time no longer than which of the following minutes: of gauze wrapped the finger
a. 50 b. 40 c. 20 d. 30 c. pull the babys head downward and let the mucos
60. The basic need in the psychosocial development of the drain
infant is to develop the feeling of: d. apply mouth to mouth resuscitation
a. Intimacy b. autonomy c. trust d. identity 72. If the position of the fetus is right occiput anterior where on
61. Which of the following should the midwife do to open or your patient abdomen you can hear the fetal heartbeat?
inspect the eyes of the newborn? a. lower left side of the mothers abdomen
a. lift the head of the baby forward b. at the side of mothers pubic bone
b. rock the head of the baby c. near the mother umbilicus
 d. lower right side of the mothers abdomen 85. A baby is jaundiced at birth from the head to palms. The
73. Which of the following vitamin is given among neonate to doctor under this condition of the baby most likely
prevent bleeding? advocates:
a. zinc c. vitamin K a. exposure of babys body to sunlight
b. iodine d. vitamin D b. Exchange transfusion
74. What are the dangers of pre-lacteal feeds to the baby? c. exposure to phototherapy
a. baby may get nipple confusion d. nothing since it is physiological
b. all of these 86. On the following which is NOT a benefit of bonding to
c. baby does not getcolostrum infants?
d. baby may refuse to suck because she is not hungry or a. more self-confidence as an infant
thirsty b. increase chance of survival
75. A ligature is tied in a square knot after the cord has been c. better weight gain
clamped which is about how many inch/inches from the d. less crying more smiles & laugher
abdominal wall? 87. To provide warmth to a premature baby if the weather is
a. 3 b. 1 c. 2 very cold the following advise should be done by the
d. 2 mother:
76. What are the dangers of pre-lacteal feeds to the baby? a. place hot water bottles beside the baby
a. baby may get nipple confusion b. hold the baby between her breast as often as possible
b. all of these c. cover the head and put on socks and mittens
c. baby does not get colostrums d. wrap the baby in a blanket
d. baby may refuse to suck because she is not hungry or 88. Breast milk contains calories the large percentage of which
thirsty is accounted to:
77. The following complications of pregnancy are risk factors a. Carbohydrates c. fat
for perinatal asphyxia, EXCEPT: b. Calcium d. protein
a. placental retention 89. After initial APGAR score, how soon should it be repeated
b. meconium stained amniotic fluid a. 15 minutes c. 8 minutes
c. placental abruption b. 20 minutes d. 5 minutes
d. prematurity 90. Alcohol intake during pregnancy is likely to cause the fetus
78. When an infant takes in his mouth more than he can to have an:
swallow, a reflex being demonstrate is known as: a. impaired intellectual capacity
a. Sucking b. grasping b.Gagging d. rooting b. lower blood count
79. Characterized by the absence of subcutaneous fat loose c. accerelated long bone development
and wrinkled skin: d. increased heart rate
a. Obesity b. marasmus c. Kwashiorkor d. post 91. Who is the most responsible for the health care of the
mature baby?
80. Diaper rash can be prevented by: a. Parents c. attendant birth
a. putting powder on the buttocks thoroughly, b. health educator d. mother only
particularly on the creases when changing diaper 92. The following conditions needs daily skin care and
b. washing his buttocks with a mild soap and water and treatment, EXCEPT:
dry thoroughly when changing diaper a. Scabies c. milia
c. wiping the buttocks with a dry swab and oil well when b. diaper rush d. intertrigo
the baby is soiled. 93. As a midwife you should know that in transferring the baby
d. wiping the buttocks and creases with oil and powder. to the hospital the following information should be ready:
81. The food that is usually given as the first supplementary a. all of these
food for infant: b. reason for referral
a. Cereals c. vegetables c. treatment already given to the baby
b. Fruits d. meat d. time and date of birth
82. An organism found in breast milk that prevents gastro 94. In giving weaning foods, advise the mother to feed the child
intestinal diseases: often. About how many times a day a weaning child should
a. lactobacillus bifidus b. lactogenic bacteria eat?
b. immunoglobulin c. lymphocytes a. 6 b.4 c. 5
83. A poorly understood dermatitis that is characterized by a d. 3
white or yellow exudates involving the skin folds: 95. Due to the withdrawal of hormones obtained from the
a. diaper rush c. seborrheic dermatitis mother, the withholding of water and the loss of feces and
b. impetigo d. intertrigo urine, the infant during the first few days after the birth
84. A normal 3 month old infant is unlikely to do which of the tends to lose:
following? a. 15-20% of his birth weight
a. smile in response to human face b. 1-5% of his birth weight
b. produce vocal sounds other than you are c. 10-15% of his birth weight
c. cry when hungry d. 5-10% of his birth weight
d. cry at present of stranger 96. The bilirubin level of term babies peaks on the 3rd day of
life. In preterm it is on the:
 a. beyond 10 days c. 3-7th day
b. 6-10th days d. 5-7th day
97. The causative organism of congenital syphilis is:
a. treponema pallidum
b. herpes virus hominis
c. salmonella
d. staphylococcus aureus
98. Sleeping pattern which is NOT true among newborn:
a. walking period occurs every 2 hours, after shorter
during night time
b. sleeps from 5 to 10 hours a day
c. awakened by internal discomfort such as hunger and
pain
d. it can hardly distinguished from tranquil rest
99. Diaper dermatitis characterized by the erythema and
satellite lesions that also involve the face, scalp and
flexural areas:
a. Generic c. candida
b. Intertrigo d. infantile seborrheic
100. Which of the following technique should you follow in order
to facilitate the expulsion of the swallowed air by the baby?
a. tap the waistline only
b. tap the back from the waistline going to the shoulder
c. tap the shoulder level only
d. tap the back from the shoulder going down to the
waistline.