Evaluation EXAM

NOVEMBER 2014 LOCAL MIDWIFERYLICENSURE

EXAM
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1. A 17 year old girl decided that her pregnancy will be

terminated because she is not married. Her age will
make her accountable for the induced abortion as:
a. aggravating
c. alternating
b. mitigating
d. exempting
2. The following are aggravating circumstances affecting
the criminal liabilities, EXCEPT:
a. abuse of confidence
b. crime was committed during a calamity
c. offender was deaf dumb and blind
d. the midwife assisted in falsifying a birth
certificate
3. Certiorari refers to:
a. performing an act which is part of ones duty
b. elevating the case to a higher court
c. asking for consideration or decision with the
PRC
d. restraining order from the court
4. A legal act of complaint a person appeals
a. indictment b. process c. remedy d. stare decisis
5. The midwife filed a birth certificates when in fact no
birth has really occurred. This is a crime called:
a. abandonment
c. substitution of a child
b. forgery
d. simulation of birth
6. This social insurance program shall ensure affordable
health care services for all citizens of the Philippines
which shall be expanded progressively to constitute
one universal insurance program for the entire
population:
a. RA 7875 b. RA 7876 c. RA 6111 d. RA 5901
7. Proper manners and ceremonies which result to good
social relationship is:
a. ethics b. adjustment c. etiquette d. prudence
8. When a midwifes behavior is in accordance with
propriety and decency of works, dress and conduct,
she:
a. respect the Golden Rule
b. has discipline
c. acts with proper decorum
d. is obedient
9. The term unprofessional conduct includes which of
the following:
a. serious ignorance c. violation of Code of Ethics
b. lack of knowledge
d. imprudence

10. When a midwife lacks the necessary abilities,

knowledge and skills to perform her roles and
functions as a profession, she is considered to be:
a. negligence
b. irresponsible
c. incompetent
d. unprofessional
11. When a midwife is allowed to choose the family
panning method she wants without compulsion is one
way of respecting her right to:
a. confidentiality
c. advocacy
b. autonomy
d. beneficence
12. Membership to IMAP is an ethical obligation of every
registered midwife. This is mentioned under the:
a. Midwifery law of 1992 c. RA 7305
b. LOI 1000
d. Board Resolution
No.557
13. The term of office of IMAP officers as per their new
by-laws is now:
a. 2 years b. 3 years c. 4 years d. 1 year
14. The legal basis for celebrating the Midwifery Week
every third week of October of Proclamation
a. 949 b. 118 c. 539 d. 1275
15. A quorum during an associations meeting means
that:
a. every member who is present participated in
the deliberation
b. the agenda for the meeting has been
approved
c. 50% plus 1 of the total membership attended
the meeting
d. the presiding officer is with-up-to-date
knowledge about the organization
16. A professional employed by a government agency
should file her income tax every year not later than:
a. March 15 b. April 15 c. April 17 d. March 31
17. If a RM fails to file her income tax returns on time,
there shall be imposed and collected as part of the
tax a surcharge of:
a. 20% b. 25% c. 30% d. 50%
18. Which of the following refers to CPE Programs for all
professions?
a. EO 226 b. EO 266 c. EO 209 d. EO 51
19. Children who are illegitimate shall use the fathers
surname if:
a. the father accepts the child as his own
b. the father signs the birth certificate
c. the mother and the father get married
d. the father and mother agreed on the use of
the fathers surname
20. During drying and stimulation of the
baby, your rapid assessment shows that
the baby is crying. What is your
next
action?
a. Suction babys mouth and nose
b. Clamp and cut the cord

DR. CARL E. BALITA REVIEW CENTER TEL. NO. 735-4098/7350740

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c. Do skin-to-skin contact
d. Do early latching on
21. When cutting the cord, the midwife
should first:
a. Clamp the cord
b. Cut then clamp
c. Remove first set of gloves
d. Wash her hands
22. As a midwife you know that the most
important sign to asses in APGAR
scoring is the:
a. Color
c. respiratory rate
b. heart rate
d. activity
23. On her second day of life, baby James
was observed to regurgitate after
feeding. Which two factors probably
caused her regurgitation?
1. Imperfect control of the cardiac sphincter
3. Immaturity of the nervous system
2. Infant is not active
4. Pyloric sphincter is not well developed
a. 1 and 2
b. 1 and 3
and 4
d. 1 and4

c. 2

24. In giving partial bath, it should proceed

from the cleanest to the soiled areas of
the body.
The correct sequence should be:
a. Face and eyes, hair, trunk diaper
area
b. hair, face and eyes, trunk, diaper
area
c. extremities, trunk, face and eyes,
hair
d. trunk, extremities, face and eyes,
diaper area
25. First artificial immunization (vaccine)
given to babies
a. anti-tetanus
b. anti-pertussis
c. anti-polio
d. anti
tuberculosis
26. Milk ejection reflex is influence by which
of the following hormone:
a. Prolactin b. oxytocin c. progesterone
d. estrogen
27. Sugar that is present in breast milk
a. glucose b. sucrose
c. fructose
d. lactose
28. When assessing an infant, which of the
would the midwife expect from a 4
month old baby
a. Sit with support
b. finger to thumb
grasp
c. ability to reach toy d. says mama and
dada
29. The first word of the baby
a. Mama
b. dada
d. yaya

c. tada

30. It is the antibody to appear in response

to allergies?
a. IgG
b. IgM
c. IgA d.
IgE

31. The mother of a 6-month old infant is

concern that the infants fontanel is still
open. The midwife would inform the
mother that further evaluation is
needed if the anterior fontanel is still
open after:
a. 6 months b. 10 months c. 18
months d. 24
32. When using the otoscope to examine
the ears of a 2-year old child, the
midwife should:
a. pull the pinna up and back
b. pull the pinna down and back
c. hold the pinna gently but firmly in its
normal position
d. hold the pinna against the skull
33. In infants, positive Babinski reflex is:
a. An indication of a neurological
problem
b. Dorsiflexion
c. Fanning of toes
d. Withdrawing the foot from the stimulus
34. Which of the following is priority of
midwife to monitor in an infant born to a
mother who has diabetes mellitus
a. Hypoglycemia
b. Rh
sensitization
c. ABO incompatibility
d.
Hypothermia
35. The midwife caring for a largegestational age newborn monitors blood
glucose to detect Hypoglycemia as the
result of:
a. limited glycogen stores
b. hyperinsulinemia
c. large body-surface-to-weight ratio
d. excessive brown fat stores
36. The midwife caring a newborn of an Rhnegative mother determines the
newborn may be at risk for which of the
following:
a. Hemolytic diseases b. Sepsis
c. cardiac anomalies
d. Petechiae
37. The midwife is assessing the reflexes of
a newborn. The midwife assesses which
of the following reflexes by placing a
finger in the newborns mouth?
a. Moro reflex
b. Sucking reflex
c. Rooting reflex
d. Babinski reflex
38. When feeding a neonate with a cleft lip,
the midwife should expect to:
a. administer lV fluids
b. use a bulb syringe with a rubber tip.
c. provide thickened formula
d. perform gastric gavage
39. Which of the following in a newborns
assessment should be reported as a
critical sign of an imperforate anus?
a. The first rectal temperature of 36.8 0
b. The infant has not voided 6x in 24
hours
c. The infant has not passed meconium
stool in the first 48 hours

DR. CARL E. BALITA REVIEW CENTER TEL. NO. 735-4098/7350740

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d. There is a family history of congenital

defects
40. Twenty-four-hours after birth, a neonate
hasnt passed a meconium. The midwife
suspects which condition?
a. Hirschsprungs disease
b. Celiac
disease
c. Intussusception
d. abdominal wall
defect
41. When the newborn is place on a cold
crib or wrapped in a cold blanket, cold
stress can occur due to heat loss by?
a. Evaporation
b. conduction
c. Radiation
d. Convection
42. The first teeth that erupt in infancy is
the?
a. Upper central incisors b. Lower central
incisors
c. Lower cuspids
d. Lateral incisors
43. Which of the following antibodies is not
normally found in a one week old
breastfeeding infants circulation?
a. lgG
b. lgM
c. lgA
D. lgD
44. In normal term infants, there is no need
to provide iron supplementation:
a. Until 4 mos. of age
b. when the mother feeds infant with
iron fortified formula
c. when the infant is breastfed by the
mother
d. if cord clamping is delayed
45. Another child shows a typical old mans
look with enlarge head and abdomen.
Loose wrinkled skin, very poor weight
gain, prominent ribs and thin flabby
muscles. This condition is known as:
a. Failure to thrive
b.
Marasmus
c. Kwashiorkor
d. Hypervitaminosis
46. The midwife advises the mother whose
infant is having a diarrhea to:
a. Not give anything to newborn until
diarrhea stops
b. give her bay anti-diarrheal solution
with antibiotics
c. continue breastfeeding her child
d. stop breastfeeding but give her baby
tea or am
47. The losing of heat to the surrounding air
by the newborn is
a. Evaporation
b. Convection
c. Radiation
d.Conduction
48. A communicable disease that affects the
growth and development among
children
a. Primary complex b. asthma
c. leprosy
d. diabetes
49. What deficiency in the diet results in
fetal cretinism?
a. Thiamine b. folic acid
c. iodine
d. Vit. C
50. The student midwife assesses the child
for dehydration. The child is dehydrated
if:
a. Sunken eyeballs
b. skin color

c. skin turgor
d.moist mucous
membrane
51. Anti tuberculosis route of administration
is:
a. ID
b. SQ c. IM d. Os
52. If a child with diarrhea registers two
signs in yellow row in the IMCI chart, we
can classify the patient as:
a. Moderate dehydration
b. Severe dehydration
c. Some dehydration
d. No dehydration
53. A child who is 7 weeks has had diarrhea
for 14 days and has signs of
dehydration is classified as:
a. Dysentery
b. severe
dysentery
c. persistent diarrhea d. severe persistent
diarrhea
54. Youre assessing a neonate and find
boggy, edematous swelling on the fetal
skull and consider the possibility of
caput succedaneum. Caput
succedaneum is swelling that:
a. Generally resolves in 3 to 6 weeks
b. Extends across suture lines of the fetal
skull
c. Doesnt pulsate or bulge when the infant
cries
d. Usually peaks in size on the 2nd or 3rd
day
55. The Newborns mother is concerned
about the shape of the babys head
after delivery. She states that it looks
like a cone head. The most appropriate
response by the midwife is:
a. You dont 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.
56. If treatment of hypothyroidism is not
instituted until after early infancy, the
child will probably have.
a. Myxedema
b. Thyrotoxicosis
c. Some mental retardation
d. Abnormal deep tendon reflexes
57. In a 2-week old infant, the earliest sign
of hydrocephalus that the midwife
would observe is:
a. Bulging anterior fontanel
b. Increasing head circumference
c. Shrill, a high-pitched cry.
d. Sunset eyes
58. There are __ steps to a successful
breastfeeding which is criteria in the
accreditation of a mother-friendly
hospital:
a. 20
b. 10 c. 5
d. 15
59. A protrusion of brain substance thru a
congenital defect in the skull
a. Microcephaly
b. Anencephaly
c. Encephalocele
Hydrocephalus

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60. For a term newborn, the best time to

start breastfeeding is:
a. wait for feeding cues b. 2-4 hours of age
c. 24 hours after birth d. immediately
after birth
61. When doing hair shampoo, the baby
should be held using the technique
called
a. Football hold b. Cradle hold
c. Shoulder hold
d. Neck to
Buttocks hold
62. If the height of the newborn is 19-21
inches, which is the average
measurement in centimeters?
a. 50
b. 55 c. 45 d. 60
63. The following signs are indicative of a
child with IDA except:
a. pale skin
b. lack of appetite
c. night blindness
d. pale lips
64. Deficiency disease cause by inadequate
vitamin c in the diet of infant is:
a. kwashiorkor
b. iron deficiency
c. infantile eczema
d. scurvy
65. Which of the following is not included as
nutritional deficiencies?
a. PEM
b. IDA c. strabismus d. VAD
66. Exclusive breastfeeding means that the
baby should be only breastfeed from
what month?

a. 2 months b. 4 months
c. 6
months d.2 years
67. The following ways are used to prevent
engorgement EXCEPT:
a. warm compress after feeding
b. express milk by hand or with a pump
c. ensure good attachment
d. feed the baby frequently
68. Brachial Nerve Paralysis is caused by:
a. bilateral , crossing suture line
b. fetal head is pressed against soft
tissue
c. difficult delivery of the head and
shoulders of a big baby
d. forcep delivery
69. Dangers of artificial feeding include all
of the following EXCEPT?
a. It makes maternal and child bonding
more stable
b. it may cause persistent diarrhea
c. it may lead to milk intolerance and
allergy
d. it makes baby overweight
70. If a newborn has a poor evaluation that
needs resuscitation, the APGAR score is:
a. 0-1
b. 0-2
c. 0-3
d. 11

DR. CARL E. BALITA REVIEW CENTER TEL. NO. 735-4098/7350740

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