FUNDAMENTALS OF HEALTH CARE BEQ 2002

1. Prolonged labor or labor extending beyond 24 hours may result from factors associated with dystocia. Maternal and fetal mortality increases and may result to:
A. B. C. D. Uterine rupture Postpartum hemorrhage caput succedaneum all

2. The recommended position for a newborn

to drain secretions: A. Slight trendelenburg B. Right side lying C. left side lying D. supine

3. Lochial discharges approximately on the third day, a pale sanguinous discharges containing decidua, red blood cells, white blood cells, mucus:
A. Lochia rubra B. Lochia serosa C. Lochia alba

4. Iodine deficiency disorders are abnormalities that result when the body does not get enough iodine disorder include:
1. 2. 3. 4. A. B. C. D. goiter abortion mental retardation congenital anomalies 1, 2 all 2, 3 3, 4

5. A retrovirus disease that destroys the immune system and causes infection with a long incubation period. This is transmitted through sexual contact with an infected individual:
A. B. C. D. Gonorrhea Syphilis HIV Leprosy

6. Cord prolapse constitutes an obstetric emergency. Immediate interventions are important which include:
A. B. C. D. Position client into trendelenburg or knee chest Never push cord back with vagina Wrap the cord with a sterile moist gauze All

7. This causes neonatal blindness in newborn from cervical secretions of gonococci from the mothers birth canal. Prophylactic treatment is recommended shortly after birth to prevent this:
A. B. C. D. Opthalmia neonatorum Tetanus neonatorum Icterus neonatorum Incompatibility

8. Mastitis is an inflammation of the breast tissues common in breastfeeding mothers. Nursing and collaborative management of mastitis include: 1.continue breastfeeding because the infant can empty the breast better than manual expression 2.stop breastfeeding because it worsens engorgement and stasis of milk 3.instruct mother to wear a well supporting properly fitted brassiere 4.advise the application of moist heat in the form of showers to help relieve the discomfort A. 1, 2 C. 1,2,3 B. 1, 3 D. 1,3,4

9. Breastfeeding promotes maternal benefits such as:

1. Promotes a longer period of decreased fertility after the birth of an infant 2. Woman have an earlier return to prepregnant weight 3. mother can breasfeed even when shes tired 4. release of oxytocin during breastfeeding causes uterine contraction

A.2, 4 B.1, 2

C. 1, 2, 3 D. all

10. Postpartum depression lasts 6 to 8 weeks and occur in 20% of women. This is very common to:
1. 2. 3. 4. A. B. C. D. Women giving birth to pre-term infants multipates unwanted pregnancy post caesarian section operation 1 only 1, 2 1, 2, 3 all

11. Right after the delivery of the infant he is placed onto the mothers abdomen:
A. Flat on the abdomen B. Prone C. Right sims D. Trendelenburg

12. Optimum weight gain of the mother during pregnancy makes an important contribution to the pregnancys successful course and outcome. The weight gained during a normal pregnancy will vary among individual women. The average acceptable weight gain carrying a single fetus is: A.11 to 12.25 kgs. (24 to 27 lbs.) B.8 pounds C.15 pounds D.30 pounds

Distribution of Weight Gain during Pregnancy

Fetus------------------------------ 7 lbs Placenta-------------------------- 1 lb Amniotic Fluid------------------- 1 lbs Increased Blood Volume------ 1 lb Increased Wt. of the Uterus--- 2 lbs Increased Wt. of the Breast--- 1 lbs-3 lbs Wt. of additional Fluid----------- 2 lbs Fat and Accumulated Fluid----- 4 lbs-6 lbs Total----20 lbs-25lbs

13. Which of the following senses is considered sensitive in a neonate: A. smell B. touch C. sight D. hearing

14. Bregma or anterior fontanel is found at the intersection of the sutures of the two parietal and 2 frontal bones. Which of the following statements are correct:
1. 2. 3. 4. A. B. C. D. it is diamond shaped it is larger than posterior fontanel it closes about 18 months of age it is triangular shaped 1, 2 1, 2, 3 2, 3, 4 1, 4

15. The most likely way to stimulate milk production is thru: A.Manual expression B.Complete emptying C.Frequent sucking D.Exercise 16. Ideal weight gain of a pregnant woman in her third trimester is approximately: A.8 C. 10 B.9 D. 11

Total weight gain = 24 lbs

2 lbs with in the 1st trimester 11 lbs in the 2nd trimester 11 lbs in the 3rd trimester

17. A baby was brought to the health center for BCG. A week after, the mother expressed concern that the injection site developed swelling. What should the midwife supposed to do? A. Reassure mother it is a normal reaction to the vaccine B. Tell the mother to have the baby reinjection C. Tell the mother to apply warm compress over the area D. Tell the mother to give analgesic since it is painful

18. This is basically a rocking movement which helps alleviate backache and strengthens abdominal muscles: A. Kegels exercise B. Pelvic rocking C. knee-chest twist D. stationary jog

19. Simple and inexpensive test which a midwife can do to detect the presence of albumin in the urine is heat acetic acid test. The third step of HAAT includes:
A. Filling the test tube have filled with urine B. Heating the test tube half filled of urine C. Heat upper part of the test tube which is 2/3 full of urine

Heat and Acetic Acid Test

1. 2. 3. 4. Line table with paper and place the equipment. Place 5 cc of urine in the test tube. Heat the upper part of the test tube. If no change in color not necessary to add acetic acid. 5. If cloudiness appears add acetic acid, 2-4 drops then heat again. 6. If cloudiness disappears (-) if clodiness persist (+).

20. These are vital micronutrients needed by the body, essential in the normal processes of growth and development. They prevent and control PEM, VAD, IDA, and IDD. Vitamin A, iron and iodine are the micronutrients which are called: A.Sangkap pinoy B.Body building foods C.micronutrients

21. Most common parasite in the child. This is also called enterobiasis, its transmission is thru clothing, beddings, fingers contaminated with eggs of the parasites:
A. B. C. D. pinworm tapeworm hookworm capillariasis

22. Acute diarrhea is defined as: A.3 or 4 watery stools per day for more than 2 weeks B.3 or more liquid stools per day for less than 2 weeks C.2 liquid stools per day for 10 days D.3 or more liquids for more than 4 weeks

23. Which of the following herbal plants act as a diuretic? A.Sambong leaves B.Acapulco leaves C.Yerba Buena leaves D.Guava leaves

24. This technique was introduced by Dr. Ferdinand Lamaze which was also called Pavlov method, the main focus of this technique was the alternation of the perception of pain in childbirth through the use of mind:
A. B. C. D. Le Boyer technique Bradley method Lamaze method Dick Read method

25. The primary technique used in the physical examination which involves the process of listening to sounds produced within the body: A.Percussion B.Palpation C.Inspection D.Auscultation

26. Normal fetal heart beat ranges: A.100-120 C. 150-190 B.120-160 D. 80-100 27. The term which refers to full and exclusive breastfeeding within six months after delivery with no other food given to the baby except breast milk:
A. B. C. D. Menopause Mixed feeding Amenorrhea Lactation Amenorrhea Method

28. Which of the following is correct reason why a parturient is discouraged to bear down during first stage of labor: A.Prevent premature rupture of the membrane B.Delivery of placenta will be late C.Prevent maternal exhaustion D.Prevent complications

29. The sooner burned person gets appropriate treatment for burns, the greater are their chances of survival. The major goal of first aid for a burned person include: A.Stop the burning process B.Apply cool water quickly C.log-roll the person in case of flame burn D.All

30. Which is not true on Duncans mechanism: A.Delivery like an inverted umbrella B.Raw, red irregular C.20% of the placenta separate first on the side D.Dirty

31. This a pregnancy prevention method which exert their effect by altering the endometrial surface of the uterus as well as the consistency of cervical mucus, altering its hormonal balance: A.Condom B.BTL C.Pills D.IUD

32. These are also called oviducts; these provide nourishment of the fertilized ovum before it reaches the protection of the uterus. Fertilization occurs in the distal part, of these oviducts and transported to the uterus: A.Uterus C. ovaries B.Fallopian tubes D. perineum 33. The term which refers to the first menstrual period at puberty: A.Menopause C. menarche B.Thelarche D. premenstrual syndrome

34. Common side effect of DPT: A.Fever C. vomiting B.Nausea D. loss of appetite 35. A fungal infection which causes a variety of skin infection which may affect the face, scalp, body, feet which are inflamed and pruritic: A.Ringworm C. impetigo B.Folliculitis D. thrush

36. A home made oral rehydration solution for diarrhea consists of: A.Water, sugar, salt B.Tea, sugar, salt C.fruit juice, sugar, salt D.coke, sugar, salt

37. The permanent female sterilization which involves a small incision made in the abdomen to gain access to the fallopian tubes which are then cut, tied or chipped. This blocks the fallopian tubes in the female so that eggs can not unite with the sperm: A.vasectomy B.BTL C.depo-provera D.condom

38. The method of sterilizing basin at home during delivery using a denatured alcohol: A.Fumigation B.Carbolization C.Isolation

39. For oral temperature, leave the thermometer at the base of the tongue to the right or left of the frenulum, the posterior sublingual pocket for a period of: A.3-5 minutes C. 1-2 minutes B.5-10 minutes D. 20 minutes 40. When rendering sponge bath, to prevent sudden heat loss and chilling, the best solution to be used is: A.Previously boiled water C. alcohol B.Tap water

41. Needed for fetal bones and teeth: A.Calcium B.Iron C.vitamin C D.iodine 42. The portal of entry of organism in tetanus neonatorum: A.Eyes B.Ear C.Umbilicus D.Mouth

43. Doctors order. Biogesic 2 tablets p.o. now. This means: the drug is to be given: A.Every hour B.After meal C.immediately D.at bedtime

44. The APGAR Scoring is used for evaluating the immediate postnatal adjustment of the newborn baby. An Apgar score under 4 indicates:
A. B. C. D. Needs special attention The baby is okay The child is seriously depressed The baby is dead

45. A herbal plant found effective for treatment of fungal infection such as scabies, ringworm, tinea flava: A.Sambong B.Lagundi C.Ulasimang bato D.Acapulco

46. Interval refers to: A.The start of one uterine contraction to the end of the same uterine contraction B.The end of one uterine contraction to the start of the next uterine contraction C.The start of one uterine contraction to the start of the next uterine contraction D.The height of the uterine contraction

47. Quickening an obstetrical terminology which refers to the active movements of the fetus as first perceived by the mother. This is usually felt by months: A.4 B.5 C.6 D.8

48. In case of cord prolapsed, do the following except: A.Slightly elevated the bed B.Return the cord back to the vagina C.Wrap a cord with a sterile moist gauze D.Transport the client to the nearest hospital

49. Safe motherhood aims to reduce or prevent:

1. maternal mortality 2. perinatal mortality 3. infant mortality

A.1 B.2 C.1,2 D.All

50. The following except one are signs of placental separation: A.Calkins sign B.Hemorrhage C.Sudden gush of dark blood from the introitus D.Lengthening of the umbilical cord as the placental gets closer to the introitus

51. IUD is the best appropriate family planning method that is best for a primigravida who is breastfeeding her baby this is best inserted: A.A week after menstruation B.4th or 5th day of menstruation C.one week prior to menstruation D.in between menstrual period

52. According to Naegels rule, if the pregnant womans last menstrual period is March 26, 2002, the expected date of confinement is: A.April 03, 2003 B.December 27, 2002 C.December 31, 2002 D.January 02, 2003

53. An estimate of the Expected Date of Confinement which involves the counting of 3 months from the first day of LMP then add 7 days and one year: A.McDonalds Rule B.Haases Rule C.Naegels Rule D.Ultrasonography

54. Oral iron tablet is given to: A.Infant B.children C.Mothers 55. This consists of antibodies which can never be duplicated by any milk: A.Evaporated milk B.Cows milk C.Breast milk

56. The process by which cervix opens. This is described as opening, widening in diameter of the cervix or cervical as: A.Effacement B.Engagement C.Dilatation D.Contraction

57. The thinning and obliteration of the cervix or cervical canal described as narrowing, thinning or shortening of the cervical canal: A.Dilatation B.Effacement C.Flexion D.Extension

58. What should be the priority of the midwife when she conducts home visit to a postpartum? A.Reflexes B.Feeding pattern C.Umbilical stump D.Sleep pattern

59. The placenta is connected to the fetus by the umbilical cord. Umbilical cord contains which are twisted on each other and are protected from pressure by a transparent, bluish white, gelatinous substance Whartons jelly. A.2 arteries, one large vein B.2 veins, one artery C.1 artery, 1 vein D.2 arteries, 2 veins

60. AIDS is a fatal disease which the only cure is prevention. The incubation period can range: A.From 6 months to 7 years B.From 6 months to 15 years C.From 3 to 5 years D.From 1 to 3 years

61. What immunization usually produces a scar? A.BCG B.DPT C.Polio D.MMR 62. The conversion of liquid to vapor is: A.Convection B.Conduction C.Evaporation D.Radiation

63. Also known as crisis. This is the period or fever abatement, that is the hypothalamic thermostat is suddenly reduced to normalcy: A.Hyperthermia B.Hypothermia C.Defervescence D.Lysis

64. The clients obstetrics history is very important because it gives the nurse / midwife an idea of the clients risk status. Which of the following is a maternal high risk factor regarding poor obstetrical history: A.Complication of pregnancy, labor and puerperium B.Adequate prenatal care C.A and b D.none

65. These are therapeutic to clients with constipation: A.Fresh fruits and vegetables B.Laxatives C.Exercise D.Fluid intake

66. The procedure applied to test and detect a person having hemorrhagic fever: A.HAAT B.Widal test C.Benedicts test D.Tourniquet test

67. A very therapeutic communication technique except one: A.Studying B.Active listening C.Writing D.Eye to eye contact

68. A permanent family planning method which involves a small incision made on the scrotum to expose the was deference which is then cut, tied, and clipped: A.BTL B.Depo provera injection C.Vasectomy D.Circumcision

69. Which of the following is the causative organism in AIDS? A.Trichomonas vaginalis B.Retrovirus HTLV III C.Treponema pallidum D.Cholamydia trachomatis

70. These are isotonic exercises in which the client moves each joint in the body through its complete range of motion. An exercise done by the client in bed: A.Active assistive ROM exercise B.Passive ROM exercise C.Active exercise D.Anaerobic exercise

71. Vitamin A is an essential nutrient for growth and normal eye functioning the usual done of vitamin A for a pregnant mother is: A.Vitamin A capsule 200, 000 units B.Vitamin A capsule 100, 000 units C.vitamin A capsule 2, 000, 000 units

72. Peri-care is also referred to as perineal care. This is done in a way to prevent the transmission of microorganism from one area to the other. The stroke is: A.Wipe from rectum to the pubis B.Wipe from thigh to rectum C.Wipe from pubis to rectum or up-down stroke

73. The delivery of the fetal head by gradual extension between a traction is called: A.Ritgens maneuver B.Kristulers mauever C.Leopolds manuever D.Credes method

74. The following family planning methods are considered permanent methods of contraception because they can not be reversed except one: A.IUD insertion B.Vasectomy C.Bilateral tubal ligation

75. The first sign of placenta separation: A.Chadwicks sign B.Lengthening of the cord C.Calkins sign D.Sudden gush of blood

76. A nutrient found in the many foods we eat and is essential to life and vision. It is essential to our bodys defense or immune mechanism and normal functioning of the eye: A.Vitamin A B.Vitamin D C.Vitamin E D.Vitamin K

77. This is a toxic, colorless foul smelling gas that is soluble in water and used in that form as a fixative, or preservation. This is not used as disinfectant when not dissolved on water: A.Formaldehyde B.Fluorine C.Formalin D.Glycogen

78. An inflammation of umbilical stump marked by redness, swelling and purulent exudates in severe cases: A.Omphalitis B.Omphalocele C.Omphalogenesis D.Omphalosite

79. The presence of blood in urine is termed: A.Pyuria C. oliguria B.Hematuria D. anuria 80. The freedom from infection or infectious maternal: A.Sepsis B.Asepsis C.Isolation D.Handwashing

81. This is an instrument consisting of two earpieces connected by means of flexible tubing to a diaphragm. This is used to hear breath sounds and bowel sounds: A.Stethoscope B.Otoscope C.Ophthalmoscope D.Laryngoscope

82. An eye condition of dry and lusterless corneas and conjunctival areas, usually the result of vitamin A deficiency and associated with night blindness: A.Scurvy B.Bitots spot C.Xerophthalmia D.Goiter

83. A vitamin deficiency disease characterized by indisposition, fretfulness, pallor dark and swollen gums: A.Vitamin A B.Vitamin B C.Vitamin C D.Vitamin D

84. Endemic refers to the constant occurrence of a disease in a locality, while is the outbreak of a disease in a community in a similar nature, clearly in excess of normal expectancy: A.Sporadic B.Epidemiologic C.Epidemic D.pandemic

85. Polio vaccine is administered: A.2 drops orally C. IM B.2 cc orally D. Subcutaneously 86. Posterior fontanel closes 6 to 10 weeks after birth and it is shaped: A.diamond B.oblong C.triangular D.none

87. Steam inhalations: A.Relieves dyspnea B.Relieves pain C.Loosens nasopharyngeal secretions D.Stimulates coughing 88. Means free from pathogenic microorganisms: A.Sepsis C. infection B.Asepsis D. incubation

89. Administration of vitamin K injection is recommended to: A.Premature newborns B.Small for gestational age newborns C.Meconium stained D.All newborns

90. Before the infant has its first breath after birth, the midwife will most likely used equipment to: A.Clear the infants airway of mucus B.Repair the episiotomy C.Clamp and cut umbilical cord D.Do Apgar evaluation of the infant

91. The process of incorporating or taking nutritive material into living tissue, the end stage of the nutrition process, after digestion and absorption: A.Absorption B.Digestion C.Excretion D.Assimilation

92. A contrast medium called barium is given as enema. This is also called: A.Emollient B.Diagnostic C.Oil retention D.Carminative

93. which is not used in the application of the first aid treatment of bleeding from the arteries: A.if bleeding can not be stopped, use a tourniquet B.pressure should be applied C.if blood does not spurt anymore the tourniquet should be tightened again D.the tourniquet should not be tightened more than necessary

94. Domiciliary midwifery involves the practice of delivery or assisting woman in a child birth at home. The midwife is performing her duty: A.Without supervision B.Supervised by the doctor C.Supervised by the nurse D.Supervised by the senior midwife

95. Recommended method of cleaning the nursery is: A.Waxing C. sweeping B.Soaping D. wet mopping 96. Albuminuria is determined by heat acetic acid test. The specimen used is: A.Stool B.Blood C.Urine D.Sputum

97. The normal blood pressure range in adult: A.130/90 C. 110/70 B.120/80 D. 110/80

98. Ptyalism refers to: A.Excessive urination B.Excessive sweating C.Excessive vomiting D.Excessive salivation

99. A superficial burn affecting the epidermis. The skin appears pink and red. Sunburn is a very good example: A.Second degree burn B.Third degree burn C.First degree burn D.Fourth degree burn

100. An inflammatory condition of the breast, most common in the first 2 months of lactation and is characterized by pain, swelling, redness: A.Omphalitis B.Mastitis C.Engorgement D.Kyphosis