a) a prominent diastases of the rectos muscles

INFANT CARE AND FEEDING b) absent breast bud

c) a thick layer of vernix
INSTRUCTION: select the correct answer for each of the following d) presence of lanugo
question. Mark only one answer for each item by shading the box of 12. Tetanus acquired by neonate by means of the following:
your choice. a) thru the use of unsterilized instrument
b) thru placenta
MULTIPLE CHOICE c) as the infant passes thru the birth canal
d) while still in the uterus
1. Which of the following statement is true? 13. A midwife assigned in the nursery room should be very
a) infants are immune to pertussis if they are breastfeed cautious in taking care of a pre-term newborn with oxygen.
b) most newborn are susceptible to pertussis Wrong administration of oxygen might affect the babies.'
c) most newborn infants are immune to pertussis a) Brian
d) infants are immune to pertussis if the mother has b) lungs
already contracted the diseases c) eyes
2. A mother should breastfeed immediately because of the d) heart
following reasons 14. The best way to keep newborn warm is by:
a) the proper time to teach a baby to suck because his a) cuddling by the mother
sucking reflex is strong b) exposed to radiant heat
b) all of these c) lace inside the incubator
c) If she delayed lot a few hours, breastfeeding is likely d) wrapping in blanket
to fail 15. To encourage drainage of secretions from the lungs of the
d) helps uterus to contract and reduces bleeding normal newborn, the best position of the baby should be:
3. Ventilation is most important intervention for a child with: a) head turn to side
a) dyspnea b) supine
b) asthma c) slight Trendelenburg
c) anorexia d) left side lying
d) apnea 16. After one year of breastfeeding her baby the mother
4. A routine procedure done by the midwife wherein the head decides to take contraceptive pills. If adverse side effects
of the infant is placed in neutral or slightly extended occurs when she uses oral pill. The system of the body
position thereby clearing the mouth,nose and pharynx most likely to be affected is the:
a) monitoring reflex a) skeletal system
b) establishment circulation b) cardiovascular
c) evaluating AFGAR score c) urinary system
d) establishing airway d) respiratory system
5. When a midwife encountered as infant who unavoidably 17. A condition characterized by sharp inspiratory sound with
suffered scald burns the best initial intervention should do spasm of clothes and diaphragm
the affected area? a) hiccup
a) apply a butter or margarine b) vomiting
b) apply cool water c) regurgitations
c) cover the wound with bandage d) salivations
d) apply pressure 18. An AFGAR score of 5 – 10 indicates the following.
6. Which of the following is not an advantage of demand EXCEPT:
feeding? a) best possible condition
a) facilitate mother/child bonding b) nothing to worry about
b) prevents diarrhea and respiratory infections c) needs treatment
c) allows closer contact with father and family d) needs no treatment
d) permits breastfeeding in demand 19. Which of the following AFGAR score reflex good
7. The method of feeding the baby whenever she cries and oxygenation and ventilation which does NOT need vigorous
hungry resuscitation?
a) mixed feeding a) 8 to 10
b) demand feeding b) 0 to 3
c) supplementary c) 4 to 6
d) breastfeeding d) 5 to 7
8. During the first stage of labor fetal heart rate should be 20. Developmental issue regrading attachment is appropriate
done at least every how many minutes? for discussion during which of the following month?
a) 30 a) 5
b) 45 b) 12
c) 15 c) 9
d) 60 d) 7
9. A baby who developed noisy breathing on respiration, 21. Breastfeeding exerts a contraceptive effect as it increase
marked retraction of the chest wall flaring of nostrils and the mothers level of:
barking cough, the most likely diagnosis is: a) testosterone
a) viral group b) prolactin
b) bronchiolitis c) progesterone
c) asthma d) estrogen
d) foreign body aspiration in the right maintain bronchus 22. Amniocentesis is a procedure which will help determine
10. Sustained breastfeeding means that the baby is breastfeed which of the following?
up to which of the following years? a) whether amniotic fluid is excessive
a) 2 ½ b) maturity of the fetus
b) 1 ½ c) sex of the fetus
c) 1 d) whether genetic abnormally is present
d) 2 23. The newborn's caloric requirement per pound each 24 hour
11. Which of the following characteristics is NOT an indication for maintenance and growth is the
of prematurity in one day old baby? a) 120 to 150
 b) 80 to 100 a) BCG
c) 100 to 120 b) DPT
d) 50 to 8 c) Measles
24. The bone which is usually affected in caput succedaneum d) polio
is: 36. Administration of measles mumps, rubella vaccine is
a) frontal contraindications in all of the following
b) occipital a) pregnant women
c) temporal b) patient with symptomatic HIV infection
d) parietal c) patients who have had recent blood transfusion
25. The midwife should teach the mother giving her baby food d) women who are about to be pregnant
that is soft bland, nutritious and digestible like the following: 37. An Infant born to a heroin addict is likely to exhibit all of the
a) mashed potato following EXCEPT:
b) cereal a) prematurity and low birth weight
c) lugao b) hyperirritability and course tremor
d) fish c) incidence of hyaline membrane disease
26. Which of the following causes sore nipples among d) vomiting and diarrhea
breastfeeding mothers 38. Which of the following history of child will most unlikely
a) wrong attachment of baby's mouth to the breast give clue to the reasons for his language delayed?
b) exclusively breastfeeding a) prenatal history
c) irregular breastfeeding period b) monitor development history
d) long hour of breastfeeding c) allergy history
27. A physiologic occurrence in the newborn that makes the d) delivery history
neonate bleed easily is: 39. The infants weight should be doubled in which of the
a) psuedomenstruation following month?
b) physiologic jaundice a) 3
c) physiologic hypothrombinemia b) 12
d) neonatal hypothermia c) 6
28. The midwife should refer the babies under which of the d) 9
following conditions: 40. Baby A, a six month baby has a temperature of 37.8 ̊C.
a) remains blue despite resuscitation Her mother asked you what kind of birth she can give to
b) breathing is too fast her baby. As a midwife tell her to give the baby:
c) birth weight is less than 2,500 grams a) tub bath with lap water
d) all of these b) sponge bath with warm water
29. The most likely treatment that is applied to a baby who c) sponge bath with lukewarm water and alcohol
accidentally suffered scald burn d) ice water and sponge bath
a) application of cold water 41. Most infant death due to diarrhea could have been
b) covering the wound with bandage prevented by effective
c) application of butter or margarine on the affected area a) medication
d) pressure of the site of the burn b) isolation
30. Infants who are breast feed received antibodies from their c) hospitalization
mothers thru the first few feeding, the type of immunity is d) health education
called: 42. Which of the following is considered congenital marked of
a) active immunity the skin?
b) artificial passive a) milla
c) artificial active b) Mongolian spot
d) passive immunity c) tissue turgor
31. Which of the following intervention should not be done by d) pigmented nevi
the midwife in infant with miliaria or heat rash 43. Which is not true of the hematologic system of the
a) frequent bathing with cool pain water and avoiding neonate?
soap a) blood containing high level of vitamin K
b) light dressing b) blood volume is 10 to 12 of the body weight
c) keeping environmental cool c) relatively high number of RBC
d) applying powder after sponge bath d) PRC falls during the first to 2 to 3 months of life,
32. Some newborn experienced colic, In order to prevent this resulting to hypoprotrombinemia
the midwife should apply which of the following 44. Which of the following is not true about anterior fontanel?
intervention? a) bulge when there is brain damage
a) give the baby warm water with honey after feeding b) diamond shape
b) rub the abdomen with baby oil c) not palpable
c) let the baby lie in prone position d) soft level of bone
d) burp the baby after each feeding 45. Bonding occurs when the:
33. Prevention of erythroblastosis fetalis: a) mothers feed the baby thru battle
a) exposure to sunlight of the mother on her last b) mother is sleeping in a separate room away form the
trimester newborn
b) injection of the mother on her last trimester c) mothers cuddles newborn while sleeping
c) administration of immunoglobulin d) mother cuddles and looks at her newborn
d) massive iron intake of the mother thru out her 46. Under what condition does erythroblastosis tetails occurs?
pregnancy a) both are positive
34. Refers to the newborn, genetically transmitted capacity for b) both are negative
development: c) mother is RH positive and father is RH positive
a) eugenics d) mother is RH negative and father is RH positive
b) learning 47. A mother seek your advice (regarding) on when is going to
c) growth wear her breastfeed baby which of the following should you
d) maturation tel her?
35. Immunization which requires booster dose at school a) as soon as she can after the baby is 5 month old
entrance: because continued sucking may cause his teeth to
 protrude d) regular emptying
b) as soon as the bay shown a desire to give up sucking 60. The following disease pass on to the baby thru the
and to drink from a cup placental EXCEPT:
c) before summer regardless of the baby's age because a) gonorrhea
it is difficult to wear during warm weather b) aids
48. Neonatal tetanus continues to kill infants, the main cause c) rubella
of this is: d) hepa B
a) failure of the midwife to wash her hands before and 61. A fully immunize child has receive
after delivery of the baby a) 1 dose of BCG, 3 doses of DPT and polio, 3 doses of
b) unhygienic practice applied by the traditional births measles
c) inability of health worker to provide health education b) 1 dose of BCG and measles 3 doses of DPT and
d) failure of the mother to have her regular pre-natal polio
49. A one year old baby who regularly visit the health center c) 2 doses of BCG and measles 3 doses of DPT and
with her mother is expressed to have been immunized polio
against which of the following: d) 2 doses of BCG, 3 doses of DPT and polio 2 doses of
a) cholera, diphtheria, polio meningitis measles
b) measles, measles polio tuberculosis, diphtheria 62. Tonsilitis rheumatic heart disease are complications caused
tetanus pertussis by:
c) measles, polio, tuberculosis hepatitis pertussis a) fungus
d) measles cholera diphtheria meningitis b) virus
50. Which of the following is TRUE for a premature infant? c) bacteria
a) fingernails and toenails are soft and short d) toxin
b) swallowing and gaggling reflexes is visible 63. An acute contagious disease characterized by local
c) normal sucking is present inflammation with fibrous formation of the mucus
d) fingernails and toenails are hard and long membrane of the upper respiratory tract?
51. Priority in the immediate care of the newborn is given to: a) pertussis
a) cord b) lock-jaw
b) skin c) tuberculosis
c) eyes d) diphtheria
d) airways 64. Neonatal death means an infant dies between the age of
52. The principles of care premature is: birth and:
a) gentle and minimal handling a) 15 days
b) prepare an infant formula b) 10 days
c) protect against infection c) 1 day
d) maintain normal body temperature d) 4 weeks
53. The purpose of placing ch baby in the crib with the head 65. Sub specialty of obstetrics concerned with the care of the
lower than the trunk is to: mother and fetus during pregnancy, labor and delivery
a) prevent vomiting especially when the conditions is ill?
b) facilitate the drainage of secretions a) perinatoloy
c) improve respiration b) gynecology
d) prevent hiccup c) genetics
54. Failure to administer vitamin K most soften leads to: d) pediatrics
a) bleeding within 24 hours of delivery 66. The first deciduous teeth usually appear between
b) early blood clotting a) 9 to 12 months
c) prolonged prothrombin time b) 5 to 9 months
d) anemia c) 12 to 18 months
55. An injury of birth that does not need immediate referral is: d) before 5 months
a) cephalmatoma 67. A reflex excited by aloud noise
b) brain damage a) yawn
c) facial palsy b) moro
d) hemorrhage c) grasp
56. The primary goal in resuscitation in newborn is to: d) stalk
a) re-oxigenated the central nervous system 68. The greatest risk of developing an early iron deficiency
b) establish spontaneous breathing anemia is most common to:
c) improved heart rate a) premature
d) initiate crying b) infant with ABO incompatibility
57. Which of the following statement is correct regarding c) infant with physiologic hyperbilirubinemia
vitamin K content of breast and cows milk d) post mature
a) more on cows than breast 69. A newborn who has a unilateral cleft-lip most likely unable
b) the same amount in both to:
c) more on breast milk than cows milk a) swallow
d) absent in both breast and cows milk b) breath
58. The interaction between the mother and her one year old c) suck
baby is best describe as: d) salivate
a) mutually responsive for the infant but highly social for 70. The following are true about caput succedaneum, EXCEPT
the mother a) lesion extend beyond suture lines
b) purely physical for the infant but highly social for the b) subneroital hemorrhage resulting from the trauma of
mother labor
c) purely physical c) edema of the scalp due to pressure caused during
d) mutually affectionate labor and delivery
59. The following can minimize discomfort of breast d) normal condition which disappear after a few days
engorgement 71. When a midwife observes the baby to be suffering from
a) cold or hot packs trismus (lock jaw) she should
b) tight fitting bra a) give mouth to mouth resuscitation
c) warm oil massage b) refer the baby to the physician
 c) insert lavage tube b) second to the 4th week
d) stimulate the baby to cry c) third to the 8th week
72. Phototherapy is ordered to the baby as the most likely d) 5th week
reason for this is in the infant has a: 85. Which of the following immunization is given
a) congenital syphilis intradermally?
b) jaundice skin a) DPT
c) thrust b) hepa B
d) cyanotic skin c) BCG
73. The usual position of the bond in the newborn infant is: d) polio
a) open the fingers spread apart 86. If a 2 day old baby girl has a blood tinged muccid discharge
b) close with thumb outside the fingers per vagina you connect assessment would be that :
c) open with fingers flexed but apart a) this abnormal which could be due to trauma during
d) close with thumb inside the fingers birth
74. The following provides the infant with passive natural b) this is normal which is due to hormonal influence
immunity contained from mother
a) BCG c) the baby probably has an infection in the vaginal or
b) colostrum uterus
c) polio vaccine 87. The mother reported that her infant is whitish spots in the
75. When the baby is crying vigorously and is pink all over, the mouth which made the mucosa blood when she tried
APGAR score is: removing it. Which of the following is the correct action of
a) 10 the midwife?
b) 9 a) advice the mother to clean the mouth using cotton
c) 8 swab and warm water to remove the whitish spots
d) 7 b) refer the mother to the physician since you suspect
76. Which of the following is not normal characteristics of a that this is thrush
neonate respiration c) inform the mother not to worry
a) rate 50/min 88. Some mother do not want their babies immunized because
b) apnea lasting for less than ten second they get febrile after injection what should be the correct
c) chest muscle used with a slight grum reaction of the midwife to these?
77. A mother ask you why her baby had thick vernix caseosa. a) teach the mother that this is natural reaction of the
Which of the following statements is a correct explanation immunization and just give the prescribed pediatric
for this? antipyretic is needed?
a) the mother frequent sexual intercourse during her late b) reprimands the mother for not having adequate
pregnancy concern for her baby's welfare
b) vernix caseosa is produce by the sebaceous glands c) ignore the mother's reaction and give the
as protective covering for the skin immunization anyway because it is for the baby's
c) thick vernix caseosa is a sign of post maturity good
78. The umbilical cord is normally expected to fall for how 89. Which of the following is a safe, inexpensive and effective
many days? method of keeping the pre-term baby warm if no incubator
a) 3 days is available in a rural home?
b) 7 days a) put the baby in a big box line with pillows and put lamp
c) 12 days over it
d) 5 days b) place the baby on the “papag” or bed and wrap him
79. If the cord stump is moist, the midwife can do which of the with a blanket
following to hasten drying of the stumps? c) put the baby inside a big box line with hot water
a) paints the stump with alcohol 30% bottles wrapped in clean cloth or blanket
b) paint and stump with betadine 90. a practical way of reducing physiologic jaundice at home is
c) lace and aid over the stump by:
d) lace and aid over the stump a) exposure to early morning sunlight
80. Which of the following layman's practices regarding cord b) exposure to floor light
care needs to be avoided to prevent infections c) exposure to ultra violet light
a) apply a peso coin over the cord to prevent hernia 91. An inexpensive and effective method of relieving itchiness
b) apply an abdominal binder to keep the cord dressing in prickly heat among babies is by applying?
in place a) corn starch
c) from the cord dressing before use b) baby oil
81. You observed a 1 day old neonate to have icteric selerac c) baby cologne
and skin. Your correct assessment about this condition is: d) water
a) the baby is suffering from a possible blood type 92. The main cause of death of pre-term infant is?
incompatibility a) immaturity
b) this is only a physiologic jaundice b) congenital malformation
c) this is only because the baby was a NPD after birth c) birth injury
82. Infants begin to have social smile at what age? 93. Neonate are more prone to dehydration because their baby
a) 2 weeks weight has more water content which is approximately
b) 8 weeks a) 90% of body weight
c) 16 weeks b) 70% of the body weight
d) 9 weeks c) 50% of the body weight
83. The right technique of bathing a 2 day old neonate is: 94. Lanugo was found in almost all parts of the body of the
a) do a tab bath complete with hair shampoo newborn. You correct assessment of the condition is that
b) do only a sponge bath without hair shampoo since this baby is:
the cord is still on a) pre mature
c) do only a tub bath of the baby and avoid the hair b) post mature
shampoo until cord is off c) full term
84. Desquamation in a neonate is considered normal if it is d) pre-term
occur at what age? 95. A 10 month old infant enjoys palsy by:
a) first week a) playing alone
 b) playing with other children following certain rules of
the game
c) playing others of his age
96. When assessing a male newborn the genitals are
inspected to check of there is cryptorchidsm which means
that?
a) the testes are descended
b) the testes have not descended into the aortal sac
c) the testes are within the secretal sac