FINAL COACHING EXAMINATION

INFANT CARE AND FEEDING

PREPARED BY : JOHN ANTHONY OCTUBRE II
Philippine Midwifery Licensure Examination

Y
NAME:

6.Measles immunization is one of the effective

EM
Direction: Choose the best answer for each of the
following questions. Mark only one answer for measures to prevent:
each item. STRICTLY NO ERASURES.
a. Diarrhea
1.How many teeth should a normal one year old b. Tetanus

D
baby have? c. ARI
d. Hepatitis

CA
a. 10-12
b. 2-4 7.Which of the following is NOT true regarding
c. 6-10 prelacteal feeds?
d. 4-6

A
a. Prelacteal feeds are artificial feeds
2.The supplemental food which is first introduced or drinks given to a baby before
a baby is:
W
breastfeeding is initiated
a.Mashed potato b. Prelacteal feeds are dangerous as
b.Banana they replace colostrums as the
IE

c. Cereals baby’s earliest feeds

d. Egg Yolk c. Prelacteal feeds interfere with
V

sucking
3.Common reasons why a baby does not get d. Prelacteal feeds make it less
RE

enough milk include the following, EXCEPT: difficult to establish breastfeeding

a.Lack of maternal confidence 8.The most common cause of hemolytic disease
b.Smoking among Filipino newborn babies:
c. No night feeds
K

d. frequent feeds a. When the father has blood type “O” and
the baby is “A”
N

4.The first immunization given to babies is: b. When the mother has blood type “O” and
the baby is “O”
A

a.OPV
b.DPT c. When the mother has blood type “O” and
PR

c. Hepa B the baby is “A”

d. BCG d. When the mother has blood type “O” and
the baby is “B”
TO

9. An advantage of demand feeding:

5.Which of the following suppresses ovulation if
baby is breastfed? a. Baby gains weight faster
b. Breastfeeding is less easily established
a. Prolactin c. Breast engorgement becomes common
b. Follicles d. Breastmilk comes later
c. Oxytocin
d. None of these
 10.The anterior fontanel usually closes when the 15.Mongolian spots is characterized by:
infant is:
a. Mottling of the skin
a. Within 1 year b. Bluish colored usually at the buttocks
c. Cyanosis of the extremities
b.12-18 months
d. Yellowish discoloration of the skin
c. 6 months
16.Apnea is defined as:
d. 7 months
a. Shortness of breath
11.When introducing new food to an infant the b. Absence of oxygen in arterial blood of

Y
following consideration should be remembered, tissues
EXCEPT: c. Slowness of the heartbeat

a. The infant should be persuaded to eat the
new food being introduced
b. The new food to be introduced should not
EM
d. Condition of suspended respiration
17.Which of the following injury at birth the
midwife need not to refer immediately?

D
be mixed with formula
a. Caput succedaneum
c. The new food should be introduced one at
b. Hemorrhage

CA
a time
c. facial palsy
d. The new foods to be introduced should be
d. Brain damage
given gradually
18.Which of the following complication is

A
12.Refers to the inborn, genetically transmitted
suspected for a baby with measles , persistent
capacity for development:
cough, dyspnea and fever?
W
a.Growth
a. Broncho pneumonia
b. Maturation b. Bronchitis
IE

c. Asthma
c. Learning d. Primary complex
V

d. Eugenics 19.Chlamydial infections among neonates may

cause this condition, EXCEPT:
RE

13.Which of the following statement is NOT TRUE

about the composition of breastmilk: a. Otitis media
a. Enough vitamins, making vitamin, b. Ophthalmia neonatorum
supplement and fruit juices unnecessary c. Diphtheria
K

b. More lactose than most other milks d. Pneumonia

N

c. More amount of salt calcium’s and 20.The following are causes of prematurity:except
phosphate
a. Abruption placenta
A

d. It has the right amount of the most

suitable protein and fat b. Multiple births
PR

c. toxemia of pregnancy
14.When an infant has a diarrhea a cheap and d. hyperemesis gravidarum
effective means of replacing the lost fluids and
electrolytes is by giving 21.The losing of heat to the cool surrounding air
TO

by the newborn is:

a. Oresol
b. Tea a. Evaporation
c. Am b. Convection
d. Milk c. Radiation
d. Conduction
 22.Physiological jaundice of the newborn appears a.Estrogen
definitely between the third and seventh days
b.Prolactin
after birth. How many days will it disappear?
c. Oxytocin
a. 1-2
b. 2-3 d. Progesterone
c. 4-5
d. 2-4

23.If the newborn chest circumference is 31-33 29.To prevent the child from having cold the
cm, what is the equivalent in inches? following are to be done, EXCEPT:

Y
a. 12-13 a.Avoid exposure to children with colds

EM
b. 15-20 b.Decrease fluid intake
c. 13-15
d. 14-15 c. Provide sufficient rest

24.The normal temperature of a baby taken per d. give nourishing foods

D
rectum is: 30.Expressing milk is useful to:

CA
a. 36.1-37.2 degree Celsius a. Relieve engorgement
b. 36.7-37.8 degree Celsius b. Feed a baby while he learns to suck on an
c. 36.6-36.7 degree Celsius inverted nipple

A
d. 37-38 degree Celsius c. Help a baby attach to a full breast
25.Partial paralysis of one arm due to excessive d. All of these
W
stretching of the nerve fibers that run from the 31.Which of the following factors adversely affect
neck through the shoulder is called: fetal nutrition?
IE

a. Impetigo a. Maternal nutrition

b. Down’s syndrome b. Placental anomalies
V

c. Brachial plexus paralysis c. Maternal use of cigarettes

d. Congenital Heart Disease d. Multiple gestation
RE

26.The best way to keep the newborn warm is 32.Part of the hygiene of the midwife should
by: impart to the mother to avoid diaper rash among
a.Exposure to sunshine babies:
K

b.Placing inside the incubator a. Dry the perineum with the used diaper
N

and apply powder

c. Wrapping in blanket b. Wash the perineum with water and put it
A

d. Cuddling by mother dry, replace with dry one

c. Remove the soiled diaper then put the
PR

perineum and replace with a new one

d. Remove the diaper and replace with a
27.Which of the following factors affects the
new one
growth and development of a baby?
TO

33.Which of the following is not in accordance

a.Play
with modern concepts of child care?
b.Nutrition
a. Abdominal binder is used only when
c. Feeding Habits necessary
b. Soon after birth are blood in the face and
d. Heredity
scalp is washed away with a very soft
cloth or cotton ball with water
c. No attempts is made to remove the vernix
28.The most important hormone that affects the caseosa which adheres to the skin and has
letdown reflex of the mother is: a protective
 d. Vernix caseosa is removed by scrubbing
with sterile gauze because it will rub into
the skin or comes off in the infants
clothing
34.Which statements is RIGHT when giving bath
to a baby?
a. The mother should sponge bath the baby
everyday until the cord off, and then give
her full bath
40.Care of the cord is very important. The
midwife should advise the mother NOT to do
which of the following?
a. Do not put powder on baby’s cord
b. Leave the cord of the baby uncovered
and keeps it dry
c. Pull of the remaining cord since the base
is already dry
d. Bring the baby to the nearest clinic/
hospital if she notices that the umbilicus is

Y
b. The mother should apply oil over the
red with foul odor
baby’s body before giving full bath

EM
c. The mother should neither give sponge or 41.If the patient of the newborn is 19-21 inches,
full bath until cords fall off which is the average measurement in
d. The mother can give full bath to the baby centimeters?
everyday even if the cord is intact since it

D
a. 50
is modern trend
b. 45

CA
35.In dressing the cord, the midwife should c. 55
instruct the mother to apply the following daily d. 60
until the cord pull off:
42.The following signs are indicative of a child

A
a. Antibiotic ointment with IDA, EXCEPT:
b. Tetracycline powder
a. Pale skin
W
c. Betadine solution
b. Nightblindedness
d. Sterile water
c. Lack of appetite
IE

36.When an infant weigh less than 2, 500 grams d. Pale lips

at birth, they are:
43.Deficiency disease cause by inadequate
V

a. Premature by definition Vitamin C in the diet of infants is:

b. Always premature
RE

a. Kwashliorkor
c. Merely premature
b. Infantile eczema
d. Usually but not always premature
c. Iron deficiency
37.The Department of Health developed a d. Scurvy
K

program to address the problem of diarrhea. It is

44.Which is not included in making the proper
known as:
N

identification of the newborn?

a. Four o’clock habit
a. Date, time of delivery
A

b. Sangkap Pinoy
b. Sex of the baby
c. Tubig, kubeta, oresol
PR

c. birthmarks
d. People’s Health
d. Mother’s name, hospital number
38.Abnormalities of Rubella in children DOES NOT
45.This is a record being used by a health center
include:
TO

midwife in assessing and monitoring the condition

a. Congenital Heart Disease of a mother from pregnancy until delivery:
b. Mental retardation
a. GMC
c. Deafness
b. Individual Treatment Record
d. Paralysis
c. HBMR
39.Neurologic evaluation of the newborn includes: d. Target Client List

a. Passive and active tone

b. Reflexes
46.Which of the following is not included as
c. all of these
nutritional deficiencies?
d. Assessment of posture
 a. PEM 53.The respiration rate per minute of a newborn
b. Strabismus in the few minutes of life may be as high as:
c. IDA
a. 70
d. VAD
b. 60
47.Exclusive breastfeeding means that the baby c. 80
should be only breastfed from what month? d. 50

a. Birth to 4 months old 54.The bilirubin level of term babies peaks on the
b. Birth to 6 months 3rd day of life, and for the pre-term babies:
c. One month to 2 months old

Y
a. Beyond 10 days
d. One month to one year old
b. 5-10 days

EM
48.The hormone affecting the emotions of c. 3-5 days
mothers, particularly when breastfeeding is: d. 5-7 days

a. Prolactin 55.When you hold an infant in an upright position

b. Progesterone with soles of the foot touching surface which of

D
c. Estrogen the following reflex is observed?

CA
d. Oxytocin
a. Dancing
49.When the baby is not correctly latched on the b. Tonic neck
breast, which problem will most likely occur? c. Babinski

A
d. Sleeping
a. Cracked nipples
b. All of these 56.Vaccine that needs only 1 dose to provide
W
c. Sore or crack nipples immunity:
d. Engorged Breast
a. Anti-tetanus
IE

50.Which of the following activities should a b. OPV

mother do in order to ensure an adequate flow of c. Measles
V

milk? d. BCG

a. Exercise daily 57.The head of the baby emerges from the vulva
RE

b. Empty her breast with each feeding in order to establish respiration, the midwife
c. Drink soup every meal should:
d. Eat plenty of fruits and vegetables
a. Pull the baby’s head down and let mucus
K

51.Which of the following causes of mental drain

retardation can easily be resolved by producing b. Suction the mouth and nose with catheter
N

adequate nutrients to the mother? c. Wipe mucus and fluid mouth to nose with
piece of gauze wrapped around the finger
A

a. Epilepsy
d. Apply mouth to mouth resuscitation
b. Meningitis
PR

c. Rubella 58.Clinical manifestation of pneumonia among

d. Cretinism newborn:

52.As a midwife you should know to explain to a. All of these

TO

the mother the signs of neonatal tetanus. This b. Flaring of nostrils

includes the following, EXCEPT: c. Infant appear listless with rapid respiration
d. Has a respiration higher or lower than
a. Feels hot when touched
normal
b. Discharge on cord with foul odor
c. Failure to suck
d. Jaundice after two days
59.Neonatal tetanus continues to kill infants. The
main cause is:
 a. Unhygienic practices when cutting a. 4 months
umbilical cord b. 3 months
b. Failure of the midwife to wash her hands c. 5 months
before and after delivery of the baby’s d. 6 months
body
66.Breastfeeding will be successful in most cases
c. Failure to the mother to have regular
if:
pre-natal check-up
d. Inability in the health worker to provide a. All of these
education among mothers b. The baby is well attached to the breast
resulting in an effective suck
60.Symptoms of kwashiorkor include the

Y
c. The mother feels good about herself
following, EXCEPT:
d. The baby suckles for as long as he wants

EM
a. Liver enlargement
67.The following items are parts of the GMC
b. Loss of muscular tissue
EXCEPT:
c. Edema
d. Emaciated with old man feature a. None of these

D
b. Weighing instructions
61.Which of the following is NOT true regarding

CA
c. Immunization schedule
the treatment of breast engorgement?
d. Identification
a. After a feed, apply cold compress on the
68.Gastrointestinal disease is prevented by which
breasts to reduce edema

A
of the following things found in breastmilk?
b. If the baby is able to suck, feed less
frequently a. Lymphocytes
W
c. Before a feed, to stimulate the oxytocin b. Lactogenic bacteria
reflex, stimulate, the nipple skin and give c. Lactobacillus bifidus
massage to neck and back d. Immunoglobulin
IE

d. If the baby is not able to suck, express

milk by hand or with pump 69.Which of the following is NOT true regarding
V

prolactin and breastfeeding?

62.Which of the following is NOT true regarding
a. Prolactin induces ovulation
RE

eugenics?
b. More prolactin is secreted at night
a. It deals with genetic improvement c. Prolactin is secreted after breastfeeding to
b. It deals with genes produce the milk for the next feed
c. It deals with parents and their positive d. Prolactin is secreted about 30 minutes
K

effects on their children after breastfeeding

N

d. It is the science of heredity

70.Symptoms manifested by night blindness and
63.The cessation of breathing for more than 5-10 white spots among infants and children is
A

seconds of the newborn is: deficiency

PR

a. Omphalocele a. Vitamin C
b. Hypoglycemia b. Iron
c. Apnea c. Vitamin K
TO

d. Hypocalcemia d. Vitamin A
64.Vitamin A deficiency affects the eyes. The end 71.The universal needs of the infants include the
stage of Vitamin A deficiency in the eyes is: following EXCEPT:
a. kokpliks spot a. Warmth and comfort
b. Otitis b. Feeding
c. Keratomalacia c. Independency
d. Conjunctivitis d. Sucking
65.The giving of complementary foods for infants
could be started at what months?
 72.How many minutes from the boiling points 79.Which of the following signs indicate that the
should the midwife boil the equipment she used child is ready for toilet training?
during immunization?
a. Desire to please parents
a. 40 b. Pleasure in imitating others
b. 10 c. Achievement or pulse control
c. 30 d. Ability to stand
d. 20
80.Increases in skill and complexity of function is
73.An infant enjoys being held and holding her part of the children’s:
develops her sense of:

Y
a. Training
a. Security b. Development

EM
b. Love c. Learning
c. Trust d. Growth
d. Independence
81.These are manifestation of kwashiorkor,
74.Excessive sweating in young infant maybe a EXCEPT:

D
manifestation of?
a. Edema of the abdomen

CA
a. Cystic fibrosis b. Diarrhea
b. Pneumonia c. hair are thin and dry
c. Heart Failure d. Bleeding of the skin

A
d. Phenylketonuria
82.Colic is common to infants to how many
75.To prevent the child from getting ophthalmia months of age?
W
neonatorum the midwife performed a preventive
a. 3-5
measure known as:
b. 5-7
IE

a. Crede’s prophylaxis c. 2-4

b. Sterilization technique d. 4-5
V

c. Eye irrigations
83.Minerals important in the development and
d. Eye washing
care of baby’s teeth:
RE

76.Estimation of gestational age of the newborn

a. All of these
is based on the following, EXCEPT:
b. Fluoride and Calcium
a. Sole creases c. Zinc and Potassium
K

b. Breast nodules d. Sodium and Chloride

c. Head and chest circumference
N

84.Which of the following statements is true

d. Testes and scrotum
regarding the presence of the caput succedaneum
A

77.The main objective of under five clinic is: in the newborn?

PR

a. To implement Acute Respiratory Infection a. It disappears within 24 hours

Program b. It is due to prolonged second stage of
b. To implement the EPI program of the DOH labor
c. To supervise the baby’s growth and c. The head is swollen because of hematoma
TO

development d. It is a part of the head of the newborn

d. To monitor child survival
78.Vitamin K is given to the newborn shortly
afterbirth in order to:
a. Improve blood circulation
b. Increase calcium absorption
c. Alert peristaltic movement
d. Improve blood coagulation
85.In the care of the cord, the midwife should
instruct the mother to:
a. Put oil on the cord to keep in
fresh-smelling
b. Wait 2 days and observe the baby if she
notes foul-smelling discharge from the
cord
c. Leave the cord uncovered to keep it dry
 d. Pull on the cord occasionally so that the 92.Which of the following is contraindication to be
cord comes off faster breastfeeding?

86.Measles immunization is usually given to a. Menstruation

babies at what age? b. Pregnancy
c. Mental patient
a. 9 months
d. Local lesions
b. 6 months
c. 1 year 93.Majority of full term infants will have passed
d. 10 months their meconium stool:

Y
87.A 10-month-old baby has recurrent ARI, a. During the process of birth
occasionally accompanied by a wheezing sound b. By 2 hours of life

EM
during exhalation. Which of the following drugs c. 1 to 2 hrs of life
should be given? d. 30 minutes after birth

a. Penicillin 94.Mumps is generally contagious in a child

b. Cough Preparation when:

D
c. Paracetamol
a. Fever persists

CA
d. Salbutamol
b. Five days starting with the first day of
88.The process of loss of heat as liquid leave the visible swelling
newborn’s body is: c. The swelling is tender

A
d. Several days before the onset of swelling
a. Convection
until it subsides
b. Condensation
W
c. Evaporation 95.A common respiratory disease of newborn
d. Radiation characterized by sneezing and clogged nasal
passage is:
IE

89.The three basics’ in routine newborn care

include all the following, EXCEPT: a. Asthma
V

b. Bronchitis
a. Exercise
c. Rhinitis
b. Warmth
RE

d. Tonsillitis
c. Care of the cord
d. Hygiene 96.Physical examination in early infancy (2 weeks
to 6 months) gives emphasis on:
90.A premature baby increases in weight rapidly if
K

she is: a. Examination of the lower extremeties to

determine club foot
N

a. Breast feed continuously from birth to 2

b. Elicitation of the tonic neck reflex
years
c. Measurement of the head to determine
A

b. Given cereal at the age of 2 months

hydrocephalus
c. Taking Vitamins from birth until 6 months
PR

d. Examination of the permanent dentition

d. Bottle-fed
for decay and occlusion
91.Itchiness caused by prickly heat can be
97.Which period of development is mainly
relieved. The midwife should tell the mother to
TO

physiological that is no social development

apply which of the following in the affected area?
a. Infancy
a. Lotion
b. Pre-school
b. Starch
c. Toddler
c. Skin ointment
d. Neonatal
d. Alcohol
 98.As a midwife you should know that normal
human gestational period refers to delivery which
is:

a. 38 to less than 24 weeks of gestation

b. 38 weeks gestation
c. 280 days or 40 weeks
d. 42 weeks of gestation

99.If Oresol is not available which of the following

Y
home made solution the midwife should give for
rehydration

EM
a. Sugar and salt
b. Sugar and starch
c. Sugar and water

D
d. Sugar and flour

CA
100.These reflexes are stimulated by foreign
substance entering the upper or lower airways:

a. Rooting and grasping

A
b. Sneezing and coughing
c. Swallowing and gagging
d. Startling and yawning
W
IE

GOODLUCK RM’s!!!
V
RE
K
N
A
PR
TO
TO
PR
A
N
K
RE
V
IE
W
A
CA
D
EM
Y
TO
PR
A
N
K
RE
V
IE
W
A
CA
D
EM
Y
TO
PR
A
N
K
RE
V
IE
W
A
CA
D
EM
Y