HIGH RISK OBJECTIVES

1. When examining a four-day old baby, the midwife should look out for which of the following?
I. Equality of the limbs
II. Jaundice of the skin
III. Patency of the anus
IV. Signs of infection of the cord

A. II and IV
B. II and III
C. II, III and IV
D. I, II, III and IV Ans: ………………

2. Vitamin k may be given to the new born to

I. Enhance the clotting mechanism
II. Prevent avtaminosis
III. Prevent heamorrhagic disease of the new born
IV. Reduce high level of prothrombin

A. I and II
B. I and III
C. II, III and IV
D. I, II, III and IV Ans: …………..
3. The name that is associated with the test for diagnosing congenital dislocation of the hip in the new born is
A. Barlow
B. Espstein barr
C. Gullian barre
D. Guthrie Ans: …………………
4. At the post-natal clinic, a mother brought her baby girl with the following features; short webbed neck, widely spaced nipples and oedema of the feet. The midwife
explained to the students that this is a case of……...
A. Klinefelter syndrome C. Potter syndrome
B. Patau syndrome D. Turner syndrome Ans: ……………
5. Post mature infant presents a unique and characteristic appearance which includes the following EXCEPT
A. Smooth skin
B. Thin body
C. Worried-looking
D. Long nails Ans: ………………….
6. A baby fails to pass meconium within the first 24 hours after birth this may indicate which of the following?
A. Hirschsprung’s disease
B. Celiac disease
C. Intussusception
D. Abdominal wall defect Ans: ………………
7. When assessing a child for possible intussusception, which of the following would be least likely to provide valuable information?
A. Stool inspection
B. Pain pattern
C. Family history
D. Abdominal palpation Ans: ……………..
8. A midwife is caring for an infant that has recently been diagnosed with a congenital heart defect. Which of the following clinical signs would most likely present?
A. Slow pulse rate
B. Weight gain
C. Decreased systolic pressure
D. Irregular WBC laboratory values Ans: ……………..
9. Mr. Owam suffered from mumps when he was 8 years old. Which of the following conditions is likely to affect the functions of the testes?
A. Cryptorchidism
B. Hypospadias
C. Orchitis
D. Phimosis Ans: ……………
10. A baby girl was born at 9:15 am her heart rate was 132 beats per minute. She was crying vigorously, moving all her exremites and only her hands and feet were still
slightly blue. The midwife should enter her Apgar score as
A. 7
B. 8
 C. 9
D. 10 Ans: ……………..
11. Which of the following in a newborn baby girl is normal?
A. Bleeding from umbilicus
B. Passage of meconium within the first 24 hours
C. Respiratory rate of 70 beats per minute at rest
D. Yellow skin tones at 12 hours after birth Ans: ……………
12. How would an infant lose heat if aminiotic fluid is left to dry on the infants skin after delivery
A. Conduction
B. Convection
C. Evaporation
D. Radiation
13. Babies derive most of their heat production from metabolism of ………..
A. Adipose tissue
B. Brown fat
C. Fatty acids
D. Glycerol Ans: ……………
14. Which of the following test is performed immediately after birth for the diagnosis of developmental dysplasia of the hip?
A. Barlow’s test
B. Ortolani’s test
C. Traction test
D. Ventral test Ans: …………….
15. A new born baby has an injury to the stenomastoid muscle will suffer from
A. Caput succedanum
B. Erbs palsy
C. Klumpke’s palsy
D. Torticollis Ans: …………
16. Baby Ansah 6 weeks old was brought to your ward with a history of projectile vomiting , which of these conditions is baby Ansah likely to suffer from?
A. Cleft palate
B. Hirschsprung’s disease
C. Meconium ileus
D. Pyloric stenosis Ans: ………………
17. The midwife explaining a baby’s condition to the student midwife says that there is an aganglionic section of bowel present. Which of the following disease best
explains the symptom?
A. Cystic fibrosis
B. Hirschsprung’s disease
C. Pyloric stenosis
D. Pierre Robin syndrome Ans: ……………
18. Examination of the new born baby boy reveals that the urethral meatus opens to the under surface of the penis. What condition will you tell the mother her child is
suffering from?
A. Achondroplasia
B. Hypospadias
C. Posterior urethral valve
D. Polycystic kidneys Ans: …………….
19. In explaining the baby’s condition to the student, the midwife said it is an infection of the umbilicus and can be localized and offensive. Which best explains the
above?
A. Gastroenteritis
B. Necrotizing enterocolitis
C. Omphalitis
D. Ophthalmia Ans: ……………..
20. A pregnant woman with Rh (D) negative blood type is carrying a baby with Rh (D) positive blood type. The midwife advises the woman to buy anti-D
intramuscularly to be given to the mother within
A. 72 hours
B. 82hours
C. 92hour
D. 120hours Ans: ……………..
21. The nurse explains to the mother that the swelling on her baby’s head which developed 3 days after delivery is due to
 A. Bleeding between the skull bone and the periosteum
B. Bleeding between the subcutaneous tissue
C. Bleeding due to early rupture of membrane
D. Bleeding due to late rupture of membrane Ans: ……………
22. In a demonstration section, the midwife taught the class that failure of the testes to descend is known as
A. Acrosome
B. Cryptorchidism
C. Priapism
D. Ochitosm Ans: ……………
23. A mother came to your clinic and complained that her five-year-old child is not able to resist the urge to void during the day. The nurse explains that
A. It is normal
B. It is not normal, see the doctor
C. It is subnormal
D. It will be corrected in some months later Ans: …………….
24. After delivery, the baby was diagnosed as having caput succedaneum, the midwife advised the mother that the swelling will disappear within………………
A. 24-48 hours
B. 48-60 hours
C. 4 weeks
D. 6 weeks Ans: …………
25. A mother who delivered four days ago at your facility is worried about her new born whose respirations are shallow and irregular, being interspersed with brief 10 to
15 seconds periods of apnoea. Which answer is the most appropriate?
A. This is normal and respiration will be regularized
B. This is abnormal, doctor’s attention is important
C. This is subnormal, doctor’s attention is important
D. This is apnoea, respiration will be regularized Ans: …………….
26. Which finding would alert the midwife to potential problems in newly delivered term infant of a mother whose blood type is ‘O’negative?
A. Pallor
B. Negative direct combs
C. Infants blood type is ‘O’ negative
D. Resting heart rate is 155 Ans: ……………..
27. Post mature infant presents a unique and characteristic appearance which includes the following EXCEPT
A. Smooth skin
B. Thin body
C. Worried-looking
D. Long nails Ans: ………………
28. Which of the following are the causes of respiratory problems in preterm babies?
I. Baby use the chest more than the diaphragm
II. Cough reflex is active
III. Narrow and easily obstructed airways
IV. Respiratory center is not matured
A. I and II
B. II and III
C. II and IV
D. III and IV Ans: ……………..
29. . In the management of a baby with fractured humerus the midwife is expected to do the following expect
A. Bandage the arm to chest
B. Ensure gentle exercise to the arm
C. Place pad in axilla before bandaging
D. Check the arm for signs of poor circulation Ans: …………….
30. . A mother brought her baby to the clinic and after history taking, the following was noticed: fair skin and hair, vomiting, feeding difficulties, nusty smelling of urine
and eczema. The midwife explained to the mother that her baby is suffering from
A. Cystic fibrosis
B. Galactosaemia
C. Phenylketonuria
D. Thyrotoxicosis Ans: ………….
31. A pregnant woman reported to the clinic with a history of 30weeks pregnancy. She was diagnosed as having polyhydramnios. Which of the underlisted conditions
did the midwife suspect the fetus was having?
A. Exomphalos
B. Gastroschisis
C. Oesopphageal atresia
D. Volvulus Ans: …………….
32. Baby Dansoa has pustules on her body. How will you manage the pustules?
I. Bath with medicated baby soap and cover with gauze
II. Break the pustules, bath and apply dusty powder
III. Refer her to the doctor for investigation and treatment
IV. Clean with antiseptic lotion
A. Ionly
B. II and IV
C. III only
D. III and IV Ans: …………….
33. The absences of moro reflex in the baby at birth is suggestive of;
A. Brain damage
B. Kidney damage
C. Mental retardation
D. Liver damage Ans: ……………..
34. The following statements are true of ophthalmia neonatorum expect
A. A common cause of blindness
B. Caused by gonococcal infection from the mother
C. Congenital infection
D. Treated with antibiotics Ans: ……………..
35. Madam Dede Gaga wanted to know the cause of her three days old baby’s fits. Your explanation of the common of the common cause will include
I. Hypoglycaemia
II. Hypocalcaemia
III. Intracranial hemorrhage
IV. Spinal injury
A. Ionly
B. I, II, and III
C. I and IV
D. I, II, III and IV Ans: …………..