Ae polo Any onion sleaze heh ante het for Ms rnd by 4m Sup Us only pemanenssroroon Enc the mos propriate option - ‘ihe ontinal breasteding practices, what recommended er aehibith? 8) Do ot start breastfeeding unt 24 hours ein breastfeeding imme 1 Sutbeontedngnerewtomaterthans © tosranessgane meat an of tte d) None of the above 2. Which ofthe folowing called exeluive breastfeeding? @ eas teed without other foods or tigud 1) Breast fed alongwith ater foods erliquiss ©) Breas feed along with formula mik 4) Alot the above 3. Exclusive breastfeedings recommended for 8) Untilthe baby is1 months old )- Until the baby 3 yea old © Unitthe baby is 6 months ott 4) Unt the baby 2 years old ‘4 Whatisthe age at which the child shouldbe started given complimentary feed in addin to breast ik? 2) Until the baby is 1 months old €) Until the baby i year ol @ Untithe baby is 6 months old 4) Uni the baby is 2 years old HIV transmission thorugh breastfeeding canbe reduced by which ofthe flowing method? 2) Exclusive and longer breastfeeding 1) Only exclave breastfeeding © bxclsive and shorter breastfeeding 4) Mises feeding 6 Which methods of birth contol needs a prescption? 2) Birth contol pill “cervical eap @© Atotihe above $a Contraceptive patch d) Diaphragm ‘What do male condoms offer that athe forms of birth control donot? a) Least chance offalure GR) ch. Cheapest une 5) Best protection against STOs @ Aol the above 8 Besides the condom, which is another barrier method of beth control? @ diaphragm ®) wD Withdrawal 4) stenizavon Which of theses a posible side effect of bith conta pls? a) Nausea b) regular bleeding. <) Headaches: @ All of the above 10, Which of these methods is called natu amily planning? 2) Tracking basal temperature Tracing the menstrual eye ona calendar 1b) Tracking changes in cervical vcs @ Alotthe above 11 Which of these methods of sterllatlon Is permanent? 2) Tuba stertzation © Ande ) Vasectomy 4) None ofthe above 12, Which of the following is contra ndeation of Intra erie devices except? 2) Infection of any type / Normal menstrual cyte 'b) Pregnancy dé) Immunosuppression 1, Which of he allowing snc the comolation fran UD a) Increase iso infection [ee 2) erfration ofthe uterus @ Aber te above Tea permanent method of anraceptionin omen 1. a) Vasectomy €)_ Intrauterine device (1UD) © Tobat gation 4) Allof the above . 15, _____is a permanent method of contraception In men, @ Vasectomy )_ Intrauterine device (U0) 3 gation 4) Allof the above 16. whore lowing ey opr ans tomar asin ad ten asin seen oth ce en reproductive health? a) Life cycle approach bb) Client centred approach ©) Holistic approach d) Mixedsmographle H 17 The total contraceptive prevalence rate of Pakistan recently recorded by PDMS (Pakistan DemogaPh 30% b) sox 1% 38. a pregnancy delivers between weeks from the last menstrual period (LMP). 2) 30.36 weeks 6) 45-47 weeks G@ srr wets 4) None of above 29. Apreterm pregnancy delivers between _weeks frm the last menstrual period (UMP); @ 35 weeks or before ) 45-47 weeks b) 37-2 weeks 4) None of above 20, Termination of pregnancy of gestation is defined as either spontaneous or elective abortion. 2) 37-2 weeks @ before 20 weeks 8) 30-36weeks @) Alter 42 weeks 24. Viabity when fetus is able to survive outside the womb. At what gestational age, the fetus reach vabilty? 3) 18-20 weeks of gestation @ Above 24 weeks of gestation b) 2024 weeks of gestation )_ None ofthe above 22. Whena woman s pregnant for the fst time, itiscalled a5 a) Nulliparous b) Mutiparous @® Primigravida 4) Multigravida 73. When a woman has never carried a pregnancy to viability, despite of becoming pregnant several times is called? @® Nautiparous )Prinigravida )- Multiparous 4} None ofthe above 28. A 30,year old woman has 2 sons and 3 daughters. How will you document her status from the following terms? | 2) Nulipacous )Primigravida @® Mutiparous 4) Multigravida 25. Labors influenced by which ofthe fllowing combination of factors except? A 2) Uterine stretching <)_ increased ofytocin sensithity Progesterone withdrawal @ Aeccreasedievel of prostaglandins 26" True labor is characterized by al ofthe following except? ‘ ) 3) Regular intervals © Paio stops with sedation by Cervix dates _ intensity nereases with time 27. When the fetal postion isthe presenting parts the occiput portion ofthe fetal ead i ealled, @ cephate presentation ©) Shoulder presentation B) Breech presentation 4) Allo the above 28, when the fetal positon is ike the fetal legs are extended above the fetal pelvis withthe breech as ‘the presenting parts ested ‘ 2) Cephalic presentation ’ ¢) Shoulder presentation Q Frank areeeh presentation 4) Complete breech presentation 23. When the fetal poston ike the feet and buttocks present togethers cated. 2) Cephalic presentation {Shoulder presentation b)_ Frank areech presentation ® Complete breech presentation 30. Awoman as brought tothe labor and dvry unt, shehas 15 20 seconds ong durton of wtern ontraton andthe interval between the contractions recorded a 10t0 20 mines Wha sage a aber dene han een @ Eat abor €)- Both an be the postbilty 8) Late labor 4) False contraction FE ar ag auEh tothe labor and delvery unt, she has 400 80 seconds long duration of uterine contraction and he interval between the contraction i recorded as 3 to minutes. What stage of labor does tis indoaten a) Easy labor ©) Both can be the possibity © Lneiabor 4) False contraction 32. The first stage of labor can be defined asthe onset of labor and ends with 3) Lamdilatation of the cervix. ( @ em diataton ofthe cervix. 8) 2em diatation ofthe cervix Less than 2 cmm a 33. Which of the following is true about the second stage of labor? a) Begins when the cervix becomes fly dilated }_ Normally last upto 3 hour i ) Ends withthe complete of birth of infant @ Altofthe above 34. Which of the foiowing is true about the third stage of labor? : 2) Begins after complete dilatation of the cervix @ Birth of infant to 1 hour after delivery of placenta 8) Ends with eompetediatation of cern 4) Immediately ends ater pacentais detached5 the following Is not the extern: pee ial part of female genitalia? Urlhary meatus @ viens what phase, an ovum enlar @)- Labia minora . lar ges a atype of es Per circus eciey Be of cyst called a graafian flict unlit reaches the surface of the ovary, 5) Menstruation phase oe b)Proliferative phase luteal phase @owiation phase bhaseat the beginning ofthe cycle, Ihecndomatins eae mneel he cce H otatnc eaves, munigesvegn ern. Tec: f a), Menstruation phase @ Proiterative phase oe eee d)_ Ovulation phase y 38. Which of the following isthe characteristic of vaginitis? } a) When candida invades the vagina ) Vaginal sischarge become more perfuse before 5) When ehomanas pees rahe bates @ ‘menstruation invades vagina @) Ailofthe above 39, The characteristic of the Vulvovaginal candidiasis areal except? a) The cause is candida albican mostly @ Use of antibiotics can also cause it ‘When trichemonas species or other bacteria 3} Diabetes aso favours the development | lovades vagina ‘i 40. An accredited health professional such as doctor, a midwife or a nurse who has been educated and trained to proficiency inthe skills needed to manage normal (uncomplicated) pregnancies, childbirth and the immediate i Rosai petd, end ine Keteaton managaman nd eer conpetons in women and newborns are © skied with attendants 1) Traditional bith attendants ©) Trained birth attendants 4) None of theabove 441. Aecording the Pakistan demographic and health survey (POHS}, the maternal motality ratio is recorded as, 2) 38710,00 te ts <)”430/10000 ve ith © 276/100,000 ive biths 4) 76/100,0000 ve births 42, what uue abut the 86 vce? a) Adinargd atl dtd tradery Upper amadninitered ie © pose 15005 mi 1) Administered Mon outer side of thigh [9 aa. Wnts tne igh way of Hep vaccine administration? ‘a) Administered at left deltoid intradermally — ‘e) Upper right arm administered $/C O) berencs nl 3} mntred YM on utr seal ih 4) Administered at left deltoid intradermally © Upper right arm administered S/¢ OY ores 005 mt S) Admintered on ou side of ah 4, mong tte Program, Whats the correct cheer Pol Vaccine? a) Atbirth, 1 month, § month and then 6 month @) Atbirth, 6 weeks, 10 weeks and 14 weeks b) At birth, 3 month and 6 month 1d) Atbirth, 2 weeks, 6 weeks and 10 weeks 6 macs tne yogram Whats the orc schedule or petavaen Vaccine? 44) At birth, L month, S month and then 6 month @ Arbirth, 6 weeks, 10 weeks and 14 weeks 2h aba 3month and month @). Minh 2 weeks, 6 wees and 10 weeks Face enadt tempera which the vacéner me keptin oder tomaitain the ald hala? a) -2to-10C @ 2108¢ Q 10t015C ) 20t025C co ate se sne tthe mos senatve to hes How mache eset ater the vis opened? a) Thour @ Bhours b) Zhours: d) None of the above watt into aot 2) oceeation 1). Socaization €)Edveation @ vat rand So neta motes, gers os emdesens wns ans couse aren ogee se cae. |) nuclear family b) single parent family @ extended family 4d) allofthe above siete ent of ea that que an indlon howto evahnte ig versus won a) Belief @® values ) Tradition d) Culture © 52 donenaduewtcel te lowinghomone hing rensle php pecs? . 2) estrogen b) progesterone guy @botn a8 ‘a}right deltoid; intradermal @)dose is 0.5m Gsoseis cose” d)gvenat bith”yes not protect body syrfacest 54, Which ofthe folowing do oar a) skin, byMucus. 55. Newborns gt their antibodes from Mather's Mik This san example of? tive immunity a) Naturally Acquired a owl b) Artificially Acquiged active immunity 56. A9 months old infant has come to your clinic: fora: immunity against the specific disease? wee a) It produces Naturally Acquired active immunity. ¢) It produces bea zy bog a @ itproduces Artificially Acquired active immunity 4) produces Ar Ne 57. Another chid has come to your clinic who was infected with chickenpox infection 6 mont it. This type of immunity is an example of which of the following? i: @ Naturally Acquired active immunity c)_ Naturally Acquired passive ea : . Q& Miiicially Acquired active immunity ) Artificially Acquired passive imr 58. Which of the following immunization produces a permanent scar? a) PT )_ Measles vaccination d)_ Hepatitis 8 vaccination @ os '59, Which ofthe following are the EPI target diseases, scheduled dose of Measles vacelne: Pertusss, Tetanus, Palio, Tuberculosis, Diphtheria 2}, Tuberculosis, Diphtheria, Pertussis, Tetanus, Polio) and Diarthea and typhoid © Tuberculosis, Diphtheria, Pertussis, Tetanus, Polio d) Diphtheria, typhoid, tuberculosis, Diphtheria, Pertussis, Tetanus, and Measles r 660. Mr Khalid a 65 year old male came to community health center withthe complain of fever, night sweating, weight loss, decrease appetite and productive cough for one month, after complete physical examination a CHN suspected that Mr,Khalid has one of the following disease a) Respiratory tract infection © toderculosis b) Tetanus 4) iphiherta 61. tsa diseaseif woman gett nearly pregnancy, she has a 90% chance of passing the virus ther fetus, which cam cause severe bith defects in fetus. a) Tetanus 1b) Measles @ tube 4) Mumps 62, Asa community health Nurse to prevent spread of infection of poliomyelitis in the community what action you will take as first step ® Provide health education and vaccination f a). Provide proper sanitation, rf b) Provide nutritious diet and medication 4d) Provide'tomfort care and exercise... a £63, | Function of basic EmOC services Include ll except one. @)_ Anticonvulsants a) antbites 2) Osqtoce Drs @ ood ransuson 4. ne ofthe fotowing the cause of est delay in refering of pregnant women to hosp rom commun siting a) Woman arrives late to the referral facility ‘¢) Facility has no staffed and equipped to provide 48) Woman is not recognized as needing EmOC services emergency obstratic care 4) Woman is not able to access ta the services upon arival 165. Which ofthe following is direct cause of Maternal Mortality? © Post PartumHemorrhage b) Anemia 166. Which ofthe following statement is true regarding contraceptive methods? ©) Cause weight gain 4) Causes irregular periods } “Heart Disease ) Hepatitis 2) Cause infertity @ Prevent unwanted pregnancy 67, Following are inclided ia natural fay planning methods except 2) hth method 'b) basal body temperature 68. Which ofthe vaceine is recommended during pregnancy? 3) MMR On 9 8c6 4) Hepe 68, Which one ithe primary objective of Ante Natal Care (ANC)? 2) Vaccinating mothers 1b) Educating mothers 70. World Heath Organization cecommend how many antenatal visits? 2) atleast 2 ) atleast3 © wears a stieat’s \ «cereal mucusmetied @) Norton ©) Booking for delivery 4) Eatly identification of problems