The attachment of the son to the d.

      Conduction
mother and his jealousy feelings
toward her father is which of these? All but one is purposes of Vernix
Caseosa, which should not be
a.Phallic                                              included?

b. Electra                                a. It moistens and lubricates the skin

c. oedipal complex                            B. It is an insulator

d. All of these c. Is has antifungal effects                

The type of play of an infant is: d.      It has a bacteriostatic effect.

a. Solitary                           

b. Parallel                               It is the chief cause of neonatal

blindness and one of the most
c. Associative                       common cause of blindness in
children:
d. Competitive
a.night blindness
According to the Essential Newborn
Care protocol, waiting for 1-3 b.ophthalmia neonatorum
minutes before cord clamping and
cutting has which of the following c.Retrolental Fibroplasia
benefits?
d.Myopia
a. Aids in uterine involution      
In assessing the cord of the
b. Promotes mother-child bonding
newborn, the midwife looks for:
c. Prevents newborn anemia            
a. 1 vein and 1artery                          
d. Helps stimulate the baby to
b. Ligaments teres
breathe
c. 1 vein and 2 arteries
After birth, the midwife protects the
newborn from excess heat loss that
d. 1 artery and 2 veins
can result to hypothermia. Newborn
loss heat to cool surrounding air so
When the newborn is place on a cold
they must be wrapped in a warm and
crib and are wrap in a cold blanket,
dry blanket. This type of heat loss is
cold stress can occur due to heat
called:
loss by:
a.       Evaporation
a.    Evaporation                                
b.       Radiation
b.   Conduction
c.       Convection
c.    Radiation                                    
d.   Convection c.       Appetite                                   

The losing of heat to the surrounding d.      Both A and B

air by the newborn is
Milk ejection reflex is influence by
a.     Evaporation    which of the following hormone: 

b.    Convection  a.       Prolactin   

c.     Radiation                           b.      oxytocin  

d.    Conduction c.       progesterone       

Properties of colostrum include all d.       estrogen

the following EXCEPT?
A first time mother asked the midwife
a.     purgative                            how she can feed her baby on
demand. The midwife replied that:
b.    vitamin A rich         
a.When the breast feels full and milk
c.    antibody rich                     is flowing out of her nipple, it’s time
to feed the baby
d.    few white cells
b.She should feed her baby every 3
hours around the clock so the baby
The midwife conducts a test feeding does not get hungry.
to a new born who is to be fed by
giving the baby: c.She should feed whenever her
baby’s crying and hungry
a.      Breast milk from the mother
d.It’s unlikely to feed the baby on
b.       Glucose water demand as baby’s cannot
communicate yet so she must make
c.       Sterile water a feeding schedule to follow

d.       Normal saline
The reflex that is employed in an
infant’s search for food is:

a. Moro                                      

b. Swallowing
Hind milk is released after the
stimulation of the let-down reflex; c. Sucking                                  
this particular milk satisfies the
baby’s_________. d. Rooting

a.       Thirst                                 When an infant takes in his mouth

more than he can swallow, a reflex
b.       Hunger                             being demonstrate is known as:
a. Sucking                              a.    Administer glucose water or put
to breast.
b. Gagging                          
b.   Assess the first void and passing
c. Grasping                            of meconium.

d. Rooting c.     Administer vitamin K injection.

Which important component of d.   Send cord blood to lab for

breastmilk is not found in infant coombs test.
formula?
The midwife is caring for a newborn
a.    Lactose                                       infant with a suspected diagnosis of
imperforate anus. The midwife
b.   Immunoglobulins monitors the infant, knowing that
which of the following is clinical
c.    Fattyacids                                   manifestation associated with this
disorder?
d.   Iron
a. Sausage-shaped mass
This reflex should be gone before an palpated in the upper right
infant is started on supplemental abdominal quadrant
feedings.
b. Bile stained fecal emesis
a.       startle                                
c. Failure to pass meconium
b.       extrusion                                   stool in the first 24 hours after
birth
c.       Babinski                                  
d. The passage of currant jelly
d.      tonic neck  like stools

Which is not included in APGAR

Which of the following findings in a SCORING
newborn baby girl does not indicate
pathology? a.    Color                                          

a.       Passage of meconium within b.   activity                               

the first 24 hours.  
b.      Yellow skin at 12 hours of age.
c.       Respiratory rate of 70/ minute
at rest         The midwife evaluates Baby – A for
d.      Bleeding from umbilicus
The midwife understands that a
newborn is at risk of bleeding. A
related intervention would be to:
c.    reflex irritability               
d.   Temperature
the second time by using the
APGAR scoring system. She has
recorded the infant’s color,
respiratory effort, reflex irritability,
heart rate and should next rate the
infant’s: 
a. length                                 c.Rule of nines

b. muscle                              d.Silverman Anderson Scoring

System
c. weight             
A midwife in a newborn nursery is
d. blood pressure monitoring a preterm newborn infant
for respiratory distress syndrome.
An APGAR score of 0-3 is: Which assessments signs if noted in
the newborn infant would alert the
a. inconclusive midwife to the possibility of this
syndrome?
b. guarded
a.    Hypotension and bradycardia
c. depressed
b.    Tachypnea and chest
d. Serious retractions

The goal of the initial assessment for c.    Acrocyanosis and grunting

the newborn is to determine:
d.   The presence of a barrel chest
a. deformities and handicaps with acrocyanosis

b. the state of oxygenation and

ventilation A finding in the physical assessment
of a neonate that may indicate that
c. the level of hemoglobin he is a preterm is:

d. the heart rate a. Flexion of extremities                    

The midwife dries the infant after b. Many superficial veins

birth in order to:
c. Absent femoral pulses                  
a. remove organisms acquired
during delivery d. A positive Babinski reflex

b. stimulate the circulating system When teaching a primiparous client

who delivered a term male neonate
c. avoid excess heat loss 1 hour ago about the characteristics
of neonate, which of the following
d. remove the skin’s white substance should the midwife include?

A test used to evaluate respiratory a. Obligatory nose breather

status of premature infants and
newborns suffering from respiratory b. testes probably undescended
distress:
c. kidney’s typically non palpable
a.APGAR
d. oozing at the cord insertion site
b.Brazelton

When bathing the infants, the
midwife can show the mother how to
hold the baby while washing the
head using the technique of:
The newborn developed eye
redness after administration of Silver
Nitrate. The mother is concerned. To
allay her fears, the midwife tells the
mother:

a.       Cradle hold                       a.The doctor can prescribe a

medication to remove the redness 
b.       Cross-cradle baby
b.The baby’s eye infection is
c.       Football hold                             responding to the silver nitrate

d.      Sweetheart carry c.Silver nitrate is not compatible with

the baby and another drug will be
given to ensure that the baby is
Swelling; foul odor; purulent protected against eye infection
discharge:
d.It is a normal self-limiting reaction
a. Omphalagia                       to the drug and no treatment will be
necessary.
b. Omphalitis        Vitamin K is given to the baby after
birth to prevent:
c. Omphalocele
a. Goiter                                
d. Umbilical hernia 
b. Jaundice                            
To prevent the child from getting
ophthalmia neonatorum the midwife c. Night blindness               
performed a preventive measure
known as: d. Bleeding

a.       Sterilization technique              Which of the following factors is

most often associated with low birth
b.       Crede’s prophylaxis weight?

c.       Eye irrigation                           a.    Maternal use of cigarettes

d.       Eye washing b.    Maternal malnutrition

In Crede’s prophylaxis, silver nitrate c.    Placenta abnormalities

1% is applied:
d.    Multiple gestation
a. From the outer to inner canthus    
A mother asked the midwife how she
b.  Direct on the cornea would know that her three-month old
baby is growing normally. The
c. On the conjunctival sac                 midwife answers the mother that:

d. From upper to lower lid a.The baby does not get sick often
b.The mother and baby are happy a.Provision of vitamin K and Crede’s
together prophylaxis 

c.The baby sleeps well through the b.Maintenance of body heat 

night
c.Prevention of injury and
d.The baby has steady weight gain hemorrhage

The initial assessment of the d.Initiation of bonding

newborn temperature is taken by:

a.Rectal technique
When taking the vital signs of
b.Axillary children, which is taken first?

c.Using digital temperature a. Temperature                

d.Any method maybe used b. Blood pressure              

As you assess the newborn, you c. Respiratory rate            

check his vital signs. You take the
admission temperature rectally d. Cardiac rate
primarily in order to:
When assessing a newborn, the
a. Determine rectal patency               midwife notes several areas of
raised white spots on the chin and
b. Obtain the most accurate baseline nose. The midwife is aware that
data these are known as:

c. Stimulate peristalsis & meconium a.       Milia                                        

passage
b.      lanugo             
d. Assess for the presence of
meconium plug c.       vascular nevi                   

The normal cry of the newborn is: d.      erythema toxicum 

a.    Lusty, frequent                             When the midwife brings a newborn

to the mother, the mother comments
b.    high pitched      about the milia on the baby’s face.
The midwife should:a. 
c.    Trembling                                    
a. Tell her that they are common and
d.    Loud continuous  will clear up in 2 to 3 days.
b. Instructing her to avoid squeezing
The next priority in the care of a them or attempting to wash them off
newborn who has a loud and lusty c. Instruct her about proper hand
cry and is pink all over is: washing, since the milia can be
infectious
d. Explain that these are birthmarks
that will disappear within a few to a mother who has diabetes
months. mellitus

Which of the following is not in a.     Hypoglycemia               

accordance with modern concepts of
child care? b.    Rh sensitization         

a.    Vernix caseosa is removed by c.     ABO incompatibility       

scrubbing with sterile gauze because
it will be rub into the skin or comes
off in the infant’s clothing
b.    Abdominal binder is used only
when necessary
c.    Soon after birth the blood in the
face and scalp are washed away
with a very soft cloth or cotton with
water
d. Hypothermia
When is the appearance of neonatal
jaundice of greatest concern?
a.    When the mother breastfeeds
exclusively.
b.   If the neonate refuses to take
water from a bottle.

d.    No attempt is made to remove c.     In the first 24 hours of life.

the vernix caseosa which adheres to
the skin and has protective value d.   When a family history of
neonatal jaundice exists
When assessing a neonate, you
note that one side of his body has a
deep pink color and the other side
appears pale. This condition is
known as:

a. Jaundice

b. Stork bites

c. Harlequin sign

d. Erythema Toxicum

The hallmark of adolescence is:

a. Obesity           

b. Acne vulgaris      

c. Fear of death     

d. Desire to be independent

Which of the following is priority of

midwife to monitor in an infant born