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FINAL COACHING EXAMINATION

PROFFESIONAL GROWTH AND DEVELOPMENT
Prepared by: Sir Jericho Ruiz-Medina, BSN, RN
Philippine Midwifery Licensure Examination
NAME:

INTEGRATED PGD & MIDWIFERY CARE

MG’T - PART A
1. A clinical instructor is explaining to a b. She should use aseptic technique and
group of midwifery students the different sterile instruments
functions of midwife. She asked one of c. She should suture lacerations only of
the students to explain the expanded primiparas and multiparas should be
functions of midwife: referred to hospital for treatment
a. Performing IE is not an expanded d. She should refer the newly delivered
function woman if laceration involves the anus
b. These are functions that a midwife e. She should suture only under
does when carrying doctor’s order supervision of a nurse or doctor
c. It includes injecting vitamin K to the a. A, d and e are correct
newborn and administering oxytocic b. only b, d, e are correct
during labor c. c and e are incorrect
d. These are functions that should be d. a and c are incorrect
carried out only after proper training
a. all are true except a 4. Institutional midwives are employed in the
b. Only a, d, are correct following settings except:
c. All of these are true a. A staff midwife in a puericulture center
d. all are true except b b. A midwife assigned in the delivery
room of a hospital
2. Based on Republic Act 7392, the duties c. A midwife in charge of toddlers in a
and functions of midwife include all of the day care center.
following except: d. A midwife operating her own
a. Performing vaginal examination to a “Paanakan” clinic
16 week old gravida with spotting
b. Suturing a laceration that extends to 5. Which is/are included as among the major
the perineal body in the fourth stage subjects in the Midwifery Licensure
of labor Examination?
c. Teaching the mother of a 4 month old a. Midwifery Law and Ethics
infant to feed the child with lugao b. Obstetrics and Gynecology
d. Injecting Vitamin K and BCG vaccine to c. Professional Adjustment
a newborn d. Fundamentals of Health Care
e. Microbiology and Parasitology
3. Suturing of perineal laceration is among f. Infant Care and Feeding
the important functions of midwife during a. b, d, f
labor. To prevent lawsuits, she should b. a, b, c, d, e, f
remember that: c. a, b, c, d, f
a. She is to suture lacerations only if d. b, c, d, f
bleeding does not abate after applying
pressure 6. The core of midwifery board
examination is:
 a. Ethico-legal aspects of care
b. Care of infants
c. Obstetrics and Gynecology
d. Fundamental procedures
7. Under this law, registered midwives who
passed the MLE need not pass the civil
service examination to be able to work in
government institutions:
a. RA 1082
b. RA 1612
c. RA 1080
d. RA 2382
8. Which of the following is the MOST recent
government initiative to help subsidize the
cost of health services for both the
employed and the unemployed?
a. Medicare Act
b. Worker’s Compensation Act
c. National Health Insurance Act
d. Magna Carta for Health Workers
9. A college student asked a midwife for a
drug that would induce her to
“menstruate” because her pregnancy test
is positive. The midwife gave the student
two tablets of an abortifacient drug but
despite taking the medication, the
student’s pregnancy continued and she
delivered a baby with a cleft lip after eight
months. The midwife and the student
commited:
a. Consummated
b. Attempted
c. Unsuccessful
d. Frustrated
10. A midwifery graduate asked an employee
of PRC if she can buy board questions.
The PRC employee intrduced the student
to one of the Board of Midwifery who sold
the students 50 questions that came out
in the board exm. The PRC employee is
the:
a. Principal
b. Accessory
c. Witness
d. Accomplice
11. When a midwife commits a crime, her
education:
a. May decrease her culpability
b. Makes her not liable
c. Increases her liability
d. Does not affect her liability
12. A crime done by a group of persons who
all cooperate to perform such a crime is
called:
a. Accomplice
b. Accessory
c. Principal
d. Conspiracy
13. Performing a procedure on a client in the
absence of informed consent can lead to
which of the following charges?
a. Fraud
b. Harassment
c. Assault and Battery
d. Breach of Confidentiality
14. A crime committed by one who files a
birth certificate when no birth actually
occurred is:
a. Abandonment of a child
b. Forgery
c. Falsification
d. Simulation of birth
15. Life imprisonment is also called:
a. Reclusion Temporal
b. Prision Mayor:
c. PrisionCorreccional
d. Reclusion Perpetua
16. Professional conduct should be
observed by the midwife, an example of
this conduct is:
a. Operating a lying-in clinic which
charges lower fees as the other lying
in centers in the community
b. Telling the patient that she is the
most efficient midwife in their locality
c. Performing the task and functions
that are within the scope of
midwifery practice
d. Performing the functions of nurse
since nursing care can be done by
the midwife as well
17. A written instruction made by a dying
patient that is to be carried out when the
 patient is no longer coherent to decide for
himself?
a. Power of Attorney
b. Informed Consent
c. Living Will
d. Advance Directive
18. A patient who signed an agreement with a
pharmaceutical company to participate as
a research subject in the company’s
research about the therapeutic effects of
its particular product. The patient was
paid by the company for his participation
at the start of the research. Halfway
through the research, the patient told the
midwife that she no longer wants to
participate in the research. The midwife
informs the patient that:
a. She cannot do that because she has
already agreed with the company and
is already paid for it.
b. She must have a life and death reason
to be allowed to discontinue her
participation
c. She can discontinue her participation
in the research at anytime she wants.
d. She must file a case in court first if she
want to discontinue her participation in
the research
19. Ethical frameworks that can guide health
workers in deciding when they are
confronted with an ethical dilemma
include the following except:
a. Ethical Systems and Principles
b. Advice of superiors
c. Patient’s Bill of rights
d. Professional Code of Ethics
e. Institution Policies
f. Laws
g. Opinions of co-workers
a. e and f
b. b and e
c. f and g
d. b and g
20. Self-reliance is among the philosophy of
IMAP. It means to say that:
a. The growth of and development of
midwifery profession must be reflective
on endeavors that are truly human
rather than purely materialistic
pursuits.
b. Midwifery must remain congruent with
changes in better health care delivery
system and must be responsive to the
country’s needs.
c. The improvement of midwifery as a
profession will come primarily from our
own resources and efforts.
d. The IMAP, Inc. must try to bring all
those involved in midwifery into a truly
human community.
21. A registered midwife maybe allowed to
follow up students in the
community/ward provided she has:
a. Three years experience in the area of
assignment
b. She is also a BS degree holder
c. She is a degree holder in health
related field
d. Two years experience in the area of
assignment
22. The very first midwifery association in the
Philippines is the:
a. Integrated Midwives Association of the
Philippines
b. National Federation of Filipino Midwifes
c. International Convention of Midwives
d. The Philippine Midwives Association
23. For a foreign midwife to be allowed to
practice in the Philippines, it is important
that:
a. The professional license of the
foreign midwife is valid
b. The foreign midwife is not below
18 and more than 45 years old
c. The foreign midwife secures a
permit from the Department of
Foreign Affairs
d. The professional license of the
foreign midwife is translated in
English.
24. When a foreign midwife is employed by a
private school of midwifery to teach a
midwifery subject for one semester, the
hiring agency should get a special permit
 for the foreign midwife from which
agencies?
a. Professional Regulation Commission
and Commission on Higher Education
b. Board of Midwifery and Professional
Regulation Commission
c. Professional Regulation Commission
and Department of Labor and
Employment
d. Department of Foreign Affairs and
Board of Midwifery
25. Which of the following is an example of
negligence by a midwife?
a. The midwife suctioned the baby's
mouth and nose to prevent
aspiration pneumonia
b. The midwife applied Terramycin
ointment on the baby's eyes after
delivery
c. The midwife pushed the fundus of
the uterus to hasten the delivery of
the baby and the uterus got inverted
d. The health center midwife gave
tetanus immunization to a pregnant
mother
26. When the injury caused is proof of
someone's negligence, this is referred to
as:
a. Res ut des
b. Force majeure
c. Unethical behavior
d. Res ipsaloquitor
27. When a midwife go on duty beyond her
shift because the hospital is understaffed
even when not required by the head
nurse just to ensure the welfare of the
patients, she is doing her:
a. Professional obligation
b. Legal obligation
c. Moral obligation
d. Personal obligation
28. Violation of these rights is punishable by
law and it include the right to vote and
own private and public properties:
a. Personal rights
b. Ethical rights
c. Option rights
d. Welfare rights
29. A basic structure against which competent
care is objectively measured is which of
the following?
a. Standard
b. Principle
c. Law
d. Codes
30. When a midwife abides by the agreed up
terms and condition in her contract of
employment, she is observing:
a. Privacy
b. Fidelity
c. Veracity
d. Morality
31. Mr. Lacsamana is in the terminal stage of
lung cancer. He tells you that he has a
living wilt. You have known that the
client’s living will involves which one of
the following?
a. A document signed by the client’s
family for the provider to withhold
medical treatment
b. Provides that the client’s wishes need
not be followed if life can be prolonged
when death is eminent
c. The medical treatment of a client
chooses to withhold if he is rendered
unable to make decisions
d. It is confidential and not part of the
client’s medical records
32. Mrs. Ayala is preparing a will. You can tell
her that:
a. she should consult her husband first
b. she should get a clearance from a
psychiatrist
c. all of the above
d. if the will is entirely handwritten, there
is no need for witnesses
33. To acquire Filipino citizenship, a
foreigner may apply for:
a. Immigration
b. Repatriation
c. Naturalization
d. Residency
34. A terminally ill cancer client asked her
private nurse to administer him with a
fatal dose of morphine so he can at last
“rest and end his agony”. The client
offered the nurse a reward of P500,000.
The nurse agreed but when she was
about to inject morphine in the client’s IV
fluid, the doctor arrived and discovered
the crime she was about to commit. This
is an example of:
a. Frustrated felony
b. Consummated felony
c.Intentional felony
d. Attempted felony
35. A hospital refused to discharge a patient
because he cannot pay his bills. This act is
considered a criminal act and is called:
a. illegal detention
b. simulation of birth
c. quarantine
d. Malpractice
36. Infanticide is the unlawful killing of an
infant under:
a. 3 lbs. body weight
b. three years old
c. three months old
d. three days old
37. Ruzherry, a registered midwife, agrees to
attend to Jane during the latter’s labor
and delivery on the condition that Jane
will pay her P500.00. In the viewpoint of
Ruzherry, the cause of the contract is:
a. The P500.00 payment for her services
b. Her willingness to assist Pia during
labor
c. For her to attend to Pia during labor
d. Because Pia is her best friend
38. The person who makes a will is
called a:
a. Intestate
b. Plaintiff
c. Decedent
d. Testator
39. The procedure by which the court
determines whether a will should be
allowed or disallowed is called a:
a. Escheat
b. Intestate
c. Succession
d. Probate
40. An Illegitimate child can use the surname
of his father provided that::
a. He undergo a DNA test first to confirm
that the person he claims to be his
father is indeed his biologic father
b. His mother has made a sworn
statement before a judge that the
person is his father
c. It is common knowledge in the
community he is a child of the person
he claims to be his father
d. His father has acknowledge him to be
his child
41. After proper investigation, the Board of
Midwifery found reasonable ground to
revoke the license of a registered midwife.
The midwife can file an appeal to reverse
the decision of the Board to the:
a. Ombudsman
b. Office of the President
c. Secretary of Education
d. Professional Regulation Commission
42. When a board member has been chosen
by the President of the Philippines from
the list submitted by the accredited
association of midwives, this appointment
is called:
a. Ad Interim Appointment
b. Hold-Over Capacity
c. Regular Appointment
d. Indefinite Tenure
43. The term defined as "a calling in
which its members profess to have
acquired special knowledge by training or
by experience, or both so that they may
guide, advise or serve others in these
special field." is:
a. Obstetrics
b. Vocation
c. Profession
d. Midwifery
44. The following are characteristics of a true
profession. Which one is not?
a. It is involved in intellectual activities
 b. The activities of profession is based on
knowledge and sound scientific
principles
c. It is service oriented
d. The techniques used in the practice of
profession are innate and inborn in the
professional
45. One of the BOM’s determinative power is
to grant exemptions to certain individuals
to be able to practice midwifery without
taking the MLE. This power is also
referred to as:
a. Dispensing power
b. Enabling power
c. Corrective power
d. Examining power
46. When the BOM issue certificate of
registration or professional license without
need of taking the MLE to midwives who
have lost their certificates, the BOM is
exercising its:
a. Enabling power
b. Ministerial power
c. Examining power
d. Corrective power
47. By force of law, therefore, the Board of
Midwifery specified the proper attire of
examinees during the board exams. This
power is called:
a. Quasi-Judicial Power
b. Executive/Promulgating Power
c. Regulatory Power
d. Quasi-Legislative Power
48. When the Board promulgates rules and
regulations governing the practice of
Midwifery, it is exercising its:
a. Judicial power
b. Legislative power
c. Ministerial power
d. Discretionary power
49. A student complained to the board of
midwifery that she saw a board member
giving a copy of the Board exam
questions to one of her classmates.
During the investigation, the students
were ordered to appear before the Board
of Midwifery to narrate personally what
she saw. The student was sent a:
a. Subpoena testificandum
b. Request of personal appearance
c. Affidavit
d. Subpoena ducestecum
50. Which of the following statement is true
regarding the practice of midwifery?
a. A midwife who is performing her
independent functions is held
accountable for her own actions
b. Performing IE to check progress of
labor is considered malpractice for the
midwife
c. A midwife performing functions
outside of the scope of practice will
not be guilty of malpractice if it is
related to delivery like giving
intravenous fluids or doing
episiotomy
d. Giving intravenous fluids to dehydrated
patient
INTEGRATED PGD & MIDWIFERY CARE
MG’T - PART B
SITUATION: Nurse-Midwife Wilma was paid
half a million pesos by Congressman Louie
Zamora to kill a patient in the hospital. The
patient was an ambush survivor. Wilma
overdosed the client with depressant drugs
that lead to respiratory arrest. He conspires
with her best friend, Magda to hide evidences
that will lead to litigations. Ana, the
pharmacist to provide her with 10 [5mg/ml
10ml] vials of diazepam but only records a
single vial. The ambush survivor died after
respiratory arrest.
1. Who is/are the principal/s?
a. Magda
b. Congressman Zamora
c. Congressman Zamora and Wilma
d. Nurse Wilma
2. Who is the accomplice?
a. Magda
b. Ana
c. Zamora
 d. Wilma
3. Who is the accesory?
a. Magda
b. Ana
c. Zamora
d. Wilma
4. The circumstance that affects the said
situation is:
a. Justifying
b. Mitigating
c. Exempting
d. Aggravating
5. The gravity of this crime is considered as:
a. A misdemeanor
b. A less grave felony
c. A grave felony
d. Light felony
SITUATION: Midwives exercise decision-
making skills in providing the best health care
for patients. However, most of the time, they
come across different values among the
members of the health care team that cause
disagreement about the right thing to do.
Ethical considerations and values help health
care professionals in determining what is good
or valuable for individuals, for groups of
individuals, and for societies at large.
6. In caring for a pediatric patient, he requests
his pill medicine to be crushed and mixed with
his favorite food. Upon assessment, you see
that the child is able to swallow the pills whole
and that the drug does not interact with the
food requested. Complying with the child’s
request despite having a toxic shift is acting
with which principle of ethics?
a. Nonmaleficence
b. Advocacy
c. Beneficence
d. Fidelity
7. A nurse-midwife assessed Andrew who has
complaints of severe chest pain. She
collaborates with the client to come up with a
pain management plan. The nurse was given
other patient assignments, but still monitored
for and evaluated the response of Timothy to
the plan. This is adherence to the principle of:
a. Fidelity
b. Beneficence
c. Nonmaleficence
d. Respect for autonomy
8. You are caring for a patient with Severe
Hemorrhage. She needs to undergo BT. This
patient has been out of work for several
months. She does not have a health insurance
or enough cash for the hospital services and
procedures. What principles would be a
priority in a discussion about ethics?
a. Accountability because you as the
nurse are accountable for the well-
being of this patient
b. Respect for autonomy because this
patient’s autonomy will be violated
if he does not receive the BT
c. Ethics of care because the caring
thing that a nurse could provide this
patient is resources for a BT
d. Justice because the first and
greatest question in this situation is
how to determine the just
distribution of resources
9. As a staff nurse-midwife in Central ICU, you
were assigned with a patient with a terminal
condition. The patient had discussed with you
his desire to explore DNR orders; however, her
admitting physician claimed that the patient
told him opposite sentiments. You become
confused with how to proceed with your care
with patient, putting you in an ethical
dilemma. The critical step that you should take
first is to:
a. Consult a professional ethicist to
ensure that the steps of the process
occur in full.
b. Ensure that the attending physician
or health care provider has written
an order for an ethics consultation
to support the ethics process.
c. Gather all relevant information
regarding the clinical, social, and
spiritual aspects of the dilemma.
d. List the ethical principles that inform
the dilemma so negotiations agree
on the language of the discussion.
SITUATION: The Midwifery Code of Ethics
guides the midwife in her decision making
specifically in dealing with the significant
others.
10. It was past visiting hour and the husband
of your client who just delivered by Caesarean
Section (CS) came begging to see his wife.
Which of the following will you do first?
a. Refer to the hospital policy
b. Inform the client of the presence of
her husband
c. Determine condition of clients
closed to her (wife)
d. Assesses the clients condition
11. Because of economic reasons, a client for
hysterectomy requests to buy his surgical
sutures from an outside pharmacy against
hospital policy. When the nurse refers the
clients’ request to the social worker, which role
did the midwife demonstrate?
a. Mediator
b. Advocate
c. Interpreter
d. Facilitator
12. A client who is for Caesarean Section is
insistent to wear her full dentures during
transport to the operating room. The nurse
consented to the clients request but to ensure
safety, which of the following is she expected
to do?
a. Inform the OR nurse to remove
clients dentures
b. Remove the clients dentures in the
OR
c. Instruct the client to have the
dentures removed upon reaching the
OR
d. Note in the chart the clients request
13. An IV nurse-midwife will do which of the
following before venipuncture to show respect
for autonomy?
a. Ensure that there is no pain
b. Ask the client the preferred IV site
c. Follow the procedure in drug
administration
d. Monitor the flow rate accurately
14. A Primigravid victim of vehicular accident
was rushed to the operating room for
emergency CS the physician ordered
“Transfuse available whole blood STAT”. The
nurse refused to follow the order without the
proper cross matching result. Which of the
ethical principle guided the nurse in her
decision?
a. Respect for persons c.
Nonmaleficence
b. Veracity d. Sanctity of life
SITUATION: You as a Midwife are expected
to asses, contribute and preserve work
environment that supports fulfilling your
ethical responsibility as a professional.
15. Midwife Michelle is assigned to the
Emergency Department. She is currently
attending to a client with a complaint of
acute abdominal pain. Which of the following
actions of Michelle demonstrates respect of
client’s autonomy?
A. Complying when the physician
attempts to delegate obtaining
informed consent
B. Describing the risks and benefits of the
reasonable alternative to treatments
C. Facilitating and supporting client’s
choices regarding treatment options
D. Notifying appropriate parties if a
patient has not given adequate
information
16. The nurse-midwife obtain the blood
pressure of a client and have a reading of
160/100mmHg. The nurse-midwife did not
tell the client the reading because she
believes that this information will upset him
and consequently further elevate his blood
pressure. This situation illustrates an example
of:
A. Paternalism
B. Self – determination
C. Autonomy
D. Beneficence
17. Which of the following statements is true
regarding informed consent?
A. It is an ethical responsibility of
midwives to provide client with
opportunities to give informed consent
 B. Midwives may not be legally liable if
they know that informed consent was
not obtained
C. It is ethical or legal for Midwives to
obtain informed consent for
procedures that are to be performed
by a physician
D. It is not within a midwive’s domain of
responsibility to notify the health team
if a client has not given an informed
consent for the procedure
18. The midwive’s compassion is aroused
when a patient under her care is suffering
and is in a prolonged life – sustaining
machine. Many times the midwife
experiences feeling of uneasiness and
anguish. This human condition that confronts
the midwife gives rise to:
a. Unavoidable trust
b. Ethical dilemma
c. Human indignation
d. Moral suffering
19. The midwife shows respect to human
dignity when she observes which of the
following situations when caring for the
clients?
a. Asking the client’s priorities after
assessing the client’s capabilities in the
past and in the present
b. Evaluating response of client to the
care rendered by the health care team
as planned
c. Constant monitoring of client’s
condition and reporting any unusual
occurrences to the health team
d. Planning care together with the client
and immediate relative
SITUATION: Rowena, a nurse-midwife
working in the OB ward of a second level
hospital received a post normal delivery
mother back in the ward with her healthy
newborn baby girl. Rooming- In is newly
practiced in this hospital
20. Rowena is aware that in accordance with
R.A. 7600 of 1992, the purpose of the
“rooming- in” national policy are two-fold;
1. Encourage, protect and support the
practice of breastfeeding
2. Save on costs for utilities and
personnel for a newborn nursery
3. Create an environment where basic
physical, emotional, and psychological
needs of mothers and infants are
fulfilled
4. Teach the mother to take
responsibility for caring for her newborn
right after her delivery
a. 2 and 3 are correct
b. 2 and 4 are correct
c. 1 and 2 are correct
d. 1 and 3 are correct
21. Soon after both mother and baby were
settled in their hospital room, the
pediatrician, who is now in the hospital, came
to see the baby. After reviewing the baby’s
condition immediately after delivery, she
asks, “Is there a standard milk formula the
hospital prescribes or would want us to use?”
Nurse Melody was quick to respond, “I am
sorry, but shouldn’t we be adhering to the
National Milk Code Act of 2006 and the
Expanded Breastfeeding Act of 2009?” This
reflects the nurse’s role as:
A. strong supporter of the Bureau of
Food and Drug (BFAD) in law
enforcement
B. patient-advocate and law-abiding
practicing health worker
C. representative of the Professional
Regulation Commission (PRC)
enforcing standards
D. ordinary citizen exercising police
powers
22. Rowena is very much aware that in the
case of the newborn, within the first hour
after birth, that which is necessary?
A. Immediate initiation of breastfeeding
with complementary milk formula.
B. Immediate initiation of breastfeeding
continued within 6 months up to 2
years and beyond without
complementary milk formula.
Complementary feeding started only at
6 months.
C. Actual initiation of breastfeeding,
continued with complementary milk
formula within 6 months up to 2 years
and beyond.
 D. Initiation of breastfeeding but when
not possible, immediate introduction of
complementary formula feeding.
23. After her duty hours, a milk company
representative approached Rowena offering
her part time job with them. Rowena turned
down the offer because this is in conflict with
her desire to promote breastfeeding. In
addition, Section 32 of Administrative Order
2006-0012 as implementing rules and
regulations to Executive Order No. 51:
A. provides that it is generally a choice
for the health professional.
B. provides that it is the primary
responsibility of the health workers to
promote, protect, and support
breastfeeding and appropriate infant
and young child feeding and that no
assistance, logistics, or training from
milk company is permitted.
C. allows health workers to do public
endorsements for as long as it is
outside of their duty. But accepting the
offer would create conflict in
professional interest which will
rebound to unethical conduct.
D. is actually silent about the matter.
24. Rowena attended a meeting in the
hospital representing her ward, where she
pushed for adherence to the “Expanded
Breastfeeding Promotion Act of 2009” RA
7600. This measure provides the 3rd vital
component of the breastfeeding law by:
A. updating the penalty provisions of the
former Aquino EO No. 51 and AO No.
2006-0012.
B. maintaining the provision of facilities
for breastmilk collection and storage
(e.g. milk banks) and establishment of
“lactation stations” with adequate
support facilities, and providing
incentives and sanctions thereto.
C. mandating the provision of facilities for
breastmilk collection and storage (e.g.
milk banks) and establishment of
“lactation stations” with adequate
support facilities, and the integration
of breastfeeding education in the
curricula.
D. integrating the key provisions of EO 51
and AO No. 2006-0012
SITUATION: Ethics is an essential
component in the midwifery profession.
Registered midwives are expected to uphold
these ethical values within and beyond their
work setting.
25. Midwifery Code of Ethics is observed by
registered midwives in their practice. Its goal
is to:
a. Establish guidelines in the care given
to patients
b. Set the right behavior and attitude of
RMs
c. Guide midwives in making decisions
that are morally upright
d. Regulate the midwifery practice
26. Cleovina allows the patient to determine
his own fate and upholds his unconditional
worth throughout her care. She is observing
which ethical principle?
a. Self-determination c.
Autonomy
b. Fidelity d. Justice
27. Which of the following situations shows
ethical and responsible care of a midwife?
a. Joy assumes that the ethical
decisions made throughout the care
are accountable to the health team.
b. Carmen takes responsibility for her
own actions.
c. Kathy takes action only when he is
told that such is an ethical one.
d. Jannice is unbiased and neutral in
making decisions.
28. How can Midwife Ceasaria best improve
her ethical decision making?
a. Following the Code of Ethics
b. Participating in symposia and
seminars on ethics
c. Being compliant to societal policies
and laws
d.Engaging actively as a member of an
ethics committee
29. The nurse-midwife provides a respiratory
that is made available for two patients in
shock. Which of these is the ethical principle
applied by the nurse?
a. Justice c. Inviolability of
life
b. Respect for dignity d.
Stewardship
30. Midwife Marvs is caring for a 16
postpartum mothers. One of the mothers in
the ward is complaining of pain. The mother
rates her pain “8/10”. As midwife, what is
your next intervention?
a. Check the vital signs
b. Administer tramadol, give
supplemental oxygen and continue
monitor
c. Document the findings
d. Report to the attending physician
SITUATION: You are an advocate for women's
rights. You were invited as a resource speaker
on "Violence against women and their
children." the following questions relate to
this.
31. Women and their children are protected
against violence under this law:
a. R.A. 9211
b. R.A. 9173
c. R.A. 9262
d. R.A. 9160
32. One of the violent acts is sexual violence.
Which of the following does NOT constitute
sexual violence?
a. Economic abuse
b. Acts of lasciviousness
c. Rape
d. treating a child as a sex object
33. The health worker's Main concern when
abused, maltreatment or neglect is suspected
should be:
a. just to keep quiet about the matter
b. safety and welfare of the client
c. referring the client to a mental health
worker
d. reporting the incidence to authorities
34. Which of the following is the most common
clinical manifestation of child neglect?
a. Missed appointment with health care
provider
b. Unexplained bruises
c. Fractures
d. Malnutrition and dehydration
35. Which of the following should be the focus
of care for clients who are suspected to be
abused, maltreated or neglected?
a. Referral to legal authorities
b. Immediate treatment of any injury
c. Prevention of further injury
d. Consequences of the acts
36. Which of the following information is NOT
indicated in the
professional identification card issued to
Benedict?
a. Date of Examination
b. Registration Date
c. Date of Issuance and Expiration
d. License Number
37. Benedict knows that he is duly bound to
renew his professional identification card
every how often?
a. Every five years
b. Every three years
c. Annually
d. Biannually
38. Pamela is certain that only competent
midwives are allowed to practice midwifery in
the country. Which of the following warrants
that this is strictly adhered to?
a. Competency Assessment
b. Continuing Competency Program
c. Licensure and Registration
d. Specially Certification Program
39. She assessed a three year old boy
for fever, but the boy would not want to go
near her. Which of the following remarks of
Pamela would constitute an assault?
a. “You don’t want to have your
temperature taken? I will call the
 guard to hold you and give you an
injection instead!”
b. “Alright just tell me when you are
ready to have your temperature
taken.”
c. “This will not hurt you; just put
it under your tongue.”
d. “If you will let me take your
temperature your fever will be gone.”
40. One of the midwives in the health center
injected Cotrimoxasole to a five year old
patient without the consent of the parents.
Which of the following cases can the midwife
be possibly accused of?
a. Malpractice
b. Battery
c. Negligence
d. Assault
41. If Pamela divulges the information that
she is caring for the child of a patient with
sexually transmitted disease, she can be
liable for unprofessional conduct specifically:
a. Libel
b. Breach of Confidentially
c. Slander
d. Invasion of privacy
42. A patient refuses to take his antibiotic
because he believes that it’s not giving him
any good. Which of the following actions of
the midwife is MOST appropriate?
a. Explains to the patient that he needs
the medications for his recovery.
b. Writes in the chart that the patient
refuses to take his medication.
c. Refer
to the attending physician about his re
fusal.
d. Ask the patient to sign the waiver of
responsibility
43. Which of the following principles apply to
the action of the midwife to refrain from
discussing the disease condition of the
patient with those who are not involved in his
care?
a. Beneficiaries
b. Justice
c. Non-maleficence
d. Autonomy
44. When conflict arises regarding
management of patient care, which of the
following should be upheld?
a. Physician’s orders
b. Preference of the family
c. Patient’s rights
d. Institutional policy
e. Assault
45. Two janitors were having
a healed argument as to who shall dispose
the infectious waste of a patient with typhoid
fever. The first one calling the second
one with names like “lazybones”,
“incompetent” and “pain in the neck” within
the hearing distance of the rest of the
midwives. If the later decides to file a case
against him, what kind of case would he
likely file?
a. Libel
b. Slander
c. Incompetence
d. Negligence
46. Should the accusations be written in the
newsletter of the hospital, such liability is a:
a. Malpractice
b. Assault
c. Libel
d. Slander
47. Mr. Simpkins A German who is SARS
suspect is advised to b confined in negative
pressure room with strict protective gadgets
of the health workers taking care of him. He
vehemently resented being confined in that
room. Moreover, he was denied visitors. He
threatened to sue the hospital. Which case
will he file most likely?
a. Illegal detention
b. Defamation
c. Incompetence
d. Battery
48. Which action of the midwife will save the
hospital from lawsuit in # 47?
a. Explains to him that his isolation is
beneficial for him and his family.
b. Enforces the protocol on SARS
admission
 c. Informs him of the DOH directive in c. P.D. 856
handling SARS cases d. P.D. 791
d. Tells him that the police will bodily 50. She knows that all prescriptions of the
restrain him if he refuses. municipal health officer should be in generics.
What law provides for this mandate?
49. Which of the following laws refer to the a. R.A. 9173
Code of Sanitation? b. R.A. 1080
a. P.D. 825 c. R.A. 6675
b. P.D. 965 d. R.A. 7160