WESTERN REVIEW CENTER (c) ambulatory

(d) a and b only

FUNDAMENTALS OF HEALTH CARE (14) The following conditions indicate effects of prolonged
immobilization except:
INSTRUCTION: Select the correct answer for each of the following (a) decubitus ulcer
question. Mark only one answer for each item shading the box (b) pneumonia
corresponding to the letter of your choice. (c) orthostatic hypotension
(d) cyanosis and cold clummy perspiration
MULTIPLE CHOICE (15) A patient has difficulty of respiration. She has to sit up to be able
to breathe. Which term best applies to the situation:
(1) A midwife needs Doctor's order for the following EXCEPT: (a) dyspnea
(a) hot water bag application (b) orthopneas
(b) giving perilite (c) arnea
(c) tepid sponge bath (d) eupnea
(d) type of diet to be observed to post of patient (16) The mother's temperature is 37.2 degree Celsius, in Fahrenheit
(2) Dangling of the patient' s legs is done to: this is:
(a) promote proper circulation of the blood (a) 98.96 degree Fahrenheit
(b) promote early ambulation (b) 108.96 degree Fahrenheit
(c) prevent thrombus formation (c) 100.0 degree Fahrenheit
(d) all of the above (d) 109.8 degree Fahrenheit
(3) Characteristics/ color of blood from the lungs is: (17) Drugs that lower the blood pressure are called:
(a) red and frothy (a) anti-hypertensive drugs
(b) dark red to black in color (b) anti-hyptensive drugs
(c) bright red, spurting (c) anti -histaminic
(d) dark red, oozing (d) anti- cholinergic
(4) These are examples of methods of sterilization EXCEPT: (18) All of these are true about giving mouth care, except:
(a) dry heat (a) debilitated patient doesn't need more frequent mouth care
(b) soaking in 5% Lysol solution (b) eating chewing gum aids in removing food particles, and
(c) boiling keeps the mucus membrane moist
(d) autoclaving (c) good effects are largely due to mechanical action rather
(5) It permits free drainage of mucus secretions especially among than chemical action.
patients who are unconscious an unable to swallow: (d) strokes of brush should be directed from gums to cutting
(a) prone position edge.
(b) sim's position (19) When taking the blood pressure the following consideration
(c) supine position must be followed for accuracy except:
(d) trendelenburg (a) the arm should not be left ranging and unsupported
(6) Action of antiseptics: (b) applied not too tight not too loose
(a) delay of the growth of microorganisms (c) the cuff must be applied covering the anti-cubital fossa
(b) destroy all microorganism (d) refrain from talking to the patient
(c) destroy pathogenic microorganism (20) Cardiac rate of a child is best determined by:
(d) none of the above (a) palpation
(7) Cold application has the following effects: (b) auscultation
(a) dilates blood vessels (c) inspection
(b) contracts blood vessels (d) percussion
(c) depressants (21) Drugs which lower body temperature are:
(d) all of the above (a) analgesics
(8) In doing perineal care for patient in bed, use the : (b) antibiotic
(a) down-up technique (c) antipyretic
(b) rotary motion technique (d) antihistaminic
(c) up-down technique (22) These are measures to reassure and relieve the anxiety of a
(d) all of the above newly admitted patient in the hospital except:
(9) The main purpose of perineal heat is to: (a) orientation to the physical set-up, personal; and ward
(a) dry up the wound routine
(b) prevent swelling (b) show competence and commitment to serve the patient
(c) relieve pain (c) allow a friend or relative to stay with the patient until she is
(d) promote healing by increasing circulation adjusted
(10) The parturient mother's pulse rate is 95/min. She has: (d) ask her to read the rules and regulations posted inside her
(a) tachycardia room alone.
(b) bradycardia (23) These are basic principles in health education except:
(c) eupnea (a) utilize various strategies
(d) normal pulse rate (b) use language understood by the learner
(11) A patient with respiratory problems has her back rest at 90 (c) involve people in the learning process
degree angle. She is in: (d) create formal permissive atmosphere for learning
(a) semi Fowler's position (24) Al these are true about respiration EXCEPT:
(b) high Fowler's position (a) regulated in medulla
(c) trendelenburg position (b) asthmatic patients have stertorous respiration
(d) lithotomy position (c) best taken when sitting down
(12) Urinary incontinence is: (d) adult normal respiratory rate is 16-20 minutes
(a) voluntary voiding (25) All these are false about pulse except:
(b) difficulty in voiding (a) normal range 60-100 / min
(c) involuntary voiding (b) carotid is the preferred site for taking the pulse
(d) none of the above (c) PR of 40/min indicate tachycardia
(13) Decubitus ulcer is a problem among patients who are: (d) to take the apical-radial pulse rate, two midwives are
(a) bedridden needed
(b) paralytic (26) To use the muscles correctly when working do the following
 EXCEPT: (b) delayed progress of labor
(a) maintain good body alignment (c) keeps uterus at mid line during puerprium
(b) use the longest and strongest muscles of the arms and (d) keeps uterus deviated to right or left
legs (40) In your home visit to a 3 day old neonate which is the first
(c) put the feet together for proper support activity to be done:
(d) to lower the feet together for proper support (a) take temperature rectally
(27) These are importance of changing body's position except: (b) access the baby from head to foot
(a) to promote drainage (c) inspect the cord
(b) to promote early ambulation (d) sponge the baby
(c) to promote contractures (41) When a patient is suffering from dyspnea, place her on:
(d) to maintain range of motion (a) 45 degrees angle backrest
(28) The latest intrauterine device is: (b) dorsal recumbent position
(a) Copper T 380 A (c) doubled-up position
(b) copper fix (d) supine position
(c) Lippes log (42) If the midwife handles delivery at home, she may perform the
(29) Which method increase the user's knowledge of the following sterilization procedures:
reproductive cycle and enhances marital communication about (a) exposure to sunlight, autoclaving
family planning: (b) ironing and scaling in lysol
(a) pills (c) boiling carbolization
(b) IUD (d) all of the above
(c) billings (43) Which of the following is true about giving health education to
(30) Intrauterine device prevents conception by: mothers?
(a) preventing implantation (a) consider first the needs of the mother
(b) immobilizing the sperms from fertilizing the egg (b) aim to change unscientific health practices
(c) both a and b (c) use visual aids for clarity of subjects matter
(d) none of the above (d) all of the above
(31) The mini pills contain (44) Essential aspects of health education include:
(a) progesterone and estrogen (a) sharing of skills and knowledge
(b) estrogen (b) information, sharing of knowledge, change of behavior
(c) progesterone (c) a and b
(d) none of the above (d) none of the above
(32) the decision to limit the number of children is social (45) To prevent contamination of the visiting bag, which of the
responsibility because: following should be done?
(a) it lies upon the intimate decision of each married couple (a) place the bag anywhere with proper lining
(b) it is limited to the family (b) disinfect articles before returning to the bag
(c) it is a global problem and needs group efforts (c) return the apron with the right side out
(d) either of the above (d) arrange articles according to use
(33) Which of the following is the first measure a midwife should do (46) These are true about the use of IUD except:
when breathing stops: (a) may be inserted within 24 hours postpartum
(a) do cardiac resuscitation (b) long term use
(b) mouth to mouth resuscitation (c) cannot be inserted postpartum
(c) give oxygen inhalation t10 liters/min (d) string should be checked regularly
(d) bring to hospital (47) Mother are advised to practice Family Planning for the following
(34) To prevent contamination of the visiting bag, which of the advantages except:
following should be done? (a) gives them time ti attend to their babies
(a) disinfect BP apparatus before returning to the bag (b) helps regain health after each pregnancy
(b) arrange the articles sequentially according to use (c) minimize the incidence of risk pregnancy
(c) return apron with right side out (d) minimize the incidence of puerperal infection
(d) wash all the articles after use (48) During antenatal period, breast cancer care is recommended to;
(35) If you have two cases to visit, an antepartum and postpartum (a) stimulate lactiferous ducts
case, which of the following principles should be your guide in (b) stimulates lactation
prioritizing you visit? (c) toughen the nipples
(a) proceed from cleanest to dirtiest case (d) all of the above
(b) visit the one who lives near the center first (49) To ensure adequate supply of breast milk which should be
(c) the visit is flexible, you may proceed as you wish recommended?
(d) visit your sick relative first (a) use nursing bra
(36) The latest permanent method of Family Planning (b) do not breastfeed at night
(a) reversible tubal ligation (c) take galactagogues
(b) no scalpel vasectomy (d) apply cold compress on the breast
(c) vasectomy by laser (50) Hot water bag application may cause:
(d) nonplast (a) sunburn
(37) Mechanical methods of family planning includes all these (b) thermal
except: (c) chemical
(a) female condom, cervical cap (d) either
(b) cooper fix (51) Universal antidote:
(c) implant (a) 1 part vinegar, 2 parts baking soda
(d) diaphragm (b) 1 part strong tea, 1 part milk of magnesia, 2 parts burnt
(38) To maximize the effect of lactation amenorrhea, mothers should toast
exclusively breastfeed for: (c) water, 2 parts baking soda, 1 part strong tea.
(a) 6 months (d) 2 parts baking soda, milk and sugar
(b) 4 months (52) To prevent friction during catheterization;
(c) months (a) use a sterile water
(d) 1 year (b) lubricate the catheter
(39) These are effects of distended bladder except: (c) hold catheter 3 inches away from the tip
(a) inaccurate results in Leopold's maneuver (d) none of the above
(53) They are given a small amounts at low rate: (d) lubricating
(a) cleansing enema (68) These are true about cleansing enema except:
(b) retention enema (a) needs written of the solution should be 10.5 degree
(c) anthelmenthic Fahrenheit
(d) expelled exzema (b) temperature of the solution should be 105 degree
(54) Cessation of breathing is: Fahrenheit
(a) Cheyne- stokes respiration (c) help promote evacuation
(b) Rigor mortes (d) can be given under fast rate
(c) death (69) Urine retained the bladder after voiding
(d) dyspnea (a) residual urine
(55) student midwife on orientation in the Dr complains of faintness (b) retention urine
(a) let her lie flat with head low (c) urinary incontinence
(b) give her a glass of hot milk (d) diuretics
(c) lower head between knees (70) Position for catheterization:
(d) all of them (a) Dorsal recumbent
(56) The first aid for muscle strain is: (b) sitting position
(a) ice cap application (c) sim's position
(b) rest and cold application (d) Supine
(c) rest and warm application (71) Land mark for catheterization
(d) none of the above (a) meatus
(57) The following are that promote proper elimination except: (b) clitoris urethra
(a) regular elimination habit (c) vagina
(b) exercise (72) Length of urethral catheter to be inserted into urinary meatus
(c) balance diet (a) 3 inches
(d) anxiety (b) inches
(58) Retention enema is given: (c) 2 inches
(a) faster in small amount (d) 2 ½ inches
(b) slower in small amount (73) scanty urine:
(c) faster in large amount (a) oliguria
(d) slower in larger amount (b) polyuria
(59) Enema should be given if: (c) anuria
(a) c x 4 cm BOW (+) (d) hematuria
(b) c x 4 cm BOW (-) (74) 60 gtts is equivalent to:
(c) c x 6 cm BOW (a) 1 tsp
(d) c x fully dilated (b) 1 ounce
(60) In catheterization, the catheter is inserted at: (c) 1 quart
(a) meatus (d) 1 med glass
(b) rectum (75) 1 med glass is equivalent to;
(c) mouth (a) 30 cc
(d) vagina (b) 1 tsp
(61) Universal blood donor: (c) 1 cc
(a) A (d) cc
(b) O (76) Measuring devices which can be used for oral administration of
(c) AB medicines:
(d) B (a) med.glass
(62) Prior to catheterization, the midwife should (b) med dropper
(a) clean meatus with betadine (c) syringes
(b) wear clean gloves (d) all of the above
(c) do perineal flushing (77) relieves uncomfortable symptoms of menopause
(d) have the patient void first (a) estrogen
(63) Father of Microbiology (b) androgens
(a) Leeuwenhoek (c) progesterone
(b) Lister (d) all of these
(c) Jenner (78) method used to distinctly and study the microorganisms under
(d) Hippocrates the microscope
(64) Requirement of bacteria: (a) gram stain
(a) O2 CO2 (b) microscopy
(b) nutrient (c) hanging drop
(c) proper temperature, water (d) Brownian movement
(d) all of the above (79) Color of the gram positive under the microscope
(65) A bath where the patient's buttocks, thigh and lower trunks are (a) dark purple
immersed in water. (b) pink
(a) TSB (c) green
(b) Hot sitz bath (d) brown
(c) alcohol bath (80) Immediate and temporary care given to a victim of accident or
(d) CSB sudden illness;
(66) Pregnancy test is done for the presence of: (a) artificial respiration
(a) HCG (b) first aid
(b) sugar (c) whiff of ammonia
(c) albumin (d) all of them
(d) pus
(67) Enemas to be expelled are the following except:
(a) carmiantive
(b) anthelmentic
(c) cleansing