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8/17/23, 9:58 PM ICF MEGA POST TEST AUGUST 17 PM SESSION

ICF MEGA POST TEST AUGUST 17 UNP, HAGNOL, DANNA CLAIRE C.


Aug. 17, 2023, 3:38 p.m.
PM SESSION
Your score: 70% 140.25 200/
Duration: 1:25:23

GREAT JOB!

0 / 1 point
1. 1. This reflex consists of two basic movements, when
newborn flings’ arms and legs outward and pull them back again, this is:

a. Withdrawal

b. Dancing

c. Moro

d. Babinski

Your Answer: Incorrect

Choice 1

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1 / 1 point
2. A mother who is formula feeding her baby complained about her
baby’s stool as:

a. Being passed more frequently than her neighbor’s baby who is


being breastfed

b. Greenish with a tinge of brown in color

c. Somewhat hard and foul smelling

d. Mushy and bright yellowish

Your Answer: Correct

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3. When assessing a neonate’s temperature with a disposable
digital thermometer, in which of the following locations should the midwife
place the thermometer?

a. Under the neonate’s tongue

b. Under the neonate’s arm

c. Into the neonate’s rectum

d. Into the neonate’s ear

Your Answer: Correct

Choice 1

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4. The mother of a 6-month old infant is concerned that the infant’s
fontanel is still open. The midwife would inform the mother that further
evaluation is needed if the anterior fontanel is still open after:

a. 6 months

b. 10 months

c. 18 months

d. 24 months

Your Answer: Incorrect

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5. Which maternal factor is most commonly the cause of a neonate
being small for gestational age?

a. Diabetes

b. Excessive weight gain

c. Exercise

d. Smoking

Your Answer: Incorrect


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6. For a term new-born, the best time to start breastfeeding is

a. 4 hours after birth

b. 2-4 hours of age

c. 24 hours after birth

d. Within 60 minutes

Your Answer: Incorrect

Choice 1

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Choice 3
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7. The mother of a 6-month old asks when her child will have all his
baby teeth. The midwife that most children have all their primary teeth by
age

a. 12 months

b. 18 months

c. 24 months

d. 30 months

Your Answer: Incorrect

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1 / 1 point
8. A midwife is preparing to care for a child with a diagnosis of
intussusception. The midwife reviews the child’s record and expects to
note which symptom of this disorder documented?

a. Bright red blood and mucus in the stools

b. Profuse projectile vomiting

c. Watery diarrhea

d. Ribbon like stools

Your Answer: Correct

Choice 1

Choice 2

Choice 3

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Choice 4

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9. What is the appropriate feeding technique for the midwife to use
with an infant who has a cleft palate?

a. Suction client prior to feeding

b. Feed in sitting position

c. Have the midwife feed the client during hospitalization?

d. Bubble client after feed to reduce risk of aspiration

Your Answer: Incorrect

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10. The midwife reviews the assessment findings documented in the
record, knowing that which symptom most likely led the mother to seek
health care for the infant with Hirschsprung’s disease?

a. Diarrhea

b. Projectile vomiting

c. Regurgitation of feedings

d. Foul smelling ribbon like stools

Your Answer: Incorrect


Choice 1

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11. When putting the baby to sleep, which position is not
recommended?

a. Trendelenburg

b. Prone position

c. Supine position

Side lying

Your Answer: Incorrect

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1 / 1 point
12. Early breast-feeding promotes release of which of the following
hormones responsible for milk production?

a. Oxytocin

b. Prolactin

c. Estrogen

d. Progesterone

Your Answer: Correct


Choice 1

Choice 2

Choice 3

Choice 4

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1 / 1 point
13. Increase in skill and complexity of function is part of the child’s:

a. Training

b. Learning

c. Growth

d. Development

Your Answer: Correct


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0 / 1 point
14. According to Erikson’s developmental theory, failure to achieve
developmental tasks during adolescence may lead to:

a. Isolation

b. Inferiority

c. Role confusion

d. Despair

Your Answer: Incorrect


Choice 1

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15. When using the otoscope to examine the ears of a 2-year old
child, the midwife should:

a. pull the pinna up and back

b. pull the pinna down and back

c. hold the pinna gently but firmly in its normal position

d. hold the pinna against the skull

Your Answer: Correct


Choice 1

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1 / 1 point
16. The most common finding in pyloric stenosis is:

a. Cyanosis

b. projectile vomiting

c. excessive salivation

d. maculopapular rash

Your Answer: Correct

Choice 1

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17. When baby Lester was born, he was given an APGAR score of 9
at one minute and five minutes. The score indicates:

a. that the neonate has some cyanosis of the feet and the hands

b. that the neonate has limp muscle tone

c. that the neonate does not respond when he is being suctioned

d. that the neonate did not cry after birth

Your Answer: Correct

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0 / 1 point
18. The normal respiratory rate of an infant within 3 minutes after
birth is:

a. 20 – 30 b. 30 – 60
c. 80 – 100 d. 100 – 120

Your Answer: Incorrect


Choice 1

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Choice 3

Choice 4

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19. First artificial immunization (vaccine) given to babies

a. anti-tetanus

b. anti-pertussis

c. anti-polio

d. anti tuberculosis

Your Answer: Incorrect

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20. In supplementary feeding, the first nutrient that the baby receives
is:

a.Proteins

b.Vitamins

c.Minerals

d.Carbohydrates

Your Answer: Incorrect


Choice 1

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21. Gastrointestinal diseases are prevented by which of the following
things found in breastmilk?

a. lymphocytes

b. lactobacillus bifidus

c. interferon

d. immunoglobulins

Your Answer: Correct


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22. Protein deficiency, if it remains unchecked and becomes severe
can lead to a condition called:

a.Marasmus

b.Kwashiorkor

c.Polydactyly

d.Cretinism

Your Answer: Incorrect


Choice 1

Choice 2

Choice 3

Choice 4

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23. Which body system grows more rapidly during early childhood.

a. Spinal cord and brain

b. Testes and ovaries

c. Muscles and bones

d. Liver and intestines

Your Answer: Correct


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1 / 1 point
24. Old man’s look; skin and bones; hunger; winged scapula:

a. Kwashiorkor

b. Malnutrition

c. Marasmus

d. Vitamin deficiency

Your Answer: Correct


Choice 1

Choice 2

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25. Pallor; anorexia; lethargy; susceptibility to infections:

a. Retrolental fibroplasia

b. Hirschsprung’s disease

c. Iron-deficiency anemia

d. Hypothermia

Your Answer: Incorrect


Choice 1

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1 / 1 point
26. Excessive salivation; choking; coughing; material
polyhydramnios:

a. Intestinal obstruction

b. Esophageal atresia

c. Brain injury

d. Primary complex

Your Answer: Correct


Choice 1

Choice 2

Choice 3

Choice 4

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27. The lack of ascorbic acid in the diet or a child can result to a
deficiency disease called:

a. Goiter

b. Scurvy

c. Pellagra

d. Xeropthalmia

Your Answer: Correct


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1 / 1 point
28. Tachypnea; flaring; grunting; see-saw breathing:

a. Hemolytic disease

b. Respiratory distress syndrome

c. Pneumonia

d. Primary complex

Your Answer: Correct


Choice 1

Choice 2

Choice 3

Choice 4

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29. Sunset sign; dilated cephalic veins; widening fontanels; head lag:

a. Mongolism

b. Hydrocephalus

c. Microcephaly

d. Cretinism

Your Answer: Correct


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1 / 1 point
30. According to Erikson, the school child is striving to attain:

a. Trust vs. Mistrust

b. Identity vs. role confusion

c. Initiative vs. guilt

d. Industry vs. inferiority

Your Answer: Correct

Choice 1

Choice 2

Choice 3

Choice 4

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31. Measles vaccine is administered:

a. At 9 months

b. subcutaneously

c. To prevent rubeola

d. All of these

Your Answer: Correct


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1 / 1 point
32. Which of the ff. disease caused by virus that attacks the motor
cells of the spinal cord?

a. Meningitis

b. Tetanus

c. Paralysis

d. Poliomyelitis

Your Answer: Correct


Choice 1

Choice 2

Choice 3

Choice 4

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33. When the infant has diarrhea a cheap & effective means of
replacing the total loss fluids & electrolytes is by giving:

a. Oresol

b. Tea

c. am

d. Milk

Your Answer: Correct


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1 / 1 point
34. Defined as the inflammation of the umbilical cord?

a. Gastritis

b. Stomatitis

c. Colitis

d. Omphalitis

Your Answer: Correct


Choice 1

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35. A five-day old infant with white, cheesy patches on the tongue
and buccal mucosa is probably infected with

a. Staphylococcus

b. Streptococcus

c. E. Coli

d. Candida albicans

Your Answer: Correct

Choice 1

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1 / 1 point
36. The milk production influence by which of the following hormone

a. Prolactin

b. Oxytocin

c. Progesterone

d. Estrogen

Your Answer: Correct


Choice 1

Choice 2

Choice 3

Choice 4

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37. By one year, these are expected of a child except:

a. Knows his name

b. BW- 6 lbs, WT-18 lbs at 1 year

c. Can stand alone and walk with help

d. Number of teeth is 8-10

Your Answer: Incorrect


Choice 1

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1 / 1 point
38. An infant who weighs 8 pounds at birth would be expected to
weigh how many pounds at 1 year?

a. 14 pounds

b. 16 pounds

c. 18 pounds

d. 24 pounds

Your Answer: Correct

Choice 1

Choice 2

Choice 3

Choice 4

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39. The most important person in the infant is:

a. Mother

b. Father

c. Family

d. Parents

Your Answer: Correct


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0 / 1 point
40. The total number of primary teeth is:

a. 20

b. 18

c. 32

d. 36

Your Answer: Incorrect


Choice 1

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Choice 3

Choice 4

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41. The hormone in the body that stimulate the production and
ejection of milk in the breast are prolactin and

a. Estrogen

b. Oxytocin

c. Progesterone

d. Testosterone

Your Answer: Correct


Choice 1

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0 / 1 point
42. Refers to inborn genetically transmitted capacity for development:

a. Growth

b. Maturation

c. Learning

d. Eugenics

Your Answer: Incorrect


Choice 1

Choice 2

Choice 3

Choice 4

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43. The basic need in the psychosocial development of the infant is
to develop the feelings:

a. Intimacy

b. Trust

c. Autonomy

d. Identity

Your Answer: Correct


Choice 1

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0 / 1 point
44. According to Freud, the levels of personality that is formed in the
anal stage is:

a. Id

b. Ego

c. Superego

d. Cost

Your Answer: Incorrect


Choice 1

Choice 2

Choice 3

Choice 4

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45. Oedipal & Electra complex are common features of:

a. Oral period

b. Anal

c. Phallic

d. Latency

Your Answer: Correct


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1 / 1 point
46. Which of the following is expected to be done by a normal 7
months old infant?

a. Stand alone

b. Sit with support

c. Crawl

d. speak mama and dada

Your Answer: Correct


Choice 1

Choice 2

Choice 3

Choice 4

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47. An infant who weighs 7 pounds at birth would be expected to
weigh how many pounds after 6 months?

a. 7 pounds

b. 8 pounds

c. 9 pounds

d. 14 pounds

Your Answer: Correct


Choice 1

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1 / 1 point
48. The giving of supplementary foods for infants could be started at
what months?

a. 4 months

b. 3 months

c. 5 months

d. 6 months

Your Answer: Correct


Choice 1

Choice 2

Choice 3

Choice 4

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49. Which of the following is an expected activity of an 8 month old
with a normal growth

a. stand alone

b. eats alone

c. stranger anxiety

d. crawl

Your Answer: Incorrect


Choice 1

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1 / 1 point
50. The greatest fear of a toddler is:

a. Stranger anxiety

b. Dark

c. Separation anxiety

d. Displacement fear

Your Answer: Correct


Choice 1

Choice 2

Choice 3

Choice 4

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51. 1.First social smile is seen at

a. 4 months

b. 3 months

c. 2months

d. 5 months

Your Answer: Correct


a

0.75 / 1 point
52. 1. Which of the following hormones influences milk let down
reflex?

a. Prolactin c. Progesterone

b. Oxytocin d. Estrogen

Your Answer: Partially correct


a

1 / 1 point
53. 1. Solid foods are not given until this reflex disappears:

a. Gagging c. Extrusion

b. Swallowing d. Rooting

Your Answer: Correct

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54. 1. Lucy was 7 lbs at birth. By one year of the newborn, she
should weigh:

a. 14 lbs b. 21 lbs c. 24 lbs. d. 28 lbs

Your Answer: Correct


a

1 / 1 point
55. 1. Whitish lesions appearing like milk curds on the tongue and
mucus membrane of the mouth of the infant is:

a. Thrush c. Furunculosis

b. Impetigo d. Scurvy

Your Answer: Correct


a

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56. 1. By one year, these are expected of a child except:

a. Knows his name

b. BW- 6 lbs, WT-18 lbs at 1 year

c. Can stand alone and walk with help

d. Number of teeth is 8-10

Your Answer: Correct


a

1 / 1 point
57. 1. An abnormal condition of the baby is:

a. Epstein pearls at the palate

b. Caput succedaneum in the scalp

c. White plaques over the tongue

d. Erythema toxicum

Your Answer: Correct


a

0.5 / 1 point
58. 1. In how many months grasp reflex will be replaced by active
voluntary grasp activity?

a. 6 b. 4 c. 8 d. 2

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Your Answer: Partially correct


a

1 / 1 point
59. 1.You’re assessing a neonate who has blackish blue marks
around his buttocks. What are these marks called?

a. Milia

b. Vernix Caseosa

c. Mongolian Spots

d. Nevus Flammeus

Your Answer: Correct


a

1 / 1 point
60. 1.The midwife documents which of the following reflexes as being
responsible for an infant incurving the toes with uncurling and
fanning out of the toes when the lateral plantar surface is stroked.

a. Moro Reflex

b. Gallant reflex

c. Rooting reflex

d. Babinski reflex

Your Answer: Correct


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1 / 1 point
61. 1.An infant who weighs 8 pounds at birth would be expected to
weigh how many pounds at 1 year?

a. 14 pounds

b. 16 pounds

c. 18 pounds

d. 24 pounds

Your Answer: Correct

1 / 1 point
62. 1.In giving partial bath, it should proceed from the cleanest to the
soiled areas of the body.

The correct sequence should be:

a. Face and eyes, hair, trunk diaper area

b. hair, face and eyes, trunk, diaper area

c. extremities, trunk, face and eyes, hair

d. trunk, extremities, face and eyes, diaper area

Your Answer: Correct

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1 / 1 point
63. 1.Caput succedaneum usually disappears at least how many
days after birth

a. a. 5-8 b. 3-7 c. 2-3 d. 7-9

Your Answer: Correct


a

0 / 1 point
64. 1.When assessing an infant, which of the would the midwife
expect from a 4 month old baby

a. Sit with support

b. finger to thumb grasp

c. ability to reach toy

d. says mama and dada

Your Answer: Incorrect


a

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1 / 1 point
65. 1.The first word of the baby

a. a. Mama b. dada c. tada d. yaya

Your Answer: Correct


a

1 / 1 point
66. 1.When using the otoscope to examine the ears of a 2-year old
child, the midwife should:

a. pull the pinna up and back

b. pull the pinna down and back

c. hold the pinna gently but firmly in its normal position

d. hold the pinna against the skull

Your Answer: Correct


a

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1 / 1 point
67. 1.In infants, positive Babinski reflex is:

a. An indication of a neurological problem

b. Dorsiflexion

c. Fanning of toes

d. Withdrawing the foot from the stimulus

Your Answer: Correct


a

0 / 1 point
68. 1.The midwife is assessing the reflexes of a newborn. The
midwife assesses which of the following reflexes by placing a finger in the
newborn’s mouth?

a. Moro reflex b. Sucking reflex

b. Rooting reflex d. Babinski reflex

Your Answer: Incorrect


a

0 / 1 point
69. 1.When the newborn is place on a cold crib or wrapped in a cold
blanket, cold stress can occur due to heat loss by?

a. Evaporation C. conduction

b. Radiation d. Convection
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Your Answer: Incorrect


a

1 / 1 point
70. 1.The first teeth that erupt in infancy is the?

a. Upper central incisors

b. Lower central incisors

c. Lower cuspids

d. Lateral incisors

Your Answer: Correct


a

0 / 1 point
71. 1.The losing of heat to the surrounding air by the newborn is

a. Evaporation b. Convection

b. Radiation d. Conduction

Your Answer: Incorrect


a

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72. 1.A communicable disease that affects the growth and
development among children

a. Primary complex b. asthma

b. leprosy d. diabetes

Your Answer: Correct


a

1 / 1 point
73. 1.When doing hair shampoo, the baby should be held using the
technique called

a. Football hold b. Cradle hold

b. Shoulder hold d. Neck to Buttocks hold

Your Answer: Correct


a

1 / 1 point
74. 1.Which is the following is an expected activity of a 8 month old
with a normal growth

a. stand alone b. eat alone

b. sit alone d. crawl

Your Answer: Correct


a

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1 / 1 point
75. 1.A five day old infant with white, cheesy patches on the tongue
and buccal mucusa is probably infected with

a. Staphylococcus

b. Streptococcus

c. E.Coli

d. Candida albicans

Your Answer: Correct


a

1 / 1 point
76.

1.If the cord is accidentally pulled off, which of the following intervention
can the midwife do

a. If the cord bleeds, wait until its stop

b. Put on a clean cloth and apply firm pressure

c. Refer to fellow midwife for assistance

d. Put beta dine solution , cover with gauze and blinder and apply firm
pressure to stop bleeding

Your Answer: Correct


a
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77. 1.When discussing normal infant growth and development with
parents, which of the following toys would the midwife suggest as most
appropriate for an 8-month-old?

a. Push-pull toys

b. Rattle

c. Large blocks

d. Mobile

Your Answer: Correct


a

1 / 1 point
78. 1.The milk production influence by which of the following
hormone

a. Prolactin

b. Oxytocin

c. Progesterone

d. Estrogen

Your Answer: Correct


a

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79. 1.Breast-milk is best for babies because it contains protein that is
easily digestible, the protein is known

a. Thiamine

b. Casein

c. Albumin

d. Lactalbumin

Your Answer: Correct


a

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80. 1.An infant can be able to pick up small objects using pincer
grasp at which age

a. 10 mos.

b. 5 mos.

c. 7 mos.

d. 8 mos.

Your Answer: Correct


a

1 / 1 point
81. The reflex that is employed in an infant’s search for food is:
a. Moro c. Swallowing.
b. Sucking d. Rooting

Your Answer: Correct


a

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1 / 1 point
82. 1. The hormone affecting the emotion of mothers particularly
when breastfeeding is

a. Prolactin

b. Progesterone

c. Estrogen

d. Oxytocin

Your Answer: Correct


a

1 / 1 point
83. 1. An antibody present to a breast milk

a. IGG

b. IGM

c. IGA

d. IGE

Your Answer: Correct


a

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0 / 1 point
84. 1. Which body system grows more rapidly during early
childhood.

a. Spinal cord and brain

b. Testes and ovaries

c. Muscles and bones

d. Liver and instestines

Your Answer: Incorrect


a

1 / 1 point
85. 1. Measles immunization is given during which of the following
period

a. 9 months

b. 12 months

c. School entrance

d. 6 months

Your Answer: Correct


a

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1 / 1 point
86. 1. Which of the following months can a baby drink from a cup
and eat well with his fingers

a. 9-12 months

b. 5-6 months

c. 4-6 months

d. 7-8 months

Your Answer: Correct


a

0 / 1 point
87. 1. The milk is production is due to the influence by which of the
following hormone

a. Prolactin

b. Oxytocic

c. Progesterone

d. Estrogen

Your Answer: Incorrect


a

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1 / 1 point
88. 1. The DOH developed a program to address the problem of
diarrhea is known as

a. 4 o’clock habit

b. Sangkappinoy

c. TKO-tubigkubetaoresol

d. Peoples health

Your Answer: Correct

1 / 1 point
89. 1. In sterilizing equipment for immunization, they should be
boiled from boiling point

a. 15 minutes

b. 20minutes

c. 30minutes

d. 10minutes

Your Answer: Correct


a

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0 / 1 point
90. 1. When the newborn is placed on a cold crib or wrapped in a
cold blanket, cold stress can occur due to heat loss by?

a. Evaporation

b. Conduction

c. Radiation

d. Convection

Your Answer: Incorrect


a

1 / 1 point
91. 1. The hormone in the body that stimulate the production and
ejection of milk in the breast are prolactin and

a. Estrogen

b. Oxytocin

c. Progesterone

d. Testosterone

Your Answer: Correct

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1 / 1 point
92. In performing gestational age scoring, you should recognize that
a characteristic of a preterm infant is the presence of:

a. Plantar creases covering the entire sole

b. Testes both descended with rugae covering scrotum

c. Square window wrist

d. Ear cartilage is firm

Your Answer: Correct


a

1 / 1 point
93. As you were moving about the nursery, you jarred the bassinette
of a newborn. You noticed that he assumed an embracing position. What
action would you take?

a. Check the baby’s diaper if passed out stool


b. Report your findings to the doctor
c. Review the baby’s birth record for the type of anesthesia used
during delivery
d. Recognize that this is a normal response

Your Answer: Correct


a

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1 / 1 point
94. A mother decided to breastfeed her baby. You should expect that
the baby’s stool will be generally :

a. Golden yellow in color, mushy, occur more frequently


b. Greenish yellow in color, pasty, occur less frequently
c. Greenish in color, watery in consistency
d. Brownish to greenish in color, firm in consistency

Your Answer: Correct


a

0 / 1 point
95. A child is 2 ¼ years old. You should expect her to have:

a. 6 decidous and 2 permanent teeth


b. 16 decidous and 2 permanent teeth
c. 12 decidous teeth
d. 20 decidous teeth

Your Answer: Incorrect


a

96. A 12 month child has approximately how many deciduous teeth? 0 / 1 point

a. 2 b. 6 c. 10 d. 16

Your Answer: Incorrect


a

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1 / 1 point
97. At the age of 6 months, the infant:

a. Triples her birth weight


b. Doubles her birth weight
c. Has 6 teeth
d. Drinks & hold a cup

Your Answer: Correct


a

0 / 1 point
98. Fear of strangers reach its height at

a. Six months c. Eight months

b. Seven months d. Ten months

Your Answer: Incorrect


a

1 / 1 point
99. A ten-month old infant can:

a. Pull himself to a standing position


b. Bring thumb and index finger together in a pincer grasp
c. Ready for a peek a boo
d. All of these
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Your Answer: Correct


a

1 / 1 point
100. A baby is 7 lbs. at birth. What would you expect of his weight at
one year?

a. 18 lbs c. 21 lbs

b. 10 lbs d. 25 lbs

Your Answer: Correct

1 / 1 point
101. If you teach a mother about infant feeding, you should discuss
which of these reflexes?

a. Palmar grasp c. rooting


b. Tonic neck d. moro

Your Answer: Correct


a

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1 / 1 point
102. The best indication that a newborn’s intestinal tract is intact:

a. You are able to insert a rectal thermometer


b. You are able to insert a rectal tube
c. You are able to insert your little finger
d. You are able to confirm the passage of meconium

Your Answer: Correct


a

1 / 1 point
103. When milk from mammary gland is carried to the nipples of the
breastfeeding mother, this is known as:

a. after pains c. let-down reflex


b. rooting reflex d. sucking rflex

Your Answer: Correct


a

1 / 1 point
104. Milk ejection is primarily regulated by:

a. Estrogen c. Prolactin
b. Oxytocin d. Progesterone

Your Answer: Correct


a

c
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1 / 1 point
105. The following are trueof caput succedaneum in a newborn
EXCEPT:

a. It is an edema of the scalp


b. It subsides within 48-72 hrs
c. It needs no treatment
d. It indicates injury to the brain

Your Answer: Correct


a

0 / 1 point
106. Negativism and ritualistic behaviors are normal characteristics of:

a. Preschoolers c. infants
b. Toddlers d. adolescents

Your Answer: Incorrect


a

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0 / 1 point
107. A mother asks about the “soft spots” on their baby’s head. You
would explain that the anterior fontanel closes by the:

a. 12th to 18th month and the posterior by the 3rd month


b. 3rd month and the posterior by the 12th to 18th month
c. 12th month and the posterior by the 5th month
d. 4th month and the posterior by the 4th month

Your Answer: Incorrect


a

1 / 1 point
108. A baby’s cord comes off in about:

a. 6-10 days c. 2-4 days


b. 3-5 days d. 1-3 days

Your Answer: Correct


a

1 / 1 point
109. After the cord drops off, healing usually takes about

a. A week c. 2 weeks
b. A month d. 3 weeks

Your Answer: Correct


a

c
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1 / 1 point
110. Should the newborn become jaundiced on the 2nd or 3rd day
after birth, you would suspect that it was due to:

a. Destruction of excess red blood cells with the production of more


bilirubin than the immature liver can handle
b. Immature heat-regulating mechanism
c. Poor peripheral circulation
d. None of the above

Your Answer: Correct


a

1 / 1 point
111. The normal weight loss in newborns is about:

a. 2-3 % of the birth weight


b. 5-10% of the birth weight
c. 10-15% of the birth wight
d. 15-20% of the birth weight

Your Answer: Correct


a

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1 / 1 point
112. When an object is placed in a newborn’s hand, he will take
hold of it momentarily. This is a result of:
a. Moro reflex c. Grasp reflex
b. Dancing reflex d. Rooting reflex

Your Answer: Correct


a

1 / 1 point
113. The reflex that is employed in an infant’s search for food is:

a. Moro c. Swallowing
b. Sucking d. Rooting

Your Answer: Correct


a

1 / 1 point
114. The reflex elicited when a baby responds to a loud noise is:

a. Moro c. Gag
b. Babinski d. Yawning

Your Answer: Correct


a

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1 / 1 point
115. The absence of what reflex is the most important for you to
report?

a. Moro c. Gag
b. Babinski d. Tonic neck

Your Answer: Correct


a

0 / 1 point
116. In lifting a newborn from his basinet, which of these points is most
essential?

a. They have well-developed cervical and lumbar spine


b. They cry when they are incompatible
c. They have very little control of their heads
d. They show preference for the fetal position

Your Answer: Incorrect


a

1 / 1 point
117. Which of the following developmental task is expected during
infancy?

a. sense of trust c. sense of industry


b. sense of autonomy d. sense of initiative

Your Answer: Correct


a

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0 / 1 point
118. A child at 4 years is expected to develop:

a. independence c. initiative
b. sense of trust d.industry

Your Answer: Incorrect


a

0 / 1 point
119. The primary task to be accomplished between 12 and 15 months
of age is to:

a. Use a spoon c. Walk


b. Give up the bottle d. Say simple words

Your Answer: Incorrect


a

1 / 1 point
120. Which of the following foods is preferable to introduce first?

a. Chocolate c. Rice cereal


b. Egg white d. Beef

Your Answer: Correct

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1 / 1 point
121. Which of the following is NOT normal in newborn a few
hours after birth?
a. Persistent, high pitched cry
b. Slight cyanosis of the extremities
c. Tar-like stools
d. Attitude of general flexion

Your Answer: Correct


a

1 / 1 point
122. If a newborn has Mongolian Spots, explain to the mother that
these:

a. Will tend to be permanent at birth


b. Will usually disappear in due time
c. Indicate mental retardation
d. Indicate congenital syphilis

Your Answer: Correct


a

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0 / 1 point
123. In a baby who is born with trachea-esophageal fistula, which
findings during pregnancy would have cause you to suspect this might be
present?

a. A difficult second stage of labor


b. Polyhydramnios
c. Bleeding at 32 weeks of pregnancy
d. Oligohydramnios

Your Answer: Incorrect


a

1 / 1 point
124. A food that you would emphasize to a mother to be included in
the supplementary feeding of an infant is:

a. Egg white c. Egg yolk


b. Pork d. Milk

Your Answer: Correct


a

1 / 1 point
125. Colic in infants are due to:

a. Inadequate peristalsis resulting in constipation


b. A mechanism of the GIT to excrete foreign materials
c. Paroxysmal abdominal pain due to accumulation of gas
d. An allergic response to the feeding

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Your Answer: Correct


a

1 / 1 point
126. When teaching a parent on how to prevent accident when caring
for a 6-month old, you should emphasize that at this age, the child can
usually:

a. Sit up by himself
b. Stand while holding on to the furniture
c. Roll over
d. Walk with help

Your Answer: Correct


a

1 / 1 point
127. Which of the following are appropriate toys for infants?

a. Large piece puzzles, books


b. Ball, molding clay
c. Rattles, mobiles, soft toys
d. Mirror, push and pull toys

Your Answer: Correct


a

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1 / 1 point
128. Considering the toddler’s developmental level, when should you
take the vital signs?

a. When he is asking questions


b. When he is playing
c. When he is quiet
d. Anytime

Your Answer: Correct


a

1 / 1 point
129. Negativism and ritualistic behavior are normal characteristics of a
child who is developing:

a. Sense of trust c. Sense of autonomy


b. Sense of initiative d. Sense of industry

Your Answer: Correct


a

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1 / 1 point
130. 1. Midwife Jay should expect a 3-year-old child to be able to
perform which action?

a. Ride a tricycle

b. Tie the shoelaces

c. Roller-skates

d. Jump rope

Your Answer: Correct


a

0 / 1 point
131. 1. An inborn error of metabolism that causes premature
destruction of RBC?

a. G6PD

b. Hemocystinuria

c. Phenylketonuria

d. Celiac Disease

Your Answer: Incorrect


a

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0 / 1 point
132. 1. When performing the physical assessment, the midwife
explains to the mother that in a term neonate, sole creases are?

a) Absent near the heels.

b) Evident under the heels only,

c) Spread over the entire foot.

d) Evident only towards the transverse arch.

Your Answer: Incorrect


a

1 / 1 point
133. 1. After teaching the mother about the neonate’s positive
Babinski reflex, the midwife determines that the mother understands the
instructions when she says that a positive Babinski reflex indicates?

a) Immature muscle coordination.

b) Immature central nervous system.

c) Possible lower spinal cord defect.

d) Possible injury to nerves that innervate the feet.

Your Answer: Correct


a

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1 / 1 point
134. 1. The midwife notes a swelling on the neonate’s scalp that
crosses the suture line. The midwife documents this condition as?

a) Cephallic hematoma.

b) Caput succedaneum.

c) Hemorrhage edema.

d) Perinatal caput.

Your Answer: Correct


a

0 / 1 point
135. 1. Which of the following abilities would a midwife expect a 4
month old infant to perform?

a) Sitting up without support.

b) Responding to pleasure with smiles.

c) Grasping a rattle when it is offered.

d) Turning from either side to the back.

Your Answer: Incorrect


a

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0 / 1 point
136. 1. When discussing a seven month old infant’s mother
regarding the motor skill development, the midwife should explain that by
age seven months, an infant most likely will be able to

a) Walk with support.

b) Eat with a spoon.

c) Stand while holding unto a furniture

d) Sit alone using the hands for support.

Your Answer: Incorrect


a

1 / 1 point
137. 1. A mother brings her one month old infant to the clinic for
check-up. Which of the following developmental achievements would the
midwife assess for?

a) Smiling and laughing out loud.

b) Rolling from back to side.

c) Holding a rattle briefly.

d) Turning the head from side to side.

Your Answer: Correct


a

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1 / 1 point
138. 1. A two month old infant is brought to the clinic for the first
immunization against DPT. The midwife should administer the vaccine via
what route?

a) Oral.

b) Intramascular

c) Subcutaneous

d) Intradermal

Your Answer: Correct


a

1 / 1 point
139. 1. The midwife teaches the client’s mother about the normal
reaction that the infant might experience 12 to 24 hours after the DPT
immunization, which of the following reactions would the midwife discuss?

a) Lethargy.

b) Mild fever.

c) Diarrhea

d) Nasal Congestion

Your Answer: Correct


a

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0 / 1 point
140. 1. When assessing the newborn’s heart rate, which of the
following ranges would be considered normal if the newborn were
sleeping?

a. 80 beats per minute


b. 100 beats per minute
c. 120 beats per minute
d. 140 beats per minute

Your Answer: Incorrect


a

1 / 1 point
141. 1. Which of the following groups of newborn reflexes below are
present at birth and remain unchanged through adulthood?

a. Blink, cough, rooting, and gag


b. Blink, cough, sneeze, gag, swallowing
c. Rooting, sneeze, swallowing, and cough
d. Stepping, blink, cough, and sneeze

Your Answer: Correct


a

142. When preparing to administer the vitamin K injection to a neonate, 1 / 1 point


the midwife would select which of the following sites as appropriate
for the injection?

a. Deltoid muscle
b. Anterior femoris muscle
c. Vastus lateralis muscle
d. Gluteus maximus muscle

Your Answer: Correct

a
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1 / 1 point
143. 1. While performing a neurodevelopmental assessment on a 3-
month-old infant, which of the following characteristics would be
expected?

a. A strong Moro reflex


b. A strong parachute reflex
c. Rolling from front to back
d. Lifting of head and chest when prone

Your Answer: Correct


a

1 / 1 point
144. 1. In teaching the mother of a young infant to treat oral thrush,
which of the following actions reflect an inappropriate teaching of the
community health midwife?

a. Wash her hands.

b. Wipe the infant’s mouth with a clean, soft cloth wrapped around her
finger and dipped in tap water.

c. Paint the infant’s mouth with half-strength Gentian Violet.

d. Wash her hands again.

Your Answer: Correct


a

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1 / 1 point
145. 1. A midwife prepares to administer a vitamin K injection to a
newborn infant. The mother asks the midwife why her newborn infant
needs the injection. The best response by the midwife would be:

a. “You infant needs vitamin K to develop immunity.”

b.“The vitamin K will protect your infant from being jaundiced.”

c. “Newborn infants are deficient in vitamin K, and this injection prevents


your infant from abnormal bleeding.”

d.“Newborn infants have sterile bowels, and vitamin K promotes the


growth of bacteria in the bowel.”

Your Answer: Correct


a

1 / 1 point
146. 1. A baby is born precipitously in the ER. The midwife initial
action should be to:

a. Establish an airway for the baby

b. Ascertain the condition of the fundus

c. Quickly tie and cut the umbilical cord

d. Move mother and baby to the birthing unit

Your Answer: Correct


a

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1 / 1 point
147. 1. A newborn has small, whitish, pinpoint spots over the nose,
which the midwife knows are caused by retained sebaceous secretions.
When charting this observation, the midwife identifies it as:

a. Milia

b. Lanugo

c. Whiteheads

d. Mongolian spots

Your Answer: Correct


a

1 / 1 point
148. 1. The midwifevisits Reyes family 2 weeks after hospital
discharge. She observes that the umbilical cord has dried and fallen off.
The area appears healed with no drainage or erythema present. The
mother can be instructed to

a. cover the umbilicus with a band-aid.

b. continue to clean the stump with alcohol for one week.

c. apply an antibiotic ointment to the stump.

d. give him a bath in an infant tub now.

Your Answer: Correct


a

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1 / 1 point
149. 1. Paracetamol in IMCI is for fever and pain. The true definition
of Fever as used in IMCI includes fever higher than :

a. 37.5 degreecelcius

b. temperature of 38.5 or higher

c. above 38 degreecelcius

d. 37 degreecelcius or higher

Your Answer: Correct


a

0 / 1 point
150.
1. A baby was delivered underweight, with less of subcutaneous tissue,
hands and feet wrinkled with patchy areas of desquamation. This baby is
considered:

a. preterm c. post term

b. term d. premature

Your Answer: Incorrect

d
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1 / 1 point
151. The attachment of the son to the mother and his jealousy feelings
toward her father is which of these?

a. Phallic

b. Electra

c. oedipal complex

d. All of these

Your Answer: Correct


Choice 1

Choice 2

Choice 3

Choice 4

1 / 1 point
152. The type of play of an infant is:

a. Solitary

b. Parallel

c. Associative

d. Competitive

Your Answer: Correct


Choice 1

Choice 2

Choice 3

Choice 4

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1 / 1 point
153. According to the Essential Newborn Care protocol, waiting for 1-3
minutes before cord clamping and cutting has which of the following
benefits?

a. Aids in uterine involution

b. Promotes mother-child bonding

c. Prevents newborn anemia

d. Helps stimulate the baby to breathe

Your Answer: Correct


Choice 1

Choice 2

Choice 3

Choice 4

1 / 1 point
154. After birth, the midwife protects the newborn from excess heat
loss that can result to hypothermia. Newborn loss heat to cool
surrounding air so they must be wrapped in a warm and dry blanket. This
type of heat loss is called:

a. Evaporation

b. Radiation

c. Convection

d. Conduction

Your Answer: Correct


Choice 1

Choice 2

Choice 3

Choice 4

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0 / 1 point
155. All but one is purposes of Vernix Caseosa, which should not be
included?

a. It moistens and lubricates the skin

b. It is an insulator

c. Is has antifungal effects

d. It has a bacteriostatic effect.

Your Answer: Incorrect


Choice 1

Choice 2

Choice 3

Choice 4

0 / 1 point
156. It is the chief cause of neonatal blindness and one of the most
common cause of blindness in children:

a.night blindness

b.ophthalmia neonatorum

c.Retrolental Fibroplasia

d.Myopia

Your Answer: Incorrect


Choice 1

Choice 2

Choice 3

Choice 4

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1 / 1 point
157. In assessing the cord of the newborn, the midwife looks for:

a. 1 vein and 1 artery

b. Ligaments teres

c. 1 vein and 2 arteries

d. 1 artery and 2 veins

Your Answer: Correct


Choice 1

Choice 2

Choice 3

Choice 4

0 / 1 point
158. When the newborn is place on a cold crib and are wrap in a cold
blanket, cold stress can occur due to heat loss by:

a. Evaporation

b. Conduction

c. Radiation

d. Convection

Your Answer: Incorrect


Choice 1

Choice 2

Choice 3

Choice 4

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0 / 1 point
159. The losing of heat to the surrounding air by the newborn is

a. Evaporation

b. Convection

c. Radiation

d. Conduction

Your Answer: Incorrect


Choice 1

Choice 2

Choice 3

Choice 4

1 / 1 point
160. Properties of colostrum include all the following EXCEPT?

a. purgative

b. vitamin A rich

c. antibody rich

d. few white cells

Your Answer: Correct


Choice 1

Choice 2

Choice 3

Choice 4

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1 / 1 point
161. The midwife conducts a test feeding to a new born who is to be
fed by giving the baby:

a. Breast milk from the mother

b. Glucose water

c. Sterile water

d. Normal saline

Your Answer: Correct


Choice 1

Choice 2

Choice 3

Choice 4

0 / 1 point
162. Hind milk is released after the stimulation of the let-down reflex;
this particular milk satisfies the baby’s_________.

a. Thirst

b. Hunger

c. Appetite

d. Both A and B

Your Answer: Incorrect


Choice 1

Choice 2

Choice 3

Choice 4

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163. Milk ejection reflex is influence by which of the following
hormone:

a. Prolactin

b. oxytocin

c. progesterone

d. estrogen

Your Answer: Incorrect


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164. A first time mother asked the midwife how she can feed her baby
on demand. The midwife replied that:

a.When the breast feels full and milk is flowing out of her nipple, it’s time
to feed the baby

b.She should feed her baby every 3 hours around the clock so the baby
does not get hungry.

c.She should feed whenever her baby’s crying and hungry

d.It’s unlikely to feed the baby on demand as baby’s cannot communicate


yet so she must make a feeding schedule to follow

Your Answer: Incorrect


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165. The reflex that is employed in an infant’s search for food is:

a. Moro

b. Swallowing

c. Sucking

d. Rooting

Your Answer: Correct


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166. When an infant takes in his mouth more than he can swallow, a
reflex being demonstrate is known as:

a. Sucking

b. Gagging

c. Grasping

d. Rooting

Your Answer: Incorrect


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167. Which important component of breastmilk is not found in infant
formula?

a. Lactose

b. Immunoglobulins

c. Fatty acids

d. Iron

Your Answer: Incorrect


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1 / 1 point
168. This reflex should be gone before an infant is started on
supplemental feedings.

a. startle

b. extrusion

c. Babinski

d. tonic neck

Your Answer: Correct


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

a. Passage of meconium within the first 24 hours.

b. Yellow skin at 12 hours of age.

c. Respiratory rate of 70/ minute at rest

d. Bleeding from umbilicus

Your Answer: Incorrect


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1 / 1 point
170. The midwife understands that a newborn is at risk of bleeding. A
related intervention would be to:

a. Administer glucose water or put to breast.

b. Assess the first void and passing of meconium.

c. Administer vitamin K injection.

d. Send cord blood to lab for coombs test.

Your Answer: Correct


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171. The midwife is caring for a newborn infant with a suspected
diagnosis of imperforate anus. The midwife monitors the infant, knowing
that which of the following is clinical manifestation associated with this
disorder?

a. Sausage-shaped mass palpated in the upper right abdominal


quadrant

b. Bile stained fecal emesis

c. Failure to pass meconium stool in the first 24 hours after birth

d. The passage of currant jelly like stools

Your Answer: Correct


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1 / 1 point
172. Which is not included in APGAR SCORING

a. Color

b. activity

c. reflex irritability

d. temperature

Your Answer: Correct


Choice 1

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173. The midwife evaluates Baby – A for 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

b. muscle

c. weight

d. blood pressure

Your Answer: Correct


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1 / 1 point
174. An APGAR score of 0-3 is:

a. inconclusive

b. guarded

c. depressed

d. serious

Your Answer: Correct


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175. The goal of the initial assessment for the newborn is to
determine:

a. deformities and handicaps

b. the state of oxygenation and ventilation

c. the level of hemoglobin

d. the heart rate

Your Answer: Correct


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0 / 1 point
176. The midwife dries the infant after birth in order to:

a. remove organisms acquired during delivery

b. stimulate the circulating system

c. avoid excess heat loss

d. remove the skin’s white substance

Your Answer: Incorrect


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177. 1.A test used to evaluate respiratory status of premature infants
and newborns suffering from respiratory distress:

a.APGAR

b.Brazelton

c.Rule of nines

d.Silverman Anderson Scoring System

Your Answer: Correct


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1 / 1 point
178. A midwife in a newborn nursery is monitoring a preterm newborn
infant for respiratory distress syndrome. Which assessments signs if
noted in the newborn infant would alert the midwife to the possibility of
this syndrome?

a. Hypotension and bradycardia

b. Tachypnea and chest retractions

c. Acrocyanosis and grunting

d. The presence of a barrel chest with acrocyanosis

Your Answer: Correct


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179. A finding in the physical assessment of a neonate that may
indicate that he is a preterm is:

a. Flexion of extremities

b. Many superficial veins

c. Absent femoral pulses

d. A positive Babinski reflex

Your Answer: Correct


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180. When teaching a primiparous client who delivered a term male
neonate 1 hour ago about the characteristics of neonate, which of the
following should the midwife include?

a. Obligatory nose breather

b. testes probably undescended

c. kidney’s typically non palpable

d. oozing at the cord insertion site

Your Answer: Incorrect


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181. When bathing the infants, the midwife can show the mother how
to hold the baby while washing the head using the technique of:

a. Cradle hold

b. Cross-cradle baby

c. Football hold

d. Sweetheart carry

Your Answer: Correct


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0 / 1 point
182. Swelling; foul odor; purulent discharge:

a. Omphalagia

b. Omphalitis

c. Omphalocele

d. Umbilical hernia

Your Answer: Incorrect


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183. To prevent the child from getting ophthalmia neonatorum the
midwife performed a preventive measure known as:

a. Sterilization technique

b. Crede’s prophylaxis

c. Eye irrigation

d. Eye washing

Your Answer: Correct

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184. In Crede’s prophylaxis, silver nitrate 1% is applied:

a. From the outer to inner canthus

b. Direct on the cornea

c. On the conjunctival sac

d. From upper to lower lid

Your Answer: Incorrect


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185. 1.The newborn developed eye redness after administration of
Silver Nitrate. The mother is concerned. To allay her fears, the midwife
tells the mother:

a.The doctor can prescribe a medication to remove the redness

b.The baby’s eye infection is responding to the silver nitrate

c.Silver nitrate is not compatible with the baby and another drug will be
given to ensure that the baby is protected against eye infection

d.It is a normal self-limiting reaction to the drug and no treatment will be


necessary.

Your Answer: Correct


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1 / 1 point
186. Vitamin K is given to the baby after birth to prevent:

a. Goiter

b. Jaundice

c. Night blindness

d. Bleeding

Your Answer: Correct


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187. Which of the following factors is most often associated with low
birth weight?

a. Maternal use of cigarettes

b. Maternal malnutrition

c. Placenta abnormalities

d. Multiple gestation

Your Answer: Correct


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1 / 1 point
188. A mother asked the midwife how she would know that her three-
month old baby is growing normally. The midwife answers the mother
that:

a.The baby does not get sick often

b.The mother and baby are happy together

c.The baby sleeps well through the night

d.The baby has steady weight gain

Your Answer: Correct


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189. The initial assessment of the newborn temperature is taken by:

a.Rectal technique

b.Axillary

c.Using digital temperature

d.Any method maybe used.

Your Answer: Correct


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1 / 1 point
190. As you assess the newborn, you check his vital signs. You take
the admission temperature rectally primarily in order to:

a. Determine rectal patency

b. Obtain the most accurate baseline data

c. Stimulate peristalsis & meconium passage

d. Assess for the presence of meconium plug

Your Answer: Correct


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191. The normal cry of the newborn is:

a. Lusty, frequent

b. high pitched

c. Trembling

d. Loud continuous

Your Answer: Correct

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192. The next priority in the care of a newborn who has a loud and
lusty cry and is pink all over is:

a.Provision of vitamin K and Crede’s prophylaxis

b.Maintenance of body heat

c.Prevention of injury and hemorrhage

d.Initiation of bonding

Your Answer: Incorrect


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193. In taking the vital signs of children, which is taken first?

a. Temperature

b. Blood pressure

c. Respiratory rate

d. Cardiac rate

Your Answer: Correct

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194. When assessing a newborn, the midwife notes several areas of
raised white spots on the chin and nose. The midwife is aware that these
are known as:

a. Milia

b. lanugo

c. vascular nevi

d. erythema toxicum

Your Answer: Correct

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195. When the midwife brings a newborn to the mother, the mother
comments about the milia on the baby’s face. The midwife should:a.

a. Tell her that they are common and will clear up in 2 to 3 days.
b. Instructing her to avoid squeezing them or attempting to wash them off
c. Instruct her about proper hand washing, since the milia can be
infectious
d. Explain that these are birthmarks that will disappear within a few
months.

Your Answer: Incorrect

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196. Which of the following is not in accordance with modern concepts
of child care?

a. Vernix caseosa is removed by 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. No attempt is made to remove the vernix caseosa which adheres to


the skin and has protective value

Your Answer: Incorrect


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197. 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

Your Answer: Incorrect


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198. The hallmark of adolescence is:

a. Obesity

b. Acne vulgaris

c. Fear of death

d. Desire to be independent

Your Answer: Correct

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1 / 1 point
199. Which of the following is priority of midwife to monitor in an infant
born to a mother who has diabetes mellitus

a. Hypoglycemia

b. Rh sensitization

c. ABO incompatibility

Hypothermia

Your Answer: Correct

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200. 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.

c. In the first 24 hours of life.

d. When a family history of neonatal jaundice exists

Your Answer: Correct


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