FUNDAMENTALS OF HEALTH CARE

INSTRUCTION : Select the answer for each of the following questions. Mark only one answer
for each item by shading the box corresponding to the letter of your choice on the answer sheet
provided. STRICTLY NO ERASURES ALLOWED. Use pencil no. 1 only.

1. Which is not correct in the preventive and relief measure of nausea and vomiting?
a. take crackers toast in small amount in the morning
b. takes small frequent meals if tolerated.
c. avoids eating salty and fatty foods.
d. decreases fluid intake

2. The following are harmful substances found in smoking cigarette EXCEPT

a. carbon monoxide
b. tar
c. narcotic
d. nicotine

3. Birth spacing can reduce maternal deaths. It should be at least how many years intervals of
having another pregnancy?
a. 4 years
b. 3 years
c. 1 year
d. 2 years

4. Which of the following preventive measures is appropriate when a client is withdrawing

from alcohol?
a. encourages exercise.
b. assess hydration and offer fluids if dehydrated.
c. gives stimulants like coffee or tea.
d. provides destructions like television, radio etc.

5. The responsibility of the midwife in the Labor Room in the lying-in clinic is.
a. monitoring the vital signs/ F.H.B./ progress of labor.
b. attending delivery
c. postpartum lecture
d. cord dressing management

6. What is the frequency of a home visit to a 5-month pregnant mother with hypertension?
a. weekly
b. monthly
c. daily
d. as often as necessary
7. The term applied to a condition in which there is evidence and crave for a narcotic or other
habit-forming drug is.
a. drug administration
b. medication
c. addiction
d. loss of drug potency

8. What should be the first action of the midwife in case of postpartum bleeding?
a. measure the height of the fundus
b. checks the vital signs.
c. feels the firmness of the fundus.
d. checks the blood pressure.

9. In case of postpartum bleeding, which is the recommended position to be assumed?

a. Fowler's
b. Sim's
c. prone
d. Trendelenberg

10. The following are classifications of fever, EXCEPT

a. stadium
b. continuous
c. remittent
d. intermittent

11. The doctor's order which is carried out indefinitely until cancelled by another order is.
a. standing
b. self-terminating
c. PRN
d. STAT

12. The following are causes of perineal laceration EXCEPT

a. difficult forceps deliveries
b. rapid and sudden expulsion of fetal head
c. proper coaching of the parturient to bear down.
d. excessive size of the fetus

13. Which of the following family planning methods is an injection given to prevent pregnancy
for several months?
a. foam
b. depo-provera
c. pills
d. IUD
14. The thermometer is cleaned after used in which of the following procedures?
a. using wet cotton balls with soap upward.
b. using cotton balls moistened with warm water downward.
c. using wet cotton balls with soap downward spiral motion.
d. using dry cotton balls upward.

15. If the injection is given deep into the muscles in the needle is approximately 45 degrees
position perpendicular to the site of injection, the route of injections.
a. oral
b. intramuscular
c. intradermal
d. subcutaneous

16. The following are obstetrical compilations that causes maternal mortality, EXCEPT

a. infection
b. metabolic diseases
c. hemorrhage
d. pregnancy-induced hypertension
17. Which of the following techniques is applied in the delivery of the placenta?
a. burns-Marshall
b. lovesett-maneuver
c. ritgen
d. brandt-andrews

18. The following vein is used for giving parenteral fluid injection in babies.
a. basilic vein
b. scalp vein
c. saphonious vein
d. medium cephalic vein

19. Which is NOT true regarding perineal shaving procedure?

a. it should be painted or swabbed with antiseptic solution.
b. razor should be removed against the direction of hair growth.
c. the area should be clean with soap and water.
d. pubic hair should be shaved.

20. Which type of water examination is done to know the kind and amount of microscopic life
determined by laboratory technique?
a. bacteriological
b. biological
c. chemical
d. physical
21. The examination of the outcome of a chosen action in terms of its success in meeting the
objectives of intervention is.
a. intervention
b. baseline of evaluation
c. evaluation
d. assessment

22. BCG vaccine is given during infancy to prevent which of the following diseases?
a. hepatitis B
b. polio
c. cholera
d. tuberculosis

23. Dangers of pregnancy at young age below 20 and 35 years old include the following
complications, EXCEPT
a. ectopic pregnancy, hydatidiform mole
b. toxemia, hypertension
c. miscarriage, stillbirth
d. hemorrhage, anemia

24. What is the degree of burns if it is deep and severe that destroys the skin and exposes raw
and charred flesh?
a. second
b. third
c. fourth
d. first

25. Tubal ligation is a simple 15-minute procedure done by a trained surgeon wherein the
fallopian tubes are cut and closely tied. What is its purpose?
a. prevents the union of the egg with the sperm.
b. help couples appreciate women's fertility patterns.
c. suppresses ovulation.
d. prevents the sperm from entering the vagina.

26. The following statements are early recognition of pre-eclampsia, EXCEPT

a. no edema
b. rise of blood pressure of 140/90
c. proteinuria
d. rapid weight gain – 2 pounds a week
27. Softening of the cervix at the 4th week of gestation is _____.
a. Chadwick's sign
b. Hegar's sign
c. Calkin's sign
d. Goodell's sign

28. Which is NOT true in the delivery of the placenta by the Duncan mechanism?
a. reddish maternal side out first
b. rough dirty
c. less external bleeding
d. umbrella shape

29. The placenta is to be delivered within how many minutes after the delivery of the baby?
a. 10
b. 5
c. 30
d. 15

30. An injury to a muscle that results from over-stretching is called.

a. fracture
b. strain
c. dislocation
d. sprain

31. Which of the following instructions is a preventive measure for pruritus vulvae?
a. avoid constipation
b. increase calcium intake
c. proper hygiene
d. hot sitz-bath

32. If the pulse is felt at the wrist, which artery is involved?

a. femoral
b. temporal
c. carotid
d. radial

33. Which is not true regarding, cleaning the skin prior to immunization?
a. use sterile water
b. use 70% alcohol
c. use antiseptic
d. use cotton with spirit of ammonia
34. A relatively permanent modification or change in behavior as a result of practice and
experience.
a. insight
b. communication
c. learning
d. instinct

35. Which kind of bed is made and designed to protect the sheets from dust and have a neat and
tailored appearance ready for use by the newly admitted patient?
a. unoccupied
b. obstetrical
c. orthopedic
d. ether

36. These are qualities of a patient's record that could be acceptable as legal documents,
EXCEPT
a. no erasures
b. factual and accurate
c. legible
d. typewritten

37. Which is NOT included in the following effects resulting from the use of inhalants?
a. drunkenness with growing depression
b. irritation of respiratory passages
c. initial excitement resulting from release of inhibitions
d. increase appetite

38. Which method of family planning is considered a long-acting injectable contraceptive?

a. Depo-Provera
b. vitamin K
c. Syntocinon
d. methergine

39. Which is considered as danger in giving intramuscular injection into the wrong area?
a. bluish discoloration of the area
b. poor absorption of the drug
c. damage to the sciatic nerve
d. edema

40. The female mechanical barrier as a family planning method

a. pills
b. IUD
c. condom
d. diaphragm
41. An educational process of determining the fertile and infertile periods of a woman by
observing physiologic signs and symptoms of the menstrual cycle so that the intercourse may
be timed to avoid pregnancy is _____.
a. pills
b. natural family planning
c. vasectomy
d. tubal ligation

42. If a midwife encounters a vaginal bleeding case in the first trimester of pregnancy, what
should she do first?
a. save the used pad of the patient
b. maintain mother in complete bed rest.
c. prepares for transport to the hospital.
d. put the patient in a Trendelenburg position.

43. The method used in the complete destruction of paper cups, bags, soiled dressing is by
a. radiation
b. incineration
c. filtration
d. open flame

44. The care and supervision rendered to a pregnant mother throughout pregnancy is
a. mother and newborn care
b. post-partum care
c. personal hygiene
d. prenatal care

45. The height of the fundus of a postpartum client can be determined by

a. auscultation
b. percussion
c. inspection
d. palpation

46. Which is the normal frequency of breathing in women per minute?

a. 16 to 18
b. 18 to 20
c. 20 to 22
d. 21 to 23

47. The long axis of the fetus parallel to the long axis of the mother's uterus is
a. oblique lie
b. fetal attitude
c. longitudinal lie
d. transverse lie
48. When the examiner palpates both sides of the mother's abdomen to determine the fetal back
and extremities of the fetus. What step of Leopold's Maneuver was applied?
a. fourth
b. second
c. first
d. third

49. The following statements are essential carriers during puerperium, EXCEPT
a. encourage mixed feeding
b. provide physical and psychological comfort
c. encourage early ambulation
d. promotes bowel and bladder functions.

50. Water temperature of sitz bath during puerperium to relieve episiotomy wound is how many
degrees centigrade?
a. 37. 5°C
b. 38°C to 42°C
c. 37.5 ° C to 42°C
d. 37.5°C to 40°C

51. Which is FALSE in the delivery of fetal head by modified Ritgen's maneuver?
a. to conserve perinium by preventing laceration
b. to let her push down with her strong effort
c. to form extension of the head
d. to regulate the delivery of head

52. Bleeding complications and grand multiparity belong to what group of high risk factors?
a. current obstetrical status
b. medical history
c. poor obstetrical history
d. socio-economic factor

53. These are common sites for obeying pulse, EXCEPT:

a. radial artery
b. facial artery
c. temporal artery
d. pulmonary artery

54. The examination which involves the sense of touch to feel or press the body is called _____.
a. auscultation
b. percussion
c. inspection
d. palpitation
55. Which method of sterilizing cord dressing sets is utilized in a home delivery?
a. soaked in betadine solution
b. steaming
c. autoclave
d. dry heat

56. If the restoration of a person is repeated sequences of deep gasps and apnea the term is
_____.
a. biot's
b. Cheyne-stokes.
c. apnea
d. eupnea

57. Which is NOT correct in the preventive and control measures of red tide poisoning?
a. avoid eating alamang and small fishes
b. do not eat shellfish.
c. removes the skin of shrimps.
d. wash thoroughly and remove the gills and intestines of fish, squid, and crabs.

58. Inspection of the placenta is done after expulsion to see the completeness. How many
cotyledons does the placenta contain?
a. 10 to 12
b. 15 to 20
c. 18 to20
d. 10 to 15

59. The following are management and treatment of leprosy EXCEPT

a. confinement on hospital
b. lecture/health education
c. ambulatory chemotherapy through use of multi-drug therapy
d. domiciliary treatment

60. Asepsis which is directed at the control of the environment to protect the patient is _____.
a. surgical asepsis
b. medical asepsis
c. isolation technique
d. delivery room technique

61. Which is removed and destroyed during the process of sterilization ?

a. infections
b. pathogens
c. non-pathogens
d. microorganisms
62. Which of the following periods of protection is the timetable of tetanus toxoid 3 during
pregnancy?
a. 10 years
b. 5 years
c. 3 years
d. 4 years

63. The parturient is encouraged to void at least every how many hours?
a. 4
b. 1
c. 3
d. 2 to 3

64. Abuse of hallucinogen produces the following physical effects, EXCEPT

a. bluish discoloration
b. fever
c. increase activity through its action on the central nervous system
d. increase heart rate and blood pressure

65. The position to be assumed by a postpartum client when giving perineal care in bed is
a. Fowler's
b. Prone
c. Sim's
d. Dorsal recumbent

66. The method used to sterilize ponders, special a petrolatum gauze dressing and other items
that would be damage by stem or water is
a. moist heat
b. boiling
c. boiling sterilization
d. dry heat sterilization

67. The following statements are reasons for giving hepatitis B immunization to infants EXCEPT
a. reduce the chance to be a carrier
b. reduce the chance of being infected with hepatitis B
c. to give an early start of hepatitis B
d. to have hepatitis B immunity

68. When the examiner makes deep pressure with both hands, one on either side of the lower
abdomen to feel the cephalic prominence Leopold's maneuver is.
a. fourth
b. first
c. second
d. third
69. Mother became tired and weak after 5 successive yearly pregnancy. Which kind of high risk
factor does she belong?
a. multiparity
b. preterm
c. height
d. post term

70. Which of the following vectors transmits hemorrhagic fever?

a. snail
b. bite of an infected mosquito
c. anapole's mosquito
d. aedes aegpti

71. How many pounds is the ideal weight gain of a pregnant mother every week?
a. 1 lb
b. 2 lbs
c. 0.25 kg
d. 1 lb.

72. After the expulsion of the placenta, which of the following drugs is injected to prevent
bleeding?
a) anti-anemia
b) n. methergine
c) Vitamin C
d) Vitamin K

73. Watching for signs of involution of the uterus is done during.

a) prenatal
b) puerperium
c) fourth stage of labor
d) during delivery

74. According to the mechanisms of labor, the mechanism by which the greatest diameter of the
fetal head passes through the pelvic inlet is _____.
a. descent
b. extension
c. flexion
d. engagement

75. Asepsis which is directed at the control of the environment to protect the patient is _____.
a. medical asepsis
b. delivery room technique
c. isolation technique
d. surgical asepsis
76. The most efficient sterilization agent for sterilizing surgical bandages, instruments, and
contaminated materials is by _____.
a. radiation
b. moist heat
c. boiling
d. dry heat

77. The following conditions are the purposes and effects of heat therapy, EXCEPT _____.
a. increased metabolism
b. dilated blood vessels
c. promotes comfort to patients
d. delayed healing of wounds

78. An easy and normal respiration is termed.

a. eupnea
b. dyspnea
c. orthopnea
d. polypnea

79. An abnormal condition characterized by an elevated above normal body temperature is

a. remittent fever
b. continuous fever
c. fever
d. intermittent fever

80. To expel flatus or gas pain, which kind of enema is recommended by the doctor?
a. astringent
b. carminative
c. anthelmintics
d. cleansing

81. If a client is 2 days postpartum, what is the frequency of a home visit?

a. 3x a week
b. everyday
c. weekly
d. 2x a week

82. The landmarks in performing Leopold's Maneuver are the following EXCEPT _____.
a. symphysis pubis
b. xiphoid process
c. umbilical area
d. mons veneers
83. For severe bleeding on an open arm wound, which procedure must be used?
a. pressure over femoral artery
b. pressure over arterial artery
c. pressure over brachial artery
d. pressure over carotid artery

84. The following drugs are example of depressants EXCEPT _____.

a. pentobarbital
b. oxytocin
c. secobarbital
d. Phenobarbital

85. The following conditions are minor discomfort of pregnancy, EXCEPT _____.
a. pica
b. coughs and colds
c. ptyalism
d. heartburn

86. Which method of family planning is safe for breastfeeding mothers as it does not interfere
with the normal flow of milk?
a. D.M.P.A
b. Norplant
c. IUD
d. pills

87. Aseptic procedures in handwashing, as well as care of instruments, thermometers, syringes,

needles, and other equipment, are examples of _____.
a. surgical asepsis
b. isolation
c. medical asepsis
d. delivery room technique

88. The aseptic technique used for both physical and chemical methods to control
microorganisms as a general cleanliness measure is by
a. delivery room technique
b. surgical asepsis
c. medical asepsis
d. isolation

89. If the characteristics and color of the lochia are yellowish white. It is classified as _____.
a. Linea alba
b. lochia rubra
c. lochia serosa
d. lochia alba
90. Which is NOT included in the abnormalities of lochia?
a. offensive odor
b. lochia alba disappears within 10 to 14 days
c. excessive amount
d. pieces of placenta membrane

91. The following are reasons of changing body positions of bedridden patient, EXCEPT:
a. prevent pneumonia
b. to prevent bedsores
c. prevent bleeding
d. prevent contractures

92. Which of the following is the sterilization method of family planning?

a. IUD, pills
b. tubal ligation, vasectomy
C. jelly, foam
d. cervical mucus, BBT

93. The following are important points to be considered in rectal temperature-taking, EXCEPT:
a. it should be lubricated
b. the thermometer should be washed with soap and lukewarm after use.
c. does not leave the patient with a rectal thermometer in the rectum
d. it is taken in infants, and children under 10 years of age.

94. Which of the following parameters is NOT TRUE in taking fetal condition during labor?
a. rhythm regular or irregular
b. rate of breath per minute
C. location
d. APGAR score

95. The sinking of the fetal resenting part into the pelvic inlet which occurs 2-3 weeks before
term is:
a. lightening
b. labor pains
c. show
d. ripening of the cervix

96. Which of the following is the required amount of urine in testing albumin?
a. ½ full
b. ¼ full
C. 2/3 full
d. 1/3 full
97. The prevention and control of disease by eliminating the environmental factors which limits
in diseases transmission is:
a. refuse disposal
b. water supply sanitation
C. environmental sanitation
d. excreta and sewage

98. Which of the following is NOT the purpose of giving patients bath?
a. it gives comfort and relaxation
b. it is only applicable to the bedridden patients
C.it promotes body circulation
d. it cleanses the body

99. Which of the following methods of prevention and control is NOT true in hemorrhagic fever?
a. isolation of patient
b. destroy breeding places
c. eliminate vectors
d. avoids eating contaminated food.

100. These are precautions that a midwife should observe in order to prevent infection while
attending to home delivery EXCEPT:
a. preparation of patient by emptying bowels, and shower bath
b. sterilization of instruments by soaking in Lysol solution for 1 minute
c. wearing cup, mask, und clean gown
d. cleanliness of the room where the patient will deliver and privacy