MIDWIFE LICENSURE EXMANINATION

FUNDAMENTAL OF HEALTH CARE

1. During delivery, which of the following aseptic technique procedures is applied to prevent tetanus neonatorum?
a. Puerperal care c. Proper management during 4th stage of labor
b. Care of the breast d. Cord care

2. Which of the following is/are the effects of cold application in pain felt by the patient
1. It produce numbness
2. Acts as counter irritant
3. Increase pain threshold
a. 1 & 3 only c. 2 only
b. 3 only d. 1, 2 & 3

3. To promote rest and sleep which of the following measure is appropriate except
a. Establish a regular bed and wake-up time
b. Heavy or spicy food can be served
c. Decrease fluid intake 2 4 hours before sleep
d. Ensure appropriate lighting and ventilation

4. Which of the following preventive measures is appropriate when a client is withdrawing from alcohol?
a. Assess hydration and offer fluids if dehydrated
b. Provide destruction like television, radio, etc.
c. Give stimulants like coffee or tea
d. Encourage exercise

5. Tapid sponge bath is beneficial to the superficial vessels because it

a. Constrict and pressure heat
b. Dilate and pressure heat
c. Constract and release heat
d. Dilate and release heat

6. Which is the best perineal care technique while the patient is on bed?
a. Up down c. Down up
b. Rotating d. Sideward

A
 7. If which of the following is a subjective symptom?
a. Abdomen is firm and distened
b. Bluish discoloration of skin
c. Client cried during interview
d. Head ache and dizziness

8. Preparing birth plan during the first prenatal visit is most helpful because:
a. Succeeding visits can be review as stated in it
b. Her companion during labor, delivery and after birth will be known
c. Name of person who will care for her at home will be notified/advised
d. It has emergency preparedness measure

9. It involves striking principles in perineal draping is the best to achieve aseptic technique
a. Inspection c. Manipulation
b. Percussion d. Auscultation

10. Which of the following principles in perineal draping is the best to achieve aspetic technique?
a. Drape the incisional area first and then periphery
b. When sterility of a drape is questionable consider it contaminated
c. Draping must start to the nearest area
d. Do not flip, fan or shake drapes

11. In applying heat or cold application, which of the following is not acceptable?
a. Do not allow the client to move an application or place hands on the wound site
b. Don not place the client in a position that prevents movement away from the temperature source
c. Do not leave unattended a client who is unable to sense temperature
d. Do not keep the call light within the client`s reach

12. If the patient has nose bleeding, which of the following is the best initial intervention?
a. Pack soft cloth on his nose
b. Set the patient down leaning forward
c. Pinch the soft part of his/her nose for 10 minutes
d. Ask the patient to breath through his mouth

13. During postpartum which of the following direction is properly used in giving vulvar care?
a. From posterior to anterior
b. From anterior and posterior
c. From anus to vulva
 d. Side to side

14. What is perhaps the single most important and effective measure to prevent nosocomial infection and anti-
microbial resistance in hospital setting?
a. Clean surrounding c. Sterile room
b. Using facial mask d. Hands hygiene

15. This plan must be with emergency preparedness measures during pregnancy:
a. Health plan c. Birth plan
b. Family planning d. Assessment plan

16. If a subcutaneous injection is ordered, into which level of tissues must the solution be released?
a. Dermis c. Epidermis
b. Vein d. Muscles

17. After delivery, your patient complains of severe” after pains” what will be your immediate relief measure?
a. Place abdominal binder
b. Place patient in semi-fowler`s position
c. Apply perilamp to lessen pain
d. Put ice cap to over hypogastrium

18. Prior to catheterization, the midwife may induce urination by______

a. Furosemide- IM c. Cystostomy
b. Hot sitz bath d. Opening the sink faucet

19. The patient is in shock and first aid must be done. Your care must be the following except to:
a. Improve circulation of blood
b. Ensure an adequate supply of oxygen
c. Maintain normal body heat
d. Maintain patient`s position

20. Laboratory examinations sexually transmitted diseases (STD) are the following EXCEPT:
a. Urinalysis
b. SGPT, SGOT
c. Culture a sensitivity test
d. Vaginal and urethral smear

B
 21. How will you position the patient who wants to promote stomach emptying?
a. Semi fowler`s c. Fowler`s
b. Back lying d. Reverse trendelenberg

22. Tetanus toxoid 4 (TT4) is given at least one year after TT3, infats born to the mother will be protected from
neonatal tetanus and will give how many years of protection for the mother?
a. 10 c. 5
b. 3 d. Lifetime

23. Taking BP is a routine procedure during prenatal check-up in doing so how much of her upper arm
circumference should be covered by the cuff?
a. Two third c. Entire upper arm
b. Three fourth d. One-third

24. Steam inhalation is advised if our patient has cold and cough because it______
a. Stimulate coughing
b. Loosen non-pharyngeal secretions
c. Relieves dyspnea
d. Relieves pain

25. Which of the following in needed to immobilized fracture?

a. Pain reliever c. Splint
b. Bandage d. Ointment

26. Function of this system is to maintain the fluid and electrolyte balance of a body:
a. Cardiovascular c. Urinary
b. Circulatory d. Respiratory

27. Applying hot water bag is one of the procedures w/c midwife should know arrange the following according to
step-by-step application
1. Dry the bag and hold it upside to test for leakage
2. Fill the bag about 2/3 full
3. Wrap the bag in a towel or cover and place on the body site
4. Expel the remaining air and secure the top
5. Measure the temperature of the water
6. Remove after 30 minutes or in accordance with agency protocol
a. 2, 5, 1, 4, 3, 6 c. 5, 2 ,4, 1, 3, 6
b. 1, 4, 2, 5, 3, 6 d. 5, 1, 2, 3, 4, 6
C

28. lactational amenorrhea method (LAM) is guaranted to prevent pregnancy for six months from birth. It will no
longer be an effective family planning method if there is/are absence of this criteria
1. exclusive breastfeeding
2. if menses has not returned yet
3. child is less that 6 months old
a. 2 & 3 only c. 1 only
b. 1, 2 & 3 d. 1and 2 only

29. During labor which of the following is not a parameter in taking fetal condition?
a. APGAR score c. Location
b. Rhytm d. Fetal heart rate

30. Which of the following statements about diarrhea in children is INAPRROPRIATE?

a. Zinc is essential for diarrhea treatment and prevention
b. Anti-emetics are not recommended
c. Vitamins A can be given during the episode
d. Children receiving semi-solid or solid food should not continue with their usual dine

31. Fowler`s is the best position to be assumed of the patient suffering from respiratory problem because it_______
a. Promotes lung expansion
b. Promotes gastric emptying
c. Is used for postural drainage
d. Ensures safety and comfort

32. Which of the following physiologic changes of pregnancy is the possible cause of nausea and vomiting?
a. Reflex of acidic secretion
b. High levels of human chronic gonadotropine
c. Altered stomach position
d. Increased gastric motility

33. A primigravida came in for prenatal check-up on May 20, 2015 if her LMP was on February 26, 2015 find her
AOG.
a. 11 weeks and 2 days c. 10 weeks and 5 days
b. 11 weeks d. 12 weeks and 1 day
 34. What is the position of a patient placed of a bed pan?
a. Darsal recumbent c. Supine
b. Lithotomy d. Knee-chest

35. To prevent chill while giving bed bath, which of the following measures is INAPPROPRIATE?
a. Dry only the selected parts
b. Bathing small areas one at a time while other parts of the body are covered
c. Avoid unnecessary exposures
d. Close door and windows to avoid drafts

36. Which of the following statements about breastfeeding is not appropriate?

a. Woman who have vaginal delivery can breastfeed
b. Most women with nipples that appear flat or inverted must refrain from breastfeeding
c. Nearly every woman can breastfeed her child
d. Woman who have ceasarian delivery can breastfeed

37. The best heat application to a swollen vulvae with sufured laceration is_______
a. Heating through chemicals c. Hot water bag
b. Hot moist compress d. Electric heating pads

38. Which of the following principles in giving massage of back and buttocks of the patient is inappropriate?
a. The patient should be in a comfortable position
b. The hand of the midwife should be relaxed
c. Can be applied to the parts which are edematous and painful
d. Heat if applied before the massage will exchange its action

39. What is the best way to keep the baby warm right after delivery?
a. Skin to skin contact with the mother
b. Cover the baby head with a cap
c. Thoroughly dry the baby
d. Use hot water bottles

40. Poisoning by swallowing has the following interventions EXCEPT:

a. The person should be rolled into the right side and remain there while waiting for medical help
b. Do not make the patient throw up unless told to do so by health professional
c. Keep the person comfortable
d. Check the victim`s airway breathing and pulse
D

41. The following statement about sprain are true, EXCEPT

a. Torn ligaments is damage to one or more in a joint
b. Warming-up is a common cause of sprain
c. Fatigue of muscles generally leads to sprain
d. It occurs when the joint is taken beyond its range of motion

42. The following are diseases caused by viruses except_____

a. Leprosy c. Chicken pox
b. Rabies d. Parotitis

43. Pregnant woman who drinks 1 quart of milk daily gives her large amount of:
a. Vit. B12 and Niacin c. Vit. C and protein
b. Riboflavin and vitamin A d. Thiamine and B6

44. Occurrence of constipation during the latter half of pregnancy are due to the following EXCEPT:
a. Relaxing effect of estrogen
b. Insufficient intake of fiber, thiamine and fluids
c. Pressure exerted by developing fetus on the digestive tract
d. Limitation of exercise

45. Which of the following advises is appropriate if patient is experiencing slight vaginal bleeding in the first
trimester of pregnancy?
a. Complete bed rest
b. Put patient in trendelenburg position
c. Save used pad of the patient
d. Refer to the doctor

46. A midwife can evaluate the descent of the fetal head though the following EXCEPT:
a. Know its station c. Auscultation
b. Vaginal examination d. Abdominal palpation

47. during exertion or at rest, this type of musculoskeletal injury occurs

a. strain c. stiff muscles
b. sprain d. muscle cramps =

48. More than 160 or less that 120 FHR may indicate______.
 a. Abnormal presentation c. Mother have twins
b. Baby is a live d. Muscle cramps

49. Which of the following manifestations is NOT objective symptom?

a. Jaundice
b. Cyanosis
c. Pain
d. Bleeding

50. Air hunger respiration is termed:

a. Chyne-strokes c. Biot`s
b. Stertorous d. Combined contraceptive

51. In order to prevent the spread of STD especially for woman who has several partners, a midwife can advice her
to use?
a. Modern c. IUD
b. Condom d. Combined contraceptive

52. A patient is in stage of convalescence, what is the best position to assumed?

a. Fowler`s c. Sitting
b. Supine d. Trendelenberg

53. In planning a good nutrition of a pregnant woman, which of the following is INAPPROPRIATE?
a. Good nutrition is important for infant too.
b. Caffeine intake should be limited to 3 cups per day
c. Pregnancy increases the need for proper nutrients
d. Proper nutrition will enhance lactation

54. During physical examination of a pregnant prenatal visits because we want to

________.
a. Percussion c. Palpation
b. Inspection d. Manipulation

55. Pelvic examination is included during prenatal visits because we want to___
a. Determine the alstricity of perineal
b. Measure the size of the uterus and pelvis
c. Calculate adequacy of the passive
 d. Observe any changes

56. When respiratory rate per minutes is below 12 and above 40 continously it is considered dangerous symptom.
Which of the following is the average rate of children per minute?
a. 30 to 35 c. 20 to 25
b. 18 to 20 d. 16 to 18

57. To ease back pain of a pregnant woman, what is the best position to assumed?
a. Fowler`s c. Semi-prone
b. Sitting d. Supine

58. Which of the following si the reason why vital signs of the patient is necessary for the doctor?
a. The physician need this data
b. This reflect alteration in body function
c. For recording purposes
d. It is a routine procedure

59. You can check if the IV fluid is in place with the following procedure/s.
1. Push sterile water to unclog with a syringe
2. Coil the tube and press hard
3. Lower IV bottle to check back flow
a. 2 only c. 1 only
b. 1 & 3 only d. 1, 2 3

60. A pregnant woman afflicted with heartburn can be given which kind of antacid?
a. Milk of magnesia
b. Aluminum hydroxide
c. Magnesium hydroxide
d. Sodium bicarbonate

61. Increasing condition of uterine contraction refer to which phase?

a. Increment c. Decrement
b. Intervals d. Acme

62. Certain condition predisposes a woman to be at risk during pregnancy which of these is true?
a. Pale or with severe anemia
b. Age less than 21 or greater than 40
 c. Second and third pregnancy
d. Pregnancy within 24 months from previous delivery

63. If after 8 hours of labor and no progress in cervical dilation but contractions are stronger and more frequent
what is the immediate and best measure to be done
a. Do I.E every 2 hours to assess condition
b. Refer patient urgently to the hospital
c. Insert IV fluids with oxygen
d. Give medication to speed up labor

64. Taking the arterial pulse of either side of the neck is at______
a. Carotid c. Brachial
b. Femoral d. Radial

65. Taking body temperature per rectum is appropriate for patient with_______
a. LBM c. Hemorrhoids
b. Rectal surger d. Fever

66. Which of the following is a condition due to imperfectly oxygenated blood in the capillaries?
a. Orthopneic c. Dyspnea
b. Cyanosis d. Jaundice

67. Which of the following anatomical factors is not to be considered in catheterization?

a. Vaginal canal c. Urethra
b. Meatus d. Bladder

68. Which of the following statements about pulse is not true?

a. Form young age, it increases with very old age
b. More in females than In males
c. It is higher in children
d. Slower in tall persons than in short ones

69. What is the doctor`s order which is to carried out indefinitely until cancelled by another order?
a. PRN c. Standing
b. As directed d. Stat

C
 70. Which of the following purposes or bathing indicate that movement of the extremities during the procedure
maintains joint function?
a. Cleansing the skin
b. Promotion of range motion(ROM)
c. Stimulation of circulation
d. Improved self-image

71. Q.O.D simply means:

a. Every hour c. Every other day
b. 4x a day d. Every 4 hours

72. To stimulate uterine contraction the best drug is_______?

a. Oxytocin c. Antibiotics
b. Antacid d. Analgesic

73. Which method of examination requires systematic observation?

a. Percussion c. Auscultation
b. Inspection d. Manipulation

74. The most efficient sterilization agent for sterilizing surgical bandages, instrument and contaminated materials is
___________.
a. Fumigation c. Chlorine disinfection
b. Boiling d. Moist heat

75. A patient is admitted in your ward and it is your duty to obtain her obstetrical history your first responsibility as
an interviewer should bo to:
a. Determine her credibility c. Put patient at ease
b. Obtain subjective data d. Complete patient`s chart

76. What is the frequency of home visit to a pregnant woman who has delivered 2-3 days?
a. 2x a week c. Every day
b. Weekly d. Every other day

77. Which of the following principles about after pains is inappropriate?

a. It usually felt after delivery
b. It promote return of the uterus to pre-gravid state
 c. It expel blood clots
d. It increases puerperal sepsis

78. How can you check involution?

a. Do internal examination c. Do physical examination
b. Assess fundic height d. Check lochia

79. Prior to catheterization, the midwife may induce urination by______.

a. Hot sitz bath c. Opening the sink faucet
b. Cystostomy d. Furosemide – IM

80. Which of the following postpartum care is appropriate?

a. Encourage mother to eat and drink high energy foods
b. Adult diapers can be used to catch postpartum blood
c. Keep watch closely for at least 2 hours
d. Always keep the mother and newborn together

81. To prevent the spread of microorganism which of the following is the most important measure?
a. Separating clean from contaminated materials
b. Wearing facial masks
c. Appropriate hand washing by the nurse and the patient
d. Gown worm by the nurse

82. Heat therapy is the best treatment to which of the following conditions?
a. Hemorrhoid c. Muscle spasms
b. Infections d. Minor burn

83. After giving injection intramuscularly the part being injected had swollen, what is the best measure or
application?
a. Ice cold water c. Apply ointment
b. Hot or warm compress d. Cold & warm compress alternately

84. Which of the following first aid treatment of sprain is not advisable?
a. Bandage should be used to immobilized
b. Prolonged part should be rested
c. Sprained part should be rested
d. Keep the sprained joints elevated
A

85. A person who harbors microorganisms and capable to transmit them before symptoms appear is
________carrier.
a. Healthy c. Incubation
b. Chronic d. Convalescent

86. The following statement about pulse are true, except

a. The thumb should not be used to locate client`s pulse because it has own pulse
b. Pressing too hard obliterates the pulse
c. Normally, the pulse has a regular rhythm or an equal interval between each beat
d. Elderly persons may have slightly lower rates than middle aged adults

87. Which of the following is disadvantage of moist applications?

a. Prolonged exposure can cause maceration of skin
b. Compresses conform well to body area being treated
c. Moist heat penetrates deeply into tissue layer,
d. Reduces drying of skin and softens wound exudates

88. Which of the following is exempted to undergo pap smear?

a. Women aged 18-21 years old
b. Those with multiple partners
c. Those who had hysterectomy
d. Those who are sexually active

89. During the first stage of labor, which of the following positions evidently reduce the length of labor?
a. Prone c. Lying supine
b. Walking and upright d. Cheyne stoke

90. Which of the following cases where heat application is innapropriate?

a. Contusion c. Active hemorrhage
b. Inflamed wounds and bruises d. Open wounds

91. Which of the following statements about 1st degree burn is NOT true?
a. Blisters develop c. Painful
b. Skin reddened d. Heals within 3-4 days

92. Midwife wears gloves while providing care for the comfort of the patient because of the following reason`s
 1. To protect her hands from infection
2. To reduce the chance that her hands will transmit microorganisms to the client
3. To follow proper procedure of caring a patient
a. 1, 2 ,and 3 c. 2 and 3 only
b. 2 only d. 1 and 2

93. Tachycardia is best described as pulse rate which is________.

a. Week and difficult to feel
b. Greater than 100 beats per minute
c. Stronger than normal
d. Less than 60 beats per minutes

94. Medication to be given immediately and only once like Demerol is what type of medication order?
a. Standing c. One-time
b. Stat d. Prn

95. The following is/are intervention for strains and sprains

1. Ice or cold compress
2. Bandaging
3. Elevation of limb
a. 2 and 3 only
b. 2 only
c. 1 and 3 only
d. 1, 2 and 3

96. Magnesium sulfate is administered basically to_____.

a. Increase response to stimuli
b. Decrease neuromuscular irritability
c. Lower blood pressure
d. Reduce peripheral vascular resistance

97. A child has blisters on his feet caused by friction of his shoes, which of the following procedures is
INAPPROPRIATE to do?
a. Drain fluid and apply sterile dressing for protection
b. Blister is broken, treat like an open wound
c. Make a small hole at the base of the blisters with sterile needle
d. Wash the entire area with soap water

C
 98. Partograph is a tool to monitor progress of labor. While monitoring, you observed it passes alert line, what wil
be your most important initial action?
a. Alert transport sevices
b. Encourage upright position
c. Re-asses patient and consider criteria for referral
d. Manage first stage of labor

99. B Diet is one of the factors which affect sleep. Which of the following is innapropriate?
a. If bedtime snacks is necessary, consume only light carbohydrates
b. Increase fluid intake 2-4 hours before sleep
c. Avoid heavy meals 3 hours before bedtime
d. Avoid caffeine and alcohol

100. Which of the following statements about pregnant woman is true?

a. Hypertension in pregnant woman that starts during last trimester is called chronic HPN.
b. A pregnant woman with family history of diabetes and fetal date late in pregnancy maybe suffering from
diabetes mellitus
c. In pregnant woman, the diastolic BP is easily affected by stress or pain
d. A pregnant woman HPN and severe hypogastric pain is likely suffering from peptic ulcer.