MIDWIFERY LICENSURE EXAMINATION
Set B 1. The midwife midwife is prepari preparing ng a community community education education program program for hepati hepatitis tis B infection infection,, which of the following will be appropriate to incorporate into the teaching plan? a. Hepatitis Hepatitis B is relatively relatively uncommon uncommon among among college college students students b. Frequent ingestion of alcohol can predispose an individual to development of hepatitis B c. ood personal personal hygiene habits are most most effective effective in preventing preventing the the spread spread of hepatitis B d. The use of of condom condom s !d"sed !d"sed fo# se$u!% se$u!% nte#c nte#cou#s ou#see !. The system system for ensuri ensuring ng the potency potency of a vaccine vaccine from the the time of of manufacture manufacture to to the time it is to administrate to the child or pregnant woman is called the" a. #otency chain &. Co%d ch!n c. $$% d. Target &etting '. (hat are the the ! essential essential elements elements of the above above item? item? ). Targ Target et settin setting g and eligible eligible popula populatio tion n iv. iv. )). )). &urv &urvei eill llan ance ce and and studi studies es ))). ))). Trans Transpor porti ting ng and distri distributi buting ng )$. )$. *ssess *ssessmen mentt and evaluat evaluation ion $. &tor &torag agee and monit monitor orin ing g $). Functi Functions ons and +apabi +apabilit lities ies a. &. c. d.
) and ii I !nd " )ii and vi )i and iv
. (hich of the the following following is is not true about the the tuberculi tuberculin n test? test? a. )ts effect effect can can be e-plained e-plained by the antigen antigen antibody antibody reaction reaction by giving giving .1ml .1ml of purified protein derivative intradermally b. )t is a test for primary comple- or TB TB for children c. )f it is is posit positive ive,, B+ B+ is is not not given given d. Is nte#'#eted o# #e!d !fte# ()mnutes /. +arlo was was diagnosed diagnosed with TB TB To To ensure ensure the success success of treatment, treatment, which which is recommended? a. )ntensive )ntensive phase phase ! months, months, continuatio continuation n phase phase / months months &. Intens Intens"e "e 'h!se 'h!se * months+ months+ contnu contnu!to !ton n 'h!se 'h!se , months months c. )ntensive )ntensive phase phase months, months, continuatio continuation n phase phase months months d. )ntensive )ntensive phase phase months, months, continuati continuation on phase phase ! months months 0. (hich is not not a vector borne parasitic parasitic infestatio infestation? n? Page 1 of 14
a. -!#otts b. %alaria
c. ellow fever d. &chistosomiasis
2. (hile interviewing a prenatal client who came to the health center for her first chec3up, you found out that since the woman4s 5%# 0 months ago, she has not had any antenatal chec3up yet. ou categori6e this lac3 of prenatal care to the patient as" a. e!%th th#e!t b. foreseeable crisis c. Health deficit d. health need 7. Barangay 8no has a total population of 1/,999. How many midwives are needed? a. ( b. c. / d.0 :. The A- d!mete# of the n%et /he#e the fetus /%% %0e%1 encounte# the most dffcu%t1 du#n2 %!&o# is the" a. ;iagonal con
protection 1!. (hich law provides for mass provision of micronutrients through fortification of staples li3e flour, sugar and coo3ing oil? a. * :!77 c. * 197! d. RA 6789 b. * 2099 1'. )f a ;octor has an impression that a child suffers from #rotein @nergy %alnutrition, this comprise. a. %arasmus and Awashior3or c. %arasmus b. :/!sho#0o# d. &curvy
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1. Home Based %others ecord is a record used in rendering prenatal care in the community. ;anger &igns in pregnancy is located at what panel of HB%? c. -!ne% * a. #anel 1 b. #anel ' d. #anel
1/. *nterior assynclitism is defined as" !. The s!2tt!% sutu#e !''#o!ches the s1m'hss 'u&s b. The coronal suture approaches the sacral promontory c. The coronal suture approaches the symphisis pubis d. The sagittal suture approaches the sacral promontory 10. utrients are classified according to their structures. (hich among these is not a micronutrient? a. $itamin * c. )odine b. )ron d. Amno Acd 12. Fishy smelling cheesy white vaginal discharge with pruritus. ou suspect that Cudy may be infected with" a. Trichomonas c. syphilis d.mon%!ss b. gonorrhoea 17. How much vitamin * should be given on 1/ months old infant who have $itamin * deficiency? a. 199 999 )8 c. *)) ))) IU b. 19 999 )8 d. 99 999 )8 1:. )n preparing a primigravida for breastfeeding, which of the following will you do? a. Tell her that lactation begins within a day after delivery. b. Teach her nipple stretching e-ercises if her nipples are averted. c. )nstruct her to wash her nipples before and after each breastfeeding. d. E$'%!n to he# th!t 'uttn2 the &!&1 to &#e!st /%% %essen &%ood %oss !fte# de%"e#1. !9. Food which is not rich in iodine" a. &eafood b. #ce
c. seaweeds d. dried dilis
!1. )t is concerned with the study of factors that influence the occurrence and distribution of diseases, defects, disability or death which occurs in groups or aggregation of individuals. a. $ital statistics c. E'demo%o21 b. demographics d. Health &tatistics !!. (hich of the following term refers to diseases that occur occasionally and irregularly with no specific pattern a. S'o#!dc c. @ndemic b. @pidemic d. #andemic Page 3 of 14
!'. )f the child spits the =#$ vaccine administered, the midwife" a. &hould as3 the mother to return the child after !' days to give another dose of the =#$ vaccine &. Shou%d 2"e the ch%d !nothe# dose mmed!te%1 c. &hould not give another dose because =#$ vaccine is absorbed by the glands in the tongue after giving it d. &hould as3 the child if he swallowed the medication before giving another dose *,. %easles given at : months of age can give side effects of" a. (heal formation c. fe"e# !nd #!shes b. fever chills anemia d. convulsion
!/. (hich vaccines are mi-ed with diluents before use? a. Me!s%es !nd BC; c. measles and polio b. ;#T and TT d. TT and B+ !0. The vaccines most sensitive to heat are" a. ;#T, H@#* B c. B+ and TT b. O-< !nd Me!s%es d. B+ and measles !2. ou should place the refrigeratorsDfree6er at what distance away from the wall to allow good circulation and avoid continuous running of motor" a. 4* nches c. 19 inches b. 7 inches d. 0 inches !7. The vaccine that is derived from * recombinants? a. %easles vaccine c. e'!tts B "!ccne b. ;#T d. %easles $accine !:. (hich biological vaccine in should be stored in the free6er? c. O#!% 'o%o "!ccne !. #entavalent vaccine b. Hepatitis B vaccine d. B+
(). *);& brea3s down which of following systems of the human body? !. eproductive system c. mmune s1stem d. nervous system &. respiratory system (4. * commercial se- wor3er who is your neighbor requested for help regarding the laboratory test to detect H)$. (hich of the following test are you going to recommend? !. (idal c. Tine Test &. ELISA d. &chic3
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'!. The following are strategies implemented by the ;epartment of Health to prevent mosquitoborne diseases. (hich of these is most effective in the control of ;engue fever? a. &tream seeding with larvaeating fish &. Dest#o1n2 &#eedn2 '%!ces of mos=utoes c. +hemoprophyla-is of nonimmune persons going to endemic areas d. Teaching people in endemic areas to use chemically treated mosquito nets ''. * client who is 1!wee3s pregnant calls the prenatal clinic and states that she is bleeding and passed a few clots. &he is advised to come to the office for an e-amination. 8pon e-amination, she is to have passed the fetus but not the placenta. &he is admitted for a ; E +. (hich of the following types of abortions would this be? a. Threatened b. )nevitable c. +omplete d. Incom'%ete '. The midwife is performing an assessment of a pregnant client to see whether she is already in labor. (hich of the following findings is a sign of true labor contractions? a. +ervical changes are not apparent b. +ontractions are irregular in rhythm and duration c. Cont#!ctons &e2n n the %o/e# &!c0 then #!d!tes o"e# the ent#e !&domen d. 8terus is soft with indentable contractions '/. The midwife develops a teaching plan on how to prevent the transmission of hepatitis *, which of the following discharge instructions is most appropriate? a. &pray the house to eliminate infected insects b. Tell the other family members to try to stay away from the client c. Te%% f!m%1 mem&e#s to /!sh the# h!nds f#e=uent%1 d. ;isinfect all clothing and eating utensils '0. * 1/ months old child, weighs 1/ 3g. The child is being brought to the health center because of diarrhea for / days. 8pon the assessment for diarrhea, the child is unable to drin3, has a sun3en eyes and a s3in pinch goes bac3 very slowly. (hat is the classification of Baby @li6a? a. Se"e#e deh1d#!ton c. &ome dehydration b. o dehydration d. #ersistent diarrhea '2. (hat is the best treatment of the identified classification above? a. #lan a b. #lan b d. #lan d c. -%!n c '7. #lan + means" a. iving oresol at home c. ;"n2 I
&. iving oresol at H8 d. one of the above
':. )ntersectoral lin3ages refers to" Page 5 of 14
!. Coo#dn!ton !mon2 2o"e#nment !nd non 2o"e#nment !2ences n '#o"dn2 he!%th se#"ces to the 'eo'%e b. @ffective referral system among the different units of ;=H c. ;iscourage outside help to encourage self reliance among the community members d. 5in3ing the people to the services provided by the government
9. (hich herbal medicine is recommended for abdominal pain? a. *3apulco b. pansit pansitan c. ts!!n2 2u&!t ,4. 8sed to relieve
d. yerba Buena
b. a3apul3o d. sambong
,*. 5evel )) approved type of water facility is" !. Commun!% f!ucet !nd s1stem o# nd"du!% house connecton &. (ater wor3s system or individual house connections c. #oint source d. 8napproved type of water facility ,(. * ural Health %idwife is identified at what level of primary health wor3er? !. $illage or rassroot &. Health #ersonnel of the First 5ine Hospital c. Inte#med!te d. &pecialty #ersonnel
. %rs +ru6 has a schedule for #ap smear. &he has strong family history cervical cancer. This is an e-ample of" a. #rimary prevention c. second!#1 '#e"enton b. tertiary prevention d. health promotion ,>. )t is defined by the (orld Health =rgani6ation as essential health care made universally accessible to individuals and families in the community b y means of it is acceptable to them, through their full participation at a cost that the community and country can afford at every stage of development" !. ;epartment of Health c. ural health 8nit d. &entrong &igla &. -#m!#1 he!%th c!#e
0. The devolution of health services to the local government unit was mandated by" a. RA 849) c. @= 7/1 b. * 021' d. * 72: 2. (hich of the following is F*5&@ about chest indrawing? a. )t is the same as subcostal retraction &. t s defned !s the %o/e# chest /!%% 2oes out /hen the ch%d &#e!thes n c. )t is defined as the lower goes in when the child breathes in Page 6 of 14
d. +hest indrawing is a sign of severe pneumonia 7. (hich of the following signs will indicate that a young child is suffering from severe pneumonia? a. ;yspnea c. (hee6ing b. Fast breathing d. St#do# :. )f the child has sun3en eyes, drin3s eagerly, thirsty and s3in pinch goes bac3 slowly, classification would be" a. #ersistent diarrhea c. o dehydration b. Some deh1d#!ton d. &evere dehydration /9. * child who has had diarrhea for 1 days but has no sign of dehydration is classified as" a. &evere persistent diarrhea b. -e#sstent d!##he! c. &ome dehydration d. &evere dehydration /1. (hich of the following is not a sign or symptom of dehydration? a. %ore than liquid stools a day c. thirsty child, drin3s eagerly b. A&sence of te!#s /hen the &!&1 c#es d. dry tongue and mouth /!. * mother brought her daughter, years old, to the H8 because of cough and colds. Following the )%+) assessment guide, which of the following is a danger sign that indicates the need for urgent referral to a hospital? a. In!&%t1 to d#n0 c. High grade fever b. +hest indrawing d. &tridor /'. %anagement of a child with measles includes the administration of which of the following ? a. entian violet on mouth lesions b. *ntibiotics to prevent pneumonia c. Tetracycline eye ointment d. #etno% c!'su%e #e2!#d%ess of /hen the %!st dose /!s 2"en /. *n ear discharge that has been present for more than 1 days can be classified as" c. Ch#onc e!# nfecton a. *cute ear infection b. %astoiditis d. Fever //. &igns of dehydration. &elect all that applies" 1. Hemoconcentration !. 8remia '. *l3alosis . %oist s3in /. =liguria 0. &un3en eyes a.1,!,',0
c. !,',,0
b. 4+*+>+9
d. ',,/,0 Page 7 of 14
/0. The 3ey strategy to obtain the mission of #H+ is" !. -!#tne#sh' /th the 'eo'%e b. =rgani6ations of communities arising from their e-pressed needs c. ;evelopment of inter sectoral lin3ages d. %obili6ation of people /2. 5ea, is conducting a preconference with a group of pregnant women for prenatal chec3 up. &he emphasi6es the importance of prenatal chec3up, informs them they must visit the Health +enter for" a. * minimum of ' visits &. A mnmum of , "sts c. * minimum of / visits d. * minimum of 0 visits /7. (hich is not considered as a primary level of prevention? 1. +ase finding, cataract screening, sputum microscopy !. @#), once a year vitamin * supplementation of 199 999 )8 to infant '. &tream clearing and stream seeding . TB %ulti ;rug Therapy and =T a.1,',
&. 4+,
c.!,'
d.
/:. )n the #hilippine Health +are ;elivery &ystem, the primary level of care services is provided by the" a. egional medical centers c. rural health units b. '#o"nc!% hos't!%s d. district hospitals 09. +holera is a life threatening disorder manifested by profuse diarrhea. (hich of the following is not true? !. It s mnm!%%1 cont!2ous b. )t is characteri6ed by rice watery stoolG c. )t can be managed by the mother at home, give the proper instruction in ta3ing care of the child d. )t is caused by virulent bacterial strain 01. &ocial preparation at is what phase of +ommunity =rgani6ing? a. pre entry c. ent#1 b. organi6ation building d. phase out 0!. )nability to recogni6e danger signs pregnancy will result in" a. de%!1 n see0n2 c!#e b. delay in reaching appropriate health facility c. delay in receiving appropriate care in health facility d. delay in recovery Page 8 of 14
0'. (hich of the following is a health deficit? !. sto#1 of #e'e!ted nfecton b. Travelling by sea often c. o regular chec3 up d. ;eath or illness in the family 0. The community or public health bag is" !. An essent!% !nd nds'ens!&%e e=u'ment b. * tool used in rendering effective nursing procedures during home visit c. +ontains basic medications and articles d. * requirement for home visit 0/. The continuous, systematic collection, analysis and interpretation of healthrelated data needed for the planning, implementation, and evaluation of public health practice a. ;emography c. public health b. $ital &tatistics d. 'u&%c he!%th su#"e%%!nce 00. 8pon arriving at clients home, which of the following will you do as a first step in performing nursing procedure? a. #lace paper bag outside of wor3 area b. =pen the bag, ta3e the linen, spread over wor3 field of area c. -%!ce the &!2 on the t!&%e o# !n1 f%!t su#f!ce %ned /th '!'e# %nn2 d. #ut on apron right side out and wrong side with crease touching the baby 02. (hich among the following is important in the use of bag technique during home visit? !. Mnm5e f not tot!%%1 '#e"ent the s'#e!d of nfecton b. *rrangement of the bag must be convenient to the midwife c. Be sure to thoroughly clean the bag especially when e-posed to communicable diseases cases d. The bag should contain all necessary supplies and equipment ready for use 07. * label put on vials containing vaccines which gives a visual indication of whether the vaccine has been 3ept at a temperature which preserves its potency is" a. $ial $accine &ystem c. cold chain system b. c. * 2099 b. @= /1 d. #; 0/1 29. * couple with 1 children as3ed you about vasectomy. (hich of the following will you not include in your decision about this method? !. Ste#%t1 s mmed!te b. ;oes not affect spontaneity of se-ual intercourse c. The man will still e
d. )t is a permanent method 21. Breastfeeding provides :7> protection against another pregnancy e-cept in" a. The baby is under 0 months old b. The mother has not e-perienced menstrual bleeding c. The mother is fully breastfeeding day and night d. Se$u!% nte#cou#se s !"oded 2!. The )8; is not recommended for women who" a. #regnant b. have never had children c. have multiple se-ual partner d. !%% of these 2'. (hich of this method of family planning increases the user4s 3nowledge of the reproductive cycle and enhances the marital communication about family planning? c. BBT a. )8; b. +ontraceptive #ill d. none of these 2. Tou#n=uet test is done to detect which of the following disease? a. &chistosomiasis c. Hepatitis d. ?fe"e# b. *);& 2/. Test is used to determine the type of leprosy a patient has contracted? a. &chic34s test c. Tine Test b. S%t S0n Sme!# d. 5epromin Test 20. Ths dse!se s ch!#!cte#5ed by a cycle of high temperature, chills and diaphoresis" a. Filariasis b. ;engue Fever c. M!%!#! d. Tetanus 22. The midwife continue to e-plain that if they wish to use the BBT method of family planning, the woman is fertile" a. =n the day the temperature drops until after 7 hours b. =n the day the temperature rises until the third day c. On the d!1 the tem'e#!tu#e d#o's unt% the ( #d d!1 of e%e"!ton d. =n the day the temperature rises until it drops again 27. +ardinal signs of inflammation include all of the following @+@#T" c. #2o# a. dolor b. calor d. tumor 2:. * pregnant woman should not be given which anti TB drug? a. +hloramphenicol b. )sonia6id c. @thambutol d. St#e'tom1cn 79. ;uring which phase of community organi6ation does the health wor3er imbibe community lifestyle and live amongst the community? a. +ommunity profiling Page 10 of 14
b. *rea selection c. Communt1 nte2#!ton d. Forming core group 71. #reparatory phase is the first phase in organi6ing the community. (hich of the following is the initial step in the preparatory phase? !. A#e! se%ecton b. +ommunity profiling c. @ntry in the community d. )ntegration with the people 7!. +ategory ' of the %edical @ligibility +riteria for 8se of +ontraceptive ;evices, %edications, and Techniques is? a. * condition which represents an unacceptable health ris3 if the contraceptive method is used b. * condition for which there is no restriction for the use of the contraceptive method c. A condton /he#e the theo#etc!% o# '#o"en #s0s usu!%%1 out/e2h the !d"!nt!2es of usn2 the method d. * condition where the advantages of using the method generally outweigh the theoretical or proven ris3s 7'. *n 7 month old infant is having fast breathing if his respiration is" a. '9 B%# b. 9 B%# c. >) BMa. 09 B%# &)T8*T)=" Baby Boyet is '2 months old. He weighs 19 3g. His temperature is '2./ degrees +elsius. His mother says he feels hot. He has been crying and rubbing his ear.
7. The health wor3er as3s if Baby Boyet has an ear problem. The mother says he seems to have ear pain. &he also says she has seen ear discharge for about / days now. The health wor3er sees pus draining from Baby Boyet4s ear. He does not feel any tender swelling, though, behind the ear. This condition is classified as" a. %astoiditis &. Acute e!# nfecton c. +hronic ear infection d. o ear infection 7/. %anagement of Baby Boyet4s condition will include the following, @+@#T" a. *dministration of antibiotics for / days b. #aracetamol for pain c. ;rying the ear by wic3ing d. E!# ##2!ton Page 11 of 14
70. The first line of antibiotics given for acute ear infection is" a. +otrimo-a6ole b. Tetracycline c. Amo$c%%n d. #rimaquine 72. %astoiditis is classified in the presence of " a. Tender swellingin the
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:!. =felia has diarrhea for ! days. &he has sun3en eyes, s3in pinch goes bac3 very slowly, and she is drin3ing poorly and irritable. &he is not to drin3 and there is no blood in the stool. How will you classify =feliaIs illness? *. o dehydration B. #ersistent diarrhea +. &ome dehydration ;. &evere dehydration :'. %eanwhile, FlorenceIs sibling Cihanne had diarrhea for 1 days but has no signs of dehydration. How can you classify this condition? a. ;ysentery b. &evere persistent diarrhea c. -e#sstent d!##he! d. &evere dysentery :. The abbreviation =# on *ling ena4s chart should tell you that the presenting part is the" a. chin b. breech c. verted. brow :/. This refers to the systemic study of vital events such as births, illnesses, marriage, divorceDseparations, and deaths. a. %orbidity b. %ortality c. @pidemiology d. <t!% st!tstcs :0. )t shows the relationship between a vital event and those people e-posed to the occurrence of said event, within a given area and during a specified period of time? !. R!te b. atio c. +rude d. eneral rates :2. %agna +arta of #ublic Health (or3ers? a. * 7:20 &. RA 8()> c. * :!// d. * /171 :7. +ourtesy call is conducted by the midwife she is in what phase of +ommunity =rgani6ing? a. '#e ent#1 c. entry b. organi6ation building d. phase out ::. * child with pneumonia is classified as having very severe disease and should be referred urgently to the hospital, if the child manifests which of the following? !. Not !&%e to d#n0 Page 13 of 14
b. Fast breathing c. &evere chest indrawing d. &tridor or whee6ing
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