Republic of the Philippines

Professional Regulation Commission

Manila City
Board of Midwifery
INFANT CARE AND FEEDING
SET A
1. First social smile is seen at
a. 4 months
b. 3 months
c. 2months
d. 5 months
2. Which of the following hormones influences milk let down reflex?
a. Prolactin
c. Progesterone
b. Oxytocin
d. Estrogen
3.

Solid foods are not given until this reflex disappears:

a. Gagging
c. Extrusion
b. Swallowing
d. Rooting

4. 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
5. 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
6. 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
7. 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
8. 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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9. Youre 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
10. 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
11. 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
12. 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
13. Caput succedaneum usually disappears at least how many days after birth
a. a. 5-8
b. 3-7
c. 2-3
d. 7-9
14. When
baby
a.
b.
c.
d.

assessing an infant, which of the would the midwife expect from a 4 month old
Sit with support
finger to thumb grasp
ability to reach toy
says mama and dada

15. The first word of the baby

a. a. Mama
b. dada

c. tada

d. yaya

16. When using the otoscope to examine the ears of a 2-year old child, the midwife should:
a. pull the pinna up and back
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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
17. 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
18. The midwife is assessing the reflexes of a newborn. The midwife assesses which of the
following reflexes by placing a finger in the newborns mouth?
a. Moro reflex
b. Sucking reflex
b. Rooting reflex
d. Babinski reflex
19. 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
b. conduction
b. Radiation
d. Convection
20. The first teeth that erupt in infancy is the?
a. Upper central incisors
b. Lower central incisors
c. Lower cuspids
d. Lateral incisors
21. The losing of heat to the surrounding air by the newborn is
a. Evaporation
b. Convection
b. Radiation
d. Conduction
22. A communicable disease that affects the growth and development among children
a. Primary complex
b. asthma
b. leprosy
d. diabetes
23. 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
24. 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
25. A five day old infant with white, cheesy patches on the tongue and buccal mucusa is
probably infected with
a. Staphylococcus
b. Streptococcus
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c. E.Coli
d. Candida albicans
26. 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
27. 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
28. The milk production influence by which of the following hormone
a. Prolactin
b. Oxytocin
c. Progesterone
d. Estrogen
29. 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
30. 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.
31. The reflex that is employed in an infants search for food is:
a. Moro
c. Swallowing
b. Sucking
d. Rooting
32. The hormone affecting the emotion of mothers particularly when breastfeeding is
a. Prolactin
b. Progesterone
c. Estrogen
d. Oxytocin
33. An antibody present to a breast milk
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a.
b.
c.
d.

IGG
IGM
IGA
IGE

34. 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
35. Measles immunization is given during which of the following period
a. 9 months
b. 12 months
c. School entrance
d. 6 months
36. 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
37. The milk is production is due to the influence by which of the following hormone
a. Prolactin
b. Oxytocic
c. Progesterone
d. Estrogen
38. The DOH developed a program to address the problem of diarrhea is known as
a. 4 oclock habit
b. Sangkappinoy
c. TKO-tubig kubeta oresol
d. Peoples health
39. In sterilizing equipment for immunization, they should be boiled from boiling point
a. 15 minutes
b. 20minutes
c. 30minutes
d. 10minutes
40. 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
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d. Convection
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
42. 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
43. 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 babys diaper if passed out stool
b. Report your findings to the doctor
c. Review the babys birth record for the type of anesthesia used during delivery
d. Recognize that this is a normal response
44. A mother decided to breastfeed her baby. You should expect that the babys 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
45. A child is 2 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
46. A 12 month child has approximately how many deciduous teeth?
a. 2
b. 6
c. 10
d. 16
47. 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
48. Fear of strangers reach its height at:
a. Six months
c. Eight months
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b. Seven months

d. Ten months

49. 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
50. 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
51. 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
52. The best indication that a newborns 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
53. 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
54. Milk ejection is primarily regulated by:
a. Estrogen
c. Prolactin
b. Oxytocin
d. Progesterone
55. The following are true of 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
56. Negativism and ritualistic behaviors are normal characteristics of:
a. Preschoolers
c. infants
b. Toddlers
d. adolescents
57. A mother asks about the soft spots on their babys 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
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58. A babys cord comes off in about:

a. 6-10 days
c. 2-4 days
b. 3-5 days
d. 1-3 days
59. After the cord drops off, healing usually takes about
a. A week
c. 2 weeks
b. A month
d. 3 weeks
60. 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
61. 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
62. When an object is placed in a newborns 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
63. The reflex that is employed in an infants search for food is:
a. Moro
c. Swallowing
b. Sucking
d. Rooting
64. The reflex elicited when a baby responds to a loud noise is:
a. Moro
c. Gag
b. Babinski
d. Yawning
65. The absence of what reflex is the most important for you to report?
a. Moro
c. Gag
b. Babinski
d. Tonic neck
66. 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

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67. 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
68. A child at 4 years is expected to develop:
a. independence
c. initiative
b. sense of trust
d.industry
69. 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
70. Which of the following foods is preferable to introduce first?
a. Chocolate
c. Rice cereal
b. Egg white
d. Beef
71. 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
72. 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
73. 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
74. 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
75. 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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76. 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
77. 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
78. Considering the toddlers 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
79. 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
80. 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

81. An inborn error of metabolism that causes premature destruction of RBC?

a. G6PD
b. Hemocystinuria
c. Phenylketonuria
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d. Celiac Disease

82. 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.
83. After teaching the mother about the neonates 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.
84. The midwife notes a swelling on the neonates scalp that crosses the suture line. The
midwife documents this condition as?
a)
Cephallic hematoma.
b)
Caput succedaneum.
c)
Hemorrhage edema.
d)
Perinatal caput.
85. 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.
86. When discussing a seven month old infants 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.
87. 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.
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88. 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
89. The midwife teaches the clients 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
90. When assessing the newborns 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
91. 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
92. When preparing to administer the vitamin K injection to a neonate, 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
93. 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
94. 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?
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a. Wash her hands.

b. Wipe the infants mouth with a clean, soft cloth wrapped around her finger
and dipped in tap water.
c. Paint the infants mouth with half-strength Gentian Violet.
d. Wash her hands again.
95. 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.

96. 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

97. 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

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c.

Whiteheads

d.

Mongolian spots

98. The midwife visits 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.

99. Paracetamol in IMCI is for fever and pain. The true definition of Fever as used in IMCI
includes fever higher than :
a.

37.5 degree celcius

b.

temperature of 38.5 or higher

c.

above 38 degree celcius

d.

37 degree celcius or higher

100.
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
b. term

c. post term
d. premature

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