Funda- Night Flashcards
1
Q
What deficiency in the diet results in fetal cretinism?
A
lodine
2
Q
Water helps regulate body temperature nutrients and excrete waste products. What is the required volume of water daily?
A
6-8 glasses
3
Q
Which of the following fluids is contraindicated before sleep?
A
Hot chocolate
Cold and root beer
Coffee or tea
4
Q
We can say that a woman is on the active stage of labor if the cervical dilation is ?
A
4 cm
5
Q
A client who is pregnant asks the midwife if she can continue to have sexual relations. The midwife’s response is based on the knowledge that coitus during pregnancy would be contraindicated in the presence of:
A
Premature rupture of membrane
6
Q
Among which of the following is not a natural method of family planning?
A
Injectable
7
Q
A client was diagnosed as having Dengue fever. You will say that there is slow capillary refill when the nailed color that you pressed does not return within how many seconds?
A
3
8
Q
When the midwife assists a client to use a bedpan she must position her patient
into a
A
fowlers position
9
Q
A 30 weeks’ pregnant mother comes to the RHU for severe head ache.
You will:
A
Take her BP
10
Q
This type of bandage is used for uniform thickness part like wrist or finger.
A
spiral
11
Q
The midwife would instruct a pregnant woman to notify the physician immediately if the following symptoms occur during the pregnancy?
A
Swelling of the face
12
Q
To maximize the effect of lactation amenorrhea, mothers should exclusively breastfeed for:
A
6 months
13
Q
Normal breath sounds heard over the lungs are:
A
vesicular
14
Q
It is a forcible tearing or partial tearing away of tissues typically caused by explosions, and multiple dog bites causing skin hanging from the body
A
Avulsion
15
Q
All of the following are true about bathing,
A
a. Bathing stimulates circulation.
b. Bathing produces sense of well-being.
c. A warm bath brings nourishment to the skin.
16
Q
The tourniquet test is considered an important basic screening. Among which of these is check by tourniquet test
A
H. Fever
17
Q
Alona will be cleaning an open wound of the patient. What kind of gloves does she has to wear?
A
Sterile gloves
18
Q
An agent commonly used on the skin which lowers surface tension and thus
helps in cleaning is:
A
Soap
19
Q
Midwife F demonstrates awareness of the single most important infection control technique when she does which of the following?
A
Washes hands before and after every client contact.
20
Q
Midwife D knows that this type of order may be carried out indefinitely until an order is written to cancel it, or it may be carried out for a specified number of days:
A
Standing order
21
Q
First aid is the immediate action taken to
A
Care for the injured until medical help is available
22
Q
Rupture of capillaries due to pressure during delivery can result to bleeding under the scalp called:
A
Cephalhematoma
23
Q
In younger people, blood pressure tends to be higher in men than in women. Women’s blood pressure increases more slowly until they reach perimenopause. That slow increase in blood pressure begins to speed up around the menopausal transition, and women’s blood pressure rises at a steeper rate as they get older. Changes in woman’s blood pressure are due to the influence of which hormone?
A
Estrogen
24
Q
When you performed Leopold’s maneuver on Mrs. M you palpated hard mass on the first maneuver. Your action is:
A
advice to deliver in operative cs
25
What is the level of consciousness if the patient becomes irritable?
Restless
26
If the location of the pulse is felt below the jaw, it is:
carotid artery
27
Which of the following is used to suture perineal lacerations in perineorrhapy?
Catgut suture
28
Midwife Christine is preparing to test the visual acuity of a client with a Snellen Chart. Which of the following indentifies the accurate procedure for this visual acuity test?
The right eye is tested, followed by the left eye; then both eyes are tested.
29
The majority of the digestion processes take place in the:
Small intestine
30
The basis for the improvement in strategies in maternal and neonatal care is on Millennium Development Goals, which are:
MDG 4 and 5
31
The mother received a TT4 injection. TT4 will provide the mother how many years of protection against tetanus?
10 years
32
The term applied to a condition in which these is dependence and craving for a narcotic or other habit-forming drug is:
addiction
33
Which among the following is true about body mechanics?
The broader the base of support and the lower the center of gravity, the greater the stability and balance.
34
Data stated by the client on his chief complaint is
Subjective data
35
Which of the following cardinal movement as follow to descent is?
flexion
36
During blood pressure
measurement, the air in the cuff should be released at a steady rate of:
2 mmHg per second
37
The most complete elimination of all microorganism including bacterial and spores from inanimate objects is
sterilization
38
You notice that the label on the cough syrup bottle is difficult to read. Your most appropriate action is to:
Return the drug to the pharmacy for relabeling
39
When collecting a specimen for culture and sensitivity, the midwife must remember that the specimen will be:
Highly contaminated with pathogenic bacteria
40
Which of the following findings of
Midwife T would prohibit application of heating pad?
Active bleeding
41
The midwife prepares an IM injection that is irritating to the subcutaneous tissue. Which of the following is the best action in order to prevent tracking of the medication?
Use the Z-track technique
42
What is the appropriate dosage of BCG injection?
0.05 ml
43
Aling Maria reports discomfort after eating. Your assessment indicates that she is experiencing a burning sensation in the esophageal area that radiates upward, as well as frequent burping of small amounts of sour tasting liquid. You instruct her about measures related to:
Pyrosis
44
A client is recovering from abdominal surgery and has a large abdominal wound. A midwife encourages the client to eat which food item that is naturally high in vitamins c to promote wound healing?
oranges
45
The following are appropriate
interventions for diarrhea,
Replace fluids
Provide good perineal care
Provide-potassium-rich foods
46
A cut in skin with jagged, irregular edges and caused by a forceful tearing away of skin tissue
Avulsion
47
Which of the following would not be a risk factor for skin breakdown?
Adequate hydration
48
Mrs. Manuel, 54 years old, had her menopause 2 yrs. ago, came to the clinic and complained about vaginal bleeding. What is your appropriate action?
Advice for further examination because it is abnormal
49
John has a fever of 38.5 Deg. Celsius. It surges at around 40 Degrees and go back to 38.5 degrees 6 times today in a typical pattern. What kind of fever is John having?
Remittent
50
A pregnant mother who receives an
injection of TT2 may be protected against tetanus for
3 years
51
Any substance that injures or kills through its chemical action when inhaled, injected, applied or absorbed in relatively small amounts is:
Poison
52
The priority when providing oral hygiene to
an unconscious client is to:
Prevent aspiration.
53
Calorie deficiency in extreme cases results in a condition called
marasmus
54
Infant who breast feed receive antibodies from their mothers thru the first few feeding, the type of immunity is called:
natural passive
55
What vaccine is safe to inject to a pregnant Mother and to the baby
Pneumococcal
56
Patient is for roll over test. The midwife should position the patient in:
sims
57
The process involved in the exchange of gasses in the lungs:
Diffusion
58
When fever returns to normal temperature gradually it is called:
Resolution by lysis
59
Midwife Myrla is performing primary
assessment on a child who is unresponsive.
To assess for the presence of pulse, Midwife Myrla is most likely to palpate for:
Carotid pulse
60
The doctors order for the treatment
of the newborn thrush is nystatin ointment 1ml QID; this common medical abbreviation
QID means?
four times a
day
61
This is a wound caused by a blunt object penetrate the tissue:
puncture
62
The milk ejection reflex influence by which of the following hormone
Oxytocic
63
The appropriate application of the
BP cuff into the client's arm is
2/3
64
When administering post-mortem care, Midwife lae knows that when there's gradual decrease of the body's temperature after death it is referred as:
Algor mortis
65
The pregnant mother with PIH has a convulsion. What is your priority?
Place her at side-lying and protect the head
66
Vitamin D or calciferol helps in the
deposition of calcium and phosphate ions in the bones. However, when the diet is deficient in calciferol, there is an increased loss of calcium ions through urine, causing twisted and bent bones. In children, the bones become soft, easily bent or deformed, and are susceptible to getting fractured. What condition is caused by Vit? D deficiency?
Rickets
67
To complete a backrub, the motion of your strokes should be:
Moving upward along the spinal cord, downward at the periphery
68
Which of the following assessment findings would be documented as objective data?
Redness and swelling on arm
69
What type of injury is a cut from broken glass likely to inflict?
Incised
70
If the arm is said to be elevated when taking the blood pressure. It will create
False low reading
71
Midwife R knows that an open wound characterized by jagged skin edges and free bleeding is:
A laceration
72
Hypoplasia and yellow discoloration of the primary teeth have occurred in infants whose pregnant mothers were treated with the drug:
Tetracycline.
73
Very deep slightly rapid breathing of diabetic patients is:
Kussmaul
74
Prolonged deficiency of Vitamin B12 leads to:
Pernicious anemia
75
Measles is a viral infection affecting mostly children producing prodromal symptoms such as high grade fever, Cough, Coryza and Conjunctivitis which usually last for 1-3 days. Measles is highly contagious during
4 days before the rash appears
76
The best way to take the body temperature of a 3 years old child is
tympanic
77
substance usually intended for use on inanimate objects, that destroys pathogens but not the spores.
Disinfectant
78
During the enema, the client begins to complain of pain. Midwife Bebe notes blood in the return fluid and rectal bleeding. The midwife's actions are to?
Stop the instillation and obtain vital signs
79
If a victim has an injured arm, a bandage can be used as a sling to support the arm in a bent position over the chest and can be used around the torso as a swathe, to immobilize the arm against the chest. This type of bandaging is known as
Triangular
80
In handwashing by medical asepsis, hands are held:
Below the elbow, Hands are dirtier than the lower arms
81
Which of the good source of Vitamin A?
Squash
82
There is a large range of normal shapes of skulls. A normal head size is referred to as:
Normocephalic
83
The midwife calculates a body mass index (BMI) of 22 for a young adult woman who comes to the physician's office for a college physical. This patient is considered:
Normal
84
A midwife is preparing to administer an enema. The midwife positions the client in the:
Left lateral position with the right
leg acutely flexed
85
The midwife is monitoring the temperature of a postpartum woman. At 8am-370 C, 10am-37.90 C, 12nn- 38.60 C,2pm-37.40 C, 4pm-38.90 C, 6pm-38.00C. The midwife knows that this kind of fever is known as:
Intermittent
86
In one of your home visits to a pregnant woman, you found out that she is deficient in Vitamin A. which of the following foods would you recommend?
malunggay leaves, alugbati, squash
87
Which basic bandage pattern will
you apply in chest, scalp, foot and arm?
cravat
88
Improving maternal health is key to saving the lives of more than half a million women who die due to complications from pregnancy and childbirth each year. One of two targets under the MDG 5 is to reduce the maternal mortality rate by three quarters or 75 % by
2015
89
To be able to wash the baby's head properly, the mother should hold the baby in what technique?
Football hold
90
A patient sustained a laceration of the perineal skin during delivery; it involved the perineal body and muscles but with an intact anal sphincter. Such a laceration would be classified as:
Second degree
91
Boiling water is the most practical and inexpensive method for sterilizing in the home. The minimum minutes in boiling water is:
15-20 minutes
92
In the Bartholomew's rule of 4, when the level of the fundus is within the symphisis pubis the estimated age of gestation (AOG) is
12 weeks
93
Toilet training occurs during this phase of psychosexual development:
Anal
94
What foods does the midwife recommend that a pregnant client with Iron Deficiency Anemia include in her diet and increase iron intake?
Green leafy vegetables, dried fruits, and beans
95
The uterine discharge that escapes vagina during the fourth day postpartum is called:
Lochia serosa
96
Keath is naked and standing in a room of normal room temperature. The mechanism of heat loss applied is:
Convection
97
Blood pressure is also termed as
Arterial pressure
98
the most likely treatment that is applied to a baby who accidentally suffered scald burn
application of cold water
99
The IUD should not be given to woman with:
Acute pelvic inflammatory
100
Opthalmia neonatorum in the newborn occurs as a consequence of contact with which of the following?
Gonococcus
101
The doctor's order is to give sedative enema, which of the following is the main reason?
to induce sleep
102
Ear drops are prescribed for an infant with otitis media. The most appropriate method to administer the ear drops to the infant is to:
Pull down and back on the pinna and direct the solution toward the wall of the
canal
103
Which of the following interventions would be most helpful in preventing pressure ulcer formation in at-risk client?
Repositioning every hour.
104
When assessing the BP, the midwife presses which part of the stethoscope over the artery to listen to the korotkoff sound?
Bell
105
Midwife Christine is assessing the blood pressure of a client diagnosed with primary hypertension. She ensures accurate measurement by avoiding which of the following?
Taking the blood pressure within 30 minutes after nicotine or caffeine ingestion
106
In case a fire occurs, the first step for using the fire extinguisher is to:
Pull the pin
107
If the location of the pulse is felt posterior to the knee, it is:
Popliteal artery
108
The following are independent
midwifery actions for febrile clients, except:
Administer Paracetamol 500mg tab q 4hours PRN for temperature 38.50
109
A female client is scheduled to have a chest x-ray. Which of the following questions is of most importance to the midwife assessing this client?
"Is there any possibility that you
could be pregnant?"
110
The midwife is assessing the vital signs of a 3-year-old patient. What is the most appropriate way to assess this child's temperature?
Tympanic
111
Peri light provides comfort and increase blood circulation and hasten wound healing of perineal wounds, the distance of the perilamp to the perineum must be
18-24 inches
112
When a puncture wound is caused by an impaled object, Midwife L:
Stabilize the object with a bulky dressing
113
The best time to collect urine
specimen for routine urinalysis is:
Early morning
114
The nutrient that provides the body's most preferred energy source is?
Carbohydrate
115
Imelda is about to provide bed bath to a patient. What part of the body of the patient should we wash first?
Face
116
Midwife Jolina is assessing the mobility of the cyst on the breast of the patient. What techniques in physical assessment will she use?
Palpation
117
A midwife on the day shift walks into a client's room and finds the client unresponsive. The client is not breathing and does not have a pulse. The midwife immediately calls for help. The next midwifery action is which of the following?
Open the airway
118
Women should be informed that they are more susceptible to urinary tract infections than males because:
The urethra in females is shorter than that of males.
119
When a midwife institutes measures to solve the problems in the community,she is performing?
intervention
120
Breast self-examination should be
conducted once a month. When is the best time to conduct BSE?
5-7 days after menstruation
121
Constipation is a common problem in the elderly population. This condition is usually caused by.
Decreased activity and poor eating habits
122
To prevent Vitamin D deficiency, foods high in vitamin D are?
Cod liver oil with butter
123
Disease commonly seen during rainy seasons
H fever
124
Patricia's fundic height was measured 25 cm by Amber. Using the McDonald's Rule, Amber's finding of the AOG in months is
7 months
125
Which of the following statements is appropriate for universal precaution?
Wash hands before and after touching a client
126
All but one of the following is a
purpose of steam inhalation:
Promote bronchoconstriction
127
Before Gina eats lunch, she used to 011 point wash her hands. We should wash our hands for a minimum of:
15 seconds
128
A midwife is preparing to insert an
indwelling urinary catheter for a female patient. When beginning the insertion procedure, the midwife should instruct the patient to
Take a deep breath.
129
Pills that are enteric-coated are:
Dissolved by intestinal juices
130
Which of the following is to be avoided when the patient is suffering from goiter because of its goitrogenic effect?
cabbage, broccoli, cassava
131
A preeclamptic mother should have her prenatal check-up every
Weekly
132
During a prenatal visit the pregnant woman is complaining of itchy, frothy and cream-colored foul-smelling vaginal discharges that are probable diagnosis of:
Trichomoniasis
133
Vitamin C, or ascorbic acid- yet another essential component of our diets. It keeps teeth, gums, and joints healthy and holds cells together, and increases our body's resistance to infection. Vitamin C deficiency leads to bleeding and swollen gums, weight loss, joint pain, susceptibility to infection, and delayed wound healing. What is the condition called for vitamin C deficiency?
Scurvy
134
What are the best food sources for
the growth of muscles and bones?
Protein & dairy products
135
Which of the following changes is a
pregnant woman most likely to notice in her breasts?
Darkening of the areolas, tingling sensations, and engorgement
136
A client's vision is tested with
Snellen chart. The result of the tests is documented as 20/60. Midwife Jaybee interprets this as:
The client can read at a distance of 20 feet what a client with normal vision can
read at 60 feet
137
The best way to evaluate that the
client is having adequate nutrition is when:
The client has gained weight.
138
Transmission occurs when an infected person sneezes, coughs or laugh that is usually projected at a distance of 3 feet.
Droplet transmission
139
Which of the following nutrients provides the base for the Food Guide
Pyramid?
Carbohydrate
140
The natural sedative in meat and milk products that can help induce sleep
Tryptophan
141
This level of prevention is directed at minimizing complication of diseases:
Tertiary prevention
142
A couple with one child had been trying, without success for several years to have another child. Which of the following terms would describe the situation?
Secondary Infertility
143
The following are independent midwifery actions when taking the radial pulse, except:
Use the thumb to palpate an artery
144
Where do you position the blood pressure cuff?
At the level of the heart, by centering the bladder over the brachial artery.
145
To prevent pressure ulcer ulcers in a bedridden client, Midwife M should include which of the following interventions in the plan of care:
Hang a turning schedule at the client's bedside
146
In providing perineal-genital care, what position should we provide for a male client?
Supine position with knees slightly flexed and hips slightly externally rotated.
147
The pawlick's maneuver is also called as?
third maneuver
148
Midwife Ann is to provide enema to a patient. When preparing to administer a tap water enema, in which position should
Midwife Ann place the client?
Left sim's
149
Research shows that the most effective infection control procedure is
Hand washing before and after client contact
150
What are the elements used in handwashing?
water, soap and friction
151
The normal adult urine output is?
1500 to 2000 ml/day
152
Those are true about the use of IUD except:
cannot be inserted postpartum
153
Which of the following interventions
would be a priority in discharge teaching for a client with kidney infection?
Drink at least 3-4 L of fluid/day
154
What two STDs cause PID when left untreated?
Gonorrhea and Chlamydia
155
Aljo, the midwife, uses an unaided ear to listen to a respiration. He is using what type of Auscultation?
Direct auscultation
156
The vitamin necessary for
absorption of calcium:
Vitamin D
157
Which of the following bandage pattern must be applied to a person with Jaw injury?
cravat
158
The midwife should be aware that the correct order for physical assessment of the abdomen is:
Inspection, auscultation, percussion, and palpation
159
Which of the following is being monitored in the partograph?
a. maternalwell being
b. Fetal well-being
c. Progress of labor
d. All of these
160
After a poisoning victim vomits, which should not be given:
Lemon juice in a glass of water
Raw egg to coat the stomach
Syrup of ipecac and water
161
An 85-year-old client has had a stroke resulting in right-sided facial drooping, difficulty swallowing, and is unable to move self or maintain positions unaided. The midwife determines that which of the following sites is appropriate for taking the temperature?
3. Axillary
4. Tympanic
5. Temporal artery
162
Before using an oral thermometer, you have to wipe it from:
Bulb to stem
163
The midwife is aware that nausea
and vomiting commonly experienced by many women during the first trimester of pregnancy is an adaptation to the increased level of:
Chorionic gonadotropin
164
To promote ease and effective breathing, the best position of the client is:
Fowler's position
165
Which among the following is inappropriate when moving objects?
Keep objects to be moved away from the body.
166
Syntocinon 1 amp was injected to a mother after delivery to control bleeding. What is the potential side effect of this drug?
sudden hypotension
167
Patient Rolanda is having a perineal examination performed. Midwife Arnella would plan to place him in which position for the procedure?
Lithotomy position
168
A client with signs and symptoms of 011 point abdominal pain, dizziness, and round masses, as shown in ultrasound, is probable suffering from
h-mole
169
In making Angela's bed, you drop a sheet on the floor. Your best action would be:
Discard it
170
The drug which is administered to relieve tension and decrease anxiety is?
Tranquilizers
171
if the result of benedict's urine test turns to blue color, the interpretation is:
negative
172
The amount of blood pumped by the heart per minute is:
Cardiac output
173
Sputum specimen is best collected:
Early morning
174
When administering subcutaneous injection, Midwife T correctly administers it by:
Insert the needle at a 45 degree angle to the skin
175
The examination of the outcome of a chosen action in terms of its success in meeting the objectives is:
Evaluation
176
The midwife assesses a pregnant mother visiting the clinic. The fundic height of the mother was measured just above the symphysis pubis. The pregnancy in weeks is
on
12 weeks
177
A 17-year-old single high school student requests for contraception, you will:
Orient on the use of condom
178
Which term is used to describe the difference between the apical and radial pulse rates?
pulse deficit
179
The physician ordered Mefenamic acid 500mg p.c: A prudent midwife will interpret "p.c "as?
after meals
180
What is an injury caused by twisting a ligament around a joint?
sprain
181
What is the best position of the client who will undergo abdominal palpation?
Supine
182
What is the best position of the client who will undergo abdominal palpation?
Supine
183
Another problem Mrs. Siraulo is likely to develop because of her age and her diagnosis would be constipation. The most appropriate midwifery measure to treat this would be:
Add fiber and prune juice to her diet
184
When collecting a midstream urine specimen, Midwife Ann instructs a client how to collect the specimen correctly. Which of the following would she include in her teaching?
Wash the perineal area with soap
and water, rinse, and dry.
185
The spots, which are symptoms of chickenpox disease, start in the following places?
face and trunk
186
Of the following statements, which is most trueabout pulse?
Young persons have higher pulse
than older persons.
187
Leopold's Maneuvers is a series of hands-on positions that midwives will use to help determine the baby's position. What is the initial action of the midwife before
performing the procedure?
Explain the procedure to the patient.
188
MidwifeSandy instructs the client in the administration of eye drops prescribed.
Which of the following statements made by the client indicates a need for further education?
"I will apply it from inner to outer canthus, and press at my puncta for a period of time."
189
When the needle is introduced at a
45 degree angle, the injection is given:
Subcutaneous
190
The health and survival of mothers and their newborns are linked, and many of the interventions that save new mothers' lives also benefit their infants. With every pregnancy and birth, a woman's risk of dying increases. In the Philippines, how many mothers die every day during their childbirth?
11
191
A patient is experiencing diarrhea, of the following list of diet, it would be safe to provide him:
Bland die
192
Pregnant women are encouraged to take TT immunization to protect the baby from tetanus neonatorum through which type of immunity
natural passive
193
When providing oral care to a client, the correct positioning would be:
Side-lying position
194
Midwife Liza is giving health teaching to a client who consulted in the Barangay Health Station about preventing infections in the home. The client needs further teaching if she states:
"It's okay to drink water less than 8 glasses a day to conserve water".
195
If a blood pressure cuff is too small for a client, blood pressure readings taken with such a cuff may do which of the Following?
Produce a false-high measurement
196
The physician orders intravenous MgSO4 for Mrs. Cruz. Which of the following medications would the midwife has readily available at the client's bedside?
Calcium Gluconate
197
Which of the following color and characteristics of blood during puerperium indicates that it is lochia serosa?
pinkish brown
198
Jay's temperature 10 hours ago is a normal 36.5 degrees. Four hours ago, he has a fever with a temperature of 38.9 Degrees. Right now, his temperature is back to normal. Which of the following best describe the fever Jay is having?
Intermittent
199
A young child has experienced a minor superficial burn to the forearm. As an immediate first-aid measure, a midwife would advise the parent to apply which of the following substances to the affected area?
Cool running water
200
. Which among the following organs is located on the left upper quadrant of the abdomen?
Pancreas
