PRIMARY HEALTH CARE 11.
You should study the system of care in the
BOARD EXAM
1. As a team leader of the CHT, you selected Barangay
Talim with 36,000 population as a site for COPAR. Your
primary purpose is:
a. To educate the people about their current
condition
b. Transform the uncooperative barangay to be
responsive
c. Build organizations in the barangay
d. Advocate to local leaders for support
2. In the barangay, there are open-channels of
communication characterized by:
a. Two-way communication between leaders of
groups
b. Therapeutic communication with residents
c. Free flowing information in the barangay
d. Communication overload during meetings
3. During the Pre-entry Phase of COPAR, you made a spot
map, which is a useful guide prior to:
a. Conduct community assembly
b. Baseline survey
c. Staff planning
d. Deepening social investigation
4. To evaluate whether Barangay Talim fits the criteria of
an ideal site for COPAR, you should obtain secondary
data through:
a. Preliminary investigation
b. Consultation with NGO and LGU
c. Interview barangay officials
d. Perusal of records of the barangay
5. In order to prepare the community leaders regarding
COPAR, which of the following you should ydo?
a. Inform leaders of their roles and functions
b. Conduct deepening social investigation
c. Develop EIC materials and distribute
d. Ground workgy
6. Which of these activities is the focus during the Pre-
entry phase of COPAR?
a. Making spot map
b. Organizing the core group
c. Site selection and selection of host family
d. Training of community researchers
7. Barangay Talim officers have formulated their
community development plan. In COPAR this phase is?
a. Pre-entry
b. Entry
c. Organizational Building
d. Sustainance and Strengthening
8. You have identified residents with leadership potentials
to form the core group whose initial responsibility is:
a. Conduct team building activities
b. Social preparation of the barangay
c. Conduct SALT
d. Present result of thef survey
9. Officers of the organization perform the activities of
COPAR during this phase:
a. Pre-entryyyyyy
b. Entrygy
c. Organizational Building
d. Sustainance and Strengthening
10. As you continue to work in the Barangay Talim, you
utilize the principles of PHC. To encourage community
participation, you should perform the following
activities:
a. Established linkages with NGO’s
b. Organized the barangay and recruited CHWs
c. Re-oriented the healthy team on PHC
d. Establish referral systems
barangay in order to:
a. Support families with needs
b. Show how violence affects livelihood
c. Determine food security and poverty
d. Determine health status of people
12. You will apply the community health process to
the family in the barangay. After strategies are
instituted for the problems, you should always
remember to:
a. Identify the problems
b. Plan the strategies
c. Implement the services needed
d. Check the outcome of services rendered
13. 20% of the families in Barangay Talim is
classifies high risk Category II. This means:
a. No knowledge and skills, no resources
b. No knowledge and skills with basic
resources
c. Limited knowledge and skills with
basic resources
d. With knowledge and skills, with more
than basic resources
14. For three successive nights, several goats were
stolen in the barangay. House to house
campaign is done to motivate the people to
address the problem. You are doing:
a. Social Investigation
b. Tentative program planning
c. Groundwork
d. Mobilization
15. You prepared the annual health plan for 2014
and accomplishment report of 2013 in the
barangay. You are performing which function?
a. Health Care
b. Epidemiology
c. Management
d. Community Organization
SITUATION: An outreach immunization session in
the barangay hall is scheduled on Garantisadong
Pambata week..
16. To maintain the cold chain, vaccines should
be kept in the vaccine carrier with:
a. Thermometer
b. Cold dogs
c. Ice water and ice packs
d. All of them
17. These vaccines should be protected from
freezing and should be stored in the middle
compartment of the refrigerator:
a. DPT, TT, Hepa B
b. OPV , Measles
c. BCG, Measles
d. Hepa B, OPV
18. To reconstitute BCG and Measles vaccine, the
midwife should use:
a. Tuberculin syringe
b. Mixing syringe
c. 2ml syringe
d. Auto disposable syringe
19. When in doubt about its potency, shake test
should be performed in these vaccines aside
from one:
a. Hepa B
b. DPT
c. OPV
d. TT
20. Consider situations such as delay in delivery
of the vaccines and increase number of
eligible population. It is necessary to have
buffer stock of:
a. 20%
 b. 25% a. Midwife
c. 30% b. BHW
d. 35% c. CHT
21. Which vaccines contain preservatives and are d. Sanitary Inspector
protected from bacterial contamination: SITUATION: As implementor of the TB and
a. DPT, TT, Hepa B Leprosy programs, the midwife participates in its
b. BCG, Measles, OPV preventive and treatment activities.
c. TT, OPV, Measles 33. The casefinding activity of the midwife in NTP is:
d. DPT, BCG, OPV a. Zelhl Neelsen Staining
22. To ensure safe disposal of used syringes the midwife b. Sputum Collection
should request for: c. Mantoux Testing
a. Punctured proof container d. Shick Testing
b. MDVP 34. Three adults who underwent SCC have a negative
c. VVM smear on the last month of treatment are
d. Safety collector box considered?
23. These are causes of vaccine wastage in opened vials: a. Completed treatment
a. Expiry, freezing b. Cured
b. Breakage, theft c. Defaulter
c. Wrong reconstitution d. None of them
d. Heat exposure 35. Ethambutol is not given to children with primary
24. Common ways to dispose used needles and syringes complex who are below 6years because they
after immunization are all these aside from one: cannot report:
a. Pit burial a. Gastric irritation
b. Dump in open areas b. Visual disturbances
c. Place in septic vault c. Itchiness
d. Treat and dispose to landfill d. Skin rashes
If basic health services is prevention and control of 36. SCC and MDT are not contraindicated in
communicable diseases pregnancy. However, pregnant mothers should not
25. Which is the role of the midwife in EPI Monitoring be given:
a. Treat EPI diseases a. Ethambutol
b. Refer EPI cases b. Dapsone
c. Analysis of cases/deaths c. Isoniazid
d. Summarize FIC every month d. Streptomycin
26. There was an epidemic of chickenpox in the Barangay 37. Rifampicin is a common drug in SCC. The
last month. This means: common drug in MDT is:
a. Occasional occurrence of cases a. Clofazimine
b. Cases throughout the year b. Cotrimoxazole
c. Cases in a short period of time c. Isoniazid
d. None of them d. Dapsone
27. To diagnose Ebola Virus, OFW’s from Central Africa 38. In one of your antenatal home visits, a pregnant
should undergo which confirmatory test? mother complained of varicosities, your advise is:
a. Blood and tissue test a. Elevate legs after prolong standing
b. Western blot test b. Drink milk everyday
c. ELISA Test c. Use pantyhose
d. Wasserman test d. Dorsiflex the foot
28. To prevent the spread of communicable diseases in the 39. In performing procedures at home, the midwife can
barangay, advise the people to practice: maintain asepsis by doing:
a. Safe sex practice a. Handwashing
b. Aseptic technique b. Thermometer technique
c. Cleanliness at all times c. Bag technique
d. Universal precautions d. Alcohol
29. Which of the following diseases should not be referred 40. Before putting down the visiting bag to prepare for
in EPI Surveillance? bag technique you should:
a. Ben with fever and maculopapular rashes a. Put newspaper in the area where you will
b. Digna with fever and psuedomembrane in the place the bag
throat b. Alcoholize your hands
c. May with GIT symptoms and jaundice c. Clean the area with soap and water
d. Tito with fever and rose spots on the abdomen d. Place the bag on the paper lining
30. These are considered sources of infection other than: 41. Every month you should receive a list of pregnant
a. Mosquito vectors mothers and family planning users from the:
b. Contaminated articles a. Barangay chairman
c. virus and bacteria b. TBA
d. Fresh secretions c. BHW
31. Children who passed out adult round worms should be d. Purok leader
examined for which parasitic infection:
a. Ascariasis 42. How many children in Barangay Talim will be given
b. Capillariasis immunization this year?
c. Enterobiasis a. 940
d. Ancylostomiasis b. 945
32. Environmental sanitation plays an important factor c. 950
in the prevention of diseases. Implementation of d. 999
PD 856 at the community level is done by:
43. How many pregnant mothers will be given TT every a. When the cold chain is broken
month? b. During immunization session
a. 108 c. In unopened vials
b. 109 d. None of them
c. 115 55. The midwife followed up three TB defaulters in the
d. 120 barangay. They should return to the BHS for
44. In order to integrate in Barangay Talim, which of the treatment within:
following is the priority consideration? a. 1 week
a. Conduct regular community assembly b. 3 days
b. Do background investigation of the barangay c. 2 days
c. Study the people's attitude d. 1 day
d. Reside in the barangay 56. These are indicators to discard the vaccine:
45. The first step that the midwife should do to organize a. VVM
the barangay for health action is: b. Expiry date
a. Courtesy call to the chairman c. Frozen DPT and TT
b. Gain entry in the barangay d. All of them
c. Integrate with people 57. After the flood, water analysis in the barangay is
d. Call for meeting positive for E. Coli, the best measure is:
46. To assess the health problems of the families, these a. Provision of water thru tanker truck
should be considered: b. Boil water for drinking
a. Estimate cost benefit o barangay projects c. Disinfect water with chlorine
b. Make the objectives of the operational plan d. Renovate all public stand pipes
c. Identify health problems by collecting data 58. Managing the evacuation center and treating
d. Coordinate with other agencies for casualties during disasters are part of the midwife’s
interventions responsibility in:
47. To address the problems in the barangay, the midwife a. Health care
should implement strategies according to plan b. Environmental sanitation
through: c. Epidemiology
a. Planning d. Management
b. Assessment 59. Outbreak of cholera followed after the flood. In
c. Intervention epidemiological investigation this has revelance to:
d. Evaluation a. Person
48. Natural disasters posed a problem to the environment b. Place
brought about by c. Time
a. Converting forests into resorts d. Group
b. Degradation of the environment 60. Due to intrigues in the distribution of relief goods,
c. Overcrowding in evacuation centers the midwife pacified the people by acting as:
d. Climate change a. Guide
49. After the flood, the midwife developed a health care b. Enabler
plan for the families which does not include: c. Therapist
a. Meeting with BHWs d. Expert
b. Notifying the chairman 61. Several children in the barangay are malnourished
c. Coordinating with NGOs diagnosed thru:
d. Announcing the project thru the radio a. Large abdomen
50. The midwife conducted health education classes in the b. Pedal edema
evacuation center. She does this regularly because: c. Night blindness
a. Education is a slow process d. Measurement of MUAC
b. Education is a creative process 62. Most latrines in Barangay Talim are pour flush
c. Education is achieved by doing toilets, this is classified:
d. Education is based on needs a. Level 1
51. The barangay arrived to establish cooperative to b. Level 2
generate more income. To help people achieve this c. Level 3
goal the midwife should act as: d. Level 4
a. Therapist 63. Record of births and deaths in the barangay should
b. Enabler be reported as one of the functions of the midwife
c. Expert in vital statistic. The crude birth ration is computed
d. Guide per 1000 population by:
52. In 2014, 18 municipal form 102 were filed in the local a. Dividing total live births over maternal
civil registrar’s office. The crude birth rate in deaths
Barangay Talim is: b. Dividing total live births over total
a. 0.514 population
b. 0.486 c. Dividing live births over total population
c. 0.714 d. Dividing maternal deaths over live births
d. 0.814 64. Place is the one of the factors that affect distribution
53. To give potent vaccines the midwife should of diseases. In the barangay, this is related to:
maintain: a. Planting season, harvesting season, market
a. Enough supply of vaccines day, fiestas and related barangay
b. Give pre-immunization education celebrations
c. Monitor those with EPI diseases b. Animals, plants and tress planted, insects,
d. Maintain the cold chain birds
54. The midwife should remember that administrative c. Time of the day as morning, afternoon, and
wastage occurs: night time when disease occurred
 d. All of the above
65. One of the functions of the midwife in epidemiology
is to teach about concurrent and terminal
disinfection. Which type of disinfection should the
midwife teach a mother whose child has recovered
from chickenpox at home?
a. Concurrent
b. Terminal
c. Both concurrent and terminal
d. Alternate use of concurrent and terminal
66. In PHC, attainment of health is the responsibility of
the:
a. Health worker
b. Government
c. DOH
d. Individual
67. PHC is founded strongly on these frameworks other
than:
a. Community participation
b. Essential health services
c. Multi-sectoral linkages
d. Partnership
68. The principle of decentralization in PHC involves:
a. Multi-sectoral linkages
b. Training of the people in livelihood
programs
c. Forming committees
d. Allocation of budget for health
69. Which is not a function of Barangay Talim?
a. Mutual support of residents and the
barangay
b. Provision of modes of socialization
c. Epidemiology and gathering of vital
statistics
d. Institute system of discipline
70. In conducting COPAR in the barangay which is the
best approach that the midwife should consider?
a. Welfare approach
b. Transformatory approach
c. Modernization approach
d. PHC approach
71. As a primary health care provider the midwife
should consider the following concepts other than:
a. People empowerment
b. Self-reliance
c. Decentralization
d. Community participation
72. The individual’s personal responsibility in PHC is:
a. Health
b. Financial stability
c. Community participation
d. Self-reliance
73. As an element of PHC, it is the legal basis for the
midwife’s:
a. Environmental sanitation functions
b. Immunizations functions
c. Social mobilization functions
d. Social justice advocacy
74. PHC core value of equity means:
a. Social justice for all
b. People centeredness
c. Opportunity and resources for all
d. Self-reliance
75. As a community, Barangay Talim residents have:
a. Common values and interests
b. Social culture
c. Norms and social institutions
d. All of the above
76. Barangay Talim’s genetic make-up, immunity and
resistance to diseases describes it’s:
a. Population behavior
b. Human biology
c. System of care
d. None of the above
77. As a healthy community, the following can be
observed in the Barangay Talim are all these aside
from:
a. It has high level of wellness
b. People are prepared to meet crises
c. It has norms and discipline
d. People avail of their resources
78. As an organized community, the benefits to
Barangay Talim are all these aside from:
a. People has unity
b. They have a problem solving process
c. They use their resources well
d. Social determinants of health are present
79. To assess the health needs of the barangay, the
midwife should do:
a. Spot map and locate houses with sick
families
b. Community survey
c. Integrate with the people
d. Groundwork
80. During outbreak of diseases, the midwife should
do all these other than:
a. Coordinate with the MHO
b. Community education to prevent spiral
c. Community organizing
d. Teach concurrent and terminal
disinfection
81. DOH is the lead agency in implementing the
health program of the country which is based on
the:
a. Philhealth program
b. DSWD services
c. LGU program
d. Aquino Health Agenda
82. To ensure that all Filipinos have equal access to
quality case through equal health outcomes, this
approach is utilized by AHA:
a. PHC
b. CHT
c. No balance billing policy
d. UHC
83. The SDN provides health services at different
levels of care which include all these other than:
a. BHS
b. RHU
c. Small private and public hospitals
d. None of them
84. To achieve Universal Health Care, these
strategies shall be adapted:
a. Health Financing, Governance for
Health, Service Delivery
b. Health Human Resource, Health
Information, Policy Standards and
Regulation
c. A & B
d. None of them
85. Philhealth as a partner of DOH and the LGU has
the following responsibilities:
a. Develops plans in the community
consistent with AHA
b. Annual registration and enrollment of poor
families
c. Organize CHT’s and SDN’s
d. Develop guidelines and protocols to
implement AHA
86. LGU implements the DOH health program in the
provincial and municipal levels and allocates
budget through the:
a. Office of the governor
b. Office of the mayor
 c. Local health board
d. Sangguniang Bayan
87. The referral system of the country as the lifeline of
the health care delivery system is a:
a. One way system from primary to tertiary
level
b. Two way system
c. Open system
d. One way system from secondary to primary
88. The RHU is the basic unit of service in the
community. It provides 6 basic services. Under the
MCH services, a trained midwife performs these
function in a BEMONC facility aside from:
a. AMSTL
b. Manual extraction of the placenta
c. Giving parenteral antibiotics
d. Administration of MgSO4
89. In a CEMONC facility, these additional function are
performed:
a. Blood transfusion and Cesarian Section
b. Assisted vaginal delivery
c. ACS for premature labor
d. Completion of abortion
90. Among the basic health services, the strategy
recommended to promote health and prevent disease
is:
a. MCH services
b. Health Education
c. Communicable Disease Control
d. Environmental Sanitation
91. To influence our learners to change, we create a
learning situation based on their needs and problems
in health for better:
a. KAS
b. KAP
c. Health outcomes
d. Wellness outcomes
92. In giving health situation, the midwife should apply
the adult learning theory because adults learn by:
a. Application of what was learned
b. Memorizing concept
c. Crating a learning situation in life
d. All of them
93. To prevent communicable disease in the barangay,
Midwife A gives specific protection through:
a. Health education
b. Disease prevention
c. Immunization
d. Recognizing disease and referral
94. Prior to conducting mother’s class, Midwife A
should first:
a. Select supplementary device to use
b. Assess the needs and problems of the mother
c. Make a lesson plan
d. Plan, implement, evaluate
95. Aside from one, these are Midwife A’s
responsibilities in communicable disease control:
a. Identify factors in the environment that
affects health
b. Recognize signs and symptoms
c. Teach home care
d. Teach prevention and control measures
96. To prevent the spread of sexually transmitted
infections, Midwife A should teach the people in
the barangay:
a. Universal precaution measures
b. Infection control
c. Safe sex practice
d. All of the above
97. Barangay Wawa with 28,000 population has access
to water with improved water supply high include
all these aside form:
a. Public standpipe
b. Tanker truck provision
c. Household connection
d. Open dug wells
98. Most of water facilities in the barangay belong to
level 2 classification which provides water to 100
households/day:
a. 40-80 L
b. 60-100 L
c. 100-200 L
d. 120 L
99. Every year, the barangay monitors the quality of its
water supply through the following other than:
a. Examination for bacteria
b. Ensuring potability of water
c. Doing aeration of water supply
d. Disinfection of contaminated water
facilities
100.The barangay sees to it that food safety is achieved
through monitoring of food hygiene which include
all these aside from:
a. Proper handling of food
b. Use of clean water for cooking
c. Proper refrigeration
d. Use of equipment to test food
101. The policies in food sanitation are implemented by
the sanitary inspector which does not include:
a. Inspection of food establishment
b. Issuing sanitary permit every three years
c. Issuing health certificates to food handles
d. Classification of food establishments
102. In Zero Solid Waste Management, inorganic refuse
is placed in:
a. Black bag
b. Green bag
c. Yellow bag
d. Red bag
103. In excreta disposal. UN recommends the following
improved sanitation technology:
a. Power flush latrine with sewer connection
b. Public latrine with septic tank
c. Open pit latrine
d. Ventilated bucket latrine
104. Level 3 is the best type of toilet facility because:
a. It uses small amount of water
b. It is water sealed with septic tank
c. It is water carriage with septic tank and
sewerage system
d. It is non-water carriage and conserves water
105. Midwife A performs all these Environmental
Sanitation in Barangay Wawa other than:
a. Implementation of PD 856
b. Deworming of elementary children
c. Disaster management during calamities
d. Participate in building water and toilet facilitie
106. Which of the following basic health services
provides a health picture of the community?
a. MCH services
b. Health Education
c. Environmental Sanitation
d. Vital Health Statistics
107. There is an occasional outbreak of pneumonia
among children in the barangay, that pattern of
disease occurrence is:
a. Endemic
b. Epidemic
c. Sporadic
d. Pandemic
108. To investigate the outbreak of pneumonia,
Midwife A’s priority to:
a. Be sure of the diagnosis
b. Check time relationship of the outbreak
 c. Identify space relationship b. PP check up
d. Complete data gathered c. Introduction to breastfeeding
109. Pneumonia had its outbreak during rainy season. The d. Reportable signs
factor that affected disease distribution is: 120. Upon physical assessment, Midwife A noted that
a. Person Tina have varicose veins as large as the small
b. Place finger on her lower extremities. Which is the
c. Time midwife’s appropriate action?
d. None of them a. Advice to wear support stockings
110. The children affected with pneumonia have b. Elevate legs after prolonged standing
incomplete immunization and malnourished. The c. Refer to OB
factor affecting disease distribution refers to: d. Encourage to take calcium foods
a. Person 121. During Leopold’s Maneuver, Midwife A did the
b. Place Pawlick’s grip to check:
c. Time a. What occupies the fundus
d. Age b. Presenting part
111. These are considered Midwife A’s epidemiological c. Cephalic prominence
functions in Barangay Wawa of function aside from: d. Location of small parts
a. Casefinding and sputum collection in NTP 122. Prior to Leopold’s Maneuver, Midwife A asked
b. Teach the residents concurrent and terminal Tina to void in order to:
disinfection a. Be sure of an accurate result
c. Conduct training for members of the CHT b. Prevent pain
d. Coordinate with other community agencies c. Prevent or minimize discomfort
112. Midwife A motivated the community to participate in d. Prevent accidental voiding during the procedure
health service and development by organizing 123. Leg cramps are common discomfort experienced
committees. The process is: during pregnancy. To relieve it, Midwife A taught
a. COPAR Tina to do:
b. Community Mobilization a. Kegel Exercise
c. Community Integration b. Pelvic Rocking
d. Management c. Take Calcium Rich Foods
113. One of functions of Midwife A is management of d. Dorsiflexion of the foot
records and reports for the following purposes aside 124. Tina claimed she notices she has leg edema in the
from: afternoon after coming from work. Midwife A’s
a. To record quality care appropriate reply is:
b. To record health statistics a. She will be referred to the OB
c. To facilitate her work b. It is normal
d. To do census of her catchment area c. Albumin test will be repeated
114. In the BHS, the records that Midwife A keeps are all d. It is alarming
these other than one: 125. Before discussing the birth plan, Midwife A should
a. TCL first ask Tina:
b. ITR a. Where she prefers to deliver
c. Mother and Child Book b. How much is her savings
d. FHSIS E2 c. If she is a Philhealth member
115. During the prenatal clinic routine, Midwife A d. All of the above
performs urine exams for albumin and sugar during: 126. Tina was advised to wear low heeled shoes to
a. Pre-consultation prevent backache and to do which exercise
b. Consultation a. Walking
c. Post-consultation b. Belly dancing
d. First visit c. Deep breathing
116. Tina G2P1 had her urine exam. This result was yellow d. Pelvic rocking
green in color. Which urine exam was done by 127. The legal basis for Midwife A to give
Midwife A? immunization in the BHS is
a. Heat and acetic acid test a. RA 7392
b. Benedict’s test b. RH Law
c. Sahli’s test c. LOI 949
d. None of them d. RA 2644
117. In performing the urine exam to Tina, Midwife A 128. As one of the element of PHC, Midwife A may
first: give emergency treatment like:
a. Heated urine a. CPR
b. Heated Benedict’s solution b. Stop bleeding wound
c. Heated acetic acid c. Revive a patient who fainted
d. None of them d. All of the above
118. During consultation phase, Midwife A did 129. The function of Midwife A in Family Planning is:
Leopold’s Maneuver and measured the height of a. Counseling
the fundus in order to: b. Provide Services
a. Check for involution c. Conduct FP Clinic
b. Ascertain AOG d. All of them
c. Look for location of FHB 130. Midwife A will conduct COPAR in Barangay
d. All of the above Wawa. Her primary purpose is:
119. As a part of post consultation, Midwife A gave a. Introduce farming technology
health teachings to Tina which covered the b. Concern for the welfare of the poor
following other than: c. Encourage the residents to be cooperative
a. Hygiene dynamic
 d. Advocate for community development
131. Foremost, there should be open channels of
communication in the barangay through:
a. Therapeutic communication
b. Free-flowing communication
c. Two-way communication
d. Current communication technology
132. Before doing the baseline survey, Midwife A’s
priority is:
a. DSI
b. Staff Planning
c. Make a spot map
d. Call for community assembly
133. Midwife A should prepare the community leaders for
COPAR. Which is appropriate action:
a. Distribute IEC materials
b. Do groundwork
c. Make a tentative plan
d. Discuss their roles and function
134. Midwife A needed to obtain secondary data of
Barangay Wawa. This can be done by:
a. Interviewing barangay officials
b. Reading records and researchers done in the
barangay
c. Consultation of GO and NGO
d. Preliminary social investigation
135. In selecting he host family, Midwife A should
consider:
a. Respectability of the family
b. Accessibility of the house to residents
c. A and B
d. None of them
136. Midwife A has identified those with leadership
potentials among the residents to form the core group
whose initial responsibility is:
a. Present result of baseline data
b. Social preparation
c. Conduct team building
d. Conduct SALT
137. During the pre-entry phase of COPAR, Midwife A
focused on these activities:
a. Organizing the core group
b. Selection of Barangay Wawa and her lost
family
c. Making a spot map of the barangay
d. Training of the community researchers
138. The officers of Barangay Wawa formulated their
development plan. In COPAR this phase is:
a. Pre-entry
b. Entry
c. Organizing and building
d. PAR
139. As Midwife A works in Barangay Wawa, she
utilizes the principles of PHC. She performed these
activities to encourage the residents to participate:
a. Re-oriented the health team on PHC
b. Established referral systems
c. Established linkages with NGO’s
d. Recruited CHW’s and organized the barangay
140 . Midwife A applied the community health process
to the families in the barangay. After the
interventions instituted for the problems, she should
remember to:
a. Assess the nature of the problems
b. Plan the strategies
c. Implement the services needed
d. Evaluate the outcome of services rendered
141. 25% of the families in the barangay are classified
Category III this means:
a. No knowledge and skills, no resources
b. No knowledge and skills with basic resources
c. Limited knowledge and skills with more than
basic resources
d. With knowledge and skills and more than basic
resources
142. Midwife A after assessment of the problems of the
barangay has prioritized environmental sanitation
for the residents to address. In building
organization this is:
a. Groundwork
b. Social investigation
c. Tentative program planning
d. Community organization
143. In conducting social investigation, Midwife A
utilizes the best method:
a. House to house campaign
b. Interview the residents in informal gatherings
c. Home visit
d. Community assembly
144. Midwife A plans to conduct a community
assembly. Necessary preparation are all these aside
from:
a. Clearance from barangay chairman
b. Prepare the agenda of the meeting
c. Select an appropriate venue
d. None of the above
145. Which is not an activity of the maintenance and
strengthening phase of COPAR?
a. Formulation of constitution and by-laws
b. Establishing a financial management system
c. Election of CHD officers
d. Affiliate with other groups and link with other
sectors
146. The principles of PHC are important for its
successful implementation. Which of these is not
considered to self-reliance?
a. Establishing a referral system
b. Conducting training for livelihood programs
c. Creating income generating projects
d. None of the above
147. In order to achieve community participation,
Midwife A should do these other than:
a. Create committees in the barangay
b. Select CHWs
c. Organize the barangay
d. Support advice from political leaders
148. Which of the following does not describe a
community?
a. People have common values and interest
b. They have no geographical boundaries
c. The group has a social culture
d. They have norms and social institution
149. Characteristic of Barangay Wawa include all these
aside from:
a. People have common behavior or lifestyle
b. It has preventive, promotive and rehabilitative
system of care
c. Human biology describes the genetic make-up
of the people
d. Established social control
150. Aside from one, these are functions of Barangay
Wawa:
a. Socialization among the residents
b. Social inter-participation is initiated by the
family
c. It has legitimate ways of settling disputes
d. Mutual support between people and the
barangay
151. As an organized community, the benefits of
Barangay Wawa are:
a. People use the problem solving method to
address their problems
b. Community are utilized
 c. People participate in decision making
d. All of the above
152. Midwife A will conduct outreach immunization
session in the Barangay Hall. The cold chain
equipment that she should use is:
a. Vaccine refrigerator
b. Vaccine carrier
c. Ice packs
d. Cold dogs
153. These vaccine should not be placed close to the ice
packs:
a. OPV and measles
b. Hepa B, OPV
c. DPT, TT, Hepa B
d. BCG, Hepa B
154. When reconstituting BCG and Measles vaccine,
Midwife A should remember not to:
a. Put diluents in the freezer
b. Discard leftover vaccine after 6 hours
c. Interchange the diluents
d. All of the above
155. Midwife A noticed that DPT, TT, & Hepa B are
frozen. She should perform which test?
a. Shake test
b. Precipitate test
c. Vaccine test
d. None of the above
156. In EPI monitoring, Midwife A should:
a. Refer all her EPI cases to MHO
b. Treat cases with EPI disease
c. Analyze EPI cases and deaths
d. Summarize FIC every end of the month
157. Midwife A participates in the implementation of NTP
and should consider the targets to help attain them:
a. Detect 70% of estimated new sputum smear (+)
TB cases
b. Ensure that drugs are always available
c. Midwife A should attend training on TB
d. Perform monitoring visits
158. To improve the treatment compliance of TB patients,
these are done aside from:
a. Health education to all cases
b. Non-monetory incentives to health workers and
volunteers
c. Develop and disseminate IEC materials
d. Implementation of DOTS
159. These are considered in the classification of TB cases:
a. Location of lesions and sputum smear exam
results
b. History of anti-TB treatment
c. Both a and b
d. None of the above
160. Among the type of TB cases, one who returns with (+)
smear after interruption of SCC for two months or
more is considered:
a. New case
b. Transfer in
c. Relapse
d. Return after default (RAD)
161. Which of the following is considered a smear (-) case?
a. Aling Belen with one sputum (+), CXR
consistent with active TB
b. Mang Ben with three sputum (-), CXR with
active TB with no response to antibiotics or
symptomatic treatment
c. Aling Tess with one sputum (-), CXR consistent
with active TB
d. Mang Andy with two sputum (-), CXR
consistent with minimal TB
162. To identify who among the cases should undergo
DOT, Midwife A should remember that:
a. DOT can be done in any accessible and
convenient place
b. A member of the family is last priority as treat
partner
c. All smear (+) cases should undergo DOT
d. Supervision of anti-TB drug intake should be
done during the intensive and maintenance
phase of SCC
163. Midwife A should recommend these TB patients
for hospitalization aside from:
a. With pleural effusion of ½ of the drugs
b. Massive hemoptysis and those requiring surgery
c. Military TB, TB meningitis, TB pneumonia
d. Cases under Regimen II
164. During Midwife A’s homevisit to Mrs. Cruz G2
P2, 3rd PP day, she complained of pain on the leg.
Mrs. Cruz is positive for milk leg due to the
presence of:
a. Spider veins
b. Varicose veins
c. Edema
d. Homan’s sign
165. Upon inspection of the perineum, Midwife A noted
a laceration that was gasping. The midwife should
consider which action?
a. Alarming and refer the case
b. Expected and advise to clean with bayabas
leaves decoction
c. Prepare to suture the gaping perineal wound
d. Observe Mrs. Cruz
166. To monitor the amount of lochia every day,
Midwife should teach Mrs. Cruz to:
a. Weigh the pads before discarding
b. Count the pads used and check saturation
c. Count the pads used every 4 hours
d. All of the above
167. During closing of the visit, Midwife A should:
a. Measure the weight of the fundus
b. Emphasize PP check-up
c. Do physical assessment
d. Check the lochia
168. Upon inspection of the baby’s cord, Midwife A
noticed redness around the stump. Her appropriate
action is:
a. Clean with soap and water
b. Clean with gentian violet
c. Clean with alcohol 70%
d. Clean with betadine
169. Everyday, Midwife A should measure the height of
the fundus in order to:
a. Monitor involution
b. Note abnormalities
c. Detect uterine atony
d. All of the above
170. Which of these activities is not done during the
professional phase of the visit?
a. Physical assessment
b. Checking the breasts for engorgement
c. Giving the baby partial bath
d. Teaching FP method
171. Several children were brought to the BHS for
consultation. Three year old Jana has fever, runny
nose, maculo-papapular rashes and clouding of
cornea. Which treatment is appropriate?
a. Gentian violet for the rashes
b. Mycostatin ointment for the eyes
c. Tetracycline opthalmic ointment
d. Paracetamol for fever
172. Tom, has cough of one week duration. Upon
assessment, fast breathing and chest indrawing are
noted. Midwife A should:
a. Give appropriate antibiotic for 5 days
 b. Refer for further management 183. In zero-solid waste management, wet organic refuse
c. Send home and follow-up after 2 days is placed in which bag?
d. Give first dose Amoxicillin and refer urgently a. Black
173. Jun, 2 years old, had 5x watery stools without signs of b. Green
dehydration. The appropriate treatment is: c. Yellow
a. ORS 100ml/BM d. Red
b. IV fluids to prevent dehydration 184. Level 2 water facility is suited for the rural. How
c. Home treatment many houses share a common faucet in this type of
d. 50ml sugar water/BM water facility?
174. Toti has high fever, ear pain with swelling behind the a. 3-5 houses
ear of one week duration. Which action should be b. 4-6 houses
done by Midwife A? c. 5-7 houses
a. Give appropriate antibiotic and follow up after d. 8-10 houses
5days 185. Urban water system classified as level 3 have
b. Give paracetamol and refer individual household tap and water undergoes the
c. Prevent lowering of blood sugar process of:
d. Dry by wicking and instill Quinolone drops a. Sedimentation, filtration, chlorination
175. Three years old, Tita manifested pus draining from the b. Bacteriological examination
ears for one week. Management will include all aside c. Analysis, chemical, examination
from one: d. Filtration, sedimentation, chlorination
a. Amoxicillin for 5days 186. Which of the following results in urinary tract
b. Quinolone otic drugs infection when a pregnant mother is infected?
c. Paracetamol if with pain a. Syphilis
d. Dry by wicking b. Gonorrhea and Chlamydia
176. Baby Ana had 4 bouts watery stools, sunken eyes, c. Moniliasis
skin goes back slowly when pinched. She should be d. Trichomoniasis
classified: 187. In counseling couples under treatment with sexually
a. Diarrhea with severe dehydration transmitted infections, which is inappropriate?
b. Diarrhea with some dehydration a. They may continue to have sexual contact
c. Persistent diarrhea b. Follow-up is very important
d. Diarrhea with no dehydration c. Both should be treated even if one has no
177. How many children will Midwife A immunize this symptoms
year? d. Encourage safe sex practice
a. 645 188. Which sexually transmitted infections will be
b. 648 acquired by the baby through placenta?
c. 745 a. Syphilis and AIDS
d. 756 b. Chlamydia and Gonorrhea
178. How many AIDS will she need to give DPT every c. Moniliasis
month? d. Trichomoniasis
a. 175 189. Which EPI disease is non-contagious?
b. 178 a. Tuberculosis
c. 200 b. Measles
d. 208 c. Poliomyelitis
179. Midwife A will give TT to how many pregnant d. Tetanus
mothers every month? 190. Teaching the people skills and other means of
a. 82 income is people empowerment to achieve self-
b. 83 reliance which can be achieved through training
c. 72 using:
d. 73 a. Acceptable technology
180. Midwife A will request for safety collector box to b. Health human resource
store the used needles and syringes. The capacity of c. Active community participation
one is: d. Active leaders
a. 5 191. When conducting mother’s classes in the barangay,
b. 6 it should be regular and continuous because health
c. 7 education is:
d. 8 a. Achieved by doing
181. Environmental sanitation is the main concern of the b. Slow process
Sanitary Inspector; however, the midwife collaborates c. Cooperative effort
in the implementation of the Sanitation Code. Which d. Creative process
type of water requires boiling for one hour? 192. All pregnant women on their first visit in the
a. Polluted water Prenatal Clinic will undergo urine examination for
b. Yellowish with unpleasant odor sugar and albumin during:
c. Hard water a. Pre-consultation
d. Soft water b. Consultation
182. Pit latrine and aqua privy are types of toilet common c. Post-consultation
in the rural. These type of toilets are: d. Post-conference
a. Water sealed 193. Mang Ben had fever chills and diaphoresis which
b. With specific tank started 3 days ago. Blood smear is (+). First line
c. Non-water carriage/uses small amount of anti-malarial drug is not available, he should be
water given:
d. With sewerage system a. Quinine sulfate and Doxycycline
b. Arthemeter and Tetracycline
 c. Chloroquine Primaquine, Sulfadoxine and c. Dorsiflex the foot of the affected leg
Pyrimethamine d. Elevate the legs the whole night
d. Lumefantrine and Sulfadoxine 205. Records management is an important responsibility
194. Johnny is 1 week old with redness around the umbilical of the midwife. Which of the following is found in
stump , the midwife should: the family folder?
a. Clean the area with 70% ethyl alcohol a. Mother and Child Book
b. Paint the area with gentian violet b. TCL
c. Clean with soap and water c. ITR
d. Wash hands before cleaning the area d. ECCD Record
195. The Philippine Health Care Delivery System provides 206. If the heat and acetic acid test is negative, it
health services in an organized manner to make health means?
services accessible to the people. The DOH plans for a. After first heating, result is cloudy
the national health program. AHA aims for universal b. After first heating, result is clear
coverage of: c. After 2nd heating, result is cloudy
a. Health Services d. After 2nd heating, result is hazy
b. Pantawid Pamilya 207. In the prenatal clinic, during the pre-consultation
c. PhilHeath phase, urine examination is done to:
d. All of them a. Detect infection
196. Community health is ecologically focused with major b. Examine for sugar and albumin
problem resulting in natural disasters due to: c. Recognize kidney disease early
a. Climate change d. Identify high risk pregnancies
b. Converting forests into resorts 208. The document needed to assess the health
c. Environmental degradation condition of the barangay is:
d. Overcrowding and housing problems a. Spot map
197. The midwife’s objective in Health Education as primary b. Municipal Form 102
health care provider is to: c. Vital statistics
a. Monitor sick people d. Community survey
b. Prevent complications 209. Aside from one, these are responsibilities of the
c. Rehabilitate persons who recovered from illness midwife in environmental sanitation:
d. Promote health a. Interpretation of the sanitation code
198. Pregnant woman on MDT given TT protects the baby b. Participate in deworming campaigns
from tetanus neonatorum through which type of c. Participate in disaster management
immunity? d. Investigation of epidemic
a. Natural passive 210. In the the NTP, which of the following cases is
b. Natural active considered treatment failure?
c. Artificial passive a. Jun completed the treatment but is not
d. Artificial active classified cured or failure
199. You will conduct outreach immunization in the b. Kaye who is smear is (+) 5 months later
Barangay Hall, to compute your immunization coverage during the treatment
you will: c. Tim with 2 months interrupted treatment
a. Determine annual population d. Jim died during the course of SCC
b. Compute wastage 211. Mang Tomas who is undergoing SCC. For a
c. Do target setting successful implementation of DOTS, he needs to
d. Determine monthly injection have:
200. In Barangay Lawa, community mobilization is essential a. Treatment partner
for: b. 3 negative smear after 5 months
a. Integration c. Return after 2 months interrupted SCC
b. Family health care d. None of the above
c. Active participation 212. Mang Tomas is unde Regimen II of SCC, he is
d. Program planning either of these except:
201. How many children in Barangay Lawa with 25,000 a. Failure case
population are eligible for immunization every month? b. Relapse case
a. 58 c. RAD case
b. 57 d. New smear (-) with minimal PTB result
c. 56 213. In cases of all smear (-) result after second
d. 55 collection of 3 sputum, which of these is
202. How many pregnant mothers will be given Tetanus recommended?
Toxoid this year? a. Symptomatic treatment
a. 945 b. Request for CXR
b. 940 c. Classify as smear (-)
c. 870 d. Classify as smear (+)
d. 875 214. While doing Leopold's maneuver to a G3P2, you
203. How many ADS are required to give TT to the pregnant noticed reddish colored nodules on the abdomen
women? which are not sensitive to touch. You should refer
a. 1,925 the patient for:
b. 1,950 a. Wasserman test
c. 2,300 b. Sahli’s test
d. 2,075 c. Slit skin smear
204. One of the mothers is complaining of painful d. Possible case of varicella
varicose veins. Which is an appropriate advice? 215. The midwife should recommend which of the
a. Apply warm compress following methods of community refuse disposal in
b. Elevate legs after prolonged standing the barangay?
 a. Dumping 226. In organizational planning, which of the
b. Burning following is not considered?
c. Zero solid waste management a. Review the process from assessment
d. Incineration b. Encourage members of the group to
216. Last year the barangay’s live birth was 14, the crude participate in discussion
birth rate is: c. Explain the value of the plan to the
a. 0.51 residents
b. 0.56 d. Involve those considered in planning
c. 0.60 227. This are considered in the assessment of family
d. 0.65 health problems:
217. In one of your antenatal home visits, a pregnant mother a. Making objectives, constructing
complained of frequent cramps, your advice to relieve it operational plan
is: b. Revising plan, estimating cost benefit
a. Elevate legs c. Collecting data, identify health problems
b. Drink everyday d. Coordinating care services with other
c. Use support stockings agencies
d. Dorsiflex the foot 228. To organize the barangay for health action, the
218. In performing procedures at home, the midwife can first step the midwife do is:
maintain asepsis by doing: a. Integrate with people
a. Handwashing b. Arrange meeting in the community
b. Thermometer technique c. Make courtesy calls
c. Bag technique d. Gain entry in the community
d. Alcoholize hands 229. Which of the following is essential in the process
219. Before putting down the visiting bag to prepare for bag of integration:
technique, you should: a. Study the people’s attitude
a. Put the newspaper in the area where you will b. Know the background of the barangay
place the bag c. Reside in the community
b. Alcoholize your hands d. Conduct regular meeting with the
c. Clean the area with soap and water committee
d. Place the bag on the paper lining 230. The BHS is primary level of health care facility
220. Which is the last activity in every antenatal visit? whose services primarily includes:
a. Take the vital signs a. Health promotion and disease prevention
b. Give health instructions b. Early treatment and diagnosis
c. Check lower extremities c. Rehabilitation
d. Check conjuctiva d. Teaching and training
221. To solve the problem in the barangay, the midwife 231. As a health educator, the midwife you collaborate
implemented some strategies according to plan, this is: with the health team because Health Education is
a. Evaluation the main strategy to:
b. Planning a. Conduct community education
c. Assessment b. Conduct community assembly
d. Intervention c. Promote health and prevent disease
222. When conducting mother’s classes, the midwife should d. Perform her role in secondary prevention
be guided by these principle we aside from one: 232. The local health board is the implementor of the
a. Past experiences of mothers are not considered national health program in the provincial and
b. Introduce subject as task or problem municipal level by the:
c. Teach them how to apply what they learned a. UHC program
d. Motivate them to learn b. PHC program
223. Records management is the midwife’s responsibility. c. DOH
Which of these records are not kept in the BHS? d. LGU
1. Target client list 233. When using supplementary devices in the Health
2. Mother and child book Education, the midwife should be guided by the
3. ECCD Record principle of:
4. Individual Treatment Record a. Appropriateness
a. 1 & 2 b. Recent technology
b. 2 & 3 c. Resourcefulness
c. 3 & 4 d. Availability
d. 1 & 4 234. The Aquino Health Agenda (AHA) aims to
224. Every month, you should conduct a meeting to the achieve healthcare for all through:
following: a. PHC
a. Barangay chairman and zone leaders b. UHC
b. TBA and BHW c. DOH National Health Plan
c. Purok leaders and zone leaders d. Healthy Lifestyle
d. All of the above 235. In the RHU, basic health services under MCH are
225. The eligible pregnant mothers for tetanus toxoid every all these other than:
moth is: a. BEMONS
a. 73 b. CEMONS
b. 74 c. EINC
c. 85 d. PHC
d. 86 236. In a BEMONC facility, this is not performed by a
As a community organizer, the midwife applies trained RM:
concepts and principles of organization. a. AMSTL
b. Injection of MgSO4
 c. Injection of steroids in premature labor and out of 10,000 children, 50% belongs to the under 5
d. Manual extraction of the placenta age group . It’s total population is:
237. The focus of health development of the Aquino a. 30,000
Administration is: b. 32,000
a. Improvements of Local Health Units c. 34,000
b. Increase budget for PHC d. 45,000
c. Budget for Magna Carta for Health Workers 248. Last year, 26 Municipal Form 102 were filled in
d. Increase budget for local hospitals the Local Civil Registrar’s office. What is the
238. The goal of PHC is “Health in the Hands of the people barangay’s crude birth rate?
in 2020”. Socito-economic development is interrelated a. 0.577
with PHC and its strategy is: b. 0.788
a. Increase access water c. 0.802
b. Improve environmental sanitation d. 0.935
c. Increase income generating projects 249. Last May, there was an outbreak of typhoid fever
d. All of these due to contamination of its water supply. Disease
239. In Barangay Aliw, 20L of water is available to the incidence ended in June. This pattern of disease
residents from a sources that is 2 km away. The occurrence is:
barangay has: a. Sporadic
a. No access to water b. Epidemic
b. Access to water c. Endemic
c. Improved water supply d. Pandemic
d. No water supply 250. The midwife did epidemiological investigation and
240. These are considered improved water supply other than result showed most cases reside near the basketball
one: court. Disease occurrence has relationship to:
a. Tanker truck provision a. Time
b. Vendor protected water b. Space
c. Public stand pipe c. Group
d. Unimproved springs d. No relationship to any
241. Around 10% of the households in Barangay Iba has 251. Fifty percent of the cases were malnourished
Level 2 water facility wherein a faucet is shared by: children belonging to the under 5 age group. The
a. 10 households factor affecting disease distribution is:
b. 8 households a. Time
c. 7 households b. Place
d. 6 households c. Group
242. At the middle of the year, the water in the barangay d. None of them
underwent analysis with positive result for E. Coli. The 252. The barangay has 10 BHWs assigned to 20
best measure is: households each who submit to the midwife every
a. Instruct residents to boil water month:
b. Disinfect water with chlorine a. TCL
c. Renovate public stand pipes b. List if pregnant mothers
d. Recommend tanker truck provision of water c. List of TB defaulters
243. To ensure food safety, monitoring food hygiene is d. All of them
essential which involve all these aside from: 253. The midwife is responsible for the records
a. Food handling management. Records necessary in vital health
b. Refrigeration statistics are:
c. Training of food handlers a. Mother and Child Book
d. Water used for cooking b. TCL and ITR
244. The toilet facility in the barangay is Level 1. Which of c. FHSIS E2, FHSIS E3
the following does not describe this type of facility? d. Family Folder
a. Water sealed and flush type 254. In prenatal clinic routine, the midwife should
b. Utilizes little amount of water perform these procedures during consultation:
c. Non water carriage a. History taking
d. Pit privy, poor flush toilet b. Leopold’s maneuver
245. Food sanitation policies are implemented by the c. Urine examination
sanitary inspector which involve all these aside from d. Health education
one: 255. A positive albumin result is:
a. Inspection of food establishments a. Cloudy on first heating
b. Health certificate of food establishment b. Yellow orange
proprietors c. Cloudy on second heating
c. Sanitary permits of all establishments d. Blue green
d. Discarding food not fit for consumption 256. The partnership in PHC is between the community
246. During disasters, the midwife is involved in managing and:
evacuation center and treating casualties as part of her a. LGU & NGO
responsibility in: b. Civic organization and political leaders
a. Epidemiology c. Government and private sector
b. Management d. DILG and DSWD
c. Health care 257. In PHC, community participation may be achieved
d. Environmental sanitation through:
247. Barangay Iba’s population is composed of 12,000 men, 1. Community Organizing
500 are of which are senior citizens; 15,000 women, 2. Linking with other sectors
200 of which are pregnant and 600 are senior citizens; 3. Establishing referral system
4. Selecting community volunteers
 a. 1 & 2 267. Mrs. Cruz also complained of difficulty to
b. 2 & 4 breastfeed due to hard and short nipples. This
c. 1 & 4 could be prevented if:
d. 2 & 3 a. Hoffman technique was done during
258. Social mobilization for PHC is performed through: pregnancy
1. Collaboration with GO and NGO b. Stretch and roll exercises was done
2. Training of residents regularly
3. Establishing referral system c. Breast care was done during pregnancy
4. Allocating budget for health d. Correct latching is done
a. 1 & 2 268. Upon inspection of lochia, the normal color should
b. 1 & 3 be:
c. 1 & 4 a. Rubra
d. 2 & 3 b. Serosa
259. PHC is strengthened by its core values equity, social c. Alba
justice, community participation, personal responsibility d. Brownish
and self-reliance. The value of self-determination is 269. Mrs. Cruz has an episiotomy. Upon inspection of
focused on achievement of health and developed by the: the perineum, it is edematous. This is:
a. Health team a. Expected
b. Community health workers b. Normal
c. Individual c. Not normal
d. Local political leaders d. Alarming
260. Home visit is an extension of services of the health 270. Upon inspection of the baby, you noticed that the
center to the home. Frequency of the home visit is cord is covered with a binder and there is a redness
affected by these: around the umbilicus. Which is your appropriate
1. The client’s response to services action?
2. Problems and needs of the family a. Clean the cord base with alcohol 70%
3. Purpose or objective b. Use betadine to clean the cord
4. Information about the family c. Advise not to use binder after cleaning
a. 1,2,3 with soap and water
b. 1,3,5 d. Advise not to use binder after cleaning
c. 2,4,5 with gentian violet
d. 3,4,5 271. Mrs. Lim, G2P1 is your AP case. In one of your
261. When planning for home visit, it should be done: home visits you discussed birth planning. Foremost
a. In the patient’s home to assess her problems consideration is:
b. In the health center to note objectives a. Birth setting
c. Day prior to the visit b. Financial concerns
d. With the participation of the patient c. Preparation of the baby’s layette
262. When visiting an antenatal case, the midwife’s priority d. Distance of the birthing facility to her
is to assess: residence
a. The environment 272. Upon palpation, findings on first maneuver is hard
b. Problems and coping mechanism of the family ballotable mass occupying the fundus. You will
c. Economic status of the family advise Mrs. Lim to deliver in:
d. Physical condition of the mother a. Birthing center
263. In doing Leopold’s maneuver, the midwife should b. Lying-in of the RHU
remember that a distended bladder would: c. BEMONC facility
a. Result in inaccurate findings d. Tertiary hospital
b. Cause discomfort to the mother 273. Mrs. Lim urine exam result is yellow green in
c. Displace the uterus color. Possible complication is:
d. Result to urinary retention a. PIH
264. What is appropriate action if upon assessment you b. Gestational Diabetes
discovered the mother to have large varicosities? c. Moniliasis
a. Advise to elevate the legs often d. UTI
b. Teach the mother dorsiflexion 274. Mrs. Lim experiences frequent crampy legs. You
c. Refer to the obstetrician will advise her to take more of which food
d. Advise to avoid prolong standing sources?
265. During the professional phase of the visit prior to the a. Milk, sardines, and small fishes
performance of the midwifery procedures, the midwife b. Meat particularly chicken
should: c. Chicken pork liver
a. Socialize with the patient d. All of the above
b. Assess the environment 275. You opened the family folder of Mrs. Lim in the
c. Do bag technique BHS. Which of these are not found inside?
d. Take the BP of the mother 1. ITR
266. Mrs. Cruz, G1P1 is on her 3rd day postpartum day at 2. ECCD record
home complained of pain on the leg, upon inspection 3. TCL
she is positive for milk leg because of the presence of 4. Mother and Baby Book
the: a. 1
a. Varicose veins b. 1& 2
b. Edema c. 2,3,4
c. Homan’s sign d. 3 & 4
d. Spider veins 276. As a community, which of these describes the
environment of Barangay Iba?
 a. Common diseases are parasitism and iodine
deficiency
b. The people’s lifestyle is common to farmers
c. It has preventive and promotive system of care
d. It is a valley surrounded by mountains
277. Barangay Iba is a healthy community with the following
characteristics aside from one:
a. People have sense of belongingness
b. Residents are able to identify their problems
c. Research on modern technology of farming is
on going
d. People participate in decision making
278. Social interpretation is a function of the barangay which
usually starts in the:
a. Community
b. Social organizations
c. Religious organization
d. Family
279. Residents who do not conform to norms of the barangay
are usually socially isolated by the residents which is
their way of:
a. Social interparticipation
b. Social control
c. Encouraging belongingness
d. Socialization
280. Among determinants of health, the Philippines ranked
one of the highest in the world:
a. Food security
b. Gender and women
c. Literary rate
d. Violence