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FINAL COACHING EXAMINATION

PROFFESIONAL GROWTH AND DEVELOPMENT
Prepared by: Sir Jericho Ruiz-Medina, BSN, RN
Philippine Midwifery Licensure Examination
NAME:

INTEGRATED PGD & MIDWIFERY CARE

MG’T - PART A
1. A clinical instructor is explaining to a b. She should use aseptic technique and
group of midwifery students the different sterile instruments
functions of midwife. She asked one of c. She should suture lacerations only of
the students to explain the expanded primiparas and multiparas should be
functions of midwife: referred to hospital for treatment
a. Performing IE is not an expanded d. She should refer the newly delivered
function woman if laceration involves the anus
b. These are functions that a midwife e. She should suture only under
does when carrying doctor’s order supervision of a nurse or doctor
c. It includes injecting vitamin K to the a. A, d and e are correct
newborn and administering oxytocic b. only b, d, e are correct
during labor c. c and e are incorrect
d. These are functions that should be d. a and c are incorrect
carried out only after proper training
a. all are true except a 4. Institutional midwives are employed in the
b. Only a, d, are correct following settings except:
c. All of these are true a. A staff midwife in a puericulture center
d. all are true except b b. A midwife assigned in the delivery
room of a hospital
2. Based on Republic Act 7392, the duties c. A midwife in charge of toddlers in a
and functions of midwife include all of the day care center.
following except: d. A midwife operating her own
a. Performing vaginal examination to a “Paanakan” clinic
16 week old gravida with spotting
b. Suturing a laceration that extends to 5. Which is/are included as among the major
the perineal body in the fourth stage subjects in the Midwifery Licensure
of labor Examination?
c. Teaching the mother of a 4 month old a. Midwifery Law and Ethics
infant to feed the child with lugao b. Obstetrics and Gynecology
d. Injecting Vitamin K and BCG vaccine to c. Professional Adjustment
a newborn d. Fundamentals of Health Care
e. Microbiology and Parasitology
3. Suturing of perineal laceration is among f. Infant Care and Feeding
the important functions of midwife during a. b, d, f
labor. To prevent lawsuits, she should b. a, b, c, d, e, f
remember that: c. a, b, c, d, f
a. She is to suture lacerations only if d. b, c, d, f
bleeding does not abate after applying
pressure 6. The core of midwifery board
examination is:
 a. Ethico-legal aspects of care a. May decrease her culpability
b. Care of infants b. Makes her not liable
c. Obstetrics and Gynecology c. Increases her liability
d. Fundamental procedures d. Does not affect her liability

7. Under this law, registered midwives who 12. A crime done by a group of persons who
passed the MLE need not pass the civil all cooperate to perform such a crime is
service examination to be able to work in called:
government institutions: a. Accomplice
a. RA 1082 b. Accessory
b. RA 1612 c. Principal
c. RA 1080 d. Conspiracy
d. RA 2382
13. Performing a procedure on a client in the
8. Which of the following is the MOST recent absence of informed consent can lead to
government initiative to help subsidize the which of the following charges?
cost of health services for both the a. Fraud
employed and the unemployed? b. Harassment
a. Medicare Act c. Assault and Battery
b. Worker’s Compensation Act d. Breach of Confidentiality
c. National Health Insurance Act
d. Magna Carta for Health Workers 14. A crime committed by one who files a
birth certificate when no birth actually
9. A college student asked a midwife for a occurred is:
drug that would induce her to a. Abandonment of a child
“menstruate” because her pregnancy test b. Forgery
is positive. The midwife gave the student c. Falsification
two tablets of an abortifacient drug but d. Simulation of birth
despite taking the medication, the
student’s pregnancy continued and she 15. Life imprisonment is also called:
delivered a baby with a cleft lip after eight a. Reclusion Temporal
months. The midwife and the student b. Prision Mayor:
commited: c. PrisionCorreccional
a. Consummated d. Reclusion Perpetua
b. Attempted
c. Unsuccessful 16. Professional conduct should be
d. Frustrated observed by the midwife, an example of
this conduct is:
10. A midwifery graduate asked an employee a. Operating a lying-in clinic which
of PRC if she can buy board questions. charges lower fees as the other lying
The PRC employee intrduced the student in centers in the community
to one of the Board of Midwifery who sold b. Telling the patient that she is the
the students 50 questions that came out most efficient midwife in their locality
in the board exm. The PRC employee is c. Performing the task and functions
the: that are within the scope of
a. Principal midwifery practice
b. Accessory d. Performing the functions of nurse
c. Witness since nursing care can be done by
d. Accomplice the midwife as well

11. When a midwife commits a crime, her 17. A written instruction made by a dying
education: patient that is to be carried out when the
 patient is no longer coherent to decide for rather than purely materialistic
himself? pursuits.
a. Power of Attorney b. Midwifery must remain congruent with
b. Informed Consent changes in better health care delivery
c. Living Will system and must be responsive to the
d. Advance Directive country’s needs.
c. The improvement of midwifery as a
18. A patient who signed an agreement with a profession will come primarily from our
pharmaceutical company to participate as own resources and efforts.
a research subject in the company’s d. The IMAP, Inc. must try to bring all
research about the therapeutic effects of those involved in midwifery into a truly
its particular product. The patient was human community.
paid by the company for his participation
at the start of the research. Halfway
through the research, the patient told the 21. A registered midwife maybe allowed to
midwife that she no longer wants to follow up students in the
participate in the research. The midwife community/ward provided she has:
informs the patient that: a. Three years experience in the area of
a. She cannot do that because she has assignment
already agreed with the company and b. She is also a BS degree holder
is already paid for it. c. She is a degree holder in health
b. She must have a life and death reason related field
to be allowed to discontinue her d. Two years experience in the area of
participation assignment
c. She can discontinue her participation
in the research at anytime she wants. 22. The very first midwifery association in the
d. She must file a case in court first if she Philippines is the:
want to discontinue her participation in a. Integrated Midwives Association of the
the research Philippines
b. National Federation of Filipino Midwifes
19. Ethical frameworks that can guide health c. International Convention of Midwives
workers in deciding when they are d. The Philippine Midwives Association
confronted with an ethical dilemma
include the following except: 23. For a foreign midwife to be allowed to
a. Ethical Systems and Principles practice in the Philippines, it is important
b. Advice of superiors that:
c. Patient’s Bill of rights a. The professional license of the
d. Professional Code of Ethics foreign midwife is valid
e. Institution Policies b. The foreign midwife is not below
f. Laws 18 and more than 45 years old
g. Opinions of co-workers c. The foreign midwife secures a
a. e and f permit from the Department of
b. b and e Foreign Affairs
c. f and g d. The professional license of the
d. b and g foreign midwife is translated in
English.
20. Self-reliance is among the philosophy of
IMAP. It means to say that: 24. When a foreign midwife is employed by a
a. The growth of and development of private school of midwifery to teach a
midwifery profession must be reflective midwifery subject for one semester, the
on endeavors that are truly human hiring agency should get a special permit
 for the foreign midwife from which
agencies? 29. A basic structure against which competent
a. Professional Regulation Commission care is objectively measured is which of
and Commission on Higher Education the following?
b. Board of Midwifery and Professional a. Standard
Regulation Commission b. Principle
c. Professional Regulation Commission c. Law
and Department of Labor and d. Codes
Employment
d. Department of Foreign Affairs and 30. When a midwife abides by the agreed up
Board of Midwifery terms and condition in her contract of
employment, she is observing:
25. Which of the following is an example of a. Privacy
negligence by a midwife? b. Fidelity
a. The midwife suctioned the baby's c. Veracity
mouth and nose to prevent d. Morality
aspiration pneumonia
b. The midwife applied Terramycin 31. Mr. Lacsamana is in the terminal stage of
ointment on the baby's eyes after lung cancer. He tells you that he has a
delivery living wilt. You have known that the
c. The midwife pushed the fundus of client’s living will involves which one of
the uterus to hasten the delivery of the following?
the baby and the uterus got inverted a. A document signed by the client’s
d. The health center midwife gave family for the provider to withhold
tetanus immunization to a pregnant medical treatment
mother b. Provides that the client’s wishes need
not be followed if life can be prolonged
26. When the injury caused is proof of when death is eminent
someone's negligence, this is referred to c. The medical treatment of a client
as: chooses to withhold if he is rendered
a. Res ut des unable to make decisions
b. Force majeure d. It is confidential and not part of the
c. Unethical behavior client’s medical records
d. Res ipsaloquitor
32. Mrs. Ayala is preparing a will. You can tell
27. When a midwife go on duty beyond her her that:
shift because the hospital is understaffed a. she should consult her husband first
even when not required by the head b. she should get a clearance from a
nurse just to ensure the welfare of the psychiatrist
patients, she is doing her: c. all of the above
a. Professional obligation d. if the will is entirely handwritten, there
b. Legal obligation is no need for witnesses
c. Moral obligation
d. Personal obligation 33. To acquire Filipino citizenship, a
foreigner may apply for:
28. Violation of these rights is punishable by a. Immigration
law and it include the right to vote and b. Repatriation
own private and public properties: c. Naturalization
a. Personal rights d. Residency
b. Ethical rights
c. Option rights
d. Welfare rights
34. A terminally ill cancer client asked her b. Intestate
private nurse to administer him with a c. Succession
fatal dose of morphine so he can at last d. Probate
“rest and end his agony”. The client
offered the nurse a reward of P500,000. 40. An Illegitimate child can use the surname
The nurse agreed but when she was of his father provided that::
about to inject morphine in the client’s IV a. He undergo a DNA test first to confirm
fluid, the doctor arrived and discovered that the person he claims to be his
the crime she was about to commit. This father is indeed his biologic father
is an example of: b. His mother has made a sworn
a. Frustrated felony statement before a judge that the
b. Consummated felony person is his father
c.Intentional felony c. It is common knowledge in the
d. Attempted felony community he is a child of the person
he claims to be his father
35. A hospital refused to discharge a patient d. His father has acknowledge him to be
because he cannot pay his bills. This act is his child
considered a criminal act and is called:
a. illegal detention 41. After proper investigation, the Board of
b. simulation of birth Midwifery found reasonable ground to
c. quarantine revoke the license of a registered midwife.
d. Malpractice The midwife can file an appeal to reverse
the decision of the Board to the:
36. Infanticide is the unlawful killing of an a. Ombudsman
infant under: b. Office of the President
a. 3 lbs. body weight c. Secretary of Education
b. three years old d. Professional Regulation Commission
c. three months old
d. three days old 42. When a board member has been chosen
by the President of the Philippines from
37. Ruzherry, a registered midwife, agrees to the list submitted by the accredited
attend to Jane during the latter’s labor association of midwives, this appointment
and delivery on the condition that Jane is called:
will pay her P500.00. In the viewpoint of a. Ad Interim Appointment
Ruzherry, the cause of the contract is: b. Hold-Over Capacity
a. The P500.00 payment for her services c. Regular Appointment
b. Her willingness to assist Pia during d. Indefinite Tenure
labor
c. For her to attend to Pia during labor 43. The term defined as "a calling in
d. Because Pia is her best friend which its members profess to have
acquired special knowledge by training or
38. The person who makes a will is by experience, or both so that they may
called a: guide, advise or serve others in these
a. Intestate special field." is:
b. Plaintiff a. Obstetrics
c. Decedent b. Vocation
d. Testator c. Profession
d. Midwifery
39. The procedure by which the court
determines whether a will should be 44. The following are characteristics of a true
allowed or disallowed is called a: profession. Which one is not?
a. Escheat a. It is involved in intellectual activities
 b. The activities of profession is based on of Midwifery to narrate personally what
knowledge and sound scientific she saw. The student was sent a:
principles a. Subpoena testificandum
c. It is service oriented b. Request of personal appearance
d. The techniques used in the practice of c. Affidavit
profession are innate and inborn in the d. Subpoena ducestecum
professional
50. Which of the following statement is true
45. One of the BOM’s determinative power is regarding the practice of midwifery?
to grant exemptions to certain individuals a. A midwife who is performing her
to be able to practice midwifery without independent functions is held
taking the MLE. This power is also accountable for her own actions
referred to as: b. Performing IE to check progress of
a. Dispensing power labor is considered malpractice for the
b. Enabling power midwife
c. Corrective power c. A midwife performing functions
d. Examining power outside of the scope of practice will
not be guilty of malpractice if it is
46. When the BOM issue certificate of related to delivery like giving
registration or professional license without intravenous fluids or doing
need of taking the MLE to midwives who episiotomy
have lost their certificates, the BOM is d. Giving intravenous fluids to dehydrated
exercising its: patient
a. Enabling power
b. Ministerial power
c. Examining power
d. Corrective power INTEGRATED PGD & MIDWIFERY CARE
MG’T - PART B
47. By force of law, therefore, the Board of
Midwifery specified the proper attire of SITUATION: Nurse-Midwife Wilma was paid
examinees during the board exams. This half a million pesos by Congressman Louie
power is called: Zamora to kill a patient in the hospital. The
a. Quasi-Judicial Power patient was an ambush survivor. Wilma
b. Executive/Promulgating Power overdosed the client with depressant drugs
c. Regulatory Power that lead to respiratory arrest. He conspires
d. Quasi-Legislative Power with her best friend, Magda to hide evidences
that will lead to litigations. Ana, the
48. When the Board promulgates rules and pharmacist to provide her with 10 [5mg/ml
regulations governing the practice of 10ml] vials of diazepam but only records a
Midwifery, it is exercising its: single vial. The ambush survivor died after
a. Judicial power respiratory arrest.
b. Legislative power
c. Ministerial power 1. Who is/are the principal/s?
d. Discretionary power a. Magda
b. Congressman Zamora
49. A student complained to the board of c. Congressman Zamora and Wilma
midwifery that she saw a board member d. Nurse Wilma
giving a copy of the Board exam
questions to one of her classmates. 2. Who is the accomplice?
During the investigation, the students a. Magda
were ordered to appear before the Board b. Ana
c. Zamora
 d. Wilma a. Fidelity
b. Beneficence
3. Who is the accesory? c. Nonmaleficence
a. Magda d. Respect for autonomy
b. Ana
c. Zamora 8. You are caring for a patient with Severe
d. Wilma Hemorrhage. She needs to undergo BT. This
patient has been out of work for several
4. The circumstance that affects the said months. She does not have a health insurance
situation is: or enough cash for the hospital services and
a. Justifying procedures. What principles would be a
b. Mitigating priority in a discussion about ethics?
c. Exempting a. Accountability because you as the
d. Aggravating nurse are accountable for the well-
being of this patient
5. The gravity of this crime is considered as: b. Respect for autonomy because this
a. A misdemeanor patient’s autonomy will be violated
b. A less grave felony if he does not receive the BT
c. A grave felony c. Ethics of care because the caring
d. Light felony thing that a nurse could provide this
patient is resources for a BT
SITUATION: Midwives exercise decision- d. Justice because the first and
making skills in providing the best health care greatest question in this situation is
for patients. However, most of the time, they how to determine the just
come across different values among the distribution of resources
members of the health care team that cause
disagreement about the right thing to do. 9. As a staff nurse-midwife in Central ICU, you
Ethical considerations and values help health were assigned with a patient with a terminal
care professionals in determining what is good condition. The patient had discussed with you
or valuable for individuals, for groups of his desire to explore DNR orders; however, her
individuals, and for societies at large. admitting physician claimed that the patient
told him opposite sentiments. You become
6. In caring for a pediatric patient, he requests confused with how to proceed with your care
his pill medicine to be crushed and mixed with with patient, putting you in an ethical
his favorite food. Upon assessment, you see dilemma. The critical step that you should take
that the child is able to swallow the pills whole first is to:
and that the drug does not interact with the a. Consult a professional ethicist to
food requested. Complying with the child’s ensure that the steps of the process
request despite having a toxic shift is acting occur in full.
with which principle of ethics? b. Ensure that the attending physician
a. Nonmaleficence or health care provider has written
b. Advocacy an order for an ethics consultation
c. Beneficence to support the ethics process.
d. Fidelity c. Gather all relevant information
regarding the clinical, social, and
7. A nurse-midwife assessed Andrew who has spiritual aspects of the dilemma.
complaints of severe chest pain. She d. List the ethical principles that inform
collaborates with the client to come up with a the dilemma so negotiations agree
pain management plan. The nurse was given on the language of the discussion.
other patient assignments, but still monitored
for and evaluated the response of Timothy to SITUATION: The Midwifery Code of Ethics
the plan. This is adherence to the principle of: guides the midwife in her decision making
specifically in dealing with the significant emergency CS the physician ordered
others. “Transfuse available whole blood STAT”. The
nurse refused to follow the order without the
10. It was past visiting hour and the husband proper cross matching result. Which of the
of your client who just delivered by Caesarean ethical principle guided the nurse in her
Section (CS) came begging to see his wife. decision?
Which of the following will you do first? a. Respect for persons c.
a. Refer to the hospital policy Nonmaleficence
b. Inform the client of the presence of b. Veracity d. Sanctity of life
her husband
c. Determine condition of clients SITUATION: You as a Midwife are expected
closed to her (wife) to asses, contribute and preserve work
d. Assesses the clients condition environment that supports fulfilling your
ethical responsibility as a professional.
11. Because of economic reasons, a client for
hysterectomy requests to buy his surgical 15. Midwife Michelle is assigned to the
sutures from an outside pharmacy against Emergency Department. She is currently
hospital policy. When the nurse refers the attending to a client with a complaint of
clients’ request to the social worker, which role acute abdominal pain. Which of the following
did the midwife demonstrate? actions of Michelle demonstrates respect of
a. Mediator client’s autonomy?
b. Advocate A. Complying when the physician
c. Interpreter attempts to delegate obtaining
d. Facilitator informed consent
B. Describing the risks and benefits of the
12. A client who is for Caesarean Section is reasonable alternative to treatments
insistent to wear her full dentures during C. Facilitating and supporting client’s
transport to the operating room. The nurse choices regarding treatment options
consented to the clients request but to ensure D. Notifying appropriate parties if a
safety, which of the following is she expected patient has not given adequate
to do? information
a. Inform the OR nurse to remove
clients dentures 16. The nurse-midwife obtain the blood
b. Remove the clients dentures in the pressure of a client and have a reading of
OR 160/100mmHg. The nurse-midwife did not
c. Instruct the client to have the tell the client the reading because she
dentures removed upon reaching the believes that this information will upset him
OR and consequently further elevate his blood
d. Note in the chart the clients request pressure. This situation illustrates an example
of:
13. An IV nurse-midwife will do which of the A. Paternalism
following before venipuncture to show respect B. Self – determination
for autonomy? C. Autonomy
a. Ensure that there is no pain D. Beneficence
b. Ask the client the preferred IV site
17. Which of the following statements is true
c. Follow the procedure in drug regarding informed consent?
administration A. It is an ethical responsibility of
d. Monitor the flow rate accurately midwives to provide client with
opportunities to give informed consent
14. A Primigravid victim of vehicular accident
was rushed to the operating room for
 B. Midwives may not be legally liable if 2. Save on costs for utilities and
they know that informed consent was personnel for a newborn nursery
not obtained 3. Create an environment where basic
C. It is ethical or legal for Midwives to physical, emotional, and psychological
obtain informed consent for needs of mothers and infants are
procedures that are to be performed fulfilled
by a physician 4. Teach the mother to take
D. It is not within a midwive’s domain of responsibility for caring for her newborn
responsibility to notify the health team right after her delivery
if a client has not given an informed a. 2 and 3 are correct
consent for the procedure b. 2 and 4 are correct
c. 1 and 2 are correct
18. The midwive’s compassion is aroused d. 1 and 3 are correct
when a patient under her care is suffering
and is in a prolonged life – sustaining 21. Soon after both mother and baby were
machine. Many times the midwife settled in their hospital room, the
experiences feeling of uneasiness and pediatrician, who is now in the hospital, came
anguish. This human condition that confronts to see the baby. After reviewing the baby’s
the midwife gives rise to: condition immediately after delivery, she
a. Unavoidable trust asks, “Is there a standard milk formula the
b. Ethical dilemma hospital prescribes or would want us to use?”
c. Human indignation Nurse Melody was quick to respond, “I am
d. Moral suffering sorry, but shouldn’t we be adhering to the
National Milk Code Act of 2006 and the
19. The midwife shows respect to human Expanded Breastfeeding Act of 2009?” This
dignity when she observes which of the reflects the nurse’s role as:
following situations when caring for the A. strong supporter of the Bureau of
clients? Food and Drug (BFAD) in law
a. Asking the client’s priorities after enforcement
assessing the client’s capabilities in the B. patient-advocate and law-abiding
past and in the present practicing health worker
b. Evaluating response of client to the C. representative of the Professional
care rendered by the health care team Regulation Commission (PRC)
as planned enforcing standards
c. Constant monitoring of client’s D. ordinary citizen exercising police
condition and reporting any unusual powers
occurrences to the health team
d. Planning care together with the client 22. Rowena is very much aware that in the
and immediate relative case of the newborn, within the first hour
after birth, that which is necessary?
SITUATION: Rowena, a nurse-midwife A. Immediate initiation of breastfeeding
working in the OB ward of a second level with complementary milk formula.
hospital received a post normal delivery B. Immediate initiation of breastfeeding
mother back in the ward with her healthy continued within 6 months up to 2
newborn baby girl. Rooming- In is newly years and beyond without
practiced in this hospital complementary milk formula.
Complementary feeding started only at
20. Rowena is aware that in accordance with 6 months.
R.A. 7600 of 1992, the purpose of the C. Actual initiation of breastfeeding,
“rooming- in” national policy are two-fold; continued with complementary milk
1. Encourage, protect and support the formula within 6 months up to 2 years
practice of breastfeeding and beyond.
 D. Initiation of breastfeeding but when D. integrating the key provisions of EO 51
not possible, immediate introduction of and AO No. 2006-0012
complementary formula feeding.
SITUATION: Ethics is an essential
23. After her duty hours, a milk company component in the midwifery profession.
representative approached Rowena offering Registered midwives are expected to uphold
her part time job with them. Rowena turned these ethical values within and beyond their
down the offer because this is in conflict with work setting.
her desire to promote breastfeeding. In
addition, Section 32 of Administrative Order 25. Midwifery Code of Ethics is observed by
2006-0012 as implementing rules and registered midwives in their practice. Its goal
regulations to Executive Order No. 51: is to:
A. provides that it is generally a choice a. Establish guidelines in the care given
for the health professional. to patients
B. provides that it is the primary b. Set the right behavior and attitude of
responsibility of the health workers to RMs
promote, protect, and support c. Guide midwives in making decisions
breastfeeding and appropriate infant that are morally upright
and young child feeding and that no d. Regulate the midwifery practice
assistance, logistics, or training from
milk company is permitted. 26. Cleovina allows the patient to determine
C. allows health workers to do public his own fate and upholds his unconditional
endorsements for as long as it is worth throughout her care. She is observing
outside of their duty. But accepting the which ethical principle?
offer would create conflict in a. Self-determination c.
professional interest which will Autonomy
rebound to unethical conduct. b. Fidelity d. Justice
D. is actually silent about the matter.
27. Which of the following situations shows
24. Rowena attended a meeting in the ethical and responsible care of a midwife?
hospital representing her ward, where she a. Joy assumes that the ethical
pushed for adherence to the “Expanded decisions made throughout the care
Breastfeeding Promotion Act of 2009” RA are accountable to the health team.
7600. This measure provides the 3rd vital b. Carmen takes responsibility for her
component of the breastfeeding law by: own actions.
A. updating the penalty provisions of the c. Kathy takes action only when he is
former Aquino EO No. 51 and AO No. told that such is an ethical one.
2006-0012. d. Jannice is unbiased and neutral in
B. maintaining the provision of facilities making decisions.
for breastmilk collection and storage
(e.g. milk banks) and establishment of 28. How can Midwife Ceasaria best improve
“lactation stations” with adequate her ethical decision making?
support facilities, and providing a. Following the Code of Ethics
incentives and sanctions thereto. b. Participating in symposia and
C. mandating the provision of facilities for seminars on ethics
breastmilk collection and storage (e.g. c. Being compliant to societal policies
milk banks) and establishment of and laws
“lactation stations” with adequate d.Engaging actively as a member of an
support facilities, and the integration ethics committee
of breastfeeding education in the
curricula.
29. The nurse-midwife provides a respiratory d. reporting the incidence to authorities
that is made available for two patients in
shock. Which of these is the ethical principle 34. Which of the following is the most common
applied by the nurse? clinical manifestation of child neglect?
a. Justice c. Inviolability of a. Missed appointment with health care
life
provider
b. Respect for dignity d.
Stewardship b. Unexplained bruises
c. Fractures
30. Midwife Marvs is caring for a 16 d. Malnutrition and dehydration
postpartum mothers. One of the mothers in
the ward is complaining of pain. The mother 35. Which of the following should be the focus
rates her pain “8/10”. As midwife, what is of care for clients who are suspected to be
your next intervention? abused, maltreated or neglected?
a. Check the vital signs
a. Referral to legal authorities
b. Administer tramadol, give
supplemental oxygen and continue b. Immediate treatment of any injury
monitor c. Prevention of further injury
c. Document the findings d. Consequences of the acts
d. Report to the attending physician
36. Which of the following information is NOT
SITUATION: You are an advocate for women's indicated in the
rights. You were invited as a resource speaker professional identification card issued to
on "Violence against women and their Benedict?
children." the following questions relate to a. Date of Examination
this. b. Registration Date
c. Date of Issuance and Expiration
31. Women and their children are protected d. License Number
against violence under this law:
37. Benedict knows that he is duly bound to
a. R.A. 9211
renew his professional identification card
b. R.A. 9173 every how often?
c. R.A. 9262 a. Every five years
d. R.A. 9160 b. Every three years
c. Annually
32. One of the violent acts is sexual violence. d. Biannually
Which of the following does NOT constitute
sexual violence? 38. Pamela is certain that only competent
midwives are allowed to practice midwifery in
a. Economic abuse
the country. Which of the following warrants
b. Acts of lasciviousness
that this is strictly adhered to?
c. Rape a. Competency Assessment
d. treating a child as a sex object b. Continuing Competency Program
c. Licensure and Registration
33. The health worker's Main concern when d. Specially Certification Program
abused, maltreatment or neglect is suspected
should be: 39. She assessed a three year old boy
a. just to keep quiet about the matter for fever, but the boy would not want to go
near her. Which of the following remarks of
b. safety and welfare of the client
Pamela would constitute an assault?
c. referring the client to a mental health a. “You don’t want to have your
worker temperature taken? I will call the
 guard to hold you and give you an
injection instead!” 44. When conflict arises regarding
b. “Alright just tell me when you are management of patient care, which of the
ready to have your temperature following should be upheld?
taken.” a. Physician’s orders
c. “This will not hurt you; just put b. Preference of the family
it under your tongue.” c. Patient’s rights
d. “If you will let me take your d. Institutional policy
temperature your fever will be gone.” e. Assault

40. One of the midwives in the health center 45. Two janitors were having
injected Cotrimoxasole to a five year old a healed argument as to who shall dispose
patient without the consent of the parents. the infectious waste of a patient with typhoid
Which of the following cases can the midwife fever. The first one calling the second
be possibly accused of? one with names like “lazybones”,
a. Malpractice “incompetent” and “pain in the neck” within
b. Battery the hearing distance of the rest of the
c. Negligence midwives. If the later decides to file a case
d. Assault against him, what kind of case would he
likely file?
41. If Pamela divulges the information that a. Libel
she is caring for the child of a patient with b. Slander
sexually transmitted disease, she can be c. Incompetence
liable for unprofessional conduct specifically: d. Negligence
a. Libel
b. Breach of Confidentially 46. Should the accusations be written in the
c. Slander newsletter of the hospital, such liability is a:
d. Invasion of privacy a. Malpractice
b. Assault
42. A patient refuses to take his antibiotic c. Libel
because he believes that it’s not giving him d. Slander
any good. Which of the following actions of
the midwife is MOST appropriate? 47. Mr. Simpkins A German who is SARS
a. Explains to the patient that he needs suspect is advised to b confined in negative
the medications for his recovery. pressure room with strict protective gadgets
b. Writes in the chart that the patient of the health workers taking care of him. He
refuses to take his medication. vehemently resented being confined in that
c. Refer room. Moreover, he was denied visitors. He
to the attending physician about his re threatened to sue the hospital. Which case
fusal. will he file most likely?
d. Ask the patient to sign the waiver of a. Illegal detention
responsibility b. Defamation
c. Incompetence
43. Which of the following principles apply to d. Battery
the action of the midwife to refrain from
discussing the disease condition of the 48. Which action of the midwife will save the
patient with those who are not involved in his hospital from lawsuit in # 47?
care? a. Explains to him that his isolation is
a. Beneficiaries beneficial for him and his family.
b. Justice b. Enforces the protocol on SARS
c. Non-maleficence admission
d. Autonomy
 c. Informs him of the DOH directive in c. P.D. 856
handling SARS cases d. P.D. 791
d. Tells him that the police will bodily 50. She knows that all prescriptions of the
restrain him if he refuses. municipal health officer should be in generics.
What law provides for this mandate?
49. Which of the following laws refer to the a. R.A. 9173
Code of Sanitation? b. R.A. 1080
a. P.D. 825 c. R.A. 6675
b. P.D. 965 d. R.A. 7160