1. Before a birth, the delivery area 5.

If a newborn is breathing or crying,

should be at what range of drying should be done for at least?
temperature? (1/1 Point)
(1/1 Point) 60 seconds
20-23⁰ C 30 seconds
25-28⁰ C 10 seconds
30-33⁰ C 20 seconds
35-38⁰ C 6.During the first few seconds after birth, the
2.The delivery room at the correct health worker should assist breathing if the
newborn is not breathing and is?
temperature should have?
(1/1 Point) (0/1 Point)
Ceiling fans circulating the air
Meconium stained
Draft-free areas with privacy
Separate cribs for the newborns Premature
Narrow delivery beds visible to all
3.After the baby is born, what should Bluish
be the first action performed?
Limp or flaccid

(1/1 Point) 7.Suctioning of the mouth and nose

Clamp and cut the cord should be done in?
Dry the baby (1/1 Point)
Suction the baby’s mouth and nose All newborns whose airway is blocked

Do foot printing All newborns after the cord is cut

All newborns during drying

4.During drying and stimulation for All newborns

the baby, your quick check shows 8.Benefits of drying include:

that the baby is crying. What is your (1/1 Point)
next action? Stimulation of breathing
(1/1 Point) Stimulation of the startle reflex
Do skin-to-skin contact Removal of the vernix caseosa
Suction the baby’s mouth and nose Removal of amniotic fluid
Start breastfeeding
Clamp and cut the cord
9.What are the benefits of immediate 13.At what length from the umbilical
skin-to-skin contact base should the first clamp be
(1/1 Point) applied?
Dries the baby (1/1 Point)
Decreases mother’s body temperature Three cm from the base

Allows colonization with good bacteria Five cm from the base

Speeds up removal of vernix As close as possible to the base

10.A health worker working alone, Two cm from the base
attending to the needs of both 14.At what length from the umbilical
mother and baby at delivery, should base should the second clamp be
wear how many pairs of gloves? applied?
(1/1 Point) (1/1 Point)
Three pairs of gloves Five cm from the base
Two pairs of gloves As close as possible to the base
One pair of gloves Three cm from the base
No gloves Two cm from the base
15.Where should the cord be cut?
11.When should the first gloves be removed? (1/1 Point)
As close as possible to the second clamp
(0/1 Point)
As close as possible to the base of the
umbilicus
none of the above
As close as possible to midway between
the two clamps
Immediately before drying the baby
close as possible to the first clamp
Immediately before handling the baby 16.Milking the cord towards the baby
is:
Anytime after perineal support (1/1 Point)
Done to boost his/her iron stores
12.When should the cord be clamped
after birth? Done to increase his/her oxygen levels
(1/1 Point) Not recommended

Immediately after birth Done to decrease blood spilling upon

cutting
Immediately after delivery of the placenta
Between 5-10 minutes
When the cord pulsations stop
17.Active Management of the Third Stage of 20.Where should the identification band be
Labor includes: placed?

(0/1 Point) (0/1 Point)

Intramuscular injection of 10 ”U” of Around the newborn’s ankle

oxytocin to the mother
A and B
All of the above
Around the newborn’s wrist
Gentle uterine massage
Taped to the newborn’s chest
Controlled traction of the cord with
counter-traction on the uterus 21.After birth, the eyes are wiped during drying.
Eye care should be done when?
18.When is oxytocin injected into the mother’s
arm or gluteal muscle? (0/1 Point)

(0/1 Point) As soon as the placenta is out

After examining the placenta for missing After the baby has located the breast
parts
As soon as baby starts opening his/her eyes
After delivery of the baby and placenta
After vitamin K prophylaxis
Before the delivery of the baby and the
placenta 22.Proper cord care includes:

(1/1 Point)
After ensuring no second baby but before
placenta is out
Trimming within a designated cord care
area
19.Active management of the Third
Stage of Labor prevents which of the Leaving the cord exposed to air-dry

following? Covering with a cloth binder

Applying 70% isopropyl alcohol

All of the following
23.When is the newborn ready to breastfeed? 26.Feeding cues or signs that a newborn is
ready to feed include when the newborn’s
(0/1 Point)
(0/1 Point)
Within 20-60 minutes after birth
Tongue protrudes out of the mouth
Within 5 minutes after birth
Toes fan out when the sole is stroked
Within few seconds after birth
Arms stretch out and end in an embracing
None of the above motion

24.When is exclusive breastfeeding of the Head is turned to one side with stretching
healthy newborn be started? of the arm
(1/1 Point)
27.A newborn is properly positioned
for breastfeeding if his/her:
Mother is awake
(1/1 Point)
Mother signs consent Neck is slightly flexed or bowed
Nose is about two inches from the breast
Pediatrician makes the feeding order
Neck is turned to either side

Newborn shows feeding cues Chin is touching to breast

25.Protection against any infection is maximized 28.A newborn is properly attached

if a baby starts breast feeding within the first : for breastfeeding if his/her
(1/1 Point)
(0/1 Point)
Lower lip is turned outward
Ten minutes of life Lips make smacking sounds
Lower lip is turned inward
Hour of life
29.The newborn should be prepared
for breastfeeding by giving
None of the above
(1/1 Point)
Day of life Cow’s milk
None of the above
Sterile water
Glucose water
30.Which of the following Clamp the cord immediately
vaccinations should be given in the
Dry the baby thoroughly
newborn period?
Do skin-to-skin contact
(1/1 Point)
34.Routine intravenous fluid
Anti-hepatitis A
administration during the first stage
Anti-diphtheria of labor may:
Anti-measles (1/1 Point)
Anti-hepatitis B Interfere with mother’s moving about
31.Which of the following eye preparations are
Decrease delivery room expenses
effective prophylaxis agents?
Promote hypothermia
(0/1 Point)
Delay giving emergency medications
35.You are attending to a mother and newborn
All of the above being moved from the delivery table to the
stretcher, what is the best position for her baby
Erythromycin ointment to be in:

(0/1 Point)
Povidone-iodine solution

Supine beside the mother’s trunk

Tetracycline

32.Which of the following sequences Prone on the mother’s chest

of prophylaxis measures is
appropriate? Supine on the mother’s abdomen
(1/1 Point)
Prone on the mother’s abdomen
Eye care, anti-hepatitis A, anti-hepatitis B,
vitamin K 36.1
Eye care, Vitamin K, anti-hepatitis B, BCG
(0/1 Point)
Vitamin K, anti-hepatitis A, anti-hepatitis
B, eye care
Baby’s head is higher than the rest of the
Vitamin K, anti-hepatitis B, BCG, eye care baby’s body
33. You are called to attend to a
newborn about to be delivered in a Mother’s head is higher than the rest of her
taxi outside health facility. Your first body
appropriate action should be:
(1/1 Point) Mother can see her surroundings

Milk the cord towards the newborn

Baby can see his/her surroundings
37.Within the first 90 minutes after a you are in town for a lecture. A baby is born
vaginal delivery, the mother and the meconium stained, not breathing, and has poor
tone. While keeping the baby warm, what
newborn can be left :
should you do?
(1/1 Point)
With the father for privacy (0/1 Point)

Alone for privacy

Without stimulating the baby, call
None of the above somebody to bring over a laryngoscope for
With the grandmother and privacy intubation
38. You are the nurse in the Recovery
Room after a mother delivers by Clear the baby’s airway, start helping the
baby breathe with a bag and a mask
cesarean section. You should monitor
(1/1 Point)
Clear the baby’s airway, start pumping the
The mother and newborn every 30 baby’s chest
minutes for the first 1-2 hours
The mother and newborn every 15 Without stimulating the baby, transport
minutes for the first 1-2 hours quickly to the nearest CEmONC
The mother every 30 minutes for the first
1-2 hours 41.Of the many vitamins and
The mother every 15 minutes for the first
nutrients that can be recommended
1-2 hours as supplementation for the pregnant
39.You are a nurse who just delivered woman, the most important are:
a baby in a barangay health station. (1/1 Point)
The baby is not breathing and has Zinc and magnesium
poor muscle tone. After drying for a Vitamins A and D
few seconds, the baby stays limp and
Vitamins B and C
does not start for breathing. You
should Iron and foliate

(1/1 Point) 42. Which of the following is a major

cause of deaths of Filipino mothers in
Tell the mother the baby is dead
the postpartum period?
Run outside to get a jeepney (1/1 Point)
Tell the father to start mouth-to-mouth Pneumonia
Start resuscitation with a bag and a mask Heart failure
Bleeding
40.You are a Nurse called to a Basic Emergency
Kidney failure
Obstetric and Newborn Center (BEmONC), while
43.The first stage of labor refers to the period
Shorten the length of labor
from onset of true contractions to :
47.A woman comes to you in preterm labor two
(0/1 Point)
months before her due date. To protect her
baby, you should inject :
Delivery of the baby
(0/1 Point)
Crowning
Prednisone or methylprednisolone
Full cervical dilatation intramuscularly

Delivery of the placenta Prednisone or methylprednisolone

intravenously
44. The second stage of labor ends
with: Dexamethasone or betamethasone
(1/1 Point) intravenously

Full cervical dilatation

Dexamethasone or betamethasone
Delivery of the placenta intramuscularly
Delivery of the baby
48.Which of the following is a correct schedule
Crowning for giving antenatal steroids in preterm labor?
45.The third stage of labor ends with
delivery of the: Dexamethasone 12 mg IM q 24 hrs x 2 dose
(1/1 Point) 49.Every mother’s progress of labor
Amniotic fluid should be monitored using a/an:
Baby (1/1 Point)
Head Hourly internal examination

Placenta Pelvic ultrasound

46. Allowing a mother to have a companion of Partograph
her choice during labor has been shown to
External fetal monitor
significantly:
50.As soon as the baby is delivered,
(0/1 Point) what is the first thing the skilled birth
attendant should do?
Increase requests for analgesia/anesthesia

Increase rates of cesarean section (1/1 Point)

Suction the baby’s mouth and nose
Decrease postpartum pain Administer oxytocin intramuscularly
Place the baby on the mother’s chest
Call out the time of birth and sex