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WorksheetsMidwifery Interventions for Child Health
Total questions: 100
Worksheet time: 50mins
A midwife is providing guidance to parents on promoting dental health in their toddler. What intervention should the midwife recommend?
Delaying the introduction of toothbrushing until all primary teeth are present.
Allowing the toddler to fall asleep with a bottle containing sugary liquids.
Initiating regular toothbrushing with small, soft-bristled toothbrush.
Encouraging the use of a pacifier dipped in honey for comfort.
A midwife is caring for a school-age child and wants to promote emotional well being. What intervention should the midwife recommend?
Discouraging the expression of emotions to maintain composure.
Avoiding discussions about sensitive topics.
Limiting the child's involvement in extracurricular activities.
Encouraging open communication and expression of feelings.
A midwife is providing guidance to parents on fostering positive social interactions in their preschool-age child. What intervention should the midwife recommend?
Encouraging the child to share personal toys and belongings.
Discouraging the use of imaginative play and creativity.
Limiting exposure to diverse social environment.
Isolating the child from peer interactions to prevent conflicts.
Mr. and Mrs. Daniel Padilla is concerned about their school-age child's physical activity level. What intervention should the midwife recommend to promote regular exercise?
Discouraging participation in organized sports and physical activities.
Encouraging the child to engage in at least 60 minutes of moderate to vigorous physical activity daily.
Allowing unlimited screen time for sedentary activities.
Restricting outdoor play to avoid potential injuries.
Grace, a devoted mother, has been feeling overwhelmed and exhausted while caring for her child with special needs. She is experiencing caregiver burnout and is seeking the best intervention to help her cope.
Adding medical tasks
Focus only on child's care plan
Temporary respite care
Discouraging outside help.
A midwife is caring for a toddler and wants to promote safety in the home environment. What intervention should the midwife recommend to the parents?
Installing safety gates and securing furniture to prevent accidents.
Limit the use safety gates and childproofing measures.
Keeping small objects and choking hazards within the child's reach.
Encouraging the toddler to explore potentially hazardous areas.
Kathryn, a first time mom is seeking advice on promoting optimal nutrition for their preschool-age child. What intervention should the midwife recommend?
Offering a variety of nutrient dense foods from different food groups.
Allowing the child to choose their meals independently.
Limiting fluid intake to encourage hunger before meals.
Discouraging any snacks between meals to control calorie intake.
A midwife is conducting a developmental assessment for a toddler. What environmental factor should the midwife consider when evaluating physical development?
Limiting opportunities for outdoor play.
Encouraging exposure to loud and stimulating sounds.
Providing a clutter free and safe play environment.
Allowing unrestricted access to potentially harmful substances.
A midwife is providing guidance to parents on factors influencing their toddler's language development. What recommendation should the midwife emphasize?
Minimize opportunities for imaginative play.
Limit exposure to diverse language environment.
Discourage verbal interactions with the child.
Encourage reading books and engaging in conversations.
During a recent visit to the pediatric clinic, Mia, the mother of a chronically ill toddler, expressed her concerns about her child's health. Which finding indicates parental stress over caring for her child?
Follows post-discharge instructions
Reports new fear of hospitalization
Participates in care
Consistently arrives early
A midwife is providing education to parents on factors influencing a child's cognitive development. What environmental factor should the midwife emphasize?
Exposure to variety of learning experiences.
Strict limitations on screen time.
Inhibition of imaginative play.
Adequate sleep and rest.
Mrs. Julia is seeking advice on promoting optimal growth for their 3 year old child. What recommendation should the midwife provide to address nutritional factors?
Limit the child's fluid intake to prevent overhydration.
Discourage the child from engaging in physical activities.
Encourage the child to consume a diet high in sugar and processed foods.
Advocate for a well-balanced diet rich in fruits, vegetables, and whole grains.
A midwife is assessing a 2-year old child's gross motor skills. What task is appropriate for the midwife to include in the assessment?
Walking up and down stairs with assistance.
Stacking blocks to build a tower.
Drawing simple shapes with a crayon.
Using a fork and spoon during meal time.
A midwife is conducting a developmental assessment for a 4 year old child. What milestone should the midwife expect in terms of social development?
Engaging in parallel play.
Solving simple math problems.
Playing cooperatively with peers.
Reading simple sentences.
A client is seeking guidance on assessing their 15 month old's fine motor skills. What activities should the midwife recommend for the parent to observe?
Building a tower with blocks.
Running and jumping on one foot.
Throwing and catching a ball.
Turning pages in a book.
Chemically exposed toddler discharged home. Nurse teaches problem-solving. Best approach:
Withhold decision-making from family.
Dictate rules.
Role-play handling high-risk situations.
Minimize parental input.
A client is seeking advice on promoting emotional development in their toddler. What guidance should the midwife provide?
Discourage the expression of negative emotions.
Offer comfort and reassurance during moments of distress.
Encourage independent decision making.
Avoid providing comfort during times of distress.
A midwife is providing anticipatory guidance to parents of a 2 year old regarding language development. What recommendation should the midwife offer?
Provide opportunities for expressive language through play.
Discourage the use of imaginative play and pretend scenarios.
Encourage one word response to questions.
Limit exposure to diverse language environment.
A midwife is providing education to parents of a toddler regarding emotional development. What advice should the midwife offer to support emotional well being?
Limit interactions with peers to prevent emotional conflicts.
Discourage exploration of different emotions.
Encourage consistent and predictable routines.
Avoid expressing affection toward the toddler.
A midwife is assessing a pre-school age child's cognitive development. Which behavior is indicative of appropriate cognitive development for this age group?
Engaging in parallel play with peers.
Demonstrating independence in self care activities.
Expressing a wide range of emotions.
Counting and identifying colors.
A midwife is conducting a routine developmental assessment for a 15 month old toddler. Which milestone should the midwife expect the toddler to achieve?
Engaging in complex imaginative play.
Counting objects up to 10.
Drawing recognizable shapes and figures.
Walking independently.
A client is seeking guidance on promoting cognitive development in their 2 year old toddler. Which action should the midwife recommend?
Discourage the use of imaginative play and pretend scenarios.
Provide age-appropriate puzzles and toys that stimulate problem solving.
Limit exposure to new environment to avoid over stimulation.
Encourage the child to engage in parallel play with peers.
Grace blames herself for her toddler's chemical burn. Midwife should:
Let her feel guilt.
Advise ignoring feelings.
Acknowledge her feelings and reinforce no-blame.
Report to DSWD.
Elijah's parents are panicked after he ingests pesticide. The midwife should:
Say 'don't worry.'
Provide clear steps on decontamination, monitoring.
Do nothing.
Send toddler home.
A midwife is conducting a growth assessment for a school age child. Which action is essential to include in the assessment?
Assess the child's pubertal development.
Evaluate the child's shoe size for appropriate growth.
Measure the child's head circumference.
Monitor the child's body mass index (BMI).
Charlotte, a midwife, is consulting with a client who is concerned about their 12-month-old infant's feeding habits. Which action should Charlotte recommend to support healthy nutritional intake?
Encourage the use of a bottle for all feedings.
Limit the infant's exposure to a variety of food textures.
Offer only pureed foods to prevent choking hazards.
Introduce solid foods one at a time to identify potential allergies.
A midwife is caring for a preschool aged child in the pediatric clinic. Which action is most appropriate to support the child's psychosocial development?
Allow the child to make simple choices to foster autonomy.
Discourage the child from expressing emotions openly.
Provide the child with a list of age-appropriate chores.
Encourage the child to engage in solitary play activities.
When assessing a toddler's growth and development, the midwife understands that a child in this age group displays behavior that fosters which developmental task?
Initiative
Industry
Autonomy
Trust
An inherited disorder in which the body is unable to process amino acids.
Phenylketonuria
Maple Syrup Urine Disease
Mental Retardation
G6PD Defficiency
A 2-year-old child presents with fever, maculopapular rash, and Koplik spots. The mother reports the child hasn't been vaccinated. What is the likely diagnosis?
Measles
Dengue Fever
Mumps
Chickenpox
A mother asks why her child, recently diagnosed with dengue, is not given aspirin. What should you explain?
Aspirin is safer than paracetamol
Aspirin helps reduce fever faster
Aspirin boosts platelet production
Aspirin can cause bleeding tendencies
You assess a child with high-grade fever, weak pulse, and cold, clammy skin. What is the priority action?
Offer a high-calorie meal
Administer antibiotics
Refer immediately for IV support
Give oral rehydration
A 5-year-old has a stiff neck, photophobia, and fever. What infection is likely?
Meningitis
Chickenpox
Otitis Media
Measles
During home visits, which advice is most effective in preventing leptospirosis during flooding?
Drink bottled water
Wear boots and avoid wading in flood water
Boil drinking water
Use antibiotics preventively
A child exhibits vesicular rashes, especially on the trunk and limbs. What is the likely illness?
Chickenpox
Rubeola
Hand-Foot-Mouth Disease
Impetigo
What is the best way for a midwife to educate the community about dengue prevention?
Administer antibiotics
Distribute mosquito nets
Promote clean-up drives to eliminate breeding sites
Spray homes with air freshener
A toddler with persistent cough and history of exposure to TB. What diagnostic test should be prioritized?
Skin biopsy
Rapid Dengue Test
Urinalysis
Sputum microscopy
Which statement by a mother of a child with mumps needs correction?
I will give soft food.
I will monitor his temperature.
I will massage his swollen glands.
I will isolate him from siblings.
During a health workshop, Midwife Lea observes that some parents nod in agreement but cannot demonstrate how to mix ORS. The nurse should:
Provide another pamphlet.
Ask them to show the mixing steps.
Ignore and proceed.
Believe their 'understanding.'
A child suddenly becomes drowsy, vomits, and has unequal pupils after a high fever. What condition is suspected?
Dengue
Chickenpox
Meningitis with increased ICP
Measles
A midwife suspects otitis media in a child. What symptom supports the diagnosis?
Skin rashes
Severe diarrhea
Abdominal pain
Ear tugging and irritability
During a health talk, which statement reflects effective understanding of HFMD prevention?
No need to worry about other kids.
Antibiotics must be given early.
Let the child play in daycare to develop immunity.
We should isolate children with rash and fever.
A child with pertussis has episodes of violent coughing followed by a whooping sound. What is the immediate risk?
Skin rash
Dehydration
Fever
Respiratory arrest
Nora, a 5-year-old girl, has been experiencing profuse watery diarrhea after a community outbreak of gastrointestinal illness. Which is most likely?
Typhoid
HFMD
Amoebiasis
Cholera
Ava, a 10-year-old girl, has high fever, joint pain, and a rash after spending the afternoon playing outside where there were many mosquitoes. What is the suspected illness?
Dengue
Chikungunya
HFMD
Malaria
Parents refuse antibiotics after toddler's burn due to herbal belief. The nurse should:
Discharge toddler.
Ignore refusal.
Force antibiotics.
Respectfully ask reasons and educate.
A toddler presents with high fever and bloody diarrhea. What infection should the midwife suspect?
Rotavirus
Shigellosis
Amoebiasis
Cholera
A child suspected of Japanese Encephalitis presents with high fever and seizures. What is your priority?
Give fluids
Administer paracetamol
Start oral antibiotics
Maintain airway and prepare for referral
A 1-year-old child with severe diarrhea is drowsy and has sunken eyes. What's the most immediate action?
Start IV rehydration
Monitor temperature
Check stool sample
Give oral fluids
A caregiver brings a child exposed to a measles case. What should the midwife prioritize?
Refer for hospitalization
Keep the child at home for observation
Start antiviral therapy
Give Vitamin A and assess vaccination status
During a barangay health teaching, which advice helps prevent typhoid?
Avoid fruits
Wash hands before and after meals
Bathe twice daily
Drink milk often
A child has been febrile and developed petechial rashes. What should the midwife assess next?
Level of consciousness
Heart sounds
Throat appearance
Bowel movements
Which finding in a child with pneumonia requires immediate referral?
Wet cough
Runny nose
Slight fever
Intercostal retractions and nasal flaring
A midwife is teaching about IMCI. Which case should she refer immediately?
Child with rash only
Child with fever and convulsion
Child with common cold
Child with teething pain
Avery is a parent who wants to ensure the safety of her toddler at home. She is considering different strategies to prevent chemical poisoning. Which is the safest strategy to prevent chemical poisoning in toddlers?
Use scented chemicals
Label all soft drink bottles
Keep bleach under the sink
Store household products in high, locked cabinets
A child develops jaundice after typhoid. Which organ is likely affected?
Heart
Lungs
Liver
Pancreas
A mother says her child has fever, abdominal pain, and rose spots. The midwife suspects:
Measles
Typhoid Fever
Diphtheria
Meningitis
A child with a known case of TB is not gaining weight. The midwife should:
Refer to dentist
Monitor adherence to treatment
Suggest herbal remedies
Increase vitamins
In a small community, a health worker named Aiden is educating residents about preventing amoebiasis. He gathers everyone and asks, 'Which teaching is best to prevent amoebiasis in our community?'
Drink untreated spring water
Avoid meat
Take deworming tablets
Use safe drinking water and handwashing
During flood season, which barangay activity best prevents leptospirosis?
Nutrition education
Rat eradication campaign
Mass deworming
Dengue fogging
During flood season, which barangay activity best prevents leptospirosis?
Nutrition education
Rat eradication campaign
Mass deworming
Dengue fogging
What is the causative agent of measles?
Parasite
Bacteria
Fungus
Virus
Which vector transmits dengue fever?
Anopheles mosquito
Sandfly
Aedes aegypti mosquito
Culex mosquito
During a community health fair, a midwife is educating parents about effective prevention methods against HFMD for their children. What does she emphasize as the most important practice?
Antibiotics
Regular deworming
Vaccination
Hand hygiene
Coco and Julia, parents in a rural clinic, have difficulty giving oral rehydration salts (ORS) to their toddler with diarrhea. What should the midwife do?
Show exact amount and let parents practice.
Ignore complaint.
Do it herself.
Tell them to buy bottled rehydration solution.
Zoe noticed that her little brother has developed a rash all over his body. She remembers learning about different types of rashes in her health class. What is the common sign of chickenpox?
Maculopapular rash
Vesicular rash
Rose spots
Petechial rash
What is the first step in poisoning management?
Give antidote
Assess airway, breathing, circulation
Induce vomiting
Give water
Which symptom is seen in dengue hemorrhagic fever but not in classic dengue?
Rash
High fever
Headache
Plasma leakage
What does the FLACC scale measure?
Neurological response
Fever
Pain in non-verbal children
Hydration
What is the transmission route of cholera?
Vector-borne
Fecal-oral
Airborne
Droplet
Which mosquito is responsible for malaria transmission?
Anopheles
Sandfly
Aedes aegypti
Culex
During a family picnic, Mason, a 5-year-old boy, suddenly develops severe diarrhea. As his parents, what should you monitor in Mason to ensure his health and safety?
Oxygen saturation
Heart sounds
Signs of dehydration
Eye reflex
What is a major complication of untreated meningitis?
Skin rash
Tooth decay
Vision loss
Seizures and death
How does the EPI help public health?
Prevents obesity
Reduces dental caries
Controls communicable diseases
Promotes exclusive breastfeeding.
Which symptom indicates chemical poisoning?
Red eyes
Burns around the mouth
Diarrhea
Cold extremities
What is the role of BHWs in disease prevention?
Perform surgery
Prescribe antibiotics
Health education and referral
Administer IV fluids
A child is brought to the barangay health center after ingesting kerosene. What is the most important initial action?
Assess airway and breathing
Give milk
Induce vomiting
Give activated charcoal
Which government agency is primarily responsible for regulating hazardous chemicals in the Philippines?
DILG
DepEd
DOH
DENR
Which of the following symptoms is a hallmark of organophosphate poisoning?
Hypertension
Constipation
Dry skin
Excessive salivation
Which age group is most at risk of chemical ingestion?
5-7 years
6-12 months
0-6 months
1-3 years
A 4-year-old in a rural community presents with vomiting and miosis after playing near a sprayed rice field. What should the nurse suspect?
Organophosphate poisoning
Viral gastroenteritis
Food poisoning
Lead poisoning
In a poisoning incident, the poison control center advises not to induce vomiting. What is the rationale?
It's ineffective
It causes pain
Risk of aspiration
It wastes time
A child's mother tells the nurse she gave a herbal remedy she bought online. The child now has seizures. What is the best response?
You should never give herbal medicines.
This is child abuse.
Let's assess your child immediately and bring this to the physician.
Wait and observe first.
A barangay reports multiple children with dizziness and nausea after drinking water from a deep well. As the rural health midwife, what is your first step?
Refer all children to the hospital
Start antibiotics
Collect water samples for testing
Give paracetamol
What inter-agency collaboration is essential when a child suffers from chronic pesticide exposure in a farming community?
DILG and BFP
DOLE and DepEd
DOH, DENR, and DA
DOH and DSWD only
A 2-year-old is treated in a local hospital for iron tablet ingestion. What health teaching should be emphasized to the parents before discharge?
Avoiding fruits
Use of home remedies
Keeping medicines in original child-safe containers
Importance of breastfeeding
The school nurse notices students with nausea and red eyes after a classroom was recently fumigated. What is the most appropriate action?
Encourage handwashing
Dismiss the students
Give eye drops
Evacuate the room and report the incident
Castro Family uses traditional massage for toddler with kidney colic, delaying hospital care. The midwife should:
Respectfully explore underlying reasons and share biomedical risks.
Criticize tradition.
Refer to social welfare.
Ignore it.
In resource-limited areas, how can a midwife promote chemical safety in homes?
Administer vaccines
Provide free chemicals
Give pamphlets only
Conduct home visits
A father uses old soda bottles to store pesticides. What should the nurse do?
Ignore as it's a personal choice
Confiscate the bottles
Advise proper labeling
Educate on safe storage and provide sample containers
A 7-year-old accidentally sprayed insecticide in his eyes. What is the immediate first aid response?
Apply antibiotic ointment
Let him blink until tears flush it out
Apply cold compress
Irrigate eyes with clean running water for 15-20 minutes
Which of the following household items is most dangerous if ingested by a child?
Baby oil
Bleach
Soap
Toothpaste
A midwife learns that children near a gold mining site show signs of neurological deficits. What environmental toxin should be suspected?
Lead
Arsenic
Mercury
Asbestos
After a chemical burn incident, what is the most important assessment?
Pain score only
Depth of burn
Vital signs and airway patency
Burn color
A 3-year-old accidentally ingests paint thinner. In the ER, what is the most appropriate nursing intervention?
Administer anti-emetic
Induce vomiting
Maintain airway and monitor for aspiration
Insert a nasogastric tube
In a community with frequent pesticide poisoning cases among children, what is the best long-term intervention?
Create a referral directory
File legal complaints
Conduct community-based chemical safety education
Advise parents to use gloves
A child exposed to chlorine gas during a pool cleaning incident presents with wheezing. What is the initial nursing action?
Administer atropine
Offer cold water
Insert NG tube
Start oxygen therapy
In the Philippine context, which of the following agencies is key in responding to large-scale chemical exposure incidents in schools?
Department of Agriculture
National Disaster Risk Reduction and Management Council (NDRRMC)
Bureau of Fire Protection
DOST
A mother in a sitio says she gave 'gamot sa daga' (rat poison) to her child believing it would treat stomach worms. What is the best approach?
Report her to the barangay captain
Scold her for child endangerment
Provide culturally sensitive health education
Ignore since it was unintentional
A local midwife refers to an infant with convulsions due to camphor ingestion from traditional remedies. What should the nurse prioritize?
Send the baby home to rest
Counsel the midwife immediately
Obtain full herbal history
Focus on treating diarrhea
