Worksheets2nd Examination - Subject: PHARMA IM
Total questions: 50
Worksheet time: 30mins
Midwives play a vital role in administering, monitoring, and evaluating drug treatments during pregnancy, labor, delivery, and the postpartum period. Through a solid understanding of pharmacology, midwives ensure that each medication given is appropriate, accurately dosed, and safely delivered—helping prevent complications and saving lives.
To delay the labor progression
To ensure safe and effective treatment of maternal conditions
To promote hospital dependency
To reduce midwife workload
A midwife must always verify the 14 rights of Drug Administration. Which of the following is NOT part of these rights?
Right patient
Right room
Right dose
Right time
A uterotonic is a drug that causes the uterus to contract, and these drugs are used to induce labor, control postpartum hemorrhage, and aid in the delivery of the placenta. Which of the following is an example of a uterotonic drug?
Oxytocin
Magnesium sulfate
Hydralazine
Ampicillin
Preeclampsia is a serious pregnancy complication characterized by new-onset high blood pressure and signs of organ damage, such as the kidneys or liver, usually developing after the 20th week of pregnancy. Which medication is used to prevent eclampsia in pregnant women?
Diazepam
Magnesium sulfate
Oxytocin
Ferrous sulfate
Anemia of pregnancy is a condition where a pregnant person has a lower-than-normal number of red blood cells or hemoglobin, which are needed to carry oxygen throughout the body. Which hematologic agent is routinely given to prevent anemia in pregnancy?
Vitamin A
Iron + Folic acid
Calcium carbonate
Vitamin D
Medication can help during pregnancy by managing symptoms like nausea or pain, treating pre-existing chronic conditions, and addressing pregnancy-related complications such as high blood pressure. Which of the following is the main reason why corticosteroids are administered in pregnancy?
Relieve pain during labor
Enhance fetal lung maturity
Reduce blood pressure
Stimulate contractions
Pharmacology is at the heart of evidence-based maternal and newborn care. Mastery of these basics equips you to provide safe, effective, and compassionate service in every stage of pregnancy, labor, and postpartum. Which of the following is the indication of administering antibiotics to pregnant women?
Hypertension
Infection
Anemia
Pain
Severe preeclampsia is a serious form of pregnancy-related high blood pressure that involves high blood pressure (≥160/110 mmHg) and signs of damage to other organ systems, such as the kidneys, liver, and brain. Which of the following drug is used to lower blood pressure?
Labetalol
Ampicillin
Oxytocin
Ibuprofen
Tocolytics are medications used to suppress uterine contractions and delay preterm labor. By relaxing the uterine muscles, these drugs can briefly stop premature birth, providing time for the mother to be transferred to a specialized facility. Which of the following acts as a tocolytic?
Terbutaline
Oxytocin
Misoprostol
Ferrous sulfate
Pharmacology is crucial in midwifery to ensure the safe and effective use of medications during pregnancy, childbirth, and postpartum for both mother and baby. Which of the following is the purpose of analgesics?
Controlling infections
Relieving pain
Reducing blood pressure
Stimulate contractions
IV therapy provides a rapid way to deliver substances into the body, ensuring quick absorption and action, making it ideal for restoring hydration, correcting electrolyte imbalances, delivering medications, providing nutrition, and in emergency situations. Which of the following IV therapy is directly administered?
Intravenous
Intramuscular
Subcutaneous
Oral
Which of the following is the purpose of IV therapy?
Replace oral nutrition
Maintain or restore fluid and electrolyte balance
Replace oxygen supply
Promote rest
Severe dehydration, inability to drink, or complications from conditions like vomiting and diarrhea may necessitate IV treatment. Which of the following is an appropriate IV fluid for dehydration?
D5W
0.9% NaCl or Lactated Ringer’s
D10W
Dextran
IV infusions in the postpartum period are used for a variety of reasons, including medical necessity and recovery support. Which of the following IV therapy choice in postpartum hemorrhage?
IV oxytocin infusion
IV antihypertensive
IV magnesium sulfate
IV dexamethasone
The midwife is taking care of patient in the pedia ward. Upon performing bed bath, she observes swelling and coolness at the IV site. Which of the following indicates the conditions?
Phlebitis
Infiltration
Infection
Fluid overload
Which of the following indicate the presence of fluid overload?
Hypotension and pallor
Dyspnea and edema
Flushed skin
Bradycardia
Which of the following action a midwife should do upon assessing that infiltration in the IV site is noted?
Continue infusion
Stop the IV immediately
Apply heat compress
Ignore the symptom
Which of the following is an ideal action when performing IV administration should always be observed?
Flow rate accuracy
Patient’s body mass
Family consent
Nutrition intake
Medical infusions include fluid and blood for postpartum hemorrhage, while others focus on replenishing nutrients, boosting energy, and providing treatment for conditions like postpartum depression. Which of the following is the classification of DSNS?
Isotonic
Hypotonic
Hypertonic
Colloid
Which of the main purpose of ensuring performance of aseptic technique on every IV therapy?
Prevention of infection
Reduce pain
Address dehydration
Avoid hypotension
Which of the following law defines the scope of practice of midwives in the Philippines?
RA 7600
RA 7392
RA 11148
RA 10918
Under the Philippine Law, which of the following provision would allow the midwife in administering oxytocics?
Only with the physician supervision
In emergency cases only
Without prescription at all times
During antenatal visits
Which of the following law promotes rooming-in and breastfeeding?
RA 11148
RA 7600
RA 7392
RA 10918
Which of the following is mandated under the RA 11148 or the Kalusugan at Nutrisyon ng Mag-Nanay Act?
Iron and folic acid supplementation
Family planning counseling
Free hospitalization
Midwife employment
Which of the following is ensured under the RA 10918 or the Philippine Pharmacy Law?
Medicines are sold only in hospitals
Safe and legitimate drug dispensing
Midwives can prescribe any medicine
Only doctors can give vaccines
Which of the following indicates a civil liability among healthcare workers?
A midwife performs her duties correctly
Harm results from negligence or unsafe practice
The patient refuses medication
Documentation is complete
Which of the following conditions is the result of not monitoring uterine response after giving oxytocin?
Uterine rupture
Eclampsia
Hypoglycemia
Placenta previa
Which of the following violation is when the midwife fails to report adverse drug reactions?
Ethical and legal accountability
Patient’s rights only
Hospital housekeeping rules
Pharmacologic guidelines
Which of the following action protect the midwives from civil liability?
Avoiding documentation
Practicing within legal scope
Delegating tasks to patients
Giving verbal prescriptions
Which of the following is the purpose of continuous education in pharmacology among midwives?
Increased salary
Professional competence and safe practice
Less workload
Automatic promotion
Which of the following systems of measurement is most widely accepted system in medicine?
Household
Apothecary
Metric
Traditional
1 gram is equivalent to ___ mg
1000
100
10
10000
1 teaspoon is equivalent to
1,000mg
100mg
10mg
1mg
1 ounce is equivalent to
10mL
5mL
15mL
25mL
1 pint is equivalent to
15mL
60mL
30mL
45mL
1 liter is equivalent to
100mL
500mL
1,000mL
10,000mL
1 kilogram is equivalent to
1.1lb
2.2lb
10lb
100lb
Which of the following is the apothecary unit for weight?
Grain (gr)
Liter (L)
Teaspoon (tsp)
Pound (lb)
Which of the following reason is considered for the household system considered as the least accurate?
It uses imprecise household tools
It is only for hospitals
It uses complicated formulas
It is restricted to doctors
0.5 g is equivalent to
5mg
50mg
500mg
5,000mg
A primigravid mother in her 26th week AOG was prescribed by the attending physician of 1500mg calcium carbonate. The pharmacist informed you that the available stock is only 250mg/tab. Which of the following figure is the number of tablets to be given to the patient? Show your solution on your answer sheet.
4 tabs
5 tabs
6 tabs
7 tabs
The physician orders codeine gr1/4. When you conferred with the pharmacy, the available is 30mg/tab. Which of the following number of tablets be given to the patient?
0.25 tab
0.5 tab
1 tab
2 tabs
The pharmacy has sent 125mg/5mL suspension of cefuroxime. Dr. JIP orders 100mg orally. Which of the following is the correct dose to be given to the patient? Show your solution on your answer sheet.
2 mL
3 mL
4 mL
5 mL
12-year-old Ice is having an episode of fever. The attending physician orders paracetamol 500mg per tablet. Upon checking his medicine cubicle, the available stock is only 250 mg per tablet. Which of the following is the correct number of tablets to be given to the patient? Show your solution on your answer sheet.
1 tablet
2 tablets
3 tablets
4 tablets
The doctor orders amikacin 150 mg to patient JC via IV once a day. The available bottle is labeled with 100 mg in 5 ml ampule. Which of the following mL will you give to the patient? Show your solution on your answer sheet.
5 mL
7.5 mL
10 mL
15 mL
A pregnant mother at 24th weeks AOG came to ER-DR because of frequent vomiting. The attending physician orders 1L of IV fluid to run for 8 hours. Which of the following figures is the correct flow rate of an IV? Show your solution on your answer sheet.
80 ml/hr
100 ml/hr
120 ml/hr
125 ml/hr
A newly admitted post-partum patient was ordered with a 1L of D5LR to infuse over 10 hours using a 15 gtt/mL set. Which of the following is the correct flow rate of the IV? Show your solution on your answer sheet.
20 gtt/min
25 gtt/min
30 gtt/min
40 gtt/min
A 12th week primigravida patient came in to the health center for her first prenatal checkup. The doctor prescribes Ferrous sulfate 300mg daily. Several hours after, the patient came back from the pharmacy and told you that the available stock is 150mg/tablet. Which of the following is the correct number of tablets required for the dose? Show your solution on your answer sheet.
1 tablet
1.5 tablet
2 tablets
3 tablets
You are instructing a newly discharge patient with order from the attending physician of Ascorbic Acid syrup 1 teaspoon (tsp). which of the following is the correct equivalent required for the dose? Show your solution on your answer sheet.
1 mL
5 mL
10 mL
15 mL
The physician ordered to start venoclysis with D5 0.3NaCl 1L solution. The IV fluid will be infused for 14 hours and the drop factor of the macrodrip used is 20. Which of the following is the correct IV infusion rate? Show your solution on your answer sheet.
20 gtts/min
24 gtts/min
28 gtts/min
30 gtts/min
