1. A 13 year old girl came to PKM with complaints of frequently feeling tired, dizzy and having
dizzy eyes. History results: often dizzy, once fainted while participating in sports at school.
Examination results: AC good, BW 46 kg, TB 155 cm, BP 100/70 mmHg, N 80x/minute, P
20x/minute, S 36.5°C, LILA 24 cm, conjunctiva looks pale, Hb 10.7 gr /dL. What diagnosis
might occur in this case?
A. Very Severe Anemia
B. Moderate Anemia
C. Mild Anemia
D. Severe Anemia
E. Not Anemic
2. A woman, 22 years old, P1A0, postpartum day 5, came to BPM with the main complaint of
swollen breasts. Analysis results: pain when touched, breast milk production is hampered, the
baby does not want to breastfeed, thus limiting breastfeeding. Examination results: normal KU,
BP 110/70, N 82 x/m, P 20x/m, S 37.5℃, nipples inverted, breasts tense and hard. What is the
most likely causal factor in this case?
A. Swollen breasts
B. limit the provision of breast milk
C. The baby does not want to breastfeed
D. Breasts are tense and hard
E. Breast milk production is hampered
3. A woman, 22 years old, G1 P0 A0 38 weeks pregnant, came to PMB with complaints of mucus
mixed with blood accompanied by hyssis that spread from the stomach to the waist. Examination
results: BP 120/80 mmHg, N 88x/min, S 37 0C, Contractions 3-4x/10 minutes with duration 45”,
FHR 145x/min, Cervical dilatation 10 cm, clear spontaneous rupture of membranes, head opening
vulva 2 -3cm. Midwives Communicate examination results to patients and plan assistance for
normal delivery. What next action will the midwife take?
A. Prepare tools, medicine and resuscitation area
,B. Place a clean cloth over the mother's stomach
C. Leading the mother to push
D. Wash your hands
E. Wearing PPE
4. A woman, 48 years old, came to Posbindu with complaints of irregular menstruation for the
last 6 months. History results: last menstrual period 2 months ago, IUD acceptor, often has
trouble sleeping, sweats a lot at night, feels very worried. Examination results: BP 130/90 mmHg,
N 88x/minute, P 24x/minute, S 36.7℃, no mass palpable in the abdomen, PP test (-). What
health education is appropriate in this case?
A. Use of hormonal contraception
B. Regular exercise to strengthen bones
C. Diet high in calcium to prevent osteoporosis
D. Hormonal changes during perimenopause
E. Hormone replacement therapy to reduce menopausal symptoms
5. A woman, 23 years old, G1 P0 A0 37 weeks pregnant, came to PMB with complaints of mucus
mixed with blood accompanied by hyssis that spread from the stomach to the waist. Since 4 hours
ago water has been coming out of my genitals with a clear color. Examination results: BP 120/80
mmHg, N: 88x/min, S 37 0C, Contractions 3-4x/10 minutes with duration 45”, FHR 145x/min,
Cervical opening 1 cm, amniotic fluid (+). What are the next steps the midwife will take to
confirm the diagnosis in this case?
A. Hb examination
B. Litmus test examination
C. Urine protein examination
D. Amniocentesis examination
E. Cardiotocography examination
6. A full-term newborn baby at TPMB. Examination results: male gender, the baby is not crying
strongly, the skin color is red and the amniotic fluid is clear. What is the most appropriate initial
,treatment in this case?
A. Perform IMD
B. Carry out ventilation
C. Make Referrals
D. Perform a ventilation trial
E. Clearing the airways
7. A woman, 25 years old, G1P1A0 37 weeks pregnant, came to PMB complaining of feeling
tired easily. History results: frequent urination and frequent drinking. Examination results: BP
120/80 mmHg, N 80 x/min, P 20x/min, S 36 0C, TFU 40 cm, right back, head presentation, lower
part cannot be shaken, FHR 140 x/min. What fetal complications occurred in this case?
A. Hypercalcemia
B. Macrosomia
C. Microsomia
D. Hypoglycemia
E. Hyperglycemia
8. A baby boy, 4 months old, came to TPMB with his mother, for an examination. History results:
mother said her child had just received DPT-Hb and Polio immunization yesterday. The mother
complained that her child was currently experiencing redness at the injection site and was fussy
all night because the baby had a fever. Examination results: P 40 x/minute, S 37.8 0C. The
injection site looks reddish, not swollen and there is no discharge. What problem happened to the
baby?
A. Anaphylaxis
B. Ensefalopati
C. Hyperpyrexia
D. Diphtheria Pertussis Tetanus
E. Post-Immunization Adverse Events
, 9. A woman, 34 years old, G1P0A0 37 weeks pregnant, came to PMB complaining of frequent
dizziness. History results: blurred vision. Examination results: BP 160/110 mmHg N 80x/min, P
20x/min, S 36.5 0C, TFU 31 cm, FHR 120x/min. What appropriate supporting examination is
needed in this case?
A. HCG examination
B. Ultrasound examination
C. HB examination
D. Urine protein examination
E. Urine glucose examination
10. A girl, 14 years old, came to BPM with complaints that she had never had a period. History
results: abdominal pain every month. Examination results: BP 110/70 mmHg, N 86x/minute, P
20x/minute, S 36.5ºC, TB 145 cm, BB 50 kg, abdominal palpation found no mass, inspection
showed the vaginal opening with a bluish hymen and protruding. What is the correct diagnosis in
the case above?
A. Amenorhea
B.Aplasia vagina
C. Vaginal atresia
D. Hematometra
E. Hymen Imperporata
11. A woman, 24 years old, came to the KIA Polyclinic at the Hospital. Anamnesis results: just
had a miscarriage at 14 weeks of pregnancy, had curettage done 1 week ago, has a 12 month old
baby, wants to use IUD contraception. Examination results: BP 115/75 mmHg, N 98 x/minute, P
18 x/minute, S 36.2°C, no vaginal bleeding. When is the right time to give birth control?
A. Immediately
B. 2 weeks after miscarriage
dizzy eyes. History results: often dizzy, once fainted while participating in sports at school.
Examination results: AC good, BW 46 kg, TB 155 cm, BP 100/70 mmHg, N 80x/minute, P
20x/minute, S 36.5°C, LILA 24 cm, conjunctiva looks pale, Hb 10.7 gr /dL. What diagnosis
might occur in this case?
A. Very Severe Anemia
B. Moderate Anemia
C. Mild Anemia
D. Severe Anemia
E. Not Anemic
2. A woman, 22 years old, P1A0, postpartum day 5, came to BPM with the main complaint of
swollen breasts. Analysis results: pain when touched, breast milk production is hampered, the
baby does not want to breastfeed, thus limiting breastfeeding. Examination results: normal KU,
BP 110/70, N 82 x/m, P 20x/m, S 37.5℃, nipples inverted, breasts tense and hard. What is the
most likely causal factor in this case?
A. Swollen breasts
B. limit the provision of breast milk
C. The baby does not want to breastfeed
D. Breasts are tense and hard
E. Breast milk production is hampered
3. A woman, 22 years old, G1 P0 A0 38 weeks pregnant, came to PMB with complaints of mucus
mixed with blood accompanied by hyssis that spread from the stomach to the waist. Examination
results: BP 120/80 mmHg, N 88x/min, S 37 0C, Contractions 3-4x/10 minutes with duration 45”,
FHR 145x/min, Cervical dilatation 10 cm, clear spontaneous rupture of membranes, head opening
vulva 2 -3cm. Midwives Communicate examination results to patients and plan assistance for
normal delivery. What next action will the midwife take?
A. Prepare tools, medicine and resuscitation area
,B. Place a clean cloth over the mother's stomach
C. Leading the mother to push
D. Wash your hands
E. Wearing PPE
4. A woman, 48 years old, came to Posbindu with complaints of irregular menstruation for the
last 6 months. History results: last menstrual period 2 months ago, IUD acceptor, often has
trouble sleeping, sweats a lot at night, feels very worried. Examination results: BP 130/90 mmHg,
N 88x/minute, P 24x/minute, S 36.7℃, no mass palpable in the abdomen, PP test (-). What
health education is appropriate in this case?
A. Use of hormonal contraception
B. Regular exercise to strengthen bones
C. Diet high in calcium to prevent osteoporosis
D. Hormonal changes during perimenopause
E. Hormone replacement therapy to reduce menopausal symptoms
5. A woman, 23 years old, G1 P0 A0 37 weeks pregnant, came to PMB with complaints of mucus
mixed with blood accompanied by hyssis that spread from the stomach to the waist. Since 4 hours
ago water has been coming out of my genitals with a clear color. Examination results: BP 120/80
mmHg, N: 88x/min, S 37 0C, Contractions 3-4x/10 minutes with duration 45”, FHR 145x/min,
Cervical opening 1 cm, amniotic fluid (+). What are the next steps the midwife will take to
confirm the diagnosis in this case?
A. Hb examination
B. Litmus test examination
C. Urine protein examination
D. Amniocentesis examination
E. Cardiotocography examination
6. A full-term newborn baby at TPMB. Examination results: male gender, the baby is not crying
strongly, the skin color is red and the amniotic fluid is clear. What is the most appropriate initial
,treatment in this case?
A. Perform IMD
B. Carry out ventilation
C. Make Referrals
D. Perform a ventilation trial
E. Clearing the airways
7. A woman, 25 years old, G1P1A0 37 weeks pregnant, came to PMB complaining of feeling
tired easily. History results: frequent urination and frequent drinking. Examination results: BP
120/80 mmHg, N 80 x/min, P 20x/min, S 36 0C, TFU 40 cm, right back, head presentation, lower
part cannot be shaken, FHR 140 x/min. What fetal complications occurred in this case?
A. Hypercalcemia
B. Macrosomia
C. Microsomia
D. Hypoglycemia
E. Hyperglycemia
8. A baby boy, 4 months old, came to TPMB with his mother, for an examination. History results:
mother said her child had just received DPT-Hb and Polio immunization yesterday. The mother
complained that her child was currently experiencing redness at the injection site and was fussy
all night because the baby had a fever. Examination results: P 40 x/minute, S 37.8 0C. The
injection site looks reddish, not swollen and there is no discharge. What problem happened to the
baby?
A. Anaphylaxis
B. Ensefalopati
C. Hyperpyrexia
D. Diphtheria Pertussis Tetanus
E. Post-Immunization Adverse Events
, 9. A woman, 34 years old, G1P0A0 37 weeks pregnant, came to PMB complaining of frequent
dizziness. History results: blurred vision. Examination results: BP 160/110 mmHg N 80x/min, P
20x/min, S 36.5 0C, TFU 31 cm, FHR 120x/min. What appropriate supporting examination is
needed in this case?
A. HCG examination
B. Ultrasound examination
C. HB examination
D. Urine protein examination
E. Urine glucose examination
10. A girl, 14 years old, came to BPM with complaints that she had never had a period. History
results: abdominal pain every month. Examination results: BP 110/70 mmHg, N 86x/minute, P
20x/minute, S 36.5ºC, TB 145 cm, BB 50 kg, abdominal palpation found no mass, inspection
showed the vaginal opening with a bluish hymen and protruding. What is the correct diagnosis in
the case above?
A. Amenorhea
B.Aplasia vagina
C. Vaginal atresia
D. Hematometra
E. Hymen Imperporata
11. A woman, 24 years old, came to the KIA Polyclinic at the Hospital. Anamnesis results: just
had a miscarriage at 14 weeks of pregnancy, had curettage done 1 week ago, has a 12 month old
baby, wants to use IUD contraception. Examination results: BP 115/75 mmHg, N 98 x/minute, P
18 x/minute, S 36.2°C, no vaginal bleeding. When is the right time to give birth control?
A. Immediately
B. 2 weeks after miscarriage
