COMMUNITY HEALTH NURSING AND CARE OF THE MOTHER AND CHILD part 2

COMMUNITY HEALTH NURSING AND CARE OF THE MOTHER AND CHILD part 2

Situation 11 - You are working as a Pediatric Nurse in

your own Child Health Nursing Clinic, the following cases

pertain to ASSESSMENT AND CARE OP THE NEWBORN AT

RISK conditions.

51. Theresa, a mother with a 2 year old daughter asks,

"at what are can I be able to take the blood pressure of

my daughter as a routine procedure since hypertension

is common in the family?" Your answer to this is:

206

a. At 2 years you may

b. As early as 1 year old

c. When she's 3- years old

d. When she's 6 years old?

52. You typically gag children to inspect the back of

their throat. When is it important NOT to solicit a gag

reflex?

a. when a girl has a geographic tongue

b. when a boy has a possible inguinal hernia

c. when a child has symptoms of epiglottitis

d. when children are under 5 years of age

53. Baby John was given a drug at birth to reverse the

effects of a narcotic given to his mother in' labor. What

drug is commonly used for this?

a. Naloxone (Narcan)

b. Morphine Sulfate

c. Sodium Chloride

d. Penicillin G

54. Why are small-for-gestational-age newborns at risks

for difficulty maintaining body temperature?

a. They do not have as many fat stores as other infant’s

b. They are more active than usual so throw off covers

c. Their skin is more susceptible to conduction of cold

d. They are preterm so are born relatively small in size

55. Baby John develops hyperbilirubinemia. What is a

method used to treat hyperbilirubinemia in a newborn?

a. Keeping infants in a warm arid dark environment

b. Administration of a cardiovascular stimulant

c. Gentle exercise to stop muscle breakdown

d. Early feeding to speed passage of meconium

Situation 12 - You are the nurse in the Out-Patient-

Department and during your shift you encountered

multiple children's condition. The following questions

apply.

56. You assessed a child with visible severe wasting, he

has:

a. edema

b. LBM

c. kwashiorkor

d. marasmus

57. Which of the following conditions is NOT true about

contraindication to immunization?

a. do not give DPT2 or DPT3 to a child who has

convulsions within 3 days of DPT1

b. do not give BOG if the child has known hepatitis .

c. do not give OPT to a child who has recurrent

convulsion or active neurologic disease

d. do not give BCG if the child has known AIDS

58. Which of the following statements about

immunization is NOT true:

a. A child with diarrhea who is due for OPV should

receive the OPV and make extra dose on the next visit

b. There is no contraindication to immunization if the

child is well enough to go home

c. There is no contraindication to immunization if the

child is well enough to go home and a child should be

immunized in the health center before referrals are both

correct

d. A child should be immunized in the center before

referral

59. A child with visible severe wasting or severe palmar

pallor may be classified as:

a. moderate malnutrition/anemia

b. severe malnutrition/anemia

c. not very tow weight no anemia

d. anemia/very low weight

60. A child who has some palmar pallor can be

classified as:

a. moderate anemia/normal weight

b. severe malnutrition/anemia

c. anemia/very low weight

d. not very low eight to anemia

Situation 13 - Nette, a nurse palpates the abdomen of

Mrs. Medina, a primigravida. She is unsure of the date of

her last menstrual period. Leopold's Maneuver is done.

The obstetrician told mat she appears to be 20 weeks

pregnant. .

61. Nette explains this because the fundus is:

a. At the level the umbilicus, and the fetal heart can be

heard with a fetoscope

b. 18 cm, and the baby is just about to move

c. is just over the symphysis, and fetal heart cannot be

heard

d. 28 cm, and fetal heart can be heard with a Doppler

62. In doing Leopold's maneuver palpation which

among the following is NOT considered a good

preparation?

a. The woman should lie in a supine position wither

knees flexed slightly

b. The hands of the nurse should be cold so that

abdominal muscles would contract and tighten

c. Be certain that your hands are warm (by washing them

in warm water first if necessary)

d. The woman empties her bladder before palpation

63. In her pregnancy, she experienced fatigue and

drowsiness. This probably occurs because:

a. of high blood pressure

b. she is expressing pressure

c. the fetus utilizes her glucose stores and leaves her

with a Sow blood glucose

d. of the rapid growth of the fetus

64. The nurse assesses the woman at 20 weeks

gestation3 and expects the woman to report:

a. Spotting related to fetal implantation

b. Symptoms of diabetes as human placental lactogen is

released

c. Feeling fetal kicks

d. Nausea and vomiting related HCG production

65. If Mrs. Medina comes to you for check-up on June 2,

her EDO is June 11, what do you expect during

assessment?

a. Fundic ht 2 fingers below xyphoid process, engaged

b. Cervix close, uneffaced, FH-midway between the

umbilicus and symphysis pubis

c. Cervix open, fundic ht. 2 fingers below xyphoid

process, floating .

d. Fundic height at least at the level of the xyphoid

process, engaged

Situation 14: - Please continue responding as a

professional nurse in varied health situations through

the following questions.

66. Which of the following medications would the

nurse expect the physician to order for recurrent

convulsive seizures of a 10-year old child brought to

your clinic?

a. Phenobarbital

b. Nifedipine

c. Butorphanol

d. Diazepam

67. RhoGAM is given to Rh-negative women to prevent

maternal sensitization from occurring. The nurse is

aware that in addition to pregnancy, Rh-negative

women would also receive this medication after which

of the following?

a. Unsuccessful artificial insemination procedure

b. Blood transfusion after hemorrhage

c. Therapeutic or spontaneous abortion

d. Head injury from a car accident

68. Which of the following would the nurse include

when describing the pathophysiologv of gestational

diabetes?

a. Glucose levels decrease to accommodate fetal growth

b. Hypoinsulinemia develops early in the first trimester

c. Pregnancy fosters the development of carbohydrate

cravings

d. There is progressive resistance to the effects of insulin

69. When providing prenatal education to a pregnant

woman with asthma, which of the following would be

important for the nurse to do?

a. Demonstrate how to assess her blood glucose

b. Teach correct administration of subcutaneous

bronchodilators

c. Ensure she seeks treatment for any acute

exacerbation

d. Explain that she should avoid steroids during her

pregnancy

70. Which of the following conditions would cause an

insulin-dependent diabetic client the most difficulty

during her pregnancy?

a. Rh incompatibility

b. Placenta previa

c. Hyperemesis gravidarum

d. Abruption placentae

Situation 15 - One important toot a community health

nurse uses in the conduct of his/her activities is the CHN

Bag. Which of the following BEST DESCRIBES the use of

this vital facility for our practice?

71. The Community/Public Health Bag is:

a. a requirement for home visits

b. an essential and indispensable equipment of the

community health nurse

c. contains basic medications and articles used by the

community health nurse

d. a tool used by the Community health nurse is

rendering effective nursing procedure during a home

visit

72. What is the rationale in the use of bag technique

during home visit?

a. It helps render effective nursing care to clients or

other members of the family

b. It saves time and effort of the nurse in the

performance of nursing procedures

c. It should minimize or prevent the spread of infection

from individuals to families

d. It should not overshadow concerns for the patient

73. Which among the following is important in the use

of the bag technique during home visit?

a. Arrangement of the bag's contents must be

convenient to the nurse

b. The bag should contain all necessary supplies and

equipment ready for use

c. Be sure to thoroughly clean your bag especially when

exposed to communicable disease cases

d. Minimize if not totally prevent the spread of infection

74. This is an important procedure of the nurse during

home visits?

a. protection of the CHN bag

b. arrangement of the contents of the CHM bag

c. cleaning of the CHN bag

d. proper handwashing

75. In consideration of the steps in applying the bag

technique, which side of the paper lining of the CHN

bag is considered clean to make a non-contaminated

work area?

a. The lower lip

b. The outer surface

c. The upper lip

d. The inside surface

Situation 16 - As a Community Health Nurse relating with

people in different communities, and in the

implementation of health programs and projects you

experience vividly as well the varying forms of leadership

and management from the Barangay Level to the Local

Government/Municipal City Level.

76. The following statements can correctly be made

about Organization and management?

A. An organization (or company) is people. Values make

people persons: values give vitality, meaning and

direction to a company. As the people of an organization

value, so the company becomes.

B. Management is the process by which administration

achieves its mission, goals, and objectives

C. Management effectiveness can be measured in terms

of accomplishment of the purpose of the organization

while management efficiency is measured in terms of

the satisfaction of individual motives

D. Management principles are universal therefore one

need not be concerned about people, culture, values,

traditions and human relations.

a. B and C only

b. A, B and D only

c. A and D only

d. B, A, and C only

77. Management by Filipino values advocates the

consideration of the Filipino goals trilogy according to

the Filipino priority-values which are:

a. Family goals, national goals, organizational goals

b. Organizational goats, national goals, family goals

c. National goals, organizational goals, family goals

d. Family goals, organizational goals, national goals

78. Since the advocacy for the utilization of Filipino

value-system in management has been encouraged, the

Nursing sector is no except, management needs to

examine Filipino values and discover its positive

potentials and harness them to achieve:

a. Employee satisfaction

b. Organizational commits .ants, organizational

objectives and employee satisfaction

c. Employee objectives/satisfaction, commitments and

organizational objectives

d. Organizational objectives, commitments and

employee objective/satisfaction

79. The following statements can correctly be made

about an effective and efficient community or even

agency managerial-leader.

A. Considers the achievement and advancement of the

organization she/he represents as well as his people

B. Considers the recognition of individual efforts toward

the realization of organizational goals as well as the

welfare of his people

C. Considers the welfare of the organization above all

other consideration by higher administration

D. Considers its own recognition by higher

administration for purposes of promotion and prestige

a. Only C and D are correct

b. A, C and D are correct

c. B, C, and D are correct

d. Only A and B are correct

80. Whether management at the community or agency

level, there are 3 essential types of skills managers

must have, these are:

A. Human relation skills, technical skills, and cognitive

skills

B. Conceptual skills, human relation/behavioral skills,

and technical skills

C. Technical skills, budget and accounting skills, skills in

fund-raising

D. Manipulative skills, technical skills, resource

management skills

a. A and D are correct

b. B is correct

c. A is correct

d. C and D are correct

Situation 17 - You are actively practicing nurse who just

finished your Graduate Studies. You earned the value of

Research and would like to utilize the knowledge and

skills gained in the application of research to Nursing

service. The following questions apply to research.

81. Which type of research Inquiry investigates the

issue of human complexity (e.g. understanding the

human expertise)

a. Logical position

b. Naturalistic inquiry

c. Positivism

d. Quantitative Research

82. Which of the following studies is based on

quantitative research?

a. A study examining the bereavement process in

spouses of clients with terminal cancer

b. A study exploring factors influencing weight control

behavior

c. A study measuring the effects of sleep deprivation on

wound healing

d. A study examining client's feelings before, during and

after a bone marrow aspiration

83. Which of the following studies is based on

qualitative research?

a. A study examining clients reactions to stress after

open heart surgery

b. A study measuring nutrition and weight, loss/gain in

clients with cancer

c. A study examining oxygen levels after endotracheal

suctioning

d. A study measuring differences in blood pressure

before during and after a procedure

84. An 85 year old client in a nursing home tells a nurse,

"I signed the papers for that research study because the

doctor was so insistent and I want: him to continue

taking care of me." Which client right is being violated?

a. Right of self determination

b. Right to privacy and confidentiality

c. Right to full disclosure

d. Right not to be harmed

85. "A supposition or system of ideas that is proposed

to explain a given phenomenon," best defines:

a. a paradigm

b. a concept

c. a theory

d. a conceptual framework

Situation 18 - Nurse Michelle works with a Family

Nursing Team in Calbayog Province specifically handling

a UNICEF Project for Children. The following conditions

pertain, to CARE OP THE FAMILIES PRESCHOOLERS.

86. Ronnie asks constant questions. How many does a

typical 3-year-old ask in a day's time?

a. 1,200 or more

b. Less than 50

c. 100-200

d. 300-400

87. Ronnie will need to change to a new bed because

his baby sister will need Ronnie's old crib. What

measure would you suggest that his parents take to

help decrease sibling rivalry between Ronnie and his

new sister?

a. Move him to the new bed before the baby arrives

b. Explain that new sisters grow up to become best

friends

c. Tell him he will have to share with the new baby

d. Ask him to get his crib ready for the new baby

88. Ronnie's parents want to know how to react to him

when he begins to masturbate while watching

television. What would you suggest?

a. They refuse to allow him to watch television

b. They schedule a health check-up for sex-related

disease

c. They remind him that some activities are private

d. They give him "timeout" when this begins

89. How many words does a typical 12-month-old

infant use?

a. About 12 words

b. Twenty or more words

c. About 50 words

d. Two, plus "mama" and "dada"

90. As a nurse. You reviewed infant safety procedures

with Bryan's mother. What are two of the most

common types of accidents among infants?

a. Aspiration and falls

b. Falls and auto accidents

c. Poisoning and burns

d. Drowning and homicide

Situation 19 - Among common conditions found in

children especially among poor communities are ear

infection/problems. The following questions apply.

91. A child with ear problem should be assessed for the

following EXCEPT:

a is there any fever?

b. ear discharge

c. if discharge is present for how long?

d. ear pain

92. If the child does not have ear problem, using IMCI,

what should you as the nurse do?

a. Check for ear discharge

b. Check for tender swellings, behind the ear

c. Check for ear pain

d. Go to the next question, check for malnutrition

93. An ear discharge that has been present for more

than 14 days can be classified as:

a. mastoditis

b. chronic ear infection

c. acute ear infection

d. complicated ear infection

94. An ear discharge that has been present for jess than

14 days can be classified as:

a. chronic ear infection

b. mastoditis

c. acute ear infection

d. complicated ear infection

95. If the child has severe classification because of ear

problem, what would be the best thing that you as the

nurse can do?

a. instruct mother when to return immediately

b. refer urgently

c. give an antibiotic for 5 days

d. dry the ear by wicking

Situation 20 - If a child with diarrhea registers one sign in

the pink row and one in the yellow; row in the IMCI

Chart.

96. We can classify the patient as:

a. moderate dehydration

b. some dehydration

c. no dehydration

d. severe dehydration

97. The child with no dehydration needs home

treatment Which of the following is not included the

rules for home treatment in this case:

a. continue feeding the child

b. give oresol every 4 hours

c. know when to return to the health center

d. give the child extra fluids

98. A child who has had diarrhea for 14 days but has no

sign of dehydration is classified as:

a. severe persistent diarrhea

b. dysentery

c. severe dysentery b. dysentery

d. persistent diarrhea

99. If the child has sunken eyes, drinking eagerly,

thirsty and skin pinch goes back slowly, the

classification would be:

a. no dehydration

b. moderate dehydration

c. some dehydration

d. severe dehydration

100. Carlo has had diarrhea for 5 days. There is no

blood in the stool, he is irritable. His eyes are sunken

the nurse offers fluid to Carlo and he drinks eagerly.

When the nurse pinched the abdomen, it goes back

slowly. How will you classify Carlo’s illness?

a. severe dehydration

b. no dehydration

c. some dehydration

d. moderate dehydration