COMMUNITY HEALTH NURSING AND CARE OF THE MOTHER AND CHILD part 1

COMMUNITY HEALTH NURSING AND CARE OF THE

MOTHER AND CHILD part 1

Situation 1 - Nurse Minette is an independent Nurse

Practitioner following-up referred clients in their

respective homes. Here she handles a case of

POSTPARTIAL MOTHER AND FAMILY focusing on HOME

CARE.

1. Nurse Minette needs to schedule a first home visit to

OB client Leah. When is a first home-care visit typically

made?

a. Within 4 days after discharge

b. Within 24 hours after discharge

c. Within 1 hour after discharge

d. Within 1 week of discharge

2. Leah is developing constipation from being on bed

rest. What measures would you suggest she take to

help prevent this?

a. Eat more frequent small meals instead of three large

one daily

b. Walk for at least half an hour daily to stimulate

peristalsis

c. Drink more milk, increased calcium intake prevents

constipation

d. Drink eight full glasses of fluid such as water daily

3. If you were Minette, which of the following actions,

would alert you that a new mother is entering a

postpartial at taking-hold phase?

a. She urges the baby to stay awake so that she can

breast-feed him in her

b. She tells you she was in a lot of pain all during labor

c. She says that she has not selected a name fir the baby

as yet

d. She sleeps as if exhausted from the effort of labor

4. At 6-week postpartum visit what should this

postpartial mother's fundic height be?

a. Inverted and palpable at the cervix

b. Six fingerbreadths below the umbilicus

c. No longer palpable on her abdomen

d. One centimeter above the symphysis pubis

5. This postpartal mother wants to loose the weight she

gained in pregnancy, so she is reluctant to increase her

calorin intake for breast-feeding. By how much should a

lactating mother increase her caloric intake during the

first 6 months after birth?

a. 350 kcal/day

b. 5CO kcal/day

c. 200 kcal/day

d. 1,000 kcal/day

Situation 2 - As the CPES is applicable for all professional

nurse, the professional growth and development of

Nurses with specialties shall be addressed by a Specialty

Certification Council.

The following questions apply to these special groups of

nurses.

6. Which of the following serves as the legal basis and

statute authority for the Board of nursing to

promulgate measures to effect the creation of a

Specialty Certification Council and promulgate

professional development programs for this group of

nurse-professionals?

a. R.A. 7610

b. R.A. 223

c. R.A. 9173

d. R.A. 7164

7. By force of law, therefore, the PRC-Board of Nursing

released Resolution No. 14 Series of the entitled:

"Adoption of a Nursing Specialty Certification Program

and Creation of Nursing Specialty Certification Council."

This rule-making power is called:

a. Quasi-Judicial Power

b. Regulatory Power

c. Quasi/Legislative Power

d. Executive/Promulgation Power

8. Under the PRC-Board of Nursing Resolution

promulgating the adoption of a Nursing Specialty-

Certification Program and Council, which two (2) of the

following serves as the strongest for its enforcement?

(a) Advances made in science aid technology have

provided the climate for specialization in almost all

aspects of human endeavor and

(b) As necessary consequence, there has emerged a new

concept known as globalization which seeks to remove

barriers in trade, .industry and services imposed by the

national laws of countries all over the world; and

(c) Awareness of this development should impel the

nursing sector to prepare our people in the services

sector to meet .the above challenges; and

(d) Current trends of specialization in nursing practice

recognized by; the International Council of Nurses (ICN)

of which the Philippines is a member for the benefit of

the Filipino in terms of deepening and refining nursing

practice and enhancing the quality of nursing care.

a. b & c are strong justification

b. a & b are strong justification

c. a & c are strong justification

d. a & d are strong justification

9. Which of the following is NOT a correct statement as

regards Specialty Certification?

a. The Board of Nursing intended to create the Nursing

Specialty Certification Program as a means of

perpetuating the creation of an elite force of Filipino

Nurse Professionals

b. The Board of Nursing shall oversee the administration

of the NSCP through the various Nursing Specialty

Boards which will eventually, be created

c. The Board of Nursing at the time exercised their

powers under R.A. 7164 in order to adopt the creation of

the Nursing Specialty Certification /council and Program

d. The Board of Nursing consulted nursing leaders of

national nursing associations and other concerned

nursing groups which later decided to ask a special group

of nurses of .the program for nursing specialty

certification

10. The NSCC was created for the purpose of

implementing the Nursing Specialty policy under the

direct supervision and stewardship of the Board of

Nursing. Who shall comprise the NSCC?

a. A Chairperson who is the current President of the APO

a member from .the Academe, and the last member

coming from the Regulatory Board

b. The Chairperson and members of the Regulatory

Board ipso facto acts as the CPE Council

c. A Chairperson, chosen from among the Regulatory

Board Members, a Vice Chairperson appointed by the

BON at-large; two other members also chosen at-large;

and one representing the consumer group

d. A Chairperson who is the President of the Association

from the Academe; a member from the Regulatory

Board, and the last member coming from the APO

Situation 3 - Nurse Anna is a new BSEN graduate and has

just passed her Licensure Examination for Nurses in the

Philippines. She has likewise been hired as a new

Community Health Nurse in one of the Rural Health

Units in their City, which of the following conditions may

be acceptable TRUTHS applied to Community Health

Nursing Practice.

11. Which of the following is the primary focus of

community health nursing practice?

a. Cure of illnesses

b. Prevention of illness

c. Rehabilitation back to health

d. Promotion of health

12. In community health nursing, which of the following

is our unit of service as nurses?

a. The Community

b. The Extended Members of every family

c. The individual members of the Barangay

d. The Family

13. A very important part of the Community Health

Nursing Assessment Process includes

a. the application of professional judgment in estimating

importance of facts to family and community

b. evaluation structures arid qualifications of health

center team

c. coordination with other sectors in relation to health

concerns

d. carrying out nursing procedures as per plan of action

14. In community health nursing it is important to take

into account the family health with an equally

important need to perform ocular inspection of the

areas activities which are powerful elements of:

a. evaluation

b. assessment

c. implementation

d. planning

15. The initial step in the PLANNING process in order to

engage in any nursing project or parties at the

community level involves:

a. goal-setting

b. monitoring

c. evaluation of data

d. provision of data

Situation 4 - Please continue responding as a

professional nurse in these other health situations

through the following questions.

16. Transmission of HIV from an infected individual to

another person occurs:

a. Most frequency in nurses with needlesticks

b. Only if there is a large viral load in the blood

c. Most commonly as a result of sexual contact

d. In all infants born to women with HIV infection

17. The medical record of a client reveals a condition in

which the fetus cannot pass through the maternal

pelvis. The nurse interprets this as:

a. Contracted pelvis

b. Maternal disproportion

c. Cervical insufficiency

d. Fetopelvic disproportion

18. The nurse would anticipate a cesarean birth for a

client who has which infection present at the onset of

labor?

a. Herpes simplex virus

b. Human papilloma virus

c. Hepatitis

d. Toxoplasmosia

19. After a vaginal examination, the nurse»e

determines that the client's fetus is in an occiput

posterior position. The nurse would anticipate that the

client will have:

a. A precipitous birth

b. Intense back pain

c. Frequent leg cramps

d. Nausea and vomiting

20. The rationales for using a prostaglandin gel for a

client prior to the induction of labor is to:

a. Soften and efface the cervix

b. Numb cervical' pain receptors

c. Prevent cervical lacerations

d. Stimulate uterine contractions

Situation 5 - Nurse Lorena is a Family Planning and

Infertility Nurse Specialist and currently attends to

FAMILY PANNING CLIENTS AND INFERTILE COUPLES. The

following conditions pertain to meeting the nursing of

this particular population group.

21. Dina, 17 years old, asks you how a tubal ligation

prevents pregnancy. Which would be the best answer?

a. Prostaglandins released from the cut fallopian tubes

can kill sperm

b. Sperm cannot enter the uterus, because the cervical

entrance is blocked

c. Sperm can no longer reach the ova, because the

fallopian tubes are blocked

d. The ovary no longer releases ova, as there is no where

for them to go

22. The Dators are a couple undergoing testing for

infertility. Infertility is said to exist when:

a. a woman has no uterus

b. a woman has no children

c. a couple has been trying to conceive for 1 year

d. a couple has wanted a child for 6 months

23. Another client names Lilia is diagnosed as having

endometriosis. This condition interferes with the

fertility because:

a. endometrial implants can block the fallopian tubes

b. the uterine cervix becomes inflamed and swollen

c. ovaries stop producing adequate estrogen

d. pressure on the pituitary leads to decreased FSH levels

24. Lilia is scheduled to have a hysterosalpingogram.

Which of the following, instructions would you give her

regarding this procedure?

a. She will not be able to conceive for 3 months after the

procedure

b. The sonogram of the uterus will reveal any tumors

present

c. Many women experience mild bleeding as an after

effect

d. She may feel some cramping when the dye is inserted

25. Lilia's cousin on the other hand, knowing nurse

Lorena's specialization asks what artificial insemination

by donor entails. Which would be your best answer if

you were Nurse Lorena?

a. Donor sperm are introduced vaginally into the uterus

or cervix

b. Donor sperm are injected intra-abdominally into each

ovary

c. Artificial sperm are injected vaginally to test tubal

patency

d. The husband's sperm is administered intravenously

weekly

Situation 6 - There are other important basic knowledge

in the performance of our task as Community Health

Nurse in relation to IMMUNIZATION these include:

26. The correct temperature to store vaccines in a

refrigerator is:

a. between -4 deg C and +8 deg C

b. between 2 deg C and +8 deg C

c. between -8 deg C and 0 deg C

d. between -8 deg C and +8 deg C

27. Which of the following vaccines is not done by

intramuscular (IM) injection?

a. Measles vaccine

b. DPT

c. Hepa B vaccines

d. DPT

28. This vaccine content is derived from RNA

recombinants:

a. Measles

b. Tetanus toxoids

c. Hepatitis B vaccines

d. DPT

29. This is the vaccine needed before a child reaches

one (1) year in order for him/her to qualify as a "fully

immunized child".

a. DPT

b. Measles

c. Hepatitis B

d. BCG

30. Which of the following dose of tetanus toxoid is

given to the mother to protect her .infant from

neonatal tetanus and likewise provide 10 years

protection for the mother?

a. Tetanus toxoid 3

b. Tetanus toxoid 2

c. Tetanus toxoid 1

d. Tetanus toxoid 4

Situation 7 - Records contain those, comprehensive

descriptions of patient's health conditions and needs and

at the same serve as evidences of every nurse's

accountability in the, care giving process. Nursing

records normally differ from institution to, institution

nonetheless they follow similar patterns of .meeting

needs for specifics, types of information. The following

pertalos to documentation/records management.

31. This special form used when the patient is admitted

to the unit. The nurse completes, the information in

this records particularly his/her .basic personal data,

current illness, previous health history, health history

of the family, emotional profile, environmental history

as well as physical assessment together with nursing

diagnosis on admission. What do you call this record?

a. Nursing Kardex

b. Nursing Health History and Assessment Worksheet

c. Medicine and Treatment Record

d. Discharge Summary

32. These, are sheets/forms which provide an efficient

and time saving way to record information that must

be obtained repeatedly at regular and/or short

intervals, of .time. This does not replace the progress

notes; instead this record of information on vital signs,

intake and output, treatment, postoperative care,

postpartum care, and diabetic regimen, etc., this is

used whenever specific measurements or observations

are needed to-be documented repeatedly. What is

this?

a. Nursing Kardex

b. Graphic Flow sheets

c. Discharge Summary

d. Medicine and Treatment Record

33. These records show all medications and treatment

provided on a repeated basis. What do you call this

record?

a. Nursing Health History and Assessment Worksheet

b. Discharge Summary

c. Nursing Kardex

d. Medicine and Treatment Record

34. This flip-over card is usually kept in a portable file at

the Nurses Station. It has 2-parts: the activity and

treatment section and a nursing care plan section. This

carries information about basic demographic data,

primary medical diagnosis, current orders of the

physician to be carried out by the nurse, written

nursing care plan, nursing orders, scheduled tests and

procedures, safety precautions in-patient care and

factors related to daily living activities/ this record is

used in the charge-of-shift reports or during the beside

rounds or walking rounds. What record is this?

a. Discharge Summary

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b. Medicine and Treatment Record

c. Nursing Health History and Assessment Worksheet

d. Nursing Kardex

35. Most nurses regard this as conventional recording

of the date, time and mode by which the patient leaves

a healthcare unit but this record includes importantly,

directs of planning for discharge that starts soon after

the' person is admitted to a healthcare institution, it is

accepted that collaboration or multidisciplinary

involvement (of all members of the health team) in

discharge results in comprehensive care. What do you

call this?

a. Discharge Summary

b. Nursing Kardex

c. Medicine and Treatment Record

d. Nursing Health History and Assessment Worksheet

Situation 8 - As Filipino Professional Nurses we must be

knowledgeable, about the Code of Ethics for Filipino

Nurses and practice these by heart. The next questions

pertain to this Code of Ethics.

36. Which of the following is TRUE about the Code of

Ethics of Filipino Nurses?

a. The Philippine Nurses Association for being the

accredited professional organization was given the

privilege to formulate a Code of Ethics which the Board

of Nurses promulgated

b. Code of Nurses was first formulated in 1982 published

in the Proceedings of the Third Annual Convention of the

PNA House of Delegates

c. The present code utilized the Code of Good

Governance for the Professions in the Philippines

d. Certificate of Registration of registered nurses; may be

revoked or suspended for violations of any provisions of

the Code of Ethics

37. Based on the Code of Ethics for Filipino Nurses,

what is regarded as the hallmark of nursing

responsibility and accountability?

a. Human rights of clients, regardless of creed and

gender

b. The privilege of being a registered professional nurses

c. Health, being a fundamental right of every individual

d. Accurate documentation of actions and outcomes

38. Which of the following nurses behavior is regarded

as a violation of the Code of Ethics of Filipino Nurses?

a. A nurse withholding harmful information to the family

members of a patient

b. A nurse declining commission sent by a doctor for her

referral

c. A nurse endorsing a person running for congress

d. Nurse Reviewers and/or nurse review center

managers who pays a considerable amount of cash for

reviewees who would memorize items from the

Licensure exams and submit these to them after the

Examination

39. A nurse should be cognizant that professional

programs for specialty certification by the Board of

Nursing are accredited through the

a. Professional Regulation Commission

b. Nursing Specialty Certification Council

c. Association of Deans of Philippine Colleges of Nursing

d. Philippine Nurse Association

40. Mr. Santos, R.N. works in a nursing home, and he

knows that one of his duties is to be an advocate for his

patients. Mr. Santos knows a primary duty of an

advocate is to:

a. act as the patient's legal representative

b. complete all nursing responsibilities on time

c. safeguard the well being of every patient

d. maintain the patient's right to privacy

Situation 9 - Nurse Joanna works as an OB-Gyne Nurse

and attends to several HIGH-RISK PREGNANCIES:

Particularly women with preexisting of Newly Acquired

illness. The following conditions apply.

41. Bernadette is a 22-year old woman. Which

condition would make her more prone than others to

developing a Candida infection during pregnancy?

a. Her husband plays gold 6 days a week

b. She was over 35 when she became pregnant

c. She usually drinks tomato juice for breakfast

d. She has developed gestational diabetes

42. Bernadette develops a deep-vein thrombosis

following an auto accident and is prescribed heparin

sub-Q. What should Joanna educate her about in regard

to this?

a. Some infants will be born with allergic symptoms to

heparin

b. Her infant will be born with scattered petechiae on his

trunk

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c. Heparin can cause darkened skin in newborns

d. Heparin does not cross the placenta and so does not

affect a fetus

43. The cousin of Bernadette with sickle-cell anemia

alerted Joanna that she may need further instruction

on prenatal care. Which statement signifies this fact?

a. I've stopped jogging so I don't risk becoming

dehydrated

b. I take an iron pull every day to help grown new red

blood cells

c. I am careful to drink at least eight glasses of fluid

everyday

d. 1 understand why folic acid is important for red cell

formation

44. Bernadette routinely takes acetylsalicylic acid

(aspirin) for arthritis. Why should she limit or

discontinue this toward the end of pregnancy?

a. Aspirin can lead to deep vein thrombosis following

birth

b. Newborns develop a red rash from salicylate toxicity

c. Newborns develop withdrawal headaches from

salicylates

d. Salicyates can lead to increased maternal bleeding at

childbirth

45. Bernadette received a laceration on her leg from

her automotive accident. Why are lacerations of lower

extremities potentially more serious in pregnant

women than others?

a. Lacerations can provoke allergic responses because of

gonadothropic hormone

b. Increased bleeding can occur from uterine pressure on

leg veins

c. A woman is less able to keep the laceration clean

because o f her fatigue

d. Healing is limited during pregnancy, so these will not

heal until after birth

Situation 10 - Still in your self-managed Child Health

Nursing Clinic, your encounter these cases pertaining to

the CARE OF CHILDREN WITH PULMONARY AFFECTIONS.

46. Josie brought her 3-rnonths old child to your clinic

because of cough and colds. Which of the following is

your primary action?

a. Give contrimoxazole tablet or syrup

b. Assess the patient using the chart on management of

children with cough

c. Refer to the doctor

d. Teach the mother how to count her child's bearing

47. In responding to the care concerns of children with

severe disease, referral to the hospital of the essence

especially if the child manifests which of the following?

a. Wheezing

b. Stopped bleeding

c. Fast breathing

d. Difficulty to awaken

48. Which of the following is the most important

responsibility of a nurse in the prevention of necessary

deaths from pneumonia and other severe diseases?

a. Giving of antibiotics

b. Taking of the temperature of the sick child

c. Provision of Careful Assessment

d. Weighing of the sick child

49. You were able to identify factors that lead to

respiratory problems in the community where your

health facility serves. Your primary role therefore in

order to reduce morbidity due to pneumonia is to:

a. Teach mothers how to recognize early signs and

symptoms of pneumonia

b. Make home visits to sick children

c. Refer cases to hospitals

d. Seek assistance and mobilize the BHWs to have a

meeting with mothers

50. Which of the following is the principal focus on the

CARI program of the Department of Health?

a. Enhancement of health team capabilities

b. Teach mothers how to detect signs and where to refer

c. Mortality reduction through early detection

d. Teach other community health workers how to assess

patients