Midterms in CHN
Midterms in CHN
Midterms in CHN
Use only BLUE or BLACK pen. USE OF PENCILS NOT ALLOWED AS WELL.
and age
D.It is easier on your baby to receive several immunizations rather than one at a time
7. The department of health is promoting the breastfeeding program to all newly mothers. The
nurse is formulating a plan of care to a woman who gave birth to a baby girl. The nursing care plan
for a breast-feeding mother takes into account that breast-feeding is contraindicated when the
woman:
A.Is pregnant
B.Has genital herpes infection
C.Develops mastitis
D.Has inverted nipples
8. A nurse is planning a home visit program to a new mother who is 2 weeks postpartum and
breastfeeding, the nurse includes in her health teaching about the resumption of fertility,
contraception and sexual activity. Which of the following statement indicates that the mother has
understood the teaching?
A. Because breastfeeding speeds the healing process after birth, I can have sex right away
and not worry about infection
B. Because I am breastfeeding and my hormones are decreased, I may need to use a vaginal
lubricant when I have sex.
C. After birth, you have to have a menstrual period before you can get pregnant again.
D. Breastfeeding protects me from pregnancy because it keeps my hormones down, so I
dont need any contraception until I stopped breastfeeding
9. A mother worries about her small breast, thinking that she probably will incapable to breastfeed
her baby. Which of the following responses of the nurse is correct?
A. The size of your breast will not affect your lactation.
B. You can switch to bottle feeding.
C. You can try to have exercise to increase the size of your breast.
D. Manual expression of milk is possible.
10. Kevin, Susans husband tells you that he is considering vasectomy. After the birth of their new
child. Vasectomy involves the incision of which organ?
A. The testes
B. The vas deferens
C. The epididymis
D. The scrotum
11. Supposed that Dana, 27 years old, tells you she wants to use fertility awareness method of
contraception. How will she determine her fertile days?
A. She will notice that she feels hot as if she has an elevated temperature
B. She should assess whether her cervical mucus is thin colour, clear and watery.
C. She should monitor her emotions fro sudden anger or crying
D. None of the above
Situation 5 Nurse Lorena is a Family Planning and Infertility Nurse Specialist and currently attends
to FAMILY PLANNING CLIENTS AND INFERTILE COUPLES. The following conditions pertain to
meeting the nursing needs of this particular population group.
12. 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 nowhere for them to go.
13. Child Isabel is already 12 weeks old. What immunizations should Isabel have received?
A. BCG, OPV-0, DPT+HIB-1, Hepatitis B1, and OPV-1
B. BCG, OPV-0, DPT+HIB-1, Hepatitis B1, DPT+HIB-2, Hepatitis B2, OPV-1 and OPV-2
C. BCG, OPV-0, DPT+HIB-1, Hepatitis B1, OPV-1, and Measles
D. BCG, OPV-0, DPT+HIB-1, and OPV-1
14. If ever convulsion occurs after administering DPT, what should the nurse best suggest to the
mother?
A. Give DT instead of DPT
B. Give Pertussis of the DPT and remove DT
C. Advise mother to come back after 1 week D. Do not continue DPT vaccination anymore
15. These vaccines are given 3 doses at one month intervals:
A. DPT, BCG, TT B. DPT, TT, OPV
C. Measles, OPV, DPT
C. Weakened virus
D. Killed bacteria
20. Element of Reproductive Health is responsible for the sex education for students:
A. Men's Reproductive Health B. Adolescent Reproductive Health
C. Family Planning
D. V.A.W
21. Essential Tool used in Community Health Nursing, that saves time and effort,
A. Bag technique
C. BP Apparatus
D. Thermometer Technique
22. In giving tetanus toxoid immunization for pregnant women, the first dose should be given.
A. Second Trimester
C. 1 year after deliver
B. 3rd Trimester
D. as early as possible during pregnancy
24. 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
25. 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
26. 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
27. 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
28. 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
29. 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
30. 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
31. The following are vaccines which are less sensitive to heat:
A. oral polio, DPT B. Measles, Hep B C. BCG, TT D. BCG, oral polio
32. Hepa B is given at birth with 6 weeks interval from the 1st dose to 2nd dose, 8 weeks interval
from the 2nd to 3rd dose. It is given intramuscularly in the:
A. outer part of upper arm B. gluteus maximus C. vastus lateralis D. deltoid region
33. It is the principle practiced in order to assure that all vaccines are utilized before its due date:
A. First expiry and first out
B. First used and first contained
C. First expiry and last out
D. First used and last contained
34. When reconstituting the freeze dried BCG vaccine the nurse must always keep the diluents in
the room temperature by sustaining with the BCG vaccine ampules in the clinic table:
A. TRUE
B. FALSE
C. TRUE in Hep B and DPT
D. except A
D. None
38. Which of the following oral health services is not covered for pregnant women?
A. Oral examination
B. Oral Prophylaxis
st
C. Dental check-up as soon as the 1 tooth erupts
D. Gum treatment
39. Which of the following oral health services is not covered for neonatal and infants under 1 year
old?
A. Health instruction on infant oral health care B. Advice on exclusive breastfeeding
C. Dental check-up as soon as the 1st tooth erupts
D. Permanent Fillings
40. A woman, 6 months pregnant, came to the center for consultation. Which of the following
substances is contraindicated?
A. Tetanus Toxoid
B. (Vitamin A) Retinol 200,000 IU
C. Ferrous Sulfate, 200 mg
D. Potassium Iodate 200 mg capsule
41. You explain to a breastfeeding mother that breast milk is sufficient for all of the babys nutrient
needs only up to ____.
A. 3 months
B. 6 months C. 1 year
D. 2 years
42. Which biological used in Expanded Program on Immunization (EPI) is stored in the freezer?
A. DPT
B. Tetanus Toxoid
C. Measles vaccine
D. Hepa B vaccine
43. Which immunization produces a permanent scar?
A. DPT
B. BCG
C. Measles vaccine
D. Hepa B vaccine
44. A 4-week old baby was brought to the health center for his first immunization. Which can be
given to him?
A. DPT1
B. OPV1
C. Infant BCG
D. Hepa B vaccine
45. A 2-month old infant was brought to the health center for immunization. During assessment,
the infants temperature registered at 38.1C. Which is the best course of action that you will take?
A. Go on with the infants immunizations.
B.Give Paracetamol and wait for his fever to subside.
C.Refer the infant to the physician for further assessment.
D.Advise the infants mother to bring him back for immunization when he is well.
END OF PART 1
AD MAJOREM DEI GLORIAM!
Period of Pregnancy
1st visit
(1.)
2nd visit
(2.)
3rd visit
(3.)
Every 2 weeks
(4.)
Vitamins
Dose
Schedule of Giving
Remarks
Vitamin A
(5.)
(7.)____ a week
starting on the
(8.)____month of
pregnancy
Iron
(6.)
(9.)
Postpartum
bleeding
1.
(15.)____ minutes
Intestinal
parasite
infection
Malaria
Vaccine
Minimum
Age at 1st
Dose
Number of
doses
Dose
Route of
Site of
Administration Administration
(31.)
Minimum
interval
between
doses
(35.)
BCG
(26.)
(39.)
(44.)
(27.)
(32.)
(36.)
(40.)
(45.)
(49.)________
region of the
arm
(50.)
DPT
OPV
(28.)
(33.)
(37.)
(41.)
(46.)
(51.)
Hepa B
(29)
(34.)
(38.)
(42.)
(47.)
(52.)
Measles
(30.)
Once
(55.)
(43.)
(48.)
(53.)______part
of the
(54.)______
arm
Vaccine
TT1
Percent protected
Duration of Protection
TT2
(60.)
(64.)
TT3
(57.)
(61.)
(65.)
TT4
(58.)
(62.)
(66.)
TT5
(59.)
(63.)
(67.)
Type/Form of Vaccines
(68.) ____________ (live
attenuated)
Storage Temperature
(70.) ______ C to ______ C (at
the freezer)
Hepa B
Prepared by:
Maria Christina Bernadette L. Cepillo, RN, MAN
Instructor
NOTED: