REFRESHER COURSE: PREBOARD EXAMINATION

Nursing Practice II: Community Health Nursing and Care of the

Mother and Child
GENERAL INSTRUCTIONS:
1. This test questionnaire contains 100 test questions
2. Shade only one (1) box for each question on your answer sheets. Two or more boxes shaded will invalid your answer.
3. AVOID ERASURES.
4. Detach one (1) answer sheet from the bottom of your Examinee ID/Answer Sheet Set.
5. Write the subject title “NURSING PRACTICE II” on the box provided.
3 months - reach but still
1 month - strong grasp reflex miss 4 months - thumb opposition, plays. rattle , yellow vegetables S&S tender tongue,
2 months - begins to fade strong grasp disappear plantar and palmar reflex B. swollen face, body and limbxeropthalmia - dryness , keratomalacia- corned
Situation: You are the nurse assigned in the nursery unit and C. inability to see in the dark night blindness necrosis
your patients are of various ages. D. enlargement of the neck
1. Assessment an infant, the nurse knows that a pincer grasp
normally appear 5 months - play and toes (-) fisting
8. In the nutritional assessment of grade 6 pupils, which of the
A. At the same time as the palmar grasp 7 months, each transfer toys hand to
other
following nutritional assessment method is most appropriate?
B. Between 9 & 12 month of age 8 months - effective grasping, advanced eyo to hand
A.coordination
Height for age C. Body mass index
C. Between 5 & 7 month of age 10 months - major milestone - pincer grasp B. Weight for age D. Mid upper arm circumference
12 months - spoon cup , draw straight line
D. Along with the ability to "rake" objects toward themselves
9. Pupils with below normal nutritional status are candidates
2. In a child development, the period of negativism begins for a school feeding program. Which of the following is a
when the child negativism - “no”
autonomy vs shame
prerequisite for a child to be included in a feeding program?
A. Can manipulate his or her parents doubt, erick erickson A. Deworming
B. Copies negative behavior of sibling. B. Parental consent
C. Is struggling between dependence and independence C. Head to toe physical examination
D. Is learning manual skills D. Attendance in a nutritional class by a parent

3. The nurse is caring for a hospitalized toddler who was toilet Situation: One of the trending news today is about the
trained home. He wets his pants. The best response to this Reproductive health bill. The following questions are about the
RH care according to DOH
situation is to say toilet training: 3 important Philippine Reproductive Health. > counseling education
development levels. 1 physiologic 2
A. "It’s okay, try not to wet your pants next time” cognitive , control rectal and urethral10. The main objectives of Philippine Reproductive Health
>peri natal care
B. "That's okay. Now let’s get you cleaned up” spinchter, hold urine & stoo, desire toincludes the following: >nutri & HC for infants or
children
C. "I know you understand how to use the toilet; what
delay gratificationl 1. Reduce the maternal mortality rate > manageent & abortion
happened?" uncomfortable in wet diapers
2. Reducing the child mortality complications
D. "Your mom told me you don't wet anymore; what's wrong?" 3. Halting and reversing the spread of HIV/AIDS infertility
Text
>humam sexuality
4. Increasing access to Reproductive health>male information
involvement
4. Which of the following behavior would a normal 18 months services >Cancer reproduction
> Adolescent reproduction
old be likely to exhibit during the first few hours of 5. Reduce paternal mortality to prostate cancer
greatest fear of infant and toddler =
hospitalization? sepration anxiety 6 months - 6 years old that persis in preschool
A. Crying loudly when parents leave A. All of the above C. All except 4
8 months heightened
B. Readily accepting the nurse caring for him protest -
B. All except 5 D. All except 3
C. Showing considerable interest in new toy despair - less active , cries
monotomous
D. Sitting quietly in the comer of the cab, showing little or no 11. According to this framework, the foremost intervention in
interest in his surrounding problems in forming denial - silent , attaining reproductive health is:
relationship if not resolve expression , repress
care giver A. Family planning C. Safe Sex Campaign Drive
5. Jason answers every question of his mother by saying “No!” B. Counselling D. Maternal and Child Health and
How can she minimize this? Nutrition
A. Tell Jayson she doesn’t want him to say no anymore
B. Answer all Jayson’s question by saying “No” 12. Because of insufficient technical readiness and availability
C. Reduce number of questions she asks Jason. of resources, the DOH has focused in addressing the health
D. Explain hen is not using good communication skills. concerns on the first four priority elements of the reproductive
health namely:
Situation: Nurse Rose is the school nurse in Jose Reyes 1. Adolescent Reproductive health
Elementary school. Her responsibility is to attend to the health 2. Family Planning
needs of the students particularly nutrition.(-) CHON , 1 - 3 yrs 3. Prevention and Management of Reproductive Tract
6. Kwashiorkor is a condition usually seen among pre- school
edema,
Infection Including STIs and HIV/AIDS
children. This is characterized by which of the following signs?
zebra sign 4. Maternal and Child Health and Nutrition
A. retarded growth and hairs C. edema ( brown 5. Prevention of Infertility and sexual Dysfunction
and white,
B. loss of appetite D. all these signs diarrhea )
A. All except 5 C. 2,3,4,5 DOH. gov

7. Vitamin A deficiency will lead to which of the following B. 1,3,4,5 D. 1,2,4,5

conditions?
A. high blood pressure

NURSING PRACTICE II: Community Health Nursing and Care of the Mother and Child
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 Situation: A pregnancy can be considered a high-risk C. “We’ll introduce cereal into her diet now”
pregnancy for a variety of reasons. It is one in which some D. “We should add new fruits to the diet at a time”
condition puts the mother, the developing fetus, or both at
higher-than-normal risk for complications during or after the 21. A mother is concerned that she might be spoiling her 2
pregnancy and birth. month old daughter by picking her up each time she cries.
13. Which of the following is the most likely effect on the fetus Which suggestion should the nurse offer?
if the woman is severely anemic during pregnancy? A. “If the baby’s diaper is dry when she is crying, leave her
A. Large for gestational age (LGA) fetus alone and she’ll fall asleep”
B. Hemorrhage B. “Continue to pick her up when she cries because young
C. Small for gestational age (SGA) baby infants needs cuddling and holding to meet their needs”
D. Erythroblastosis C. “Leave your baby alone for 10 minutes. If she hasn’t
stopped crying by then; pick her up”
14. Upon assessment the nurse found the following: fundus at D. “Crying at their age indicates hunger. Try feeding her when
2 fingerbreadths above the umbilicus, last menstrual period she cries”
(LMP) 5 months ago, fetal heart beat (FHB) not appreciated.
Which of the following is the most possible diagnosis of this 22. The nurse observes an infant in a playpen sitting up
condition? bartolemue’s rule - use landmarks without support. He is playing with a plastic blocks and large
A. Hydatidiform mole C. Pelvic inflammatory disease plastic beads, bending over to pick them up, and changing
B. Missed abortion D. Ectopic pregnancy them from one hand to the other. When another child hides a
H mole- gestational tropoblastic disease- abnormal proliferation, begin degeneration toy behind the infants back, he does not attempt to look for it.
15. When a pregnantchorio woman goes
carcinoma riskinto a convulsive
for protein seizure,
deficiency , type A The nurse would be most correct in estimating the infant’s age
the MOST immediate action of the nurse to ensure safety of to be:
restrain for cheilloplasty - palate repair, elbow restraint
the patient is: A. 4 months
Text C. 8 months
A. Apply restraint so that the patient will not fall out of bed B. 6 months D. 10 months
B. Put a mouth gag so that the patient will not bite her tongue
and the tongue will not fall back 23. In assessing an infant, the nurse should be aware that the
C. Position the mother on her side to allow the secretions to birth weight of infant triples by:
drain from her mouth and prevent aspiration A. 5-6 months C. 30 months
D. Check if the woman is also having a precipitate labor B. 12 months D. 3 years

16. A gravido-cardiac mother is advised to observe bed rest 24. At 6 months, the following are expected to be observed
primarily to from the baby except:
A. Allow the fetus to achieve normal intrauterine growth A. She can sit without support
B. Minimize oxygen consumption which can aggravate the B. Teething
condition of the compromised heart of the mother C. She starts eating solid foods
C. Prevent perinatal infection D. None of the above
D. Reduce incidence of premature labor
Situation: In the light of the changing national and global
17. A pregnant mother is admitted to the hospital with the health situation and the acknowledgement that nursing is a
chief complaint of profuse vaginal bleeding, AOG 36 wks, not significant contributor to health the PHN strategically
in labor. The nurse must always consider which of the positioned to make a difference in health outcome of
following precautions: 20 weeks - age of viability
38 to 42 weeks - Term communities cared for.
A. The internal exam is done only at the delivery 38 tounder strict
39 weeks - early term 25. Public Health Systems are operating within a context of
asepsis with a double set-up 39 to 40 weeks - term ongoing changes, which exert a number of pressures on the
B. The preferred manner of delivering the baby is vaginal
41 - 42 weeks late term public health system. These changes include the following
C. An emergency delivery set for vaginal delivery must be
above 42 - post term
except:
made ready before examining the patient A. Health reforms
D. Internal exam must be done following routine procedure B. Emerging and existing environmental hazards
C. Shifting in the demographic and epidemiologic trends in
18. Before giving a repeat dose of magnesium sulfate to a pre- disease
eclamptic patient, the nurse should assess the patient’s D. Increasing population within below poverty line
condition. Which of the following conditions will require the
nurse to temporarily suspend a repeat dose of magnesium 26. In response to above changes, the local and global
Magnesium sulfate- muscle relaxant
sulfate? normal 30ml/hr
- CNS depressant
community adopts a common vision of poverty reduction and
A. 100 cc urine output in 4 hours - tocolytic sustainable development. This vision is exemplified by:
B. Knee jerk reflex is (+) 2 - decrease bp A. Universal Health Care
- inhibit seizure
C. Serum magnesium level is 10mEg/L. B. Primary Health Care
D. Respiratory rate of 16/min eclampsia C. Millenium Development Goals
> proteinuria D. Health Sector Reform Agenda
> edema
19. Which of the following is TRUE in Rh incompatibility? > hypertension
A. The condition can occur if the mother is Rh(+) and the fetus 27. Millenium Development Goals are based on the
is Rh(-) fundamental values of freedom, equality and solidarity, health,
B. Every pregnancy of an Rh(-) mother will result to respect for nature and shared responsibility. How many goals
erythroblastosisfetalis does this exemplify?
SDG= 17
C. On the first pregnancy of the Rh(-) mother, the fetus will A. Six C. Eight
not be affected B. Seven D. Nine
D. RhoGam is given only during the first pregnancy to prevent
incompatibility RHO GAM - within 72 hours after delivery 28. Among the following Millenium Development Goals (MDG)
RHIG - 28 weeks of pregnancy
which of the following is not health related?
Situation: Promotion of a healthy growth and development as 1. Reduce child mortality
well as the prevention of diseases in pediatric clients is one of 2. Improve maternal health
2 - 3 months if sleep
the vital roles of a nurse. disorder -
3. Achieve universal primary education
20. Nurse Rolen is teaching parents about the nutritional needs 4. Combat HIV/AIDS, malaria and other diseases
of their 2 month old infant who is breastfeeding. Which 5. Promote gender equality and empower women
response shows that the parent understands their infant’s
6 months of age - introduces with gradual
dietary needs? hindi pa mature immune system 1st cereal A. 2 and 5 C. 1 and 4
A. “We wont start any new foods now” 2nd egg B. 3 and 5 D. 4 and 5
B. “ We’ll start the bay on skim milk” 3rd vegetables
4th fruits

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 29. Which of the following Millennium Developmental Goals is 38. A primiparous client who delivered vaginally 8 hours ago at
the considered the most priority and is the first goal among a lying-in clinic desires to take a shower. The nurse anticipates
the eight which is considered the root of all cause: remaining nearby the client to asses for which of the
A. Achieve the universal primary education following?
B. Eradicate extreme poverty and hunger A. Fatigue C. Diuresis
C. Develop a global partnership for development B. Fainting D. Bleeding
D. Ensure environmental sustainability
39. During a home visit, a breast-feeding client asks the nurse
Situation: A pregnancy can be considered a high-risk what contraceptive method she and her husband should use
pregnancy for a variety of reasons. It is one in which some until she has her 6-week post-partum check-up. Which of the
condition puts the mother, the developing fetus, or both at following would be most appropriate for the nurse to explain?
higher-than-normal risk for complications during or after the A. Condom with spermicide.
pregnancy and birth. B. Oral contraceptive
30. Which of the following is the most likely effect on the fetus C. Rhythm method -ovulation
if the woman is severely anemic during pregnancy? D. Cervical cap method.
A. Large for gestational age (LGA) fetus AGA= 10 to 90th percentile
SGA= below 10th percentile
B. Hemorrhage LGA= higher 90th percentile 40. A primiparous client with a neonate who is 36 hours old
C. Small for gestational age (SGA) baby asks the nurse, “Why does my baby spit up a small of amout
D. Erythroblastosis of formula after feeding?” The nurse explains that the
regurgitation is thought to result from which of the following?
31. Upon assessment the nurse found the following: fundus at A. An immature cardiac sphincter.
2 fingerbreadths above the umbilicus, last menstrual period B. A defect in the gastrointestinal system.
(LMP) 5 months ago, fetal heart beat (FHB) not appreciated. C. Too frequent burping of the client.
Which of the following is the most possible diagnosis of this D. Moving the infant during the feeding.
condition? abortous = below 500g
ELBW= 500 - 100g
A. Hydatidiform mole VLBW= 1000 = 1500g
41. Which of the following would be most appropriate for the
B. Missed abortion LBW= 1500 to 2500g nurse to do after assessing a multiparous client at 24 hours
C. Pelvic inflammatory disease Normal term = 2500 = 3500 postpartum who demonstrates positive Homan’s sign with
macrosomia= 3500 higher
D. Ectopic pregnancy discomfort?
A. Place a cold pack on the client’s perineal area
32. When a pregnant woman goes into a convulsive seizure, B. Place the client in a semi-Fowler’s position
the MOST immediate action of the nurse to ensure safety of C. Notify the client’s physician immediately.
the patient is: D. Ask the client to ambulate around the room
A. Apply restraint so that the patient will not fall out of bed
B. Put a mouth gag so that the patient will not bite her tongue 42. When developing the plan of care for a primiparous client
and the tongue will not fall back during the first 12 hours after vaginal delivery, which of the
C. Position the mother on her side to allow the secretions to following concerns of the client would be the nurse’s primary
drain from her mouth and prevent aspiration focus of care?
D. Check if the woman is also having a precipitate labor A. The neonate. C. The client’s own comfort.
B. The family. D. The client’s significant other.
33. Approximately 15 minutes after delivery of a viable
neonate, a multiparous client complains of chills. Which of the 43. The nurse assesses a swollen ecchymosed area to the right
following would the nurse do next? often experience , chills or shaking of an episiotomy on a primiparous client 6 hours after a vaginal
A. Assess the client’s pulse rate. sensation 10 to 15 minutes after delivery. Which of the following should the nurse do next?
B. Decrease the rate of intravenous fluid. birth A. Apply an icepack to the perineal area. 10 - 15 minutes
C. Provide the client with a warm blanket. B. Assess the client’s temperature.
D. Assess the amount of blood loss. C. Have the client take a warm sitz bath.
D. Contact the physician for orders of an antibiotic.
34. The nurse prepares a 26 year-old multiparous client at 40
weeks gestation admitted to the hospital labor unit for 44. At which of the following locations would the nurse expect
induction of labor for lumbar epidural anesthesia. Before to palpate the fundus of a primiparous client 2 hours after
anesthesia administration, the nurse instructs the client to delivery of a neonate? within 24 hours after delivery
assume which of the following positions? A. Halfway between the umbilicus and the symphysis pubis.
A. Lithotomy C. Knee-to-chest expose of L4 and L5 of spine B. At the level of the umbilicus. after 24 after delivery
B. Side-lying D. Prone C. Just below the level of the umbilicus.
D. Above the level of the umbilicus.it happens in 6 weeks - involution.
35. For a mutigravid client at 39 weeks gestation with
suspected HELLP syndrome, the nurse would immediately Situation: The nurse on the Pediatric floor of Venus Hospital
notify the physician for which of the following laboratory test attends to patients of different conditions.
results? H- emolysis 45. The nurse asks a 9-year old child and mother about the
A. Hyperfibrinogenemia C. Thrombocytopenia E- levated child’s best friend to assess which of the following about the
L- iver enzymes ( ALT/AST
B. Decreased liver enzyme D. Hypernatremia L- ow child?
fundal grip - done on 36 weeks
umbilical grip - position ni baby P-latelet A. Language development C. Neurologic development
36.- engagement
pawlick grip When performing Leopold’s maneuver, which of the B. Motor development D. Social development
following, would the nurse ask the client to do to ensure
pelvic grip - “attitude”
I , II, III - sa harap ng nanay IV - sa harap ng
optimal comfort and accuracy? paa ng nanay 46. At a follow-up appointment after being hospitalized, an
A. Breathe deeply for 1 minute C. Drink a full glass of water adolescent with a history of Cystic Fibrosis describes his stools
B. Empty her bladder. D. Lie on her left side. to the nurse. Which of the following descriptions his stools to
the nurse. Which of the following descriptions would the nurse
37. Which of the following would the nurse expect as a interpret as indicative of continued problems with
common finding for a multiparous client delivering a viable malabsorption? CF- dysfunction of exocrine glands fat malabsorptions
2 - 5 times concentration of chloride
neonate at 41 weeks gestation with the aid of a vaccum A. Soft with little odor C. Loose with bits of food
extractor? assited birth forcep delivery B. Large and foul smelling D. Hard with streaks of blood
because of trauma
A. Neonatal scalp edemaabdominal ultrasound- early, 1st trimester and 2nd trimes - full bladdder
B. Uterine separation 3rd trimester - empty bladder for maternal comfort 47. Which of the following initial physical findings would
C. Maternal lacerations. intravaginal - early trisem - empty bladder indicate the development of carditis in a child with rheumatic
D. Neonatal intracranial hemorrhage fever?
A. Heart murmur C. Irregular pulse

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 GABHS -

B. Low blood pressure D. Anterior chest wall pain 56. The new mother is curious when she can feed her baby
other food than breastmilk. The nurse teaches her that:
48. Which of the following food would the nurse encourage the A. The baby is ready to eat solid food at 3-4 months.
mother to offer to her child with iron-deficiency anemia? B. She should wait until the baby is about 6 months before
A. Rice, cereal, whole milk, and yellow vegetables low hemoglobin level giving other food.
B. Potato, peas, and chicken C. She can start giving her baby drops of clear broth and juice
C. Macaroni, cheese and ham when the baby is two months.
D. Pudding, green vegetables, and rice D. She should concentrate on how to breastfeed before
thinking of other ways of feeding her child.
49. Which of the following nursing diagnoses would the nurse
identify as the priority when dealing with a child newly 57. At 6-week post-partum visit, what should this postpartal
diagnosed with leukemia and the child’s family? mother’s fundic height be?
A. Risk for injury related to malignant process A. Inverted and palpated at the cervix.
B. Pain related to treatment modalities B. No longer palpable on her abdomen.
C. Imbalanced nutrition: less than body requirements related C. Six finger breadths below the umbilicus.
to loss of appetite D. One centimeter above the symphysis pubis.
D. Anticipatory grieving related to diagnosis and potential loss
of child. leukemia - distorted & uncontrollable - WBX Situation: Jay, a 2 ½ year old, was observed to always say
“no” as response to others. When her needs are not met, she
50. When developing the plan of care for an infant with cleft readily goes into temper tantrums.
lip before corrective surgery is performed, which of the 58. The negativistic behavior of Jay is noted by nurse Benedict
following would be a priority? when Jay responds with “NO” whenever she is asked a
A. Maintaining skin integrity in the oral cavity. question. Mrs. Diego confirms that she acts this way at home
B. Using techniques to minimize crying. too. The nurse should suggest that Mrs. Corazon handle this
C. Altering the usual method of feeding. no. 1 prioriy “ nutrition” problem by:
D. Preventing the infant from putting fingers in the mouth. A. Pretending not to hear Jay’s “NO” response
B. Trying to avoid asking questions
Situation: Nurse Dianne is a Public Health Nurse under NDP. C. Explaining to Jay why saying “NO” is inappropriate
She follows-up referred clients in their respective homes. Here, D. Giving Jay choices and limiting the number of questions
she handles a case of postpartal mother and her family
focusing on home care. 59. Jay asked for chocolate after lunch. Her mother, Corazon,
51. Nurse Dianne needs to schedule a first home visit to refused for she has a cough. Jay lied down and did not stop
postpartum client Mariz: crying. Which of the following would help Corazon deal with
A. Within one week after discharge 6 to 10 days Jay’s outburst?
B. Within 24 hours after discharge A. Tell her to leave the dining table
C. Within 1 hour after discharge B. Withhold her playtime privileges
D. Within 4 days after discharge C. Let her express her frustrations communication is the key
D. Spank her for misbehaving
52. If you were Dianne, which one of the following actions
would alert you that a new mother is entering a postpartal 60. Temper tantrums is common at this stage because TODDLER
taking-hold phase? Taking in, taking hold, letting go
A. Jay lacks verbal skills in expressing her emotions
A. She sleeps as if exhausted from the effort of labor. B. Jay normally exaggerates
B. She urges the baby to stay awake so that she can breast C. Jay is stupid
feed him or her. D. All of the above
C. She say that she has no selected name for the baby as yet. Infant - senses
D. She tells you she was in a lot of pain all during labor. 61. Which situation best demonstrates the parallel play typical
of toddlers?
53. Mariz is developing constipation from being on bed rest. A. Two toddlers sharing a toy car with her brother
What measures would you suggest that she takes to help B. Two toddlers playing a board game with her older sister school age
prevent this? C. Two toddlers seated next to each other playing with
A. Drink 8 full glasses of fluid such as water daily. separate dolls
B. Walk for at least half an hour daily to stimulate peristalsis. D. A toddler seated on the play therapist’s lap playing with a
C. Drink more milk, increased calcium intake prevents music box. infancy
constipation
D. Eat more frequent, small meals instead of three large ones. 62. On the 4th day of hospitalization, a 3 year-old who had
been inconsolably crying and screaming begins to regress and
4. The postpartal mother wants to lose the extra weight she is now lying quietly in the crib with a blanket. The nurse
Text
gained in pregnancy, so she is reluctant to increase her caloric recognizes that the child is in the stage of:
intake for breastfeeding. By how much should a lactating A. Denial C. Mistrust
mother increase her caloric intake during the first 6 months B. Despair D. Protest
after birth? pregnancy-
300k/cal
A. 500 kcal / day C. 350 kcal / day lactating - 500k/cal Situation: The nurse should be knowledgeable in the field of
B. 1,000 kcal / day D. 200 kcal / day epidemiology in order to prevent communicable diseases from
inflicting the community.
55. One of Nurse Dianne’s focus of health teaching to the 63. Nurse Rose intends to get the census of the population to
mother is the advantage of breastfeeding. However, the newly obtain an accurate assessment of their health needs by
delivered mother is concerned if she may be able to continue collaborating with the community to do a situational analysis.
breastfeeding her baby when she returns to work as a bank This process entails the following, except:
teller. The nurse instructed the mother to do all of the A. Determine the health status of the population as well as the
following to be able to continue breastfeeding her baby factors that directly or indirectly affecting the health condition
except: of the people in the community
A. Milk the breast by hand before going to work and when the B. Provide clear picture of the health situation among all
breast is full. sectors in the community, allowing people to freely express
B. Place the milk in a sterilized container. what they consider as their health problem
C. Store milk inside a tightly sealed bottle placed inside a C. Lay-out health plan and provide immediate solution to
coleman filled with ice. identified health problems
D. Give breastmilk within 24 hours. D. All of the above

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64. All of the following are possible ways of transmitting 74. To encourage patients or families to go to the health
malaria except: center, you inform them of free service being provided which is
excep
A. Sexual intercourse C. Sharing of IV needles all but
t one of the following
B. Blood transfusion D. Transplacental A. Creationof foot bridges
B. Detection and treatment
65. It is the goal of the DOH to reduce the incidence of rabies C. Snail control
from 7/million to 1/million and eventually declare the country D. Provision of sanitary toilets
rabies free. The primary implementing agency on this program
is: 75. Health education is a vital component in the control of
A. Department of Health diseases. The major aim is to
B. Department of Agriculture A. Modify risk behavior umbrella term
C. Department of Education B. Helps individual protects himself
D. Department of Interior and Local Government C. Reduce risk of exposure
D. Avoid unnecessary stress
66. The three major causes of intestinal parasitism in the
Philippines are: Situation: Maternal and Child Health Services is one of the
A. Paragonimiasis, capillariasis, echinostomiasis priority programs of DOH that you implement in your area of
B. Ascaris, trichuriasis, hookworm assignment as a PHN.
C. Heterophysiasis, taeniasis, tapeworm infection 76. The primary disorders detected in newborn screening are:
D. Ascariasis, capillariasis, tapeworm infection A. Metabolic disorders C. Hereditary disorders
B. Respiratory disorders D. Hematologic disorders
67. The following are steps in processing the data. Choose the
systematic arrangement: 77. Regine, a first time mother, asked the nurse why newborn
1. Data utilization screening is important. She tells the nurse that they do not
2. Data collection have hereditary conditions in the family that her baby might
3. Data presentation inherit. The best response by the nurse is:
4. Data collation A. It is mandatory by law and she cannot be discharged if her
5. Data analysis baby is not screened.
A. 2, 4, 1, 5, 3 C. 2, 4, 3, 5, 1 B. Most babies with disorders that can be treated by newborn
B. 1, 2, 3, 4, 5 D. 2, 4, 5, 1 , 3 screening look normal at birth.
C. If her history reveals that she has no hereditary conditions
68. A program of the government that is a hospital based in the family then her baby may no undergo newborn
information system that monitors infectious diseases with screening.
outbreak potential is the: D. It is free so she has to take advantage of it.
A. National Epidemic Sentinel Surveillance System (NESSS)
B. Proper Excreta and Sewage Disposal Program 78. Regine asked if newborn screening will take a while
C. Control of Communicable Diseases Program because she does not want her baby to be separated from her.
D. Epidemiological Investigation Correct information that the nurse will provide Regine about
newborn screening will include the following:
69. The most sensitive index of the general health conditions A. Blood sample will be collected from the baby by collecting
of a community which is influenced more by environmental blood from the umbilical cord.
rather than endogenous factor is the: B. Newborn screening is ideally done on the 48th hour after
A. Crude Death Rate C. Crude Birth Rate birth.
mdwife and nurses also included
B. Infant Mortality Rate D. Maternal Mortality Rate C. Only licensed medical technologists and physicians can
collect blood samples to ensure the safety of the baby.
70. Provinces have been categorized according to the number D. The results will be available within one week.
and trend of reported malaria cases. Category A refers to:
A. Highly endemic provinces 79. All of the following statements are true except:
B. Moderately endemic provinces 1. At least 40% of women experience complications
C. Low endemic provinces during pregnancy, childbirth, or after childbirth, and about
D. Malaria-free provinces 15% develop potentially life-threatening conditions.
2. At least 30-40% of infant deaths is the result of the
Situation: There are 170 schistosomiasis endemic mother’s poor health and poor care during pregnancy and
municipalities. As an NDP nurse, you were assigned in one of childbirth.
these municipalities. 3. Poor maternal health and nutrition contribute to low
71. Schistosomiasis resembles the following early signs and birth weight of about 20% of babies, who are at greater risk of
symptoms. infection, malnutrition, long-term disabilities, including visual
A. Enlargement of the abdomen,hematuria and hearing impairments, learning disabilities, and mental
B. Tenesmus and right upper quadrant pain retardation and death.
C. Bloody and mucoid stools 4. Pregnancy and childbirth are the leading cause of
D. Swimmers itch , cough and fever death, disease, and disability among women of reproductive
age in developing countries.
72. The patient asked of the confirmatory diagnosis of 5. Motherless children are 3-10 times more likely to die
schistosomiasis, nurse Chona advised the patient that this within 2 years or get less health care and education as they
could be: tamang grow up.
answer
A. Sputum test C. Stool examination eggs ng shistomiasis dyan
B. Peripheral blood smear D. Complete blood count A. 1, 2, 3, 4, 5 C. 1, 2, 3, 4
B. 2, 3, 4, 5 D. 1, 3, 4, 5
73. A plan for schistosomiasis eradication has been assigned
to a community nurse, a health education class was done 80. When rendering prenatal care to a woman in the
among farmers and as part of the lecture the mode of community. Bea does which of the following, except?
transmission of the disease is by A. Refers Hayanna,
Text who is 6 months pregnant, with fundic
A. Contact with infected stray animals height 30 cms, to the physician. 120 - 160 - fetal heart tone
0 to 28 weeks - one visit per month
B. Contact with contaminated water 29 to 36 weeks - every 2 weeks yung visit
B. Checks BP every clinic visit on the same arm always.
C. Use of unsanitary toilet 36 to up - every week yung visit C. Tells Kendra, who is on her 36th week of gestation, and with
D. Vector borne from flies and rodents normal findings to come back to the clinic two weeks after the
10 to 12 weeks - doppler
examination. 16 to 20 weeks - fetoscope
heart activity - 6 to 8 weeks 3rd week - CNS
4th week - heart

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D. Examines FHT beginning on the first trimester for early 4. Provide practical treatment instructions
detection of abnormalities.
A. 1, 2, 3 C. 2, 3, 4
Situation: The burden of infectious disease in our country is B. 1, 3, 4 D. All of these
still heavy, as announced by the DOH. One of the leading
causes of morbidity is still Pulmonary Tuberculosis (PTB). 90. In utilizing the IMCI protocol, the nurse should initially?
81. Tuberculosis is primarily a respiratory disease caused by A. Observe the condition of the child
tubercle bacilli. Which mode of transmission is extremely B. Ask the mother if what is the problem of the child
contagious? C. Look for danger signs
A. Ingestion of food C. Animal handling D. Identify main symptoms
B. Airborne D. Skin control pink - urgent
91. Urgent referral should be suggested with the presence of
82. Which of the following is a priority objective in PTB danger signs. Which of the following are considered as
control? general danger signs to a sick young child?
A. Sputum treatment I. Stridor, chest in-drawing and low fever with clouding of
B. Reduction of risk the cornea and deep extensive mouth ulcers
C. BCG immunization II. High fever, lethargy and inability to drink
D. Identification of positive cases III. Stiff neck with high fever and tender swelling behind
the ear
83. As a nurse, which of the following basic preventive actions IV. Unable to breastfeed and difficulty to awaken
is done to eradicate PTB control? V. Visible severe wasting, edema of both feet and severe
A. Sputum teachings palmar pallor with diarrhea
B. Improvement of social condition
C. Distribution of medicines A. III, IV C. II, IV
D. Referral to health centers B. II, III, IV, V D. II, III, IV

84. Case finding of TB by the DOH uses primarily which 92. Baby Xavier an 11 month old infant, has cough with
diagnostic tests: confirmatory test wheezing and an RR of 57 per minute. The nurse gave him a
A. Chest xray and sputum exam trial of rapid-acting inhaled bronchodilators. After 3 cycles, the
B. Sputum exam and tuberculin test child has 53 breaths per minute. The nurse would:
C. Tuberculin test and Mantoux test A. Administer another bronchodilators and return in 25 days if
D. Tuberculin test and chest xray cough is still present
B. Give an IM Benzyl Penicillin 10,000 units/lbs and Gentamicin
85. Streptomycin should not be given to: 7.5 mg/lbs and refer right away.
A. Pregnant women to prevent abortion C. Give amoxicillin 2 capsules three times daily for five days
B. Pregnant women to prevent nerve deafness in their fetus D. Administer amoxicillin 15ml two times daily for three day
C. Children below six years old to prevent tooth staining.
D. Children below six years old to prevent growth stunting. 93. If inhaler is not available, the nurse should do which of the
following?
Situation: The Integrated Management of Childhood Illnesses A. Refer the child for assessment for TB or asthma
(IMCI) has been established as an approach to strengthen the B. Consider oral salbutamol as the second choice
provision of comprehensive and essential health package to C. Tell the mother to bring the child for a follow up check after
the children. 5 days
86. The core of the IMCI strategy is integrated case D. Soothe the throat and relieve cough with a safe remedy
management of the most common childhood problems, with a
focus on the important causes of death. Which one is not a Situation: Nikko, 3 years old is brought to the clinic due to
main component in IMCI strategy? fever, cough and difficulty of breathing. You suspect that this
A. Improvements in the case management skills of heath staff is a case pneumonia.
through the provision of locally adapted guidelines on IMCI 94. Your basic assessment of Nikko should include:
and through activities to promote their use A. Looking for signs of ear infection
B. Improvement of the public’s acceptance of IMCI B. Looking signs of dehydration
C. Improvements in the health system required for effective C. All of these danger sign
management of childhood illness D. Looking for intercostals and subcostal retractions
D. Improvements in family and community practices
95. Nikko is diagnosed of having pneumonia you expect his
87. The clinical guidelines, which are based on expert clinical respiratory rate to be:
opinion and research result, are designed for the management A. 60 breaths per minute 2 - 12 months= 50/ min RR
12 months to 5 years = 40/min RR
of: B. 50 breathsper minute
A. Sick children aged 1 week up to 5 years C. 40 breaths per minute
B. Sick children aged 1 month up to 5 years D. 20 breathsper minute
C. Sick children aged 1 year up to 5 years
D. Sick children aged 1 day up to 5 years 96. Nikko is on antibiotic therapy which of the following
statements indicates that the mother needs further teaching?
88. Which of the following is wrong about IMCI? A. “l can slop giving the antibiotics he seems better.”
Text
A. Integrated case management relies on case detection B. “He needs to finish the 5 day treatment even if he seems
B. The treatments are developed according to action oriented better”
classification rather than exact diagnosis C. “l’ll continue feeding my son as usual or add more if needed
C. The guidelines give instructions for how to routinely assess during the treatment”
a child for general danger signs D. “l’ll bring back my son to the health center in 2 days or
D. The treatments are developed according to diagnosis rather sooner if his condition worsens.”
than action oriented classifications
97. In order to check whether the mother understands and will
89. The complete lMCl case management process involves the be able to carry out the instructions given her, which of the
following elements: following will you do:
1. Assess a child by checking first for danger signs A. Ask the mother to demonstrate what she has heard
2. Classify a child's illnesses using a color-coded triage B. Ask the mother to repeat the instructions to correct any
system. misinformation
3. Identify specific treatments for the child.

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C. Ask them other what problems she might have in giving the
antibiotics 99. You know that Andoy’s treatment includes the following
D. Any of these EXCEPT:
A. Reassess the child and classify him for dehydration
Situation: IMCI also is used to manage one of the most B. Give in the health center the recommended amount of ORS
common causes of morbidity in the Philippines among children for 4 hours
which is Diarrhea. C. Use the PLAN A: Treat Diarrhea at home
D. Use the PLAN B: Treat Some Dehydration with ORS
98. Andoy, has diarrhea for 5 days. Upon assessment, you
noted that there is no blood in her stool and that she is 100. Upon taking the informaton you find out that Andoy is 2
irritable and her eyes are sunken. You offered her fluids and years old and weighed 16 kg. Based on the treatment plan for
the child drank eagerly. How would you classify Andoy’s Andoy, how much amount of ORS must be given to him for
illness? the first 4 hours considering the following data?
A. Some dehydation C. Severe dehydration A. 200-400 ml ORS C. 900 ml ORS
B. Dysentery D. No dehydration B. 400-700 ml ORS D. 900- 1400 ml ORS

1 month - 4months = 200 to 400ml

4 months to 12 months = 400 to 700ml

12months to 2 years = 700 to 900ml

2- 5 years = 900 - to 1400ml

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