Community Health Nursing Exam.pptx

7/24/2019 Community Health Nursing Exam.pptx

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Community Health Nursin

Exam


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1. Which is the primary goal of community hnursing?

A. To support and supplement the eforts o the mproession in the promotion o health and preventB. To enhance the capacity o individuals, amiliescommunities to cope ith their health needsC. To increase the productivity o the people !y prthem ith services that ill increase their level o". To contri!ute to national development throughpromotion o amily elare, ocusing particularly mothers and children


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2. CHN is a community-based practice. Whicexplains this statement?

A. The service is provided in the natural environmpeopleB. The nurse has to conduct community diagnosisdetermine nursing needs and pro!lemsC. The service are !ased on the availa!le resourcithin the community". #riority setting is !ased on the magnitude o thhealth pro!lems identi$ed


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. !opulation- focused nursing practice re"u#hich of the follo#ing processes?

A. Community organi%ing .B. Nursing, processC. Community diagnosis". Epidemiologic process


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$. %& 1'($ is also )no#n as the *ccupationaHealth &ct. &side from the number of emplo#hat other factor must be considered in

determining the occupational health pri,ileg#hich the #or)ers #ill be entitled?

A. Type o occupation,& agriculture, commercial, inB. 'ocation o the or(place in relation to health C. Classi$cation o the !usiness enterprise !ased pro$t". )ex and age composition o employees


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(. & business rm must employ an occupatiohealth nurse #hen it has at least ho# manyemployees.

A. *+B. ++C. *+". -+


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. When the occupational health nurse emplergonomic principles+ she is performing #hiher roles?

A. Health care providerB. Health educatorC. Health care coordinator". Environment manager


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/. & garment factory does not ha,e anoccupational nurse. Who shall pro,ide theoccupational health needs of the factory #o

A. ccupational health nurse at the #rovincial Hea/ceB. #hysician employed !y the actoryC. #u!lic Health nurse o the 0H1 o their municip". 0ural )anitary inspector o the 0H1 in theirmunicipality


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0. !ublic health ser,ices are gi,en free ofcharge. 3s this statement true or false?

A. The statement is true2 it is the responsi!ility ogovernment to provide haste servicesB. The statement is alse2 people pay indirectly ohealth servicesC. The statement may !e true or alse2 depending)peci$c service re3uired". The statement may !e true or alse2 dependingpolicies o the government concerned.


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4. &ccording to C.5. Winslo#+ #hich of thefollo#ing is the goal of !ublic Health?

A. 4or people to attain their !irthrights and longevB. 4or promotion o health and prevention and disC. 4or people to have access to !asic health servi". 4or people to !e organi%ed in their health efor


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'. We say that a 6ilipino has attained longe,#hen he is able to reach the a,erage life sp6ilipinos. What other statistic may be used t

determine attainment of longe,ity?

A. Age5speci$c mortality rateB. #roportionate mortality rateC. )aroop6s index". Case atality rate


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11. Which of the follo#ing is the most promfeature of public health nursing?

A. 7t involves providing home care to sic( people not con$ned in the hospitalB. )ervices are provided ree o charge to people the catchment areaC. The pu!lic health nurse unctions as part o a tproviding a pu!lic health nursing service". #u!lic health nursing ocuses on preventive, nocurative services


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12. &ccording to 7argaret 8hetland+ thephilosophy of public health nursing is based#hich of the follo#ing?

A. Health and longevity as !irthrightsB. The mandate o the state to protect the !irthrigits citi%ensC. #u!lic health nursing as a speciali%ed $eld o n". The orth and dignity o man


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1. Which of the follo#ing is the missithe 9epartment of Health?

A. Health or all 4ilipinosB. Ensure the accessi!ility and 3uality o heC. 7mprove the general health status o thepopulation". Health in the hands o the 4ilipino peoplethe year **


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1$. %egion 3: Hospital isclassied as #hat le,el offacility?

A. #rimaryB. )econdaryC. 7ntermediate". Tertiary


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1(. What is true of primary facilities?

A. They are usually government5runB. Their services are provided on an out5patient

C. They are training acilities or health proessio". A community hospital is an example o this lehealth acilities


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1. Which is an example of the school nurshealth care pro,ider function?

A. 0e3uesting or BC8 rom the 0H1 or school e

immuni%ationB. Conducting random classroom inspection durmeasles epidemicC. Ta(ing remedial action on an accident ha%ard school playground". !serving places in the school here pupils stheir ree times


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1/. When the nurse determines #hetherresources #ere maximiigdas+ she is e,aluating

A. EfectivenessB. E/ciencyC. Ade3uacy". Appropriateness


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10. @ou are a ne# A.8.N. graduate. @ou #abecome a !ublic Health Nurse. Where #ill yapply?

A. "epartment o HealthB. #rovincial Health /ceC. 0egional Health /ce". 0ural Health 1nit


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14. %& /1' mandates de,olution of basicser,ices from the national go,ernment to lgo,ernment units. Which of the follo#ing i

maBor goal of de,olution? A. To strengthen local government units

B. To allo greater autonomy to local governmenC. To empoer the people and promote their selreliance". To ma(e !asic services more accessi!le to the


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2'. Who is the Chairman of the 7unicipal HAoard?

A. 9ayor

B. 9unicipal Health /cerC. #u!lic Health Nurse". Any 3uali$ed physician


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21. Which le,el of health facility is the usuof entry of a client into the health care delsystem?

A. #rimaryB. )econdaryC. 7ntermediate". Tertiary


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22. >he public health nurse is the super,isrural health mid#i,es. Which of the follo#isuper,isory function of the pubic health nu

A. 0eerring cases or patients to the midieB. #roviding technical guidance to the midieC. #roving nursing care to cases reerred !y the ". 4ormulating and implementing training programidives


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2. *ne of the participants in a hilot traininclass as)ed you to #hom she should refer apatient in labor #ho de,elops a complicatio

#ill ans#er+ to the A. #u!lic health nurse

B. 0ural health midieC. 9unicipal health o/cer". Any o these health proessionals


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2$. @ou are the public health nurse in amunicipality #ith a total population of abo2'+'''. >here are health mid#i,es among

%HD personnel. Ho# many more mid#ife it#ill the %HD need?

A. +B. *C. -". :


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2(. 3f the %HD needs additional mid#ife iteyou #ill submit the re"uest for additional mitems for appro,al to the

A. 0ural Health 1nitB. "istrict Health /ceC. #rovincial Health /ce". 9unicipal Health Board


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2. &s an epidemiologist+ the nurse is respfor reporting cases or notiable diseases. Wla# mandates reporting cases of notiable

diseases? A. Act -;


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2/. &ccording to 6reeman and Heinrich+community health nursing is a de,elopmenser,ice. Which of the follo#ing best illustra

this statement? A. The community health nurse continuously dev

himsel personally and proessionallyB. Health education and community organi%ing anecessary in providing community health serviceC. Community health nursing in intended primarhealth promotion and prevention and treatment disease.". The goal o community health nursing is to prnursing services to people in their on place o.residence


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20. Which disease #as declared through!residential !roclamation No. $ as a targeteradication in the !hilippines?

A. #ioliomyelitisB. 9easlesC. 0a!ies". Neonatal Tetanus


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24. >he public health nurse is responsible fpresenting the municipal health statistics ugraphs and tables. >o compare the fre"uen

the leading causes of mortality in themunicipality+ #hich graph #ill you prepare?

A. 'ineB. BarC. #ie". )catter diagram


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'. Which step in community organi


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1. 3n #hich step are plans formulated for community problems?

A. 9o!ili%ation

B. Community organi%ationC. 4ollo5up>extension". Core group ormation


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2. >he public health nurse ta)es an acti,ecommunity participation. What is the primagoal of community organi


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. &n indicator of success in communityorgani


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$. >ertiary pre,ention is needed in #hich of the natural history of disease?

A. #re5pathogenesis

B. #athogenesisC. #redromal". Terminal


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(. 3solation of a child #ith measles belong#hat le,el of pre,ention?

A. #rimary

B. )econdaryC. 7ntermediate". Tertiary


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. *n the other hand+ *peration >imbang pre,ention?

A. #rimary

B. )econdaryC. 7ntermediate". Tertiary


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/. Which type of family-nurse contact #illpro,ide you #ith the best opportunity to ofamily dynamics?

A. Clinic consultationB. 8roup conerencesC. Home visit". ?ritten communication


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0. >he typology of family nursing problemused in the statement of nursing diagnosiscare of families. >he youngest child of the %eyes family has been diagnosed as mentaretarded. >his is classied as

A. Health threatB. Health de$citC. 4oreseea!le crisis". )tress point


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4. >he delos %eyes couple ha,e -year oldentering school for the rst time. >he delofamily has a

A. Health threatB. Health de$citC. 4oreseea!le crisis". )tress point


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$'. Which of the follo#ing is an ad,antagehome ,isit?

A. 7t allos the nurse to provide nursing care to a

greater num!er o peopleB. 7t provides an opportunity to do $rst hand appo the home situationC. 7t allos sharing o experience among peoplesimilar health pro!lems". 7t develops the amily6s initiative in providing

health needs o its mem!ers


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$1. Which is C*N>%&%@ to the principles inplanning a home ,isit?

A. A home visit should have a purpose o o!@ecti

B. The plan should revolve around the amily he.needsC. A home visit should !e conducted in the manprescri!ed !y 0H1". #lanning o continuing care should involve aresponsi!le5amily mem!er


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$2. >he !HN bag is an important tool in pronursing care during a home ,isit. >he mostimportant principle in bag techni"ue statesit

A. )hould save time and efortB. )hould minimi%e i not totally prevent the spreinectionC. )hould not overshado concern or the patienhis amily

". 9ay !e done in variety o ays depending onhome situation, etc.


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$. >o maintain the cleanliness of the bag acontents+ #hich of the follo#ing must the ndo?

A. ?ash his>her hands !eore and ater providingnursing care to the amily mem!ersB. 7n the care o amily mem!er6s, as much as pouse only articles ta(en rom the !agC. #ut on an apron to protect her uniorm and oith the right side out !eore putting it !ac( into

!ag.". At the end o the visit, old the lining on hich!ag as placed, ensuring that the contaminatedon the outside.


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$$. >he public health conducts a study on tfactors contributing to the high morality rato heart diseases in the municipality #here#or)s. Which branch of epidemiology doesnurse practice in this situation?

A. "escriptiveB. AnalyticalC. Therapeutic". Evaluation


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$(. Which of the follo#ing is a function ofepidemiology?

A. 7dentiying the disease condition !ased on

maniestations presented !y a clientB. "etermining actors that contri!uted to theoccurrence o pneumonia in a - year oldC. "etermining the e/cacy o the anti!iotic usedtreatment o the - year old client ith pneumon". Evaluating the efectiveness o the implemen

the 7ntegrated 9anagement o Childhood 7llness


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$. Which of the follo#ing is an epidemiolofunction of the nurse during an epidemic?

A Conducting assessment o suspected cases to

the communica!le diseasesB. 9onitoring the condition o the cases afectedcommunica!le diseaseC. #articipating in the investigation to determinesource o epidemic". Teaching the community on preventive measu

against the disease


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$/. >he primary purpose of conducting anepidemiologic in,estigation is to

A. "elineate the etiology o the epidemic

B. Encourage cooperation and support o thecommunityC. 7dentiy groups ho are at ris( o contracting disease". 7dentiy geographical location o cases o the in the community


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$0. Which is a characteristic of person-to-ppropagated epidemic?

A. There are more cases o the disease than exp

B. The disease must necessarily !e transmitted a vectorC. The spread o the disease can !e attri!uted tocommon vehicle". There is gradual !uild up o cases !eore eepidemic !ecomes easily noticea!le

$4 3 h i i i f id i


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$4. 3n the in,estigation of an epidemic+ youcompare the present fre"uency of the dise#ith the usual fre"uency at this time of thein this community. >his is done during #hicstage of the in,estigation?

A. Esta!lishing the epidemicB. Testing the hypothesisC. 4ormulation o the hypothesis". Appraisal o acts

(' >h b f f 9 f


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('. >he number of cases of 9engue fe,er uincreases to#ards the end of the rainy sea>his pattern of occurrence of 9engue fe,erbest described as

A. Epidemic occurrenceB. Cyclical variationC. )poradic occurrence". )ecular occurrence

(1 3 th 140' th W ld H lth


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(1. 3n the year 140'+ the World Health*rgani


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(2. 3n the census of the !hilippines in 144(#ere about (+244+''' males and about$+40+''' females. What is the sex ratio?

A. .&+B. +.:&+C. ;.*-". :.


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(. !rimary health care is a total approachcommunity de,elopment. Which of the follois an indicator of success in the use of theprimary health care approach?

A. Health services are provided ree o charge toindividuals and amiliesB. 'ocal o/cials are empoered as the ma@or dema(ers in matters o healthC. Health or(ers are a!le too provide care !ase

identi$ed health needs o the people". Health programs are sustained according to to development o the community

($ 8putum examination is the maBor scree


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($. 8putum examination is the maBor screetool for pulmonary tuberculosis. Clients #osometimes get false negati,e results in thiexam. >his means that the test is not perfe

terms of #hich characteristic of a diagnostexamination?

A. EfectivenessB. E/cacyC. )peci$city

". )ensitivity

(( Dse of appropriate technology re"uires


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((. Dse of appropriate technology re"uires)no#ledge of indigenous technology. Whicmedical herb is gi,en for fe,er+ headache acough?

A. )am!ongB. Tsaang gu!atC. A(apul(o". 'agundi

( What la# created the !hilippine institu


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(. What la# created the !hilippine institu>raditional and &lternati,e Health Care?

A. 0A =:=-

B. 0A:=*-C. 0A *:=-". 0A -:=*

(/ 3n traditional Chinese medicine the yie


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(/. 3n traditional Chinese medicine+ the yienegati,e and feminine force is termed

A. DinB. DangC. i". Chai

(0 What is the legal basis of !rimary Healt


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(0. What is the legal basis of !rimary Healtapproach in the !hilippines?

A. Alma Ata "eclaration o #HCB. 'etter o 7nstruction No :C. #residential "ecree No. +:o describe the sex composition of thepopulation+ #hich demographic tool may be

A. )ex ratioB. )ex proportionC. #opulation pyramid". Any o these may!e used

. Which of the follo#ing is a natality rate


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. Which of the follo#ing is a natality rate

A. Crude !irth rateB. Neonatal mortality rateC. 7nant mortality rate". 8eneral ertility rate

$. @ou are computing the crude rate of yo


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p g ymunicipality+ #ith a total population o abou10+''' for last year. >here #ere 4$ deaths.&mong those #ho died+ 2' died because of

diseases of the heart and 2 #ere aged (' or older. What is the crude death rate?

A. :.+>+B. ;.*>+C. .->+

". +

(. Gno#ing that malnutrition is a fre"uen


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g "community health problem+ you decided toconduct nutritional assessment. What popuis particularly susceptible to protein energ

malnutrition !57I? A. #regnant omen and the elderly

B. 1nder ; year old childrenC. +5: year old children". )chool age children

. Which statistic can gi,e the most accur


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greJection of the health status of a commun

A. +5: year old age5speci$c mortality rateB. 7nant mortality rateC. )aroop6s index". Crude death rate

/. 3n the past year+ Aarangay & had an a,e


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p y g ypopulation of 1((. $ babies #ere born inyear+ 2 of #hom died less than $ #ee)s afte#ere born. >hey #ere $ recorded stillbirths

is the neonatal mortality rate? A. *+

B. :-.;>+C. =.>+". +-.:>+

0. Which statistic best reJects the nutritio


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status of a population?

A. +5: year old age5speci$c mortality rateB. #roportionate mortality rateC. 7nant mortality rate". )aroop6s index

4. What numerator is used in computing g


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fertility rate?

A. Estimated midyear populationB. Num!er o registered live !irthsC. Num!er o pregnancies in the year". Num!er o emales o reproductive age

/'. @ou #ill gather data for nutritional


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assessment of a puro). @ou #ill gatherinformation only from families #ith membebelong to the target population for !57. W

method of delta gathering is best for thispurpose?

A. CensusB. )urveyC. 0ecord 0evie

". 0evie o civil registry

/1. 3n the conduct of a census+ the methodl i i b d h


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population assignment based on the actuaphysical location of the people is termed

A. "e @ureB. "e locusC. "e acto". "e novo

/2. >he 6ield Health 8er,ices and informat8 t 6H838I i th di d t


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8ystem 6H838I is the recording and reportsystem in public healthI care in the !hilipp>he monthly eld health ser,ice acti,ity re

a form used in #hich of the components of6H838?

A. Tally reportB. utput reportC. Target>client list

". 7ndividual health record

/. >o monitor clients registered in long-tei h th 7 lti 9 >h


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regimens+ such as the 7ulti-9rug >herapy+ component #ill be most useful?

A. Tally report

B. utput reportC. Target>client list". 7ndividual health record

/$. Ci,il registries are important sources oWhi h l i i t ti f bi th


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Which la# re"uires registration of births #' days from the occurrence of the birth?

A. #" ;+

B. Act -;


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the birth certicate?

A. #u!lic health nurseB. 0ural health midie

C. 9unicipal health o/cer". Any o these health proessionals

/. Which criterion in priority setting of heproblems is used only in community health


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problems is used only in community health

A. 9odi$a!ility o the pro!lemB. Nature o the pro!lem presented

C. 9agnitude o the health pro!lem". #reventive potential o the health pro!lem

//. >he 8entrong 8igla 7o,ement has beenlaunched to impro,e health ser,ice deli,er


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launched to impro,e health ser,ice deli,erWhich of the follo#ing isFare true of thismo,ement?

A. This is a pro@ect spearheaded !y local governmunitsB. 7t is a !asis or increasing unding rom localgovernment unitsC. 7t encourages health centers to ocus on disea

prevention and control". 7ts main strategy is certi$cation o health cena!le to comply ith standards

/0. Which of the follo#ing #omen should beconsidered as special targets for family plan


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considered as special targets for family planA. Those ho have to children or moreB. Those ith medical conditions such as anemia

C. Those younger than * years and older than -;". Those ho @ust had a delivery ithin the past +months

/4. 6reedom of choice in one of the policies6amily !lanning !rogram of the !hilippines


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6amily !lanning !rogram of the !hilippinesWhich of the follo#ing illustrates this princ

A. 7normation dissemination a!out the need or

planningB. )upport o research and development in amiplanning methodsC. Ade3uate inormation or couples regarding thdiferent methods

". Encouragement o couples to ta(e amily plana @oint responsi!ility

0'. & #oman+ months pregnant+ came to center for consultation Which of the follo#


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center for consultation. Which of the follo#substances is contraindicated?

A. Tetanus toxoid

B. 0etinol *, 71C. 4errous sulate *mg". #otassium iodate * mg, capsule

01. 9uring prenatal consultation+ a client ayou if she can ha,e her deli,ery at home &


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you if she can ha,e her deli,ery at home. &history ta)ing and physical examination+ yoad,ised her against a home deli,ery. Which

follo#ing ndings dis"ualies her for a homdeli,ery?

A. Her B score is 8;#-B. )he has some palmar pallorC. Her !lood pressure is +->=

". Her !a!y is in cephalic presentation

02. 3nade"uate inta)e by the pregnant #om#hich ,itamin may cause neural tube defec


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#hich ,itamin may cause neural tube defec

A. NiacinB. 0i!oFavin

C. 4olic Acid". Thiamine

0. @ou are in a client;s home to attend to deli,ery. Which of the follo#ing #ill you do


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deli,ery. Which of the follo#ing #ill you do

A. )et up a sterile areaB. #ut on a clean gon and apron

C. Cleanse the client6s vulva ith soap and ate". Note the interval, duration and intensity o lacontractions

0$. 3n preparing a primigra,ida for breastfe#hich of the follo#ing #ill you do?


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#hich of the follo#ing #ill you do?

A. Tell her that lactation !egins ithin a day atedelivery

B. Teach her nipple stretching exercises i her nipare evertedC. 7nstruct her to ash her nipples !eore and a!reasteeding". Explain to her that putting the !a!y to !reast

lessen !lood loss ater delivery

0(. & primigra,ida is instructed to oKer hebreast to the baby for the rst time #ithin


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breast to the baby for the rst time #ithin minutes after deli,ery. What is the purposeoKering the breast this early?

A. To initiate the occurrence o mil( letdonB. To stimulate mil( production !y the mammaryC. To ma(e sure that the !a!y is a!le to get thecolustrum". To allo the oman to practice !reasteeding

presence o the health or(er

0. 3n a mother;s class+ you discuss properbreastfeeding techni"ue. Which of these is


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b eas eed g ec "ue c o ese sthat the baby has lactated on the breastproperty?

A. The !a!y ta(es shallo, rapid suc(sB. The mother does not eel nipple painC. The !a!y6s mouth is only partly open". nly the mother6s nipple is inside the !a!y6s

0/. @ou explain to a breastfeeding mother breastmil) is suLcient for all of the baby;s


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ynutrient needs only up to

A. - months

B. monthsC. + year". * years

00. What is gi,en to a #oman #ithin a monafter the deli,ery of a baby?


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y y

A. 9alunggay capsuleB. 4errous sutate lmg .".

C. 0etinol *. 71 + capsule". #otassium 7odate * mg, + capsule

04. Which biological used in 5!3 is stored infree


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A. "#TB. Tetanus toxoid

C. 9easles vaccine". Hepatitis B vaccine

4'. Dnused ACM should be discarded ho# mhours after reconstitution?


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A. *B. :

C. ". At the end o the day

41. 3n immunity school entrants #ith ACM+ not obliged to secure parental consent. >h


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because of #hich legal document?

A. #"

B. 0A


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A. "#TB. BC8

C. 9easles vaccination". Hepatitis B vaccination

4. & $ #ee) old baby #as brought to the hcenter for his rst immuni


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gi,en to him?

A. "#T+

B. #G+C. 7nant BC8". Hepatitis B Gaccin

4$. @ou #ill not gi,e 9!> 2 if the mother sathe infant had?


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A. )ei%ures a day ater "#T+B. 4ever or - days ater "#T+

C. A!scess ormation ater "#T+". 'ocal tenderness or - days ater "#T+

4(. & 2-month old infant #as brought to thhealth center for immuni


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assessment+ the infant;s temperature regisat 0.1 C. Which is the best course of actio

you #ill ta)e? A. 8o on ith the inants immuni%ation

B. 8ive paracetamol and ait or his ever to su!C. 0eer the inant to the physician or urtherassessment". Advise the inant6s mother to !ring him !ac( immuni%ation hen he is ell

4. & pregnant #oman had Bust recei,ed hedose of tetanus toxoid. 8ubse"uently+ her b

ill h t ti i t t t f h


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#ill ha,e protection against tetanus for holong?

A. + yearB. - yearsC. + years". 'ietime

4/. & $-month old infant #as brought to thhealth center of cough. Her respiratory rat$2Fminute Dsing the 37C3 guidelines of


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$2Fminute. Dsing the 37C3 guidelines ofassessment+ her breathing is considered

A. 4astB. )loC. Normal". 7nsigni$cant

40. Which of the follo#ing signs #ill indicaa young child is suKering from se,erepneumonia?


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pneumonia?

A. "yspnea

B. ?hee%ingC. 4ast !reathing". Chest indraing

44. Dsing 37C3 guidelines+ you classify a chha,ing se,ere pneumonia. What is the bestmanagement for the child?


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management for the child?

A. #rescri!e anti!iotic

B. 0eer him urgently to the hospitalC. 7nstruct the mother to increase Fuid inta(e". 7nstruct the mother to continue !reasteeding

1''. & (-month old infant #as brought by hmother to the health center because of diaoccurring $ to ( times a day His s)in goes


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occurring $ to ( times a day. His s)in goes slo#ly after a s)in pinch and his eyes are s

Dsing the 37C3 guidelines+ you #ill classify infant in #hich category?

A. No signs o dehydrationB. )ome dehydrationC. )evere dehydration". The data is insu/cient


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Community Health Nursing Exam.pptx

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