Age 36 years
History of syphilis
History of genital herpes
History of diabetes mellitus
Assessing for edema
Monitoring apical pulse
Decreased caloric intake
Increased caloric intake
Excessive fetal activity.
Larger than normal uterus for gestational age.
Elevated levels of human chorionic gonadotropin.
Urinary output 90 cc in 2 hours.
Absent patellar reflexes.
Rapid respiratory rate above 40/min.
Rapid rise in blood pressure.
Presenting part is 2 cm above the plane of the ischial spines.
Biparietal diameter is at the level of the ischial spines.
Presenting part in 2 cm below the plane of the ischial spines.
Biparietal diameter is 2 cm above the ischial spines.
Contractions every 1 ½ minutes lasting 70-80 seconds.
Maternal temperature 101.2
Early decelerations in the fetal heart rate.
Fetal heart rate baseline 140-160 bpm.
First low transverse cesarean was for active herpes type 2 infections; vaginal culture at 39 weeks pregnancy was positive.
First and second caesareans were for cephalopelvic disproportion.
First caesarean through a classic incision as a result of severe fetal distress.
First low transverse caesarean was for breech position. Fetus in this pregnancy is in a vertex presentation.
Talk to the mother first and then to the toddler.
Bring extra help so it can be done quickly.
Encourage the mother to hold the child.
Ignore the crying and screaming.
Avoid touching the suture line, even when cleaning.
Place the baby in prone position.
Give the baby a pacifier.
Place the infant’s arms in soft elbow restraints.
Feed the infant when he cries.
Allow the infant to rest before feeding.
Bathe the infant and administer medications before feeding.
Weigh and bathe the infant before feeding.
Skim milk and baby food.
Whole milk and baby food.
Iron-rich formula only.
Iron-rich formula and baby food.
It involves providing home care to sick people who are not confined in the hospital.
Services are provided free of charge to people within the catchments area.
The public health nurse functions as part of a team providing a public health nursing services.
Public health nursing focuses on preventive, not curative, services.
Department of Health
Provincial Health Office
Regional Health Office
Rural Health Unit
Municipal Health Officer
Public Health Nurse
Any qualified physician
The RHU does not need any more midwife item.
The community health nurse continuously develops himself personally and professionally.
Health education and community organizing are necessary in providing community health services.
Community health nursing is intended primarily for health promotion and prevention and treatment of disease.
The goal of community health nursing is to provide nursing services to people in their own places of residence.
Core group formation
To educate the people regarding community health problems
To mobilize the people to resolve community health problems
To maximize the community’s resources in dealing with health problems.
To maximize the community’s resources in dealing with health problems.
Intrauterine fetal death.
Premature rupture of the membranes.
80 to 100 beats/minute
100 to 120 beats/minute
120 to 160 beats/minute
160 to 180 beats/minute
Change the diaper more often.
Apply talc powder with diaper changes.
Wash the area vigorously with each diaper change.
Decrease the infant’s fluid intake to decrease saturating diapers.
Atrial septal defect
Ventricular septal defect
Endocardial cushion defect
Decreased urine output
Increased respiratory rate
Iron binding capacity
A crying 5 year old child with a laceration on his scalp.
A 4 year old child with a barking coughs and flushed appearance.
A 3 year old child with Down syndrome who is pale and asleep in his mother’s arms.
A 2 year old infant with stridorous breath sounds, sitting up in his mother’s arms and drooling.
Sexually transmitted disease
Just before bedtime
After the child has been bathe
Any time during the day
Early in the morning
Irritability and seizures
Dehydration and diarrhea
Bradycardia and hypotension
Petechiae and hematuria
“I should check the diaphragm carefully for holes every time I use it”
“I may need a different size of diaphragm if I gain or lose weight more than 20 pounds”
“The diaphragm must be left in place for atleast 6 hours after intercourse”
“I really need to use the diaphragm and jelly most during the middle of my menstrual cycle”.
Without touching the child, talk continuously as the child walks down the hall.
Walk one step ahead, with the child’s hand on the nurse’s elbow.
Walk slightly behind, gently guiding the child forward.
Walk next to the child, holding the child’s hand.
Loud, machinery-like murmur.
Bluish color to the lips.
Decreased BP reading in the upper extremities
Increased BP reading in the upper extremities.
Less oxygen, and the newborn’s metabolic rate increases.
More oxygen, and the newborn’s metabolic rate decreases.
More oxygen, and the newborn’s metabolic rate increases.
Less oxygen, and the newborn’s metabolic rate decreases.
Stable blood pressure
Powder with cornstarch
The older one gets, the more susceptible he becomes to the complications of chicken pox.
A single attack of chicken pox will prevent future episodes, including conditions such as shingles.
To prevent an outbreak in the community, quarantine may be imposed by health authorities.
Chicken pox vaccine is best given when there is an impending outbreak in the community.
Advice them on the signs of German measles.
Avoid crowded places, such as markets and movie houses.
Consult at the health center where rubella vaccine may be given.
Consult a physician who may give them rubella immunoglobulin.
Mass screening tests
Interview of suspects
Skin on the abdomen
Skin on neck
Severe febrile disease
Oral polio vaccine
Use of molluscicides
Building of foot bridges
Proper use of sanitary toilets
Use of protective footwear, such as rubber boots
3 skin lesions, negative slit skin smear
3 skin lesions, positive slit skin smear
5 skin lesions, negative slit skin smear
5 skin lesions, positive slit skin smear
Inability to close eyelids
Thickened painful nerves
Sinking of the nosebridge
Perform a tourniquet test.
Ask where the family resides.
Get a specimen for blood smear.
Ask if the fever is present everyday.
Inability to drink
High grade fever
Signs of severe dehydration
Cough for more than 30 days
Refer the child urgently to a hospital for confinement.
Coordinate with the social worker to enroll the child in a feeding program.
Make a teaching plan for the mother, focusing on menu planning for her child.
Assess and treat the child for health problems like infections and intestinal parasitism.
Bring the child to the nearest hospital for further assessment.
Bring the child to the health center for intravenous fluid therapy.
Bring the child to the health center for assessment by the physician.
Let the child rest for 10 minutes then continue giving Oresol more slowly.
No signs of dehydration
The data is insufficient.
At the end of the day
Sudden infant death syndrome (SIDS)
Gastroesophageal reflux (GER)
Increased activity level
Anemia probably due to chronic fetal hyposia
Hyperthermia due to decreased glycogen stores
Hyperglycemia due to decreased glycogen stores
Polycythemia probably due to chronic fetal hypoxia
A sleepy, lethargic baby
Lanugo covering the body
Desquamation of the epidermis
Vernix caseosa covering the body
Light audible grunting
Respiratory rate 40 to 60 breaths/minute
Respiratory rate 60 to 80 breaths/minute
Apply peroxide to the cord with each diaper change
Cover the cord with petroleum jelly after bathing
Keep the cord dry and open to air
Wash the cord with soap and water each day during a tub bath.
To determine fetal well-being.
To assess for prolapsed cord
To assess fetal position
To prepare for an imminent delivery.
The parents’ willingness to touch and hold the new born.
The parent’s expression of interest about the size of the new born.
The parents’ indication that they want to see the newborn.
The parents’ interactions with each other.
Applying cold to limit edema during the first 12 to 24 hours.
Instructing the client to use two or more peripads to cushion the area.
Instructing the client on the use of sitz baths if ordered.
Instructing the client about the importance of perineal (kegel) exercises.
“Do you have any chronic illnesses?”
“Do you have any allergies?”
“What is your expected due date?”
“Who will be with you during labor?”
Calm the neonate.
Notify the physician.
Provide oxygen via face mask as ordered
Aspirate the neonate’s nose and mouth with a bulb syringe.
Observing the pooling of straw-colored fluid.
Checking vaginal discharge with nitrazine paper.
Conducting a bedside ultrasound for an amniotic fluid index.
Observing for flakes of vernix in the vaginal discharge.
Cover his eyes while receiving oxygen.
Keep her body temperature low.
Monitor partial pressure of oxygen (Pao2) levels.
Humidify the oxygen.
110 to 130 calories per kg.
30 to 40 calories per lb of body weight.
At least 2 ml per feeding
90 to 100 calories per kg
16 to 18 weeks
18 to 22 weeks
30 to 32 weeks
38 to 40 weeks
Diamniotic dichorionic twins
Diamniotic monochorionic twin
Monoamniotic monochorionic twins
Digital or speculum examination
External fetal monitoring
Increased tidal volume
Increased expiratory volume
Decreased inspiratory capacity
Decreased oxygen consumption
Oral hypoglycemic drug and insulin
Acetaminophen (Tylenol) for pain
Calcium gluconate (Kalcinate)
Rho (D) immune globulin (RhoGAM)
An indurated wheal under 10 mm in diameter appears in 6 to 12 hours.
An indurated wheal over 10 mm in diameter appears in 48 to 72 hours.
A flat circumcised area under 10 mm in diameter appears in 6 to 12 hours.
A flat circumcised area over 10 mm in diameter appears in 48 to 72 hours.
Urinary tract infection (UTI)
Rh-positive maternal blood crosses into fetal blood, stimulating fetal antibodies.
Rh-positive fetal blood crosses into maternal blood, stimulating maternal antibodies.
Rh-negative fetal blood crosses into maternal blood, stimulating maternal antibodies.
Rh-negative maternal blood crosses into fetal blood, stimulating fetal antibodies.
Lethargy 2 days after birth.
Irritability and poor sucking.
A flattened nose, small eyes, and thin lips.
Congenital defects such as limb anomalies.
7th to 9th day postpartum.
2 weeks postpartum.
End of 6th week postpartum.
When the lochia changes to alba.