PNLE: Community Health Nursing Part 3 (Practice Mode)- Www.Rnpedia.Com

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1. Inadequate intake by the pregnant woman of which vitamin may cause neural tube defects? 

 

Explanation

It is estimated that the incidence of neural tube defects can be reduced drastically if pregnant women have an adequate intake of folic acid.

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PNLE: Community Health Nursing Part 3 (Practice Mode)- Www.Rnpedia.Com - Quiz

Mark the letter of the letter of choice then click on the next button. Answer will be revealed after each question. No time limit to finish the... see moreexam. Good luck! see less

2. You explain to a breastfeeding mother that breast milk is sufficient for all of the baby's nutrient needs only up to ____. 

 

Explanation

After 6 months, the baby’s nutrient needs, especially the baby’s iron requirement, can no longer be provided by mother’s milk alone.

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3. You are in a client's home to attend to a delivery. Which of the following will you do first? 

   

Explanation

Assessment of the woman should be done first to determine whether she is having true labor and, if so, what stage of labor she is in.

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4. Which biological used in Expanded Program on Immunization (EPI) is stored in the freezer? 

 

Explanation

Among the biologicals used in the Expanded Program on Immunization, measles vaccine and OPV are highly sensitive to heat, requiring storage in the freezer.

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5. In the conduct of a census, the method of population assignment based on the actual physical location of the people is termed 

 

Explanation

The other method of population assignment, de jure, is based on the usual place of residence of the people.

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6. Which of the following professionals can sign the birth certificate? 

 

Explanation

D. R.A. 3753 states that any birth attendant may sign the certificate of live birth.

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7.  Freedom of choice is one of the policies of the Family Planning Program of the Philippines. Which of the following illustrates this principle? 

 

Explanation

To enable the couple to choose freely among different methods of family planning, they must be given full information regarding the different methods that are available to them, considering the availability of quality services that can support their choice.

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8. A woman, 6 months pregnant, came to the center for consultation. Which of the following substances is contraindicated? 

 

Explanation

Retinol 200,000 IU is a form of megadose Vitamin A. This may have a teratogenic effect.

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9. Unused BCG should be discarded how many hours after reconstitution? 

 

Explanation

While the unused portion of other biologicals in EPI may be given until the end of the day, only BCG is discarded 4 hours after reconstitution. This is why BCG immunization is scheduled only in the morning.

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10.  You are computing the crude death rate of your municipality, with a total population of about 18,000, for last year. There were 94 deaths. Among those who died, 20 died because of diseases of the heart and 32 were aged 50 years or older. What is the crude death rate? 

 

Explanation

To compute crude death rate divide total number of deaths (94) by total population (18,000) and multiply by 1,000.

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11. You will gather data for nutritional assessment of a purok. You will gather information only from families with members who belong to the target population for PEM. What method of data gathering is best for this purpose? 

 

Explanation

A survey, also called sample survey, is data gathering about a sample of the population.

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12.  Which statistic can give the most accurate reflection of the health status of a community?

   

Explanation

Swaroop’s index is the proportion of deaths aged 50 years and above. The higher the Swaroop’s index of a population, the greater the proportion of the deaths who were able to reach the age of at least 50 years, i.e., more people grew old before they died.

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13. During prenatal consultation, a client asked you if she can have her delivery at home. After history taking and physical examination, you advised her against a home delivery. Which of the following findings disqualifies her for a home delivery? 

 

Explanation

Only women with less than 5 pregnancies are qualified for a home delivery. It is also advisable for a primigravida to have delivery at a childbirth facility.

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14.  Knowing that malnutrition is a frequent community health problem, you decided to conduct nutritional assessment. What population is particularly susceptible to protein energy malnutrition (PEM)? 

 

Explanation

Preschoolers are the most susceptible to PEM because they have generally been weaned. Also, this is the population who, unable to feed themselves, are often the victims of poor intrafamilial food distribution.

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15. The Field Health Services and Information System (FHSIS) is the recording and reporting system in public health care in the Philippines. The Monthly Field Health Service Activity Report is a form used in which of the components of the FHSIS? 

Explanation

A tally report is prepared monthly or quarterly by the RHU personnel and transmitted to the Provincial Health Office.

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16. Civil registries are important sources of data. Which law requires registration of births within 30 days from the occurrence of the birth?

 

Explanation

P.D. 651 amended R.A. 3753, requiring the registry of births within 30 days from their occurrence.

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17. What is given to a woman within a month after the delivery of a baby? 

 

Explanation

A capsule of Retinol 200,000 IU is given within 1 month after delivery. Potassium iodate is given during pregnancy; malunggay capsule is not routinely administered after delivery; and ferrous sulfate is taken for two months after delivery.

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18. In a mothers' class, you discuss proper breastfeeding technique. Which is of these is a sign that the baby has "latched on" to the breast properly? 

 

Explanation

When the baby has properly latched on to the breast, he takes deep, slow sucks; his mouth is wide open; and much of the areola is inside his mouth. And, you’re right! The mother does not feel nipple pain.

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19.  To describe the sex composition of the population, which demographic tool may be used? 

 

Explanation

Sex ratio and sex proportion are used to determine the sex composition of a population. A population pyramid is used to present the composition of a population by age and sex.

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20. Which of the following women should be considered as special targets for family planning? 

 

Explanation

The ideal birth spacing is at least two years. 15 months plus 9 months of pregnancy = 2 years.

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21. Which of the following is a natality rate? 

 

Explanation

Natality means birth. A natality rate is a birth rate.

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22. The Sentrong Sigla Movement has been launched to improve health service delivery. Which of the following is/are true of this movement? 

 

Explanation

Sentrong Sigla Movement is a joint project of the DOH and local government units. Its main strategy is certification of health centers that are able to comply with standards set by the DOH.

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23. In preparing a primigravida for breastfeeding, which of the following will you do? 

 

Explanation

Suckling of the nipple stimulates the release of oxytocin by the posterior pituitary gland, which causes uterine contraction. Lactation begins 1 to 3 days after delivery. Nipple stretching exercises are done when the nipples are flat or inverted. Frequent washing dries up the nipples, making them prone to the formation of fissures.

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24. A primigravida is instructed to offer her breast to the baby for the first time within 30 minutes after delivery. What is the purpose of offering the breast this early? 

 

Explanation

Suckling of the nipple stimulates prolactin reflex (the release of prolactin by the anterior pituitary gland), which initiates lactation.

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25. In the past year, Barangay A had an average population of 1655. 46 babies were born in that year, 2 of whom died less than 4 weeks after they were born. There were 4 recorded stillbirths. What is the neonatal mortality rate? 

 

Explanation

To compute for neonatal mortality rate, divide the number of babies who died before reaching the age of 28 days by the total number of live births, then multiply by 1,000.

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26. To monitor clients registered in long-term regimens, such as the Multi-Drug Therapy, which component will be most useful? 

 

Explanation

The MDT Client List is a record of clients enrolled in MDT and other relevant data, such as dates when clients collected their monthly supply of drugs.

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27. What numerator is used in computing general fertility rate? 

 

Explanation

To compute for general or total fertility rate, divide the number of registered live births by the number of females of reproductive age (15-45 years), then multiply by 1,000.

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28. Which statistic best reflects the nutritional status of a population? 

 

Explanation

Since preschoolers are the most susceptible to the effects of malnutrition, a population with poor nutritional status will most likely have a high 1-4 year old age-specific mortality rate, also known as child mortality rate.

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29. Which criterion in priority setting of health problems is used only in community health care? 

 

Explanation

Magnitude of the problem refers to the percentage of the population affected by a health problem. The other choices are criteria considered in both family and community health care.

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30. Estimate the number of pregnant women who will be given tetanus toxoid during an immunization outreach activity in a barangay with a population of about 1,500. 

Explanation

To estimate the number of pregnant women, multiply the total population by 3.5%.

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Inadequate intake by the pregnant woman of which vitamin may cause...
You explain to a breastfeeding mother that breast milk is sufficient...
You are in a client's home to attend to a delivery. Which of the...
Which biological used in Expanded Program on Immunization (EPI) is...
In the conduct of a census, the method of population assignment based...
Which of the following professionals can sign the birth...
 Freedom of choice is one of the policies of the Family Planning...
A woman, 6 months pregnant, came to the center for consultation. Which...
Unused BCG should be discarded how many hours after...
 You are computing the crude death rate of your municipality,...
You will gather data for nutritional assessment of a purok. You will...
 Which statistic can give the most accurate reflection of the...
During prenatal consultation, a client asked you if she can have her...
 Knowing that malnutrition is a frequent community health...
The Field Health Services and Information System (FHSIS) is the...
Civil registries are important sources of data. Which law requires...
What is given to a woman within a month after the delivery of a...
In a mothers' class, you discuss proper breastfeeding technique. Which...
 To describe the sex composition of the population, which...
Which of the following women should be considered as special targets...
Which of the following is a natality rate?   
The Sentrong Sigla Movement has been launched to improve health...
In preparing a primigravida for breastfeeding, which of the following...
A primigravida is instructed to offer her breast to the baby for the...
In the past year, Barangay A had an average population of 1655. 46...
To monitor clients registered in long-term regimens, such as the...
What numerator is used in computing general fertility rate? ...
Which statistic best reflects the nutritional status of a...
Which criterion in priority setting of health problems is used only in...
Estimate the number of pregnant women who will be given tetanus toxoid...
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