57073467 community health nursing
TRANSCRIPT
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COMMUNITY HEALTH NURSING
1. Which is the primary ga! "
cmm#$ity hea!th $#rsi$g%
A. T s#pprt a$& s#pp!eme$t
the e""rts " the me&ica!
pr"essi$ i$ the prmti$ "
hea!th a$& pre'e$ti$ " i!!$ess
(. T e$ha$ce the capacity "
i$&i'ia!s) "ami!ies a$&
cmm#$ities t cpe *ith their
hea!th $ee&s
C. T i$crease the prcti'ity
" the pep!e +y pr'i&i$g them
*ith ser'ices that *i!! i$crease
their !e'e! " hea!th
,. T c$tri+#te t $ati$a!
&e'e!pme$t thr#gh prmti$
" "ami!y *e!"are) "c#si$g
partic#!ar!y $ mthers a$&
chi!&re$.
A$s*er- (/ T e$ha$ce the
capacity " i$&i'ia!s) "ami!ies
a$& cmm#$ities t cpe *ith
their hea!th $ee&s
T c$tri+#te t $ati$a!
&e'e!pme$t thr#gh prmti$
" "ami!y *e!"are) "c#si$g
partic#!ar!y $ mthers a$&
chi!&re$.
0. CHN is a cmm#$ity+ase&
practice. Which +est e2p!ai$s
this stateme$t%
A. The ser'ice is pr'i&e& i$ the
$at#ra! e$'ir$me$t " pep!e.(. The $#rse has t c$ct
cmm#$ity &iag$sis t
&etermi$e $#rsi$g $ee&s a$&
pr+!ems.
C. The ser'ices are +ase& $
the a'ai!a+!e res#rces *ithi$
the cmm#$ity.
,. 3ririty setti$g is +ase& $
the mag$it#&e " the hea!th
pr+!ems i&e$ti"ie&.
A$s*er- (/ The $#rse has t
c$ct cmm#$ity &iag$sis t
&etermi$e $#rsi$g $ee&s a$&
pr+!ems.
Cmm#$ity+ase& practice
mea$s pr'i&i$g care t pep!e
i$ their *$ $at#ra!
e$'ir$me$ts- the hme) sch!
a$& *r4p!ace) "r e2amp!e.
5. 3p#!ati$"c#se& $#rsi$g
practice re6#ires *hich " the
"!!*i$g prcesses%
A. Cmm#$ity rga$i7i$g
(. N#rsi$g prcess
C. Cmm#$ity &iag$sis
,. Epi&emi!gic prcess
A$s*er- C/ Cmm#$ity
&iag$sis
3p#!ati$"c#se& $#rsi$g care
mea$s pr'i&i$g care +ase& $
the greater $ee& " the ma8rity
" the pp#!ati$. The greater
$ee& is i&e$ti"ie& thr#gh
cmm#$ity &iag$sis.
9. R.A. 1:;9 is a!s 4$*$ as
the Occ#pati$a! Hea!th Act.
Asi&e "rm $#m+er "
emp!yees) *hat ther "actr
m#st +e c$si&ere& i$
&etermi$i$g the cc#pati$a!
hea!th pri'i!eges t *hich the*r4ers *i!! +e e$tit!e&%
A. Type " cc#pati$-
agric#!t#ra!) cmmercia!)
i$stria!
(. Lcati$ " the *r4p!ace i$
re!ati$ t hea!th "aci!ities
C. C!assi"icati$ " the +#si$ess
e$terprise +ase& $ $et pr"it
,. Se2 a$& age cmpsiti$ "
emp!yees
A$s*er- (/ Lcati$ " the
*r4p!ace i$ re!ati$ t hea!th
"aci!ities(ase& $ R.A. 1:;9) a$
cc#pati$a! $#rse m#st +e
emp!ye& *he$ there are 5: t
1:: emp!yees a$& the
*r4p!ace is mre tha$ 1 4m.
a*ay "rm the $earest hea!th
ce$ter.
;. A +#si$ess "irm m#st emp!y
a$ cc#pati$a! hea!th $#rse
*he$ it has at !east h* ma$y
emp!yees%
A. 01
(. 1:1
C. 0:1
,. 5:1
A$s*er- (/ 1:1
Agai$) this is +ase& $ R.A.
1:;9.
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ga! " 3#+!ic Hea!th%
A. r pep!e t attai$ their
+irthrights " hea!th a$&
!$ge'ity
(. r prmti$ " hea!th a$&
pre'e$ti$ " &isease
C. r pep!e t ha'e access t
+asic hea!th ser'ices
,. r pep!e t +e rga$i7e& i$
their hea!th e""rts
A$s*er- A/ r pep!e t attai$
their +irthrights " hea!th a$&
!$ge'ity
Accr&i$g t Wi$s!*) a!! p#+!ic
hea!th e""rts are "r pep!e t
rea!i7e their +irthrights " hea!th
a$& !$ge'ity.
1:. We say that a i!ipi$ has
attai$e& !$ge'ity *he$ he is
a+!e t reach the a'erage!i"espa$ " i!ipi$s. What ther
statistic may +e #se& t
&etermi$e attai$me$t "
!$ge'ity%
A. Agespeci"ic mrta!ity rate
(. 3rprti$ate mrta!ity rate
C. S*arp=s i$&e2
,. Case "ata!ity rate
A$s*er- C/ S*arp=s i$&e2
S*arp=s i$&e2 is the
perce$tage " the &eaths age&
;: years r !&er. Its i$'erse
represe$ts the perce$tage "#$time!y &eaths thse *h
&ie& y#$ger tha$ ;: years/.
11. Which " the "!!*i$g is the
mst prmi$e$t "eat#re "
p#+!ic hea!th $#rsi$g%
A. It i$'!'es pr'i&i$g hme
care t sic4 pep!e *h are $t
c$"i$e& i$ the hspita!.
(. Ser'ices are pr'i&e& "ree "
charge t pep!e *ithi$ the
catchme$t area.
C. The p#+!ic hea!th $#rse
"#$cti$s as part " a team
pr'i&i$g a p#+!ic hea!th
$#rsi$g ser'ices.
,. 3#+!ic hea!th $#rsi$g "c#ses
$ pre'e$ti'e) $t c#rati'e)
ser'ices.
A$s*er- ,/ 3#+!ic hea!th
$#rsi$g "c#ses $ pre'e$ti'e)
$t c#rati'e) ser'ices.
The catchme$t area i$ 3HN
c$sists " a resi&e$tia!
cmm#$ity) ma$y " *hm are
*e!! i$&i'ia!s *h ha'e
greater $ee& "r pre'e$ti'e
rather tha$ c#rati'e ser'ices.
10. Accr&i$g t Margaret
Shet!a$&) the phi!sphy "
p#+!ic hea!th $#rsi$g is +ase&
$ *hich " the "!!*i$g%
A. Hea!th a$& !$ge'ity as
+irthrights
(. The ma$&ate " the state t
prtect the +irthrights " its
citi7e$s
C. 3#+!ic hea!th $#rsi$g as a
specia!i7e& "ie!& " $#rsi$g
,. The *rth a$& &ig$ity "
ma$
A$s*er- ,/ The *rth a$&&ig$ity " ma$
This is a &irect 6#te "rm ,r.
Margaret Shet!a$&=s stateme$ts
$ 3#+!ic Hea!th N#rsi$g.
15. Which " the "!!*i$g is the
missi$ " the ,epartme$t "
Hea!th%
A. Hea!th "r a!! i!ipi$s
(. E$s#re the accessi+i!ity a$&
6#a!ity " hea!th care
C. Impr'e the ge$era! hea!th
stat#s " the pp#!ati$
,. Hea!th i$ the ha$&s " the
i!ipi$ pep!e +y the year0:0:
A$s*er- (/ E$s#re the
accessi+i!ity a$& 6#a!ity "
hea!th care
$$e/
19. Regi$ IF Hspita! is
c!assi"ie& as *hat !e'e! "
"aci!ity%
A. 3rimary
(. Sec$&ary
C. I$terme&iate
,. Tertiary
A$s*er- ,/ Tertiary
Regi$a! hspita!s are tertiary
"aci!ities +eca#se they ser'e as
trai$i$g hspita!s "r the regi$.
1;. Which is tr#e " primary
"aci!ities%
A. They are #s#a!!y
g'er$me$tr#$.
(. Their ser'ices are pr'i&e&
$ a$ #tpatie$t +asis.
C. They are trai$i$g "aci!ities "r
hea!th pr"essi$a!s.
,. A cmm#$ity hspita! is a$
e2amp!e " this !e'e! " hea!th
"aci!ities.
A$s*er- (/ Their ser'ices are
pr'i&e& $ a$ #tpatie$t
+asis.
3rimary "aci!ities g'er$me$t
a$& $$g'er$me$t "aci!ities
that pr'i&e +asic #tpatie$t
ser'ices.
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(. 3r'i$cia! Hea!th O""ice
C. Regi$a! Hea!th O""ice
,. R#ra! Hea!th U$it
A$s*er- ,/ R#ra! Hea!th U$it
R.A. >15
(. R.A. 5>;5
C. R.A. 1:;9
,. R.A. 1:@0
A$s*er- A/ Act 5;>5Act 5;>5) the La* $ Reprti$g
" Cmm#$ica+!e ,iseases)
e$acte& i$ 1D0D) ma$&ate& the
reprti$g " &iseases !iste& i$
the !a* t the $earest hea!th
stati$.
0>. Accr&i$g t reema$ a$&
Hei$rich) cmm#$ity hea!th
$#rsi$g is a &e'e!pme$ta!
ser'ice. Which " the "!!*i$g
+est i!!#strates this stateme$t%
A. The cmm#$ity hea!th $#rse
c$ti$##s!y &e'e!ps himse!"
pers$a!!y a$& pr"essi$a!!y.
(. Hea!th ecati$ a$&
cmm#$ity rga$i7i$g are
$ecessary i$ pr'i&i$g
cmm#$ity hea!th ser'ices.
C. Cmm#$ity hea!th $#rsi$g is
i$te$&e& primari!y "r hea!th
prmti$ a$& pre'e$ti$ a$&
treatme$t " &isease.
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,. The ga! " cmm#$ity
hea!th $#rsi$g is t pr'i&e
$#rsi$g ser'ices t pep!e i$
their *$ p!aces " resi&e$ce.
A$s*er- (/ Hea!th ecati$
a$& cmm#$ity rga$i7i$g are
$ecessary i$ pr'i&i$g
cmm#$ity hea!th ser'ices.
The cmm#$ity hea!th $#rse
&e'e!ps the hea!th capa+i!ity "
pep!e thr#gh hea!th ecati$
a$& cmm#$ity rga$i7i$g
acti'ities.
0@. Which &isease *as &ec!are&
thr#gh 3resi&e$tia!
3rc!amati$ N. 9 as a target
"r era&icati$ i$ the
3hi!ippi$es%
A. 3!imye!itis
(. Meas!esC. Ra+ies
,. Ne$ata! teta$#s
A$s*er- (/ Meas!es
3resi&e$tia! 3rc!amati$ N. 9
is $ the Ligtas Tig&as 3rgram.
0D. The p#+!ic hea!th $#rse is
resp$si+!e "r prese$ti$g the
m#$icipa! hea!th statistics #si$g
graphs a$& ta+!es. T cmpare
the "re6#e$cy " the !ea&i$g
ca#ses " mrta!ity i$ the
m#$icipa!ity) *hich graph *i!!
y# prepare%A. Li$e
(. (ar
C. 3ie
,. Scatter &iagram
A$s*er- (/ (ar
A +ar graph is #se& t prese$t
cmparis$ " 'a!#es) a !i$e
graph "r tre$&s 'er time r
age) a pie graph "r pp#!ati$
cmpsiti$ r &istri+#ti$) a$&
a scatter &iagram "r crre!ati$
" t* 'aria+!es.
5:. Which step i$ cmm#$ity
rga$i7i$g i$'!'es trai$i$g "
pte$tia! !ea&ers i$ the
cmm#$ity%
A. I$tegrati$
(. Cmm#$ity rga$i7ati$
C. Cmm#$ity st#&y
,. Cre gr#p "rmati$
A$s*er- ,/ Cre gr#p
"rmati$
I$ cre gr#p "rmati$) the
$#rse is a+!e t tra$s"er the
tech$!gy " cmm#$ity
rga$i7i$g t the pte$tia! r
i$"rma! cmm#$ity !ea&ers
thr#gh a trai$i$g prgram.
51. I$ *hich step are p!a$s
"rm#!ate& "r s!'i$g
cmm#$ity pr+!ems%
A. M+i!i7ati$
(. Cmm#$ity rga$i7ati$
C. !!*#pe2te$si$
,. Cre gr#p "rmati$
A$s*er- (/ Cmm#$ity
rga$i7ati$
Cmm#$ity rga$i7ati$ is the
step *he$ cmm#$ity
assem+!ies ta4e p!ace. ,#ri$gthe cmm#$ity assem+!y) the
pep!e may pt t "rma!i7e the
cmm#$ity rga$i7ati$ a$&
ma4e p!a$s "r cmm#$ity
acti$ t res!'e a cmm#$ity
hea!th pr+!em.
50. The p#+!ic hea!th $#rse
ta4es a$ acti'e r!e i$
cmm#$ity participati$. What
is the primary ga! "
cmm#$ity rga$i7i$g%
A. T ecate the pep!e
regar&i$g cmm#$ity hea!th
pr+!ems(. T m+i!i7e the pep!e t
res!'e cmm#$ity hea!th
pr+!ems
C. T ma2imi7e the
cmm#$ity=s res#rces i$
&ea!i$g *ith hea!th pr+!ems
,. T ma2imi7e the
cmm#$ity=s res#rces i$
&ea!i$g *ith hea!th pr+!ems
A$s*er- ,/ T ma2imi7e the
cmm#$ity=s res#rces i$
&ea!i$g *ith hea!th pr+!ems
Cmm#$ity rga$i7i$g is a
&e'e!pme$ta! ser'ice) *ith the
ga! " &e'e!pi$g the pep!e=s
se!"re!ia$ce i$ &ea!i$g *ith
cmm#$ity hea!th pr+!ems. A)
( a$& C are +8ecti'es "
c$tri+#try +8ecti'es t this
ga!.
55. A$ i$&icatr " s#ccess i$
cmm#$ity rga$i7i$g is *he$
pep!e are a+!e t
A. 3articipate i$ cmm#$ity
acti'ities "r the s!#ti$ " a
cmm#$ity pr+!em
(. Imp!eme$t acti'ities "r the
s!#ti$ " the cmm#$ity
pr+!em
C. 3!a$ acti'ities "r the s!#ti$
" the cmm#$ity pr+!em
,. I&e$ti"y the hea!th pr+!em
as a cmm$ c$cer$
A$s*er- A/ 3articipate i$
cmm#$ity acti'ities "r the
s!#ti$ " a cmm#$ity
pr+!em
3articipati$ i$ cmm#$ity
acti'ities i$ res!'i$g a
cmm#$ity pr+!em may +e i$
a$y " the prcesses me$ti$e&i$ the ther chices.
59. Tertiary pre'e$ti$ is
$ee&e& i$ *hich stage " the
$at#ra! histry " &isease%
A. 3repathge$esis
(. 3athge$esis
C. 3r&rma!
,. Termi$a!
A$s*er- ,/ Termi$a!
Tertiary pre'e$ti$ i$'!'es
reha+i!itati$) pre'e$ti$ "
perma$e$t &isa+i!ity a$&
&isa+i!ity !imitati$ apprpriate"r c$'a!esce$ts) the &isa+!e&)
cmp!icate& cases a$& the
termi$a!!y i!! thse i$ the
termi$a! stage " a &isease/
5;. Is!ati$ " a chi!& *ith
meas!es +e!$gs t *hat !e'e! "
pre'e$ti$%
A. 3rimary
(. Sec$&ary
C. I$terme&iate
,. Tertiary
A$s*er- A/ 3rimary
The p#rpse " is!ati$g a c!ie$t
*ith a cmm#$ica+!e &isease is
t prtect thse *h are $t
sic4 speci"ic &isease
pre'e$ti$/.
5
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(. Sec$&ary
C. I$terme&iate
,. Tertiary
A$s*er- (/ Sec$&ary
Operati$ Tim+a$g is &$e t
i&e$ti"y mem+ers " the
s#scepti+!e pp#!ati$ *h are
ma!$#rishe&. Its p#rpse is
ear!y &iag$sis a$&)
s#+se6#e$t!y) prmpt
treatme$t.
5>. Which type " "ami!y$#rse
c$tact *i!! pr'i&e y# *ith the
+est pprt#$ity t +ser'e
"ami!y &y$amics%
A. C!i$ic c$s#!tati$
(. Gr#p c$"ere$ce
C. Hme 'isit
,. Writte$ cmm#$icati$
A$s*er- C/ Hme 'isit
,y$amics " "ami!y re!ati$ships
ca$ +est +e +ser'e& i$ the
"ami!y=s $at#ra! e$'ir$me$t)
*hich is the hme.
5@. The typ!gy " "ami!y
$#rsi$g pr+!ems is #se& i$ the
stateme$t " $#rsi$g &iag$sis
i$ the care " "ami!ies. The
y#$gest chi!& " the &e !s
Reyes "ami!y has +ee$
&iag$se& as me$ta!!y retar&e&.
This is c!assi"ie& as a
A. Hea!th threat(. Hea!th &e"icit
C. reseea+!e crisis
,. Stress pi$t
A$s*er- (/ Hea!th &e"icit
ai!#re " a "ami!y mem+er t
&e'e!p accr&i$g t *hat is
e2pecte&) as i$ me$ta!
retar&ati$) is a hea!th &e"icit.
5D. The &e !s Reyes c#p!e
ha'e a
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C. Therape#tic
,. E'a!#ati$
A$s*er- (/ A$a!ytica!
A$a!ytica! epi&emi!gy is the
st#&y " "actrs r &etermi$a$ts
a""ecti$g the patter$s "
cc#rre$ce a$& &istri+#ti$ "
&isease i$ a cmm#$ity.
9;. Which " the "!!*i$g is a
"#$cti$ " epi&emi!gy%
A. I&e$ti"yi$g the &isease
c$&iti$ +ase& $
ma$i"estati$s prese$te& +y a
c!ie$t
(. ,etermi$i$g "actrs that
c$tri+#te& t the cc#rre$ce "
p$e#m$ia i$ a 5 year !&
C. ,etermi$i$g the e""icacy "
the a$ti+itic #se& i$ the
treatme$t " the 5 year !&c!ie$t *ith p$e#m$ia
,. E'a!#ati$g the e""ecti'e$ess
" the imp!eme$tati$ " the
I$tegrate& Ma$ageme$t "
Chi!&h& I!!$ess
A$s*er- ,/ E'a!#ati$g the
e""ecti'e$ess " the
imp!eme$tati$ " the
I$tegrate& Ma$ageme$t "
Chi!&h& I!!$ess
Epi&emi!gy is #se& i$ the
assessme$t " a cmm#$ity r
e'a!#ati$ " i$ter'e$ti$s i$cmm#$ity hea!th practice.
9> at
Sma!ia.
;0. I$ the ce$s#s " the
3hi!ippi$es i$ 1DD;) there *ere
a+#t 5;)0DD)::: ma!es a$&
a+#t 59)D
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A$s*er- (/ 1::.D9-1::
Se2 rati is the $#m+er "
ma!es "r e'ery 1:: "ema!es i$
the pp#!ati$.
;5. 3rimary hea!th care is a
tta! apprach t cmm#$ity
&e'e!pme$t. Which " the
"!!*i$g is a$ i$&icatr "
s#ccess i$ the #se " the
primary hea!th care apprach%
A. Hea!th ser'ices are pr'i&e&
"ree " charge t i$&i'ia!s a$&
"ami!ies.
(. Lca! ""icia!s are emp*ere&
as the ma8r &ecisi$ ma4ers i$
matters " hea!th.
C. Hea!th *r4ers are a+!e t
pr'i&e care +ase& $ i&e$ti"ie&
hea!th $ee&s " the pep!e.
,. Hea!th prgrams ares#stai$e& accr&i$g t the !e'e!
" &e'e!pme$t " the
cmm#$ity.
A$s*er- ,/ Hea!th prgrams
are s#stai$e& accr&i$g t the
!e'e! " &e'e!pme$t " the
cmm#$ity.
3rimary hea!th care is esse$tia!
hea!th care that ca$ +e
s#stai$e& i$ a!! stages "
&e'e!pme$t " the cmm#$ity.
;9. Sp#t#m e2ami$ati$ is the
ma8r scree$i$g t! "rp#!m$ary t#+erc#!sis. C!ie$ts
*#!& smetimes get "a!se
$egati'e res#!ts i$ this e2am.
This mea$s that the test is $t
per"ect i$ terms " *hich
characteristic " a &iag$stic
e2ami$ati$%
A. E""ecti'e$ess
(. E""icacy
C. Speci"icity
,. Se$siti'ity
A$s*er- ,/ Se$siti'ity
Se$siti'ity is the capacity " a
&iag$stic e2ami$ati$ t &etect
cases " the &isease. I" a test is
1:: se$siti'e) a!! the cases
teste& *i!! ha'e a psiti'e
res#!t) i.e.) there *i!! +e $ "a!se
$egati'e res#!ts.
;;. Use " apprpriate
tech$!gy re6#ires 4$*!e&ge
" i$&ige$#s tech$!gy. Which
me&ici$a! her+ is gi'e$ "r
"e'er) hea&ache a$& c#gh%
A. Sam+$g
(. Tsaa$g g#+at
C. A4ap#!4
,. Lag#$&i
A$s*er- ,/ Lag#$&i
Sam+$g is #se& as a &i#retic.
Tsaa$g g#+at is #se& t re!ie'e
&iarrhea. A4ap#!4 is #se& "r
its a$ti"#$ga! prperty.
;
,. 3resi&e$tia! ,ecree DD;5 states that a$y
+irth atte$&a$t may sig$ the
certi"icate " !i'e +irth.
>D. ree&m " chice is $e "
the p!icies " the ami!y
3!a$$i$g 3rgram " the
3hi!ippi$es. Which " the
"!!*i$g i!!#strates this
pri$cip!e%
A. I$"rmati$ &issemi$ati$
a+#t the $ee& "r "ami!yp!a$$i$g
(. S#pprt " research a$&
&e'e!pme$t i$ "ami!y p!a$$i$g
meth&s
C. A&e6#ate i$"rmati$ "r
c#p!es regar&i$g the &i""ere$t
meth&s
,. E$c#rageme$t " c#p!es t
ta4e "ami!y p!a$$i$g as a 8i$t
resp$si+i!ity
A$s*er- C/ A&e6#ate
i$"rmati$ "r c#p!es
regar&i$g the &i""ere$t meth&sT e$a+!e the c#p!e t chse
"ree!y am$g &i""ere$t meth&s
" "ami!y p!a$$i$g) they m#st +e
gi'e$ "#!! i$"rmati$ regar&i$g
the &i""ere$t meth&s that are
a'ai!a+!e t them) c$si&eri$g
the a'ai!a+i!ity " 6#a!ity
ser'ices that ca$ s#pprt their
chice.
@:. A *ma$) < m$ths
preg$a$t) came t the ce$ter
"r c$s#!tati$. Which " the
"!!*i$g s#+sta$ces is
c$trai$&icate&%
A. Teta$#s t2i&
(. Reti$! 0::)::: IU
C. err#s s#!"ate 0:: mg
,. 3tassi#m i&ate 0:: mg.
caps#!e
A$s*er- (/ Reti$! 0::)::: IU
Reti$! 0::)::: IU is a "rm "
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mega&se Fitami$ A. This may
ha'e a teratge$ic e""ect.
@1. ,#ri$g pre$ata!
c$s#!tati$) a c!ie$t as4e& y#
i" she ca$ ha'e her &e!i'ery at
hme. A"ter histry ta4i$g a$&
physica! e2ami$ati$) y#
a&'ise& her agai$st a hme
&e!i'ery. Which " the "!!*i$g
"i$&i$gs &is6#a!i"ies her "r a
hme &e!i'ery%
A. Her O( scre is G;35.
(. She has sme pa!mar pa!!r.
C. Her +!& press#re is
15:@:.
,. Her +a+y is i$ cepha!ic
prese$tati$.
A$s*er- A/ Her O( scre is
G;35.
O$!y *me$ *ith !ess tha$ ;preg$a$cies are 6#a!i"ie& "r a
hme &e!i'ery. It is a!s
a&'isa+!e "r a primigra'i&a t
ha'e &e!i'ery at a chi!&+irth
"aci!ity.
@0. I$a&e6#ate i$ta4e +y the
preg$a$t *ma$ " *hich
'itami$ may ca#se $e#ra! t#+e
&e"ects%
A. Niaci$
(. Ri+"!a'i$
C. !ic aci&
,. Thiami$e
A$s*er- C/ !ic aci&
It is estimate& that the
i$ci&e$ce " $e#ra! t#+e &e"ects
ca$ +e rece& &rastica!!y i"
preg$a$t *me$ ha'e a$
a&e6#ate i$ta4e " "!ic aci&.
@5. Y# are i$ a c!ie$t=s hme t
atte$& t a &e!i'ery. Which "
the "!!*i$g *i!! y# & "irst%
A. Set #p the steri!e area.
(. 3#t $ a c!ea$ g*$ r
apr$.
C. C!ea$se the c!ie$t=s '#!'a
*ith sap a$& *ater.
,. Nte the i$ter'a!) rati$
a$& i$te$sity " !a+r
c$tracti$s.
A$s*er- ,/ Nte the i$ter'a!)
rati$ a$& i$te$sity " !a+r
c$tracti$s.
Assessme$t " the *ma$
sh#!& +e &$e "irst t
&etermi$e *hether she is
ha'i$g tr#e !a+r a$&) i" s)
*hat stage " !a+r she is i$.
@9. I$ prepari$g a primigra'i&a
"r +reast"ee&i$g) *hich " the
"!!*i$g *i!! y# &%
A. Te!! her that !actati$ +egi$s
*ithi$ a &ay a"ter &e!i'ery.
(. Teach her $ipp!e stretchi$g
e2ercises i" her $ipp!es are
e'erte&.
C. I$str#ct her t *ash her
$ipp!es +e"re a$& a"ter each
+reast"ee&i$g.
,. E2p!ai$ t her that p#tti$g
the +a+y t +reast *i!! !esse$
+!& !ss a"ter &e!i'ery.
A$s*er- ,/ E2p!ai$ t her that
p#tti$g the +a+y t +reast *i!!
!esse$ +!& !ss a"ter &e!i'ery.S#c4!i$g " the $ipp!e stim#!ates
the re!ease " 2ytci$ +y the
psterir pit#itary g!a$&) *hich
ca#ses #teri$e c$tracti$.
Lactati$ +egi$s 1 t 5 &ays
a"ter &e!i'ery. Nipp!e stretchi$g
e2ercises are &$e *he$ the
$ipp!es are "!at r i$'erte&.
re6#e$t *ashi$g &ries #p the
$ipp!es) ma4i$g them pr$e t
the "rmati$ " "iss#res.
@;. A primigra'i&a is i$str#cte&
t ""er her +reast t the +a+y
"r the "irst time *ithi$ 5:mi$#tes a"ter &e!i'ery. What is
the p#rpse " ""eri$g the
+reast this ear!y%
A. T i$itiate the cc#rre$ce "
mi!4 !et&*$
(. T stim#!ate mi!4 prcti$
+y the mammary aci$i
C. T ma4e s#re that the +a+y
is a+!e t get the c!str#m
,. T a!!* the *ma$ t
practice +reast"ee&i$g i$ the
prese$ce " the hea!th *r4er
A$s*er- (/ T stim#!ate mi!4
prcti$ +y the mammary
aci$i
S#c4!i$g " the $ipp!e stim#!ates
pr!acti$ re"!e2 the re!ease "
pr!acti$ +y the a$terir
pit#itary g!a$&/) *hich i$itiates
!actati$.
@. Y# e2p!ai$ t a
+reast"ee&i$g mther that
+reast mi!4 is s#""icie$t "r a!! "
the +a+y=s $#trie$t $ee&s $!y
#p t .
A. 5 m$ths
(. < m$ths
C. 1 year
,. 0 years
A$s*er- (/ < m$ths
A"ter < m$ths) the +a+y=s$#trie$t $ee&s) especia!!y the
+a+y=s ir$ re6#ireme$t) ca$ $
!$ger +e pr'i&e& +y mther=s
mi!4 a!$e.
@@. What is gi'e$ t a *ma$
*ithi$ a m$th a"ter the
&e!i'ery " a +a+y%
A. Ma!#$ggay caps#!e
(. err#s s#!"ate 1:: mg. O,
C. Reti$! 0::)::: I.U.) 1
caps#!e
,. 3tassi#m i&ate 0:: mg) 1
caps#!e
A$s*er- C/ Reti$! 0::):::
I.U.) 1 caps#!e
A caps#!e " Reti$! 0::)::: IU
is gi'e$ *ithi$ 1 m$th a"ter
&e!i'ery. 3tassi#m i&ate is
gi'e$ ri$g preg$a$cy
ma!#$ggay caps#!e is $t
r#ti$e!y a&mi$istere& a"ter
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&e!i'ery a$& "err#s s#!"ate is
ta4e$ "r t* m$ths a"ter
&e!i'ery.
@D. Which +i!gica! #se& i$
E2pa$&e& 3rgram $
Imm#$i7ati$ E3I/ is stre& i$
the "ree7er%
A. ,3T
(. Teta$#s t2i&
C. Meas!es 'acci$e
,. Hepatitis ( 'acci$e
A$s*er- C/ Meas!es 'acci$e
Am$g the +i!gica!s #se& i$
the E2pa$&e& 3rgram $
Imm#$i7ati$) meas!es 'acci$e
a$& O3F are high!y se$siti'e t
heat) re6#iri$g strage i$ the
"ree7er.
D:. U$#se& (CG sh#!& +e
&iscar&e& h* ma$y h#rs a"terrec$stit#ti$%
A. 0
(. 9
C.