57073467 community health nursing

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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.

    1

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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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    10/18

    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

  • 8/13/2019 57073467 Community Health Nursing

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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.