Close door material

Septic tank/toilet

25 m away from water source.

Dengue - Vector-borne

Aedes mosquito

Varicella/Chickenpox

Airborne + Contact

In cigarette/smoking packs, where should the graphic health warning be placed

Lower 50% of both the front and back panels of the cigarette/tobacco package. (RA 10643 Graphic Health Warnings Law)

Which is NOT a typical sign of the late/critical stage of dengue: gum bleeding, pallor, or sudden fever

Sudden fever

As a school nurse, what is the best dengue prevention/control intervention: clean-up drive, coordinate with local vector control, fogging, or search and destroy?

Search and destroy mosquito breeding sites.

In dengue, how many petechiae per 1 square inch indicate a positive tourniquet test?

$\ge10$ petechiae per 1 square inch.

dengue cases continue to rise despite control measures in the school, is it more likely due to students not wearing long clothing or dengue breeding sites outside the school

Dengue breeding sites outside the school.

If a child has a fever before a scheduled vaccination, should the nurse give antipyretics and administer the vaccine, or reschedule/refer?

Reschedule/refer if the child has a moderate or severe acute illness with fever

In IMCI, if the child is classified RED, should you refer immediately or give pre-referral treatment first?

Give the appropriate urgent pre-referral treatment FIRST, then refer URGENTLY.

A pregnant woman at 20 weeks' gestation is newly diagnosed with HIV. What should be prioritized: addressing her fear and anxiety or starting antiretroviral therapy (ART)?

Initiate antiretroviral therapy (ART) as soon as possible.

What is the main purpose of the PHN bag: to provide systematic family care or to organize nursing instruments for care?

To provide systematic family care.

Which is the best indicator of the overall health status of a community?

Infant Mortality Rate (IMR).

Which family activity contributes to global warming: using electric cars or burning leaves?

Burning leaves.

What anthropometric indicator is used for wasting and stunting in children?

Wasting Weight-for-Height (WFH); Stunting = Height-for-Age (HFA)

In COPAR Pre-Entry Phase, which comes first?

Site selection.

What is the main purpose of COPAR (Community Organizing Participatory Action Research)?

Community empowerment and self-reliance.

At what age is the first dose of DPT-containing vaccine given?

$1\frac{1}{2}$ months (6 weeks old).

What health teaching should be given to a family using a pit latrine ?

Advise them to cover the pit latrine and maintain proper sanitation.

What test is used to detect sugar (glucose/reducing sugar) in urine?

Benedict's test.

What is the sustenance/sustenance phase of COPAR?

The community organization independently maintains and continues its programs and activities.

What are health threats, health deficits, and foreseeable crises?

They are categories of family nursing problems identified during family health assessment.

What is the preferred IM injection site: vastus lateralis or deltoid?

It depends on age. For infants, choose the vastus lateralis; for older children/adults, the deltoid is generally preferred for vaccines.

What is the confirmatory/definitive test for prostate cancer?

Prostate biopsy with histopathologic examination.

What is the diagnostic/screening test for prostate cancer?

PSA (Prostate-Specific Antigen) blood test

At what age should prostate cancer screening begin?

Generally, discuss PSA screening at age 50 for average-risk men; earlier (around 45) for higher-risk men.

At what age should a woman begin routine mammography screening?

Age 40 years

When is the best time to perform Breast Self-Examination (BSE)?

About 5-7 days after the start of menstruation, when the breasts are least swollen and tender. For postmenopausal women, choose the same date each month.

After mastectomy, should the affected arm/hand be elevated above the elbow?

Yes. Elevate the affected arm with the hand higher than the elbow and the elbow higher than the shoulder

What is the proper position of a patient during thoracentesis?

Sitting upright and leaning forward over a bedside table with the arms supported. If the patient cannot sit, a side-lying position on the unaffected side may be used, depending on the clinical situation and procedural guidance.

What type of precaution is required for meningococcemia/meningococcal disease?

Droplet Precautions + Standard Precautions. Maintain Droplet Precautions until 24 hours after effective antibiotic therapy has begun. CDC Meningococcal Infection Control

What is the priority intervention for suspected meningococcemia?

Prompt administration of appropriate IV antibiotics after immediate assessment/stabilization; do not delay treatment. Meningococcemia can rapidly progress to septic shock and death. Close contacts also require antibiotic chemoprophylaxis.

What age groups are most at risk for meningococcal disease?

Infants, adolescents/young adults, and older adults. The highest incidence occurs in infants younger than 1 year, with another increased-risk period among adolescents and young adults (approximately 16-23 years).

What are the major complications of meningococcemia?

Septic shock, disseminated intravascular coagulation (DIC), multiorgan failure, meningitis, adrenal hemorrhage/Waterhouse-Friderichsen syndrome, limb ischemia that may require amputation, and death.

What type of rash is characteristic of meningococcemia ?

Petechial or purpuric, non-blanching rash. It may begin as small petechiae and rapidly progress to larger purpuric/ecchymotic lesions (purpura fulminans) due to vascular injury and DIC.

Why is a follow-up chest X-ray needed after thoracentesis?

To detect complications, particularly pneumothorax.

Is the treatment for urolithiasis using shock waves invasive or non-invasive?

Non-invasive if the procedure described is Extracorporeal Shock Wave Lithotripsy (ESWL).

What can a 1-month-old baby normally do?

Briefly $lift/turn$ the head when prone, move the extremities symmetrically, bring hands near the face, briefly fix/follow a face or object, respond/startle to sound, and regard faces.

How can lymphedema be prevented after mastectomy/axillary surgery?

Protect the affected arm from injury and constriction and maintain appropriate arm/shoulder activity.

What is contraindicated in a pregnant woman in the 3rd trimester with DVT?

Massaging the affected leg is contraindicated.

A parent is concerned that her child's height or weight seems delayed. What is the best response?

Assess and plot the child's height and weight on the appropriate growth chart and evaluate the growth trend over time.

If a child is suspected of having stunted growth, what is the best action?

Perform a comprehensive nutritional and health assessment and refer for further evaluation as indicated.

What most commonly influences an adolescent's behavior, such as starting smoking?

Peer influence/peer pressure.

What is the recommended umbilical cord care?

Keep the umbilical cord clean and dry (dry cord care).

Which is NOT high in iron: beans and peas, citrus fruits, or steak?

Citrus fruits.

Can IM Depo-Provera (DMPA) be given to a breastfeeding mother?

Yes. Progestin-only injectable contraception is generally compatible with breastfeeding.

What is the first intervention for late fetal heart rate decelerations:

Reposition the mother to a lateral/side-lying position, preferably left lateral. This improves uteroplacental perfusion

What position should be used for supine hypotensive syndrome during pregnancy?

Left side-lying (left lateral) position. This relieves compression of the inferior vena cava by the gravid uterus and improves venous return.

Green-stained amniotic fluid with fetal heart rate of 180 bpm indicates?

Fetal compromise/hypoxia should be strongly suspected. Green-stained fluid indicates meconium, and when accompanied by fetal tachycardia (180 bpm), it requires prompt fetal assessment

Is sexual intercourse restricted or normal at 16 weeks AOG?

Generally normal and safe in an uncomplicated pregnancy.

A pregnant couple reports sexual dissatisfaction. What is the appropriate nursing diagnosis?

Sexual Dysfunction (or Ineffective Sexuality Pattern

What is the best expected outcome after nursing intervention for a pregnant couple experiencing sexual dissatisfaction?

The couple will verbalize understanding of normal sexual changes during pregnancy and identify mutually satisfying, safe ways of expressing sexuality and intimacy.

A 9-month-old infant is not yet crawling. Is this normal or delayed development?

It can still be normal. Crawling is variable and is not a required CDC developmental milestone; some infants skip crawling altogether. At 9 months, more important motor milestones include getting to a sitting position and sitting without support.

At 2 years old, which is an expected developmental milestone

Saying at least two words together (two-word phrases).

What type of lochia is expected 2 days after delivery?

Lochia rubra.

What is the appropriate treatment/health teaching for an adolescent with acne?

Gentle cleansing and appropriate topical acne treatment; avoid squeezing/picking the lesions.

Gentle cleansing and appropriate topical acne treatment; avoid squeezing/picking the lesions.

Dysmenorrhea (painful menstruation) is the classic symptom. Other common manifestations include chronic pelvic pain, dyspareunia (pain during intercourse), pain with bowel movements or urination during menstruation, heavy menstrual bleeding, and infertility.

For sore nipples during breastfeeding?

Air-dry the nipples after feeding and, most importantly, correct the baby's latch and positioning.

When the fetal head changes shape as it passes through the maternal pelvis?

Molding.

How do you determine whether a child has a developmental delay or normal developmental progress?

Compare the child's developmental milestones with age-appropriate standards using developmental surveillance/screening. Consider all domains-gross motor, fine motor, language, cognitive, and social/adaptive development-rather than relying on a single milestone.

What are important health teachings/interventions for sickle cell disease?

Maintain adequate hydration and avoid factors that can precipitate a sickling crisis

What health teaching should be given to a pregnant woman with iron-deficiency anemia?

Take prescribed iron and increase iron-rich foods, preferably with vitamin C to enhance absorption.

What is the priority during the active phase of the first stage of labor?

Monitor maternal and fetal well-being and labor progress. Assess FHR, contractions (frequency, duration, intensity), cervical dilation/progress, maternal vital signs, pain, and coping. If the question asks specifically for the priority assessment, fetal status/FHR generally takes priority when fetal compromise is a concern.

During the second stage of labor, what is the priority assessment?

Fetal heart rate (FHR/FHT). The second stage extends from complete cervical dilation to birth. Because fetal oxygenation can be affected during contractions and pushing, frequent fetal heart rate assessment is a priority.

What are the classic signs of Wilms tumor (nephroblastoma)?

A painless, firm abdominal mass is the classic finding. Other manifestations include abdominal swelling/pain, hematuria, hypertension, fever, and anemia.

What is the most important health teaching when Wilms tumor is suspected?

DO NOT PALPATE THE ABDOMEN.

What is the treatment for Wilms tumor?

Nephrectomy plus chemotherapy, with radiation therapy in selected cases depending on stage and histology.

What should the nurse do if wound evisceration occurs?

Cover the protruding organs immediately with sterile gauze/dressings moistened with sterile normal saline and notify the surgeon/healthcare provider immediately.

What is the position for a liver biopsy, and what position is used after the procedure?

During biopsy: supine or slightly turned to the left, depending on the approach. After biopsy: RIGHT side-lying.

What position should be used for a patient in shock?

Supine with the legs elevated, if not contraindicated.

Where is the liver located?

Primarily in the right upper quadrant (RUQ) of the abdomen, beneath the diaphragm.

What is the difference between peritoneal dialysis (PD) and hemodialysis (HD)?

PD uses the patient's peritoneal membrane as the filter; HD uses an external dialyzer/artificial membrane.

In COPAR the Research tools and methodologies are identified and developed by the?

Community

In COPAR conclusions and recommendations are made by the:

people of the community

COPAR description is:

Community driven process

Why turn over in COPAR or ending it is important:

to prevent dependency and promote self-reliance.

Delegation by the Nurse to experienced nurse attendant

Removing of nasogastric tube

Chickenpox rash often starts on the:

chest, back, and face before spreading to other parts of the body

Chicken pox what to teach to mother of child:

oral care

CABG anesthesia:

General

Location of pain in appendicitis:

Right lower quadrant

HIV is increasing in case in 2022-2023 is:

Epidemic

Zero hunger in SDG:

SDG 2

Use of herbal medicine in community, what PHC principle:

Acceptability

Death related to use of alcohol, smoking and vaping in Philippines yearly is:

115,000

Nurse and population standard ratio in the community

10,000

Study of Birth, Death, Illnesses, marriage and divorce:

Vital Statistics st thing to do in family visit: greet and state the purpose of the visit

1st thing to do in family visit:

greet and state the purpose of the visit

Cleft palate repair:

6 to 8 months

What pain is typically associated with Pelvic Inflammatory Disease (PID)?

Lower abdominal/pelvic pain, often bilateral.

What is the major complication/infection concern with peritoneal dialysis (PD)?

Peritonitis.Classic clues include cloudy dialysate effluent, abdominal pain/tenderness, and possibly fever.

What is an important nursing consideration for hemodialysis (HD)?

Protect the AV fistula/graft and assess its patency.Check for thrill and bruit. Do NOT take BP, perform venipuncture, or place constrictive clothing on the access arm. Monitor for hypotension, bleeding, electrolyte abnormalities, and disequilibrium syndrome.

What is the main postoperative goal after an amputation?

Promote healing while preserving maximum function and mobility for rehabilitation/prosthetic use.

What is an important collaborative intervention after amputation?

Early multidisciplinary rehabilitation, particularly collaboration with physical and occupational therapy and the prosthetic team.

What is the concern with Noni juice in a patient with Chronic Kidney Disease (CKD)?

Avoid/use with caution because noni juice can contain a high amount of potassium.

What is the first-line drug for an anaphylactic reaction?

Epinephrine (adrenaline), given IM.

Water-borne disease:

Cholera

Mode of transmission of typhoid fever

Water

COPAR final step:

ask permission from the head of the barangay

Proper bathing of the baby

eyes and face before the extremities