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COMMUNITY HEALTH NURSING145 QUESTIONS AND ANSWERS VERIFIED RATIONALE WITH

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COMMUNITY HEALTH NURSING145
QUESTIONS AND ANSWERS VERIFIED
RATIONALE WITH PROVEN 100% COMPLETE
GRADED A+
Zooprophylaxis is done by putting animals like cattle or dogs close to windows or doorways just
before nightfall. The Anopheles mosquito takes his blood meal from the animal and goes back to
its breeding place, thereby preventing infection of humans.
Yang is the male dominating, positive and masculine force.
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.
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.
Waterworks systems, such as MWSS, are classified as level III.
Viral conjunctivitis is transmitted by direct or indirect contact with discharges from infected
eyes. Acute poliomyelitis is spread through the fecal-oral route and contact with throat
secretions, whereas diphtheria is through direct and indirect contact with respiratory secretions.
Using the assessment guidelines of IMCI, a child (2 months to 5 years old) with diarrhea is
classified as having SOME DEHYDRATION if he shows 2 or more of the following signs:
restless or irritable, sunken eyes, the skin goes back slow after a skin pinch.
To estimate the number of pregnant women, multiply the total population by 3.5%.
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.
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.
This is diagnostic and therefore secondary level prevention. The other choices are for primary
prevention.
There is no known treatment for AIDS. Antiretroviral agents reduce the risk of opportunistic
infections and prolong life, but does not cure the underlying immunodeficiency
The purpose of isolating a client with a communicable disease is to protect those who are not
sick (specific disease prevention).
The ova of the parasite get out of the human body together with feces. Cutting the cycle at this
stage is the most effective way of preventing the spread of the disease to susceptible hosts.
The other method of population assignment, de jure, is based on the usual place of residence of
the people.
The order of priority in the management of severe dehydration is as follows: intravenous fluid
therapy, referral to a facility where IV fluids can be initiated within 30 minutes,
Oresol/nasogastric tube, Oresol/orem. When the foregoing measures are not possible or effective,
tehn urgent referral to the hospital is done.
The nurse provides technical guidance to the midwife in the care of clients, particularly in the
implementation of management guidelines, as in Integrated Management of Childhood Illness.
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.

,COMMUNITY HEALTH NURSING145
QUESTIONS AND ANSWERS VERIFIED
RATIONALE WITH PROVEN 100% COMPLETE
GRADED A+
The local executive serves as the chairman of the Municipal Health Board.
The lesion of leprosy is not macular. It is characterized by a change in skin color (either reddish
or whitish) and loss of sensation, sweating and hair growth over the lesion. Inability to close the
eyelids (lagophthalmos) and sinking of the nosebridge are late symptoms.
The last documented case of Smallpox was in 1977 at Somalia.
The ideal birth spacing is at least two years. 15 months plus 9 months of pregnancy = 2 years.
The home visit plan should be flexible and practical, depending on factors, such as the family's
needs and the resources available to the nurse and the family.
The etiologic agent of schistosomiasis in the Philippines is Schistosoma japonicum, which
affects the small intestine and the liver. Liver damage is a consequence of fibrotic reactions to
schistosoma eggs in the liver.
The entry of a person into the health care delivery system is usually through a consultation in
out-patient services.
The earliest sign of Vitamin A deficiency (xerophthalmia) is night blindness. However, this is a
functional change, which is not observable during physical examination. The earliest visible
lesion is conjunctival xerosis or dullness of the conjunctiva due to inadequate tear production.
The community health nurse develops the health capability of people through health education
and community organizing activities.
The catchment area in PHN consists of a residential community, many of whom are well
individuals who have greater need for preventive rather than curative services.
The baby will have passive natural immunity by placental transfer of antibodies. The mother will
have active artificial immunity lasting for about 10 years. 5 doses will give the mother lifetime
protection.
The anatomic characteristics of the palms allow a reliable and convenient basis for examination
for pallor.
Tertiary prevention involves rehabilitation, prevention of permanent disability and disability
limitation appropriate for convalescents, the disabled, complicated cases and the terminally ill
(those in the terminal stage of a disease)
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.
Swaroop's index is the percentage of the deaths aged 50 years or older. Its inverse represents the
percentage of untimely deaths (those who died younger than 50 years).
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.
Suckling of the nipple stimulates prolactin reflex (the release of prolactin by the anterior pituitary
gland), which initiates lactation.
Streptococcus pneumoniae and Neisseria meningitidis may cause meningitis, but age distribution
is not specific in young children.

,COMMUNITY HEALTH NURSING145
QUESTIONS AND ANSWERS VERIFIED
RATIONALE WITH PROVEN 100% COMPLETE
GRADED A+
Stream seeding is done by putting tilapia fry in streams or other bodies of water identified as
breeding places of the Anopheles mosquito.
SOL'N:
SOL'N:
SOL'N:
Since the child does not manifest any other danger sign, maintenance of fluid balance and
replacement of fluid loss may be done by giving the client Oresol
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.
Sexual fidelity rules out the possibility of getting the disease by sexual contact with another
infected person. Transmission occurs mostly through sexual intercourse and exposure to blood or
tissues.
Sex ratio is the number of males for every 100 females in the population.
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.
Severe pneumonia requires urgent referral to a hospital. Answers A, C and D are done for a
client classified as having pneumonia.
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.
Sensitivity is the capacity of a diagnostic examination to detect cases of the disease. If a test is
100% sensitive, all the cases tested will have a positive result, i.e., there will be no false negative
results.
Seizures within 3 days after administration of DPT is an indication of hypersensitivity to
pertussis vaccine, a component of DPT. This is considered a specific contraindication to
subsequent doses of DPT.
Sambong is used as a diuretic. Tsaang gubat is used to relieve diarrhea. Akapulko is used for its
antifungal property.
S.. mansoni is found mostly in Africa and South America; S. haematobium in Africa and the
Middle East; and S. malayensis only in peninsular Malaysia.
Rubella vaccine is made up of attenuated German measles viruses. This is contraindicated in
pregnancy. Immune globulin, a specific prophylactic against German measles, may be given to
pregnant women.
Retinol 200,000 IU is a form of megadose Vitamin A. This may have a teratogenic effect.
Regional hospitals are tertiary facilities because they serve as training hospitals for the region.
Random classroom inspection is assessment of pupils/students and teachers for signs of a health
problem prevalent in the community.
R.A. 8976 mandates fortification of rice, wheat flour, sugar and cooking oil with Vitamin A, iron
and/or iodine.
R.A. 7160 devolved basic health services to local government units (LGU's). The public health
nurse is an employee of the LGU.

, COMMUNITY HEALTH NURSING145
QUESTIONS AND ANSWERS VERIFIED
RATIONALE WITH PROVEN 100% COMPLETE
GRADED A+
R.A. 3753 states that any birth attendant may sign the certificate of live birth.
Primary health care is essential health care that can be sustained in all stages of development of
the community.
Primary facilities government and non-government facilities that provide basic out-patient
services.
Presidential Proclamation No. 4 is on the Ligtas Tigdas Program.
Presidential Decree 996, enacted in 1976, made immunization in the EPI compulsory for
children under 8 years of age. Hepatitis B vaccination was made compulsory for the same age
group by R.A. 7846.
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.
Preschoolers are given Retinol 200,000 IU every 6 months. 100,000 IU is given once to infants
aged 6 to 12 months. The dose for pregnant women is 10,000 IU.
POPULATION x 0.3=45
Pinworm ova are deposited around the anal orifice.
People empowerment is the basic motivation behind devolution of basic services to LGU's.
Passage of profuse watery stools is the major symptom of cholera. Both amebic and bacillary
dysentery are characterized by the presence of blood and/or mucus in the stools. Giardiasis is
characterized by fat malabsorption and, therefore, steatorrhea.
Participation in community activities in resolving a community problem may be in any of the
processes mentioned in the other choices.
P.D. 651 amended R.A. 3753, requiring the registry of births within 30 days from their
occurrence.
Ordinarily, measles vaccine is given at 9 months of age. During an impending epidemic,
however, one dose may be given to babies aged 6 to 8 months. The mother is instructed that the
baby needs another dose when the baby is 9 months old.
Operation Timbang is done to identify members of the susceptible population who are
malnourished. Its purpose is early diagnosis and, subsequently, prompt treatment.
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.
Natality means birth. A natality rate is a birth rate.
Morbillivirus is the etiology of measles.
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.
Letter of Instruction 949 was issued by then President Ferdinand Marcos, directing the formerly
called Ministry of Health, now the Department of Health, to utilize Primary Health Care
approach in planning and implementing health programs.
Leptospirosis is transmitted through contact with the skin or mucous membrane with water or
moist soil contaminated with urine of infected animals, like rats.
Koplik's spot may be seen on the mucosa of the mouth or the throat.

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