PNLE CHN Exam Latest Version 2024/2025 Expert-Verified Q&As

1. A 1 ½ year old child was classified as having 3rd degree protein energy malnutrition, kwashiorkor. Which of the following signs will be most apparent in this child? A. Voracious appetite B. Wasting C. Apathy D. Edema Answer: (D) Edema Edema, a major sign of kwashiorkor, is caused by decreased colloidal osmotic pressure of the blood brought about by hypoalbuminemia. Decreased blood albumin level is due a protein-deficient diet. We have an expert-written solution to this problem! 1. A 2-month old infant was brought to the health center for immunization. During assessment, the infant's temperature registered at 38.1°C. Which is the best course of action that you will take? A. Go on with the infant's immunizations. B. Give Paracetamol and wait for his fever to subside. C. Refer the infant to the physician for further assessment. D. Advise the infant's mother to bring him back for immunization when he is well. Answer: (A) Go on with the infant's immunizations. In the EPI, fever up to 38.5°C is not a contraindication to immunization. Mild acute respiratory tract infection, simple diarrhea and malnutrition are not contraindications either. We have an expert-written solution to this problem! 1. A 4-month old infant was brought to the health center because of cough. Her respiratory rate is 42/minute. Using the Integrated Management of Child Illness (IMCI) guidelines of assessment, her breathing is considered A. Fast