NURSING CARE OF THE CHILDBEARING
FAMILY REVIEW EXAM 5 2026 TEST PAPER
SOLVED QUESTIONS AND SOLUTIONS
◉ impetigo contagiosa. Answer: -Bacterial skin infection
-Organism: Staphylococci
-Manifestations:
•Begins as a reddish macule: vesicular
•Ruptures easily
•Exudate dries to form heavy, honey-colored crusts
•Pruritus is common
-Very contagious: kids can't go back to school until disorder is
treated with antibiotics and cured
-Management:
•Topical bactericidal ointment, mupirocin (Bactroban) or triple
antibiotic ointment
•Oral or parenteral antibiotics for severe or extensive lesions
•Penicillin is used
,•Vancomycin for lesions due to MRSA
•Tends to heal without scarring
◉ cellulitis. Answer: -Bacterial skin infection
-Organism: streptococci, staphylococci, Haemophilus influenza
-Manifestations:
•Inflammation of the skin and subcutaneous tissues
•Intense redness, swelling, firm infiltration
•"Streaking" often seen
•Involvement of the reginal lymph nodes
•May progress to abscess formation
•Systemic effects: fever, malaise
-Management:
•Oral or parenteral antibiotics
•Rest and immobilization of both affected area and the child
•Hospitalization may be required for children with systemic
symptoms
◉ pediculosis capitis (lice). Answer: -Organism: Pediculus humanus
capitis
,-Louse:
•A blood-sucking organism
•Female lays eggs (nits) at night at the junction of the hair shaft and
close to the skin - hatch in 7-10 days
-Causes a lot of embarrassment for the child and their parent
-The nurse should emphasize that anyone can get lice; it has no
respect for age, socioeconomic level or cleanliness
-The eggs are close to the skin because they need a warm
environment
-Nits are tiny whitish oval specks that adhere to the hair shaft.
-Can also be seen in the eyebrows and eyelashes
-Manifestations:
•Itching
•Common sites - occipital area, behind the ears, nape of the neck
-Therapeutic Management:
•Application of pediculicides: permethrin 1% cream rinse (Nix);
second treatment 7-10 after first treatment
•Manual removal of nits: daily removal with a specialized comb
•Lice do not fly or jump, but can be transmitted from one person to
another on personal item
, •Children are cautioned against sharing combs, hair ornaments,
hats, caps, scarves, coats, or other items used on or near the hair
◉ hepatitis A virus (HepA) vaccine. Answer: -Significant child health
problem:
•Fecal-oral route
•Person-to-person contact
•Ingested contaminated food or water
-Daycare, diaper changes, handwashing: disinfect surface after
changing each infant
-Children in close proximity
-Two doses: 1 year old and 6 months after first dose
◉ immunizations. Answer: -Also called vaccinations
-Vaccination is the administration of a small amount of antigen,
which is capable of stimulating an immune response but does not
typically produce the disease.
-Traditional: inactivated (killed) microorganism
-Attenuated: live, weakened (attenuated) microorganism
-Toxoids: inactivated toxins stimulate formation of antitoxins that
produce active immunity (tetanus toxoid)
FAMILY REVIEW EXAM 5 2026 TEST PAPER
SOLVED QUESTIONS AND SOLUTIONS
◉ impetigo contagiosa. Answer: -Bacterial skin infection
-Organism: Staphylococci
-Manifestations:
•Begins as a reddish macule: vesicular
•Ruptures easily
•Exudate dries to form heavy, honey-colored crusts
•Pruritus is common
-Very contagious: kids can't go back to school until disorder is
treated with antibiotics and cured
-Management:
•Topical bactericidal ointment, mupirocin (Bactroban) or triple
antibiotic ointment
•Oral or parenteral antibiotics for severe or extensive lesions
•Penicillin is used
,•Vancomycin for lesions due to MRSA
•Tends to heal without scarring
◉ cellulitis. Answer: -Bacterial skin infection
-Organism: streptococci, staphylococci, Haemophilus influenza
-Manifestations:
•Inflammation of the skin and subcutaneous tissues
•Intense redness, swelling, firm infiltration
•"Streaking" often seen
•Involvement of the reginal lymph nodes
•May progress to abscess formation
•Systemic effects: fever, malaise
-Management:
•Oral or parenteral antibiotics
•Rest and immobilization of both affected area and the child
•Hospitalization may be required for children with systemic
symptoms
◉ pediculosis capitis (lice). Answer: -Organism: Pediculus humanus
capitis
,-Louse:
•A blood-sucking organism
•Female lays eggs (nits) at night at the junction of the hair shaft and
close to the skin - hatch in 7-10 days
-Causes a lot of embarrassment for the child and their parent
-The nurse should emphasize that anyone can get lice; it has no
respect for age, socioeconomic level or cleanliness
-The eggs are close to the skin because they need a warm
environment
-Nits are tiny whitish oval specks that adhere to the hair shaft.
-Can also be seen in the eyebrows and eyelashes
-Manifestations:
•Itching
•Common sites - occipital area, behind the ears, nape of the neck
-Therapeutic Management:
•Application of pediculicides: permethrin 1% cream rinse (Nix);
second treatment 7-10 after first treatment
•Manual removal of nits: daily removal with a specialized comb
•Lice do not fly or jump, but can be transmitted from one person to
another on personal item
, •Children are cautioned against sharing combs, hair ornaments,
hats, caps, scarves, coats, or other items used on or near the hair
◉ hepatitis A virus (HepA) vaccine. Answer: -Significant child health
problem:
•Fecal-oral route
•Person-to-person contact
•Ingested contaminated food or water
-Daycare, diaper changes, handwashing: disinfect surface after
changing each infant
-Children in close proximity
-Two doses: 1 year old and 6 months after first dose
◉ immunizations. Answer: -Also called vaccinations
-Vaccination is the administration of a small amount of antigen,
which is capable of stimulating an immune response but does not
typically produce the disease.
-Traditional: inactivated (killed) microorganism
-Attenuated: live, weakened (attenuated) microorganism
-Toxoids: inactivated toxins stimulate formation of antitoxins that
produce active immunity (tetanus toxoid)
