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SITUATION: Two children were brought to you. One with chest indrawing and the other had diarrhea. 1. Using the integrated Management of Childhood illness approach, how would you classify the 1st child? a. b. c. d. Bronchopneumonia No pneumonia cough or colds Sever pneumonia Pneumonia

2. The 1st child who is 13 months has fast breathing. Using IMCI parameters he has: a. b. c. d. 40 breaths per minute or more 50 breaths per minute or more 30 breaths per minute or more 60 breaths per minute or more

3. Nene the second child has diarrhea for 5 days. There is no blood in the stool. She is irritable and her eyes are sunken. The nurse offered fluids and the child drinks eagerly. How would you classify Nenes illness? a. b. c. d. Some dehydration Dysentery No dehydration Severe dehydration

4. Nenes treatment should include the following EXCEPT: a. Reassess the child and classify him for dehydration b. For infants under 6 months old who are not breastfed, give 100-200 ml of clean water as well during this period c. Give in the health center the recommended amount of ORS for 4 hours. d. Do not give any other foods to the child for home treatment 5. While on treatment, Nene 18 months old weighed 18 kg and her temperature registered at 370C. Her mother says she developed cough 3 days ago. Nene has no general danger signs. She has 45 breaths per minute, no chest indrawing, no stridor. How would you classify Nenes manifestations? a. No pneumonia b. Sever pneumonia c. Pneumonia d. Bronchopneumonia

SITUATION: Baby Gem, 3 months old, is brought to the health center for consultation because of fever and cough. You suspect that Baby Gem has a respiratory infection. 6. If you assess Baby Gem which of the following is/are important questions that you would ask her mother? a. b. c. d. Is Baby Gem feeding well? Is Baby Gem able to drink? Did Baby Gem had convulsions during the present illness? A and C only

7. It is important to assess Baby Gem breathing. You would know that she has fast breathing if her RR is: a. b. c. d. 40 breaths/min 60 breaths/min 65 breaths/min 50 breaths/min

8. Baby Gem has fast breathing. The nurse knows that this is a sign of a. b. c. d. No pneumonia Pneumonia Severe Pneumonia Very Severe Disease

9. Based on the IMCI protocol, Baby Gem belongs to what row? a. b. c. d. Pink Yellow Green Red

10. If baby Gem has stridor, what is the classification? a. b. c. d. No Pneumonia: Cough and Cold Pneumonia Very Severe Disease Severe Pneumonia

SITUATION: Bebe is 4 years old. She is lethargic. Her mother brought her to the health center because of diarrhea for 5 days. She does not have cough and fever. She does not have an ear problem. The nurse assesses Bebes diarrhea. Bebe is lethargic. She has sunken eyes. When the abdomen was pinched, it went back to its original state very slowly.

11. The nurse will classify Bebe as having: a. b. c. d. Diarrhea with some dehydration Dehydration with severe dehydration Severe persistent diarrhea Dysentery

12. What will the nurse do first? a. b. c. d. Refer Bebe urgently to a hospital Find out of IV therapy can be provided to Bebe Give Vitamin A Prevent lowering of blood sugar level

13. What treatment plan is appropriate for Bebe? a. b. c. d. Plan A Plan B Plan C Plan D

14. The nurse started an IV infusion. What IV solution is recommended? a. b. c. d. Plain Normal saline Normosol Ringers lactate solution Dextrose 5% in water

15. The nurse reassess Bebe after 1 hour. Skin pinch returns back very slowly. Bebe is no longer lethargic. What is the next thing that the nurse will do? a. b. c. d. Refer Bebe urgently to the hospital Give appropriate antibiotic Give IV drip more rapidly Give vitamin A

SITUATION: Cruzita, 2 years old was classified by Nurse Marimar as having Pneumonia, fever, not very low weight in her initial visit. 16. The nurse observes what sign that led to the classification of PNEUMONIA? a. Abnormally sleepy

b. Stridor c. Chest indrawing d. Fast breathing 17. Which of the following is the treatment for Cruzitas pneumonia? a. b. c. d. Refer urgently to a hospital Give amoxicillin Give cotrimoxazole Start IV therapy

18. Nurse Marimar teaches Cruzitas mother on how to give oral drugs at home. Which of the following must not be observed? a. b. c. d. Determine the appropriate drugs and dosage for the childs age and weight Tell the mother reason for giving the drug to the child Demonstrate how to measure a dose Instruct the mother to give the first dose at home

19. Does Cruzita live in a malaria-risk area? a. b. c. d. Yes No There is no data mentioned Probably

20. Cruzitas mother brought Cruzita after 5 days. She said that Cruzita still has cough and breathing is still fast. She said that Cruzita sometimes still feels hot. What will be Nurse Marimars next action? a. b. c. d. Refer to the hospital Continue antibiotic for 1 more week Add another antibiotic Change to second line antibiotic

SITUATION: Zorayda, 2 weeks old, was brought by her mother to the health clinic for check up. Her mother said that the umbilicus is infected. Jolina, the nurse at the clinic assessed her for possible serious bacterial infection. 21. What should Jolina asked first? a. b. c. d. Is the infant able to breastfeed? Has the infant had convulsions? Is there blood in the stool? For how long has the child had it?

22. The following are signs of a possible serious bacterial infection EXCEPT: a. b. c. d. grunting nasal flaring abnormal movement sunken fontanelle

23. Jolina looked at Zoraydas umbilicus. There was redness, there was pus draining from it. There was no redness noted in the surrounding skin. Jolina will classify Zorayda as having: a. b. c. d. Possible serious bacterial infection Local bacterial infection Very severe disease All of the above

24. What treatment will Jolina institute? a. b. c. d. Give first dose of intramuscular antibiotics; treat the infant to prevent lowering of blood sugar level; advise the mother on ho to keep the infant warm; urgent referral Give an appropriate oral antibiotic; treat the local infection in the health center and teach the mother how to treat local infections at home; advise the mother on home care; follow up in 2 days Give the first dose of an appropriate antibiotic; Give vitamin A; Treat the child to prevent lowering of blood sugar level; Refer the child urgently to the hospital Any of the above treatment is applicable

25. what is used to treat umbilical infection at home based on IMCI protocol? a. b. c. d. alcohol and hydrogen peroxide alcohol and tincture of iodine alcohol and gentian violet alcohol and povidone iodine

SITUATION: Jimboy, 9 months old was classified as: NO PNEUMONIA: COUGH AND COLDS FEVER: MALARIA UNLIKELY ACUTE EAR INFECTION VERY LOW WEIGHT FOR AGE 26. Does Jimboy live in malaria-infested area?

a. b. c. d.

yes no there is no data mentioned probably

27. Jimboys mother said that he was coughing for more than 30 days. What will the nurse advise her? a. b. c. d. Give antibiotics for two weeks Refer to a hospital for reassessment Advise her to buy a nebulizer Soothe the throat and relieve the cough with cough syrups

28. The nurse taught Jimboys mother to soothe the throat and relieve the cough with a safe remedy. Which of the following are safe remedies based on IMCI protocol? 1. 2. 3. 4. 5. 6. a. b. c. d. nasal decongestants breast milk SLK syrup Throat lozenges water and salt solution topical rubs 1, 2 and 3 2 and 3 1, 3 and 6 1, 4 and 6

29. What is the first line antibiotic for acute ear infection? a. b. c. d. amoxicillim cotrimoxazole nalidixic acid chloramphenicol

30. What is given if the weight is very low? a. b. c. d. Albendazole Iron Vitamin A Cotrimoxazole

Situation: Grendel, 16 months old was brought to the clinic by her grandmother. He was classified as:

NO PNEUMONIA: COUGH AND COLDS DIARRHEA WITH NO DEHYDRATION VERY LOW WEIGHT FOR AGE The nurse asked his grandmother some questions to assess his care for development. His grandmother says that his parents does not play with Grendel since they are both working. Grendels brother sometimes play with him. His grandmother said that she is too old to play with a child. She just takes care of Grendels feeding, dressing and grooming. The nurse asked the grandmother if she talks to grendel. The grandmother said I do not do much talking. 31. Does Grendel need a feeding assessment? a. b. c. d. Yes No Probably No data available

32. The nurse will identify what care for development problem? a. b. c. d. The child has no toys to play with The child is not responsding The grandmother does not know what the child does to play The child is being raised by someone other than the mother

33. What toys are recommended for Grendel? a. b. c. d. Safe household things to handle, bang and drop Story and coloring books Large colorful things for child to reach out Things to stack up, put into containers and take out

34. The nurse should advise the grandmother to: a. b. c. d. Teach Grendel stories, song and games Ask Grendel simple questions and respond to Grendels attempt to talk Respond to Grendels sound and interests All of the above

35. Which of the following is recommended for Grendels food and fluid intake? a. Taho, Boiled saba, banana, yellow camote, peanuts two times a day b. Lugaw with oil, mashed vegetables or beans, steamed tokwa, flaked fish 5 times a day if not breastfed.

c. Chicken, monggo, dilis, camote, potato, and other fruits and vegetables five times a day d. Do not give any other food or fluids except for breastmilk substitute SITUATION: Pumba, 12 months old, has no general danger signs. He was classified to have Diarrhea with some dehydration; persistent diarrhea; not very low weight for age; imm