TOPICS for NLE

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COMMUNITY HEALTH NURSING, IMCI, COMMUNICABLE DISEASE NURSING

QUESTIONS
ANSWERS
4 Non-Communicable Diseases (NCD)
1CVD (cardiovascular Diseases)
2COPD
3Cancer
4DM
NCD, risk factors
Physical inactivity
Unhealthy diet
Smoking
Basic Primary Health Care Team (under the Restructured
Physician
health Care Delivery System)
Public Health Nurse
Midwives
PHN monitors and supervise the performance of midwives Supervisor (role)
Community organizing ends when
The community is self-reliant
Team planning
Essential for the effectiveness and
efficiency of health services
Vaccines, most sensitive to heat
OPV and measles
Vaccines, least sensitive to heat
DPT, Hepa B, BCG, TT
Vaccine, toxoid
Diphtheria and Tetanus
Vaccine, killed bacteria
Pertusis
Vaccine, live attenuated
OPV
Vaccine, freeze dried
Measles and BCG
Overriding goal of DOH
Health Sector Reform
Framework of Health Reform Sector Program
FOURmula One for Health
Goals of FOURmula ONE for Health
1 better health outcomes
2 more responsive health systems
3 equitable health care financing
4 Elements of FOURmula One for Health
1 - Health financing
2 - Health regulation
3 - Health service delivery
4 - Good governance
4 cornerstones/ pillars in Primary Health Care (PHC)
1 active community participation
2 intra and inter sectoral linkages
3 use of appropriate technology
4 support mechanism made available
Elements/ components of PHC
1 environmental sanitation
2 control of communicable diseases
3 immunization
4 health education
5 MCH and Family planning
6 food and proper nutrition
7 provision medical care and emergency
treatment
8 treatment of locally endemic diseases
9 provision of essential drugs
RA 8976
Food fortification Law
RA 8191
National Diabetes Act
PD 651
Registration of birth within 30 days
RA 3573
Reporting of communicable diseases
RA 3753
Civil registry law
RA 7600
Breastfeeding and Rooming in act
RA 7610
Special Children Protection against child
abuse
RA 7160
Local Government Unit Code
Local Government Unit Code
Allocation of personnel, budget and
provide structures for cascading health
care delivery to all
Fast breathing, 2 months to 12 month
50 breaths per minute and above
Fast breathing, 12 months to 5 years
40 breaths per minute and above
General Danger signs
C - onvulsions
U - nable to drink
V - omits everything
A - bnormally sleepy
Main Symptoms
C - ough
D - iarrhea
F - ever
E - ar infection
Basic unit of care in CHN
Family
Role and function of DOH under EO 102
1 Leadership in Health
2 Enabler and Capacity Builder
3 Administrator of specific services
Supervisor of midwives
Public health nurse
NEW IMCI: If wheezing + Fast breathing OR
Bronchodilator
If wheezing + Chest indrawing
TOP TOPICS FOR NLE

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NEW IMCI: Dysentery

NEW IMCI: Pnemonia, acute ear infection, or very severe
disease
NEW IMCI: Cholera

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NEW IMCI: Malaria

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Strategies to address the nutritional problems of Filipinos

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1st LINE: Ciprofloxacin

1st LINE: Amoxicillin
2nd LINE: COTRIMOXAZOLE
1st LINE: Tetracycline
2nd LINE: Erythromycin
1st LINE: Artemeter - Lumefrantine
2nd LINE: Chloroquine, Primaquine,
Sulfadoxine, Pyrimethamine
A im for ideal body weight
B uild healthy nutrition-related practices
C hoose food wisely

MATERNAL CHILD HEALTH NURSING

QUESTIONS
ANSWERS
Positive signs of pregnancy
Fetal heart tone
Fetal outline
Fetal movement felt by the examiner
Age of viability
20 weeks
Weight of viability
500 gms
Positive pregnancy test
Probable sign
Hormonal Replacement therapy, expected effect
Decreases hot flashes
Hormonal Replacement therapy, adverse effect
Deep vein thrombosis (leg pain)
Hypertension
Intra-utrrine device, side effect
Pelvic Inflammatory Disease (PID)
Last menstrual period
First day of the mense
Diaphragm, correct health teaching
Insert 2 hours before sexual activity and
leave it in place for 6 hours after sex
Back ache in pregnant women, management
Pelvic rocking
Morning sickness in pregnant women, management
Offer dry crackers
Leg cramps, management
Dorsiflex the legs and offer high calcium
diet
TRUE labor
Contraction frequency and duration
increases and Interval decreases
Fundus at 20 weeks
Umbilical level
Earliest time fundus is palpable
12 weeks
H-mole
Increase HCG, nausea and vomiting
No FRT
Enlarging abdomen
3rd stage of labor (stage of Placental), first sign
Rise of fundus
3rd stage of labor (stage of Placental), best sign
Lengthening of the cord
3rd stage of labor, first nursing action
Check for completeness of the placental
cotyledons
Leopolds maneuver, 1st, purpose
to determine fetal part lying in the
fundus/ to determine fetal presentation
Leopolds maneuver, 2nd, purpose
To determine fetal back and FHT
Leopolds maneuver, 3rd, purpose
To determine engagement and
presentation as well
Leopolds maneuver, 4th, purpose
To determine fetal attitude
Cord prolapsed, position
Knee chest
PIH, severe eclampsia
Blurring of vision, epigastric pain
Magnesium sulfate, effects
Decrease BP
Decrease UO
Decrease RR
Decrease DTR (patellar reflex)
Characteristic of contraction, DURATION
From the BEGINNING of the contraction to
the END of the contraction
Characteristic of contraction, FREQUENCY
From the BEGINNING of the contraction to
the BEGINNING of the next contraction
Characteristic of contraction, INTERVAL
From the END of the first contraction to
the BEGINNING of the next contraction
Phases of contraction
Increment
Acme
Decrement
Urinary frequency in 1st trimester
Pressure of fundus to the bladder
Urinary frequency in 3rd trimester
Pressure of presenting to the bladder
FHT using doppler
12 weeks
FHT using stethoscope
20 weeks
Effects of alcohol in fetus
Metal retardation
Facial anomalies
Expected to happen during pregnancy
Low hemoglobin and hematocrit
LOP and ROP posterior
Causes pain during labor (BACK LABOR)
Additional calories during pregnancy
Plus 300 calories
Bag of water broke
Infection
Breast cancer, manifestation
Dimple in RUQ of breast
Breast cancer, risk factor
Nullliparity
Fetus
8 weeks and onwards
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Abortion

Termination of pregnancy before 20

weeks
Zygote, blastomere, morula, blastocyt,
embryo, fetus
Tracheoesophageal fistula
Kidney problem
Heart and kidney problem
Prevent antibodies formation
Educator/ counselor
Weight loss or gain of 10 to 15 pounds
20 to 25 pounds
(More than 30 pounds PIH)
Minus 3 (months)
Plus 7 (days)
Normal
Abnormal
Abnormal
Normal
Neural tube defect/ Chromosomal
abnormalities
Lung maturity
AOG, multiple pregnancy
Placental location
Fetal position and size
LOA, ROA
Check for nuchal cord
call the time of birth
Begins in back and radiates to abdomen

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Sequence of fetal development

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Polyhydramnios
Oligihydramnios
Missing blood vessel in umbilical cord
Rhogam
Role of nurse in family planning
Re-fit diaphragm
Weight gain during pregnancy

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Naegels rule

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NST, reactive/ acceleration

NST, non-reactive/ deceleration
CST, reactive/ acceleration
CST, non-reactive/ deceleration
Amniocentesis, 2nd trimester

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Amniocentesis, 3rd trimester

Ultrasound, 1st trimester
Ultrasound, 2nd trimester
Ultrasound, 3rd trimester
Best and common fetal position
During EXTENSION
During EXPULSION
TRUE labor

QUESTIONS
Newborn, priority after birth

Masturbation in schooler, management

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Temper tantrums, management

Temper tantrums, goal
Picky eater, management
Animism in preschooler
Egocentrism
12 months old, language
CAR Seat for an infant
Toddler is having temper tantrums and suddenly becomes
quiet
To promote autonomy (independence), in toddlers
3 psychosocial task of toddlers
Cryptorchidism, causes
Cryptorchidism, surgery
Orchiopexy, when to be done
Cleft lip and cleft palate, international feeding method

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Inappropriate in a child with cleft lip and palate

RESTRAINT, post surgery of Cleft lip and cleft palate
When to do surgery for cleft lip and cleft palate

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AVPU is used to measure leavel of consciousness in

preverbal child

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Patent Ductus Arteriosus, drug that promote closure

Coarctation of the Aorta, common findings

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TOF, defects

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Position for tet spells

Position after VP shunting
Non latex balloon/ Safest balloon for infants
Pain assessment in pediatric clients
What is added to most infant milk formulas making it
superior to breastmilk beyond 6 months of breastfeeding?

PEDIATRIC NURSING
ANSWERS
1 Airway
2 Body temperature
3 Cord clamp and cut
Divert the attention
Provide privacy
Ignore the BEHAVIOR
To get attention
Provide food choices
Putting life to non living things
I, me, my and myself
2 words plus mama and dada
middle seat at the back rear facing
Despair stage
Allow simple decision making
Autonomy, Independence and Control
SGA and prematurity
Orchiopexy
Between 6 months to 2 years old
E enlarge the nipple
S stimulate the sucking
S swallow
R rest
Using small-holed nipple
Elbow restraints
Cleft lip before 10 weeks
Cleft palate before development of
speech
A lert and awake
V erbal response to stimuli
P ain response to stimuli
U nresponsive
Indomethacin/ Ibuprofen
Increase BP in upper extremities
Decrease BP in lower extremities
Pulmonic stenosis
Right ventricular hypertrophy
Ventricular septal defect
Overriding of the aorta
Squatting/ Knee chest
Side lying to the unooperative side
Mylar
Wong Bakers Faces Scale
Iron

TOP TOPICS FOR NLE

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Congenital Heart defect S/sx:

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For hospitalized children, red means

Head lag disappears at
Gastric capacity of newborn
Date or acquiantance rape
Amulet in sick children
Nephrotic syndrome, cause
Nephrotic syndrome, manifestation

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Flexion burn in child abuse

Glove type burn
Arnold chiari malformation

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Component of breastmilk at makes the stool sour in odor

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Growth Retardation/ inability to gain

weight
Hurting
4 months
60 ml
Threat or with force
Allow
Autoimmune
Proteinuria
Hypoproteinemia
Edema (generalized)
Hypercholesterolemia
Zebra pattern
Hands is burned that has a look of a glove
Stridor
Weakening
Swallowing difficulties
Lactose

LEADERSHIP AND MANAGEMENT

QUESTIONS
ANSWERS
A set of causes and conditions that repeatedly come
Process
together in a series of steps to transfer inputs into
outcomes is called:
External customer are those people who are outside the

Patients
(health care) organization and receive the output of the

regulatory agencies (Joint

organization such as
Commission, the Department of
Health)

the community the organization

serves

private practitioners
Internal customers are those people who work within the

Nurses
organization and received output of another employee

Pharmacists

hospital chaplains

therapists
The plan-do-study-act (PDSA) cycle, a process
1) What are we trying to accomplish?
improvement tool, begins with starts with three
2) How will we know that a change is an
questions:
improvement?
3) What changes can we make that will
result in improvement?
FOCUS methodology uses a stepwise process for how to
1) F - ocus on an improvement idea,
move through the improvement process.
2) O - rganize a team that knows the work
process,
3) C - larify the current process,
4) U - nderstand the degree of change
needed, and
5) S - olution, select a solution for
improvement
A sentinel event is:
an unexpected incident involving a death
or serious physical or psychological injury
to a patient
Related common-sense skills that help one to use their
time management
time in the most effective and productive manner
possible are called:
The Pareto principle is:
80% of unfocused effort results in 20% of
outcome results

An independent group of items, people, or procedures

with a common purpose is called a:

Value is:

The Pareto principle is based upon the

prioritization of work effort through such
measures as managing ones time
effectively. The basic premise is that 80%
of unfocused efforts results in 20% of
outcome results or that 20% of focused
efforts results in 80% of outcome results.
System
Organizations are made up of various
systems such as different departments
(i.e., radiology, laboratory, and
cardiology) or processes (i.e., QI or risk
management departments).
a function of quality outcomes and cost
The repercussions of quality improvement
TOP TOPICS FOR NLE

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A team assessing and analyzing the care given to TB

patients is an example of which organizational strategy
for quality and process improvement?

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Which of the following is a substitute for leadership?

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Three components of health care systems are:

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A set of causes and conditions that repeatedly come

together in a series of steps to transfer inputs into
outcomes is called:
Formalist theory (use in art and literature)

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Utilitarian theory (consequence-based theory)

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Deontological theory (principle-based theory)

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Rule of personal liability

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Doctrine of Res Ipsa Loquitor

Assault

for patient care can be measured by the

overall value of that care. Value itself is a
function of both quality outcomes and
cost. For example outcomes can be a
patients return to functional status or
mortality/morbidity, and the cost is a
combination of both the indirect and
direct patient care needs.
Benchmarking measuring and
comparing the results of key work
processes with those of the best
performers and uses those best processes
(practices) to improve work design and
patient care delivery.
Cohesive groups, work experience,
intrinsic satisfaction, formal
organizational structures,
professionalism, indifference to rewards,
routine tasks, feedback provided by the
task, rigid adherence to rules, role
distance, and low position power of the
leader
Structure (resources or structures
required to deliver health care),
Process (quality activities, procedures,
and tasks performed to deliver quality
health care)
Outcome (the results of good health care
delivery).
Process
Focus on the formal/ technical aspect of a
work
Views a good act as one that brings the
most good and the least hem for the
greatest number of people
(eg funding and delivery of health care)
The morality of an action is determined
not by its consequences but by whether it
is done according to an impartial,
objective principle
(eg following the rule DO NOT LIE)
Every person is liable for his own tortous
conduct
The things speaks for itself
Action done with force

TOP TOPICS FOR NLE