WAH/2018 WAH/07/06/18

WEST AFRICA HEALTH EXAMINATIONS BOARD

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2018 HIGHER NATIONAL DIPLOMA (HND) EXAMINATION IN PUBLIC HEALTH NURSING
PHN 420 – MATERNAL AND CHILD HEALTH
Date: Thursday, 7th June, 2018, Time Allowed: 2½ Hours Time: 12:30pm - 3:00pm

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NOTE CAREFULLY THE INSTRUCTIONS ON THE FRONT COVER OF YOUR ANSWER BOOKLET
ANSWER ALL QUESTIONS

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1. Describe the clinical assessment of a pregnant woman on her first visit
to your clinic (20 marks)

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2.
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a. Describe the physiological changes in the breast and uterus during,
pregnancy. (10 marks)
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b. Explain the concept of ‘Birth Preparedness’ and ‘Complication Readiness’ (5 marks)
c. State five (5) importance of Birth Preparedness to the mother. (5 marks)
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3. Master Moses a five year old, was brought to your clinic with T38.6°c, chills,
vomiting and extreme weakness.
a. What is the diagnosis of Master Moses? (2 marks)
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b. Develop a Nursing Care Plan to solve three (3) problems of Master Moses.
c. State four (4) complications of Master Moses’ condition. (8 marks)
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d. As a Public Health Nurse explain the preventive measures of Master

Moses’ condition in your community. (10 marks)
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4. a. Explain the term ‘Obstetric Emergencies*. (5 marks)

b. Common complications in First stage of labour are prolonged
labour and fetal distress. Explain. (15 marks)
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5. Write notes on the following:-

a. Integrated supervision of child health clinic.
b. Delegation of duties among members of the health team.
c. Diagnosis of pregnancy.
d. Concept of sexuality. (5 marks each)
 West Africa Health Examination Board
WAHEB Past Questions
WAHEB List of Examinations.
June Examinations.

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Higher National Diploma (Public Health Nursing).

Higher National Diploma (Environmental Health Technologist).

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National Diploma (Environmental Health Technologist).

Release Of Results.

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Results are released in November.

October Examinations.

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Diploma (Environmental Health Technician).
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Certificate (Environmental Health Assistant).

Release Of Results.
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Results are released in March.
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November Examinations.
Diploma (Health Education & Promotion).
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Diploma (Food Hygiene).

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Certificate (Food Hygiene).

Release Of Results.
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Results are released in March.

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