TOPICS for NLE

COMMUNITY HEALTH NURSING, IMCI, COMMUNICABLE DISEASE NURSING

QUESTIONS ANSWERS
1 4 Non-Communicable Diseases (NCD) 1- CVD (cardiovascular Diseases)
2- COPD
3- Cancer
4- DM
2 NCD, risk factors Physical inactivity
Unhealthy diet
Smoking
3 Basic Primary Health Care Team (under the Restructured health Care Physician
Delivery System) Public Health Nurse
Midwives
4 PHN monitors and supervise the performance of midwives Supervisor (role)
5 Community organizing ends when The community is self-reliant
6 Team planning Essential for the effectiveness and efficiency of health
services
7 Vaccines, most sensitive to heat OPV and measles
8 Vaccines, least sensitive to heat DPT, Hepa B, BCG, TT
9 Vaccine, toxoid Diphtheria and Tetanus
10 Vaccine, killed bacteria Pertusis
11 Vaccine, live attenuated OPV
12 Vaccine, freeze dried Measles and BCG
13 Overriding goal of DOH Health Sector Reform
14 Framework of Health Reform Sector Program FOURmula One for Health
15 Goals of FOURmula ONE for Health 1 – better health outcomes
2 – more responsive health systems
3 – equitable health care financing
16 4 Elements of FOURmula One for Health 1 - Health financing
2 - Health regulation
3 - Health service delivery
4 - Good governance
17 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
18 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
19 RA 8976 Food fortification Law
20 RA 8191 National Diabetes Act
21 PD 651 Registration of birth within 30 days
22 RA 3573 Reporting of communicable diseases
23 RA 3753 Civil registry law
24 RA 7600 Breastfeeding and Rooming in act
25 RA 7610 Special Children Protection against child abuse
26 RA 7160 Local Government Unit Code
27 Local Government Unit Code Allocation of personnel, budget and provide
structures for cascading health care delivery to all
28 Fast breathing, 2 months to 12 month 50 breaths per minute and above
29 Fast breathing, 12 months to 5 years 40 breaths per minute and above
30 General Danger signs C - onvulsions
U - nable to drink
V - omits everything
A - bnormally sleepy
31 Main Symptoms C - ough
D - iarrhea
F - ever
E - ar infection
32 Basic unit of care in CHN Family
33 Role and function of DOH under EO 102 1 – Leadership in Health
2 – Enabler and Capacity Builder
3 – Administrator of specific services
34 Supervisor of midwives Public health nurse
35 NEW IMCI: If wheezing + Fast breathing OR Bronchodilator
If wheezing + Chest indrawing
36 NEW IMCI: Dysentery 1st LINE: Ciprofloxacin
37 NEW IMCI: Pnemonia, acute ear infection, or very severe disease 1st LINE: Amoxicillin
2nd LINE: COTRIMOXAZOLE
38 NEW IMCI: Cholera 1st LINE: Tetracycline
2nd LINE: Erythromycin
39 NEW IMCI: Malaria 1st LINE: Artemeter - Lumefrantine
2nd LINE: Chloroquine, Primaquine, Sulfadoxine,
Pyrimethamine
40 Strategies to address the nutritional problems of Filipinos A – im for ideal body weight
B – uild healthy nutrition-related practices
C – hoose food wisely

TOP TOPICS FOR NLE 1

 MATERNAL CHILD HEALTH NURSING
QUESTIONS ANSWERS
1 Positive signs of pregnancy Fetal heart tone
Fetal outline
Fetal movement felt by the examiner
2 Age of viability 20 weeks
3 Weight of viability 500 gms
4 Positive pregnancy test Probable sign
5 Hormonal Replacement therapy, expected effect Decreases hot flashes
6 Hormonal Replacement therapy, adverse effect Deep vein thrombosis (leg pain)
Hypertension
7 Intra-utrrine device, side effect Pelvic Inflammatory Disease (PID)
8 Last menstrual period First day of the mense
9 Diaphragm, correct health teaching Insert 2 hours before sexual activity and leave it in
place for 6 hours after sex
10 Back ache in pregnant women, management Pelvic rocking
11 Morning sickness in pregnant women, management Offer dry crackers
12 Leg cramps, management Dorsiflex the legs and offer high calcium diet
13 TRUE labor Contraction frequency and duration increases and
Interval decreases
14 Fundus at 20 weeks Umbilical level
15 Earliest time fundus is palpable 12 weeks
16 H-mole Increase HCG, nausea and vomiting
No FRT
Enlarging abdomen
17 3rd stage of labor (stage of Placental), first sign Rise of fundus
18 3rd stage of labor (stage of Placental), best sign Lengthening of the cord
19 3rd stage of labor, first nursing action Check for completeness of the placental cotyledons
20 Leopolds maneuver, 1st, purpose to determine fetal part lying in the fundus/ to
determine fetal presentation
21 Leopolds maneuver, 2nd, purpose To determine fetal back and FHT
22 Leopolds maneuver, 3rd, purpose To determine engagement and presentation as well
23 Leopolds maneuver, 4th, purpose To determine fetal attitude
24 Cord prolapsed, position Knee chest
25 PIH, severe eclampsia Blurring of vision, epigastric pain
26 Magnesium sulfate, effects Decrease BP
Decrease UO
Decrease RR
Decrease DTR (patellar reflex)
27 Characteristic of contraction, DURATION From the BEGINNING of the contraction to the END
of the contraction
28 Characteristic of contraction, FREQUENCY From the BEGINNING of the contraction to the
BEGINNING of the next contraction
29 Characteristic of contraction, INTERVAL From the END of the first contraction to the
BEGINNING of the next contraction
30 Phases of contraction Increment
Acme
Decrement
31 Urinary frequency in 1st trimester Pressure of fundus to the bladder
32 Urinary frequency in 3rd trimester Pressure of presenting to the bladder
33 FHT using doppler 12 weeks
34 FHT using stethoscope 20 weeks
35 Effects of alcohol in fetus Metal retardation
Facial anomalies
36 Expected to happen during pregnancy Low hemoglobin and hematocrit
37 LOP and ROP  posterior Causes pain during labor (BACK LABOR)
38 Additional calories during pregnancy Plus 300 calories
39 Bag of water broke Infection
40 Breast cancer, manifestation Dimple in RUQ of breast
41 Breast cancer, risk factor Nullliparity
42 Fetus 8 weeks and onwards
43 Abortion Termination of pregnancy before 20 weeks
44 Sequence of fetal development Zygote, blastomere, morula, blastocyt, embryo, fetus
45 Polyhydramnios Tracheoesophageal fistula
46 Oligihydramnios Kidney problem
47 Missing blood vessel in umbilical cord Heart and kidney problem
48 Rhogam Prevent antibodies formation
49 Role of nurse in family planning Educator/ counselor
50 Re-fit diaphragm Weight loss or gain of 10 to 15 pounds
51 Weight gain during pregnancy 20 to 25 pounds
(More than 30 pounds  PIH)
52 Naegel’s rule Minus 3 (months)
Plus 7 (days)
53 NST, reactive/ acceleration Normal
54 NST, non-reactive/ deceleration Abnormal
55 CST, reactive/ acceleration Abnormal
56 CST, non-reactive/ deceleration Normal
57 Amniocentesis, 2nd trimester Neural tube defect/ Chromosomal abnormalities
58 Amniocentesis, 3rd trimester Lung maturity
59 Ultrasound, 1st trimester AOG, multiple pregnancy
60 Ultrasound, 2nd trimester Placental location
61 Ultrasound, 3rd trimester Fetal position and size
62 Best and common fetal position LOA, ROA
63 During EXTENSION Check for nuchal cord
64 During EXPULSION call the time of birth
65 TRUE labor Begins in back and radiates to abdomen

TOP TOPICS FOR NLE 2

 PEDIATRIC NURSING
QUESTIONS ANSWERS
1 Newborn, priority after birth 1 – Airway
2 – Body temperature
3 – Cord clamp and cut
2 Masturbation in schooler, management Divert the attention
Provide privacy
3 Temper tantrums, management Ignore the BEHAVIOR
4 Temper tantrums, goal To get attention
5 Picky eater, management Provide food choices
6 Animism in preschooler Putting life to non living things
7 Egocentrism I, me, my and myself
8 12 months old, language 2 words plus mama and dada
9 CAR Seat for an infant middle seat at the back rear facing
10 Toddler is having temper tantrums and suddenly becomes quiet Despair stage
11 To promote autonomy (independence), in toddlers Allow simple decision making
12 3 psychosocial task of toddlers Autonomy, Independence and Control
13 Cryptorchidism, causes SGA and prematurity
14 Cryptorchidism, surgery Orchiopexy
15 Orchiopexy, when to be done Between 6 months to 2 years old
16 Cleft lip and cleft palate, international feeding method E – enlarge the nipple
S – stimulate the sucking
S – swallow
R – rest
17 Inappropriate in a child with cleft lip and palate Using small-holed nipple
18 RESTRAINT, post surgery of Cleft lip and cleft palate Elbow restraints
19 When to do surgery for cleft lip and cleft palate Cleft lip  before 10 weeks
Cleft palate  before development of speech
20 AVPU is used to measure leavel of consciousness in preverbal child A – lert and awake
V – erbal response to stimuli
P – ain response to stimuli
U – nresponsive
21 Patent Ductus Arteriosus, drug that promote closure Indomethacin/ Ibuprofen
22 Coarctation of the Aorta, common findings Increase BP in upper extremities
Decrease BP in lower extremities
23 TOF, defects Pulmonic stenosis
Right ventricular hypertrophy
Ventricular septal defect
Overriding of the aorta
24 Position for tet spells Squatting/ Knee chest
25 Position after VP shunting Side lying to the unooperative side
26 Non latex balloon/ Safest balloon for infants Mylar
27 Pain assessment in pediatric clients Wong Bakers Faces Scale
28 What is added to most infant milk formulas making it superior to Iron
breastmilk beyond 6 months of breastfeeding?
29 Congenital Heart defect S/sx: Growth Retardation/ inability to gain weight
30 For hospitalized children, red means Hurting
31 Head lag disappears at 4 months
32 Gastric capacity of newborn 60 ml
33 Date or acquiantance rape Threat or with force
34 Amulet in sick children Allow
35 Nephrotic syndrome, cause Autoimmune
36 Nephrotic syndrome, manifestation Proteinuria
Hypoproteinemia
Edema (generalized)
Hypercholesterolemia
37 Flexion burn in child abuse Zebra pattern
38 Glove type burn Hands is burned that has a look of a glove
39 Arnold chiari malformation Stridor
Weakening
Swallowing difficulties
40 Component of breastmilk at makes the stool sour in odor Lactose

LEADERSHIP AND MANAGEMENT

QUESTIONS ANSWERS
1 A set of causes and conditions that repeatedly come together in a series Process
of steps to transfer inputs into outcomes is called:
2 External customer are those people who are outside the (health care) • Patients
organization and receive the output of the organization such as • regulatory agencies (Joint Commission, the
Department of Health)
• the community the organization serves
• private practitioners
3 Internal customers are those people who work within the organization and • Nurses
received output of another employee • Pharmacists
• hospital chaplains
• therapists
4 The plan-do-study-act (PDSA) cycle, a process improvement tool, begins 1) What are we trying to accomplish?
with starts with three questions: 2) How will we know that a change is an
improvement?
3) What changes can we make that will result in
improvement?
5 FOCUS methodology uses a stepwise process for how to move through 1) F - ocus on an improvement idea,

TOP TOPICS FOR NLE 3

 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
6 A sentinel event is: an unexpected incident involving a death or serious
physical or psychological injury to a patient
7 Related common-sense skills that help one to use their time in the most time management
effective and productive manner possible are called:
8 The Pareto principle is: 80% of unfocused effort results in 20% of outcome
results

The Pareto principle is based upon the prioritization

of work effort through such measures as managing
one’s 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.
9 An independent group of items, people, or procedures with a common System
purpose is called a:
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).
10 Value is: a function of quality outcomes and cost

The repercussions of quality improvement 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
patient’s return to functional status or
mortality/morbidity, and the cost is a combination of
both the indirect and direct patient care needs.
11 A team assessing and analyzing the care given to TB patients is an Benchmarking – measuring and comparing the
example of which organizational strategy for quality and process results of key work processes with those of the best
improvement? performers and uses those best processes (practices)
to improve work design and patient care delivery.
12 Which of the following is a substitute for leadership? 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
13 Three components of health care systems are: 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).
14 A set of causes and conditions that repeatedly come together in a series Process
of steps to transfer inputs into outcomes is called:
15 Formalist theory (use in art and literature) Focus on the formal/ technical aspect of a work
16 Utilitarian theory (consequence-based theory) 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)
17 Deontological theory (principle-based theory) 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”)
18 Rule of personal liability Every person is liable for his own tortous conduct
19 Doctrine of Res Ipsa Loquitor The things speaks for itself
20 Assault Action done with force

TOP TOPICS FOR NLE 4