OCCUPATIONAL ENGLISH TEST

WRITING SUB – TEST: NURSING

TIME ALLOWED: READING TIME: 5 MINUTES

WRITING TIME: 40 MINUTES

Read the case notes below and complete the writing task which follows.

Notes:

You are a Nurse where Toby and his mother came for treatment.

Patient name: Toby Philip (10 days)

DOB: 30/10/2019

Mother: Mrs. Maria Philip, 28 years, G1 P1

Father: Mr. Philip Georse, Business man

History:

Born on 30/10/2019 via an emergency LSCS

Birth weight – 3.8kg, APGAR – 4

Gastric reflux increase

01.11.2019

Weight 3.5kg, APGAR – 4

Difficulty in breast feeding

Educated to mother regarding feeding techniques

02.11.2019
Mother is depressed due to feeding difficulty

Advice given regarding supplementary bottle feed

03.11.2019

Both discharged

Medications: Amoxicillyn 500mg for 7 days

Phototherapy for 3 days

No heavy lifting and vigerous exercises for 6 weeks

09.11.2019

Toby brought to ED by mother complaining of increased gastric reflux, vomitting.

Subjective: Increased gastric reflux, vomitting, pain while feeding and wound site pain while
bay latch on.

Objective: Baby has no active problem

Mother wound healing well, nipples found lacerated and painful

Diagnosis:

Mother – Breast nipple infection

Baby – No issues

Medications: Flucanazole cream, Tab; Naproxin and Tab: Panadol

Discharge Plan: Community Nurse to monitor Baby’s development and development and
weekly Mother’s health and post – operative activities with breast feeding techniques.

Writing task:

Write a letter to the Community health Nurse explaining the care required for Toby and his
mother.