PEDIATRIC NURSING EXAM 7. Growth and development in a child progresses in the following D.

Drying and wrapping the baby

Situation 1: Raphael, a 6 year’s old prep pupil is seen at the ways EXCEPT 14. The following conditions are caused by cold stress except
school clinic for growth and development monitoring (Questions A. From cognitive to psychosexual A. Hypoglycemia
1-5) B. From trunk to the tip of the extremities B. Increase ICP
1. Which of the following is characterized the rate of growth C. From head to toe C. Metabolic acidosis
during this period? D. From general to specific D. Cerebral palsy
A. most rapid period of growth 8. As described by Erikson, the major psychosexual conflict of the 15. During the feto-placental circulation, the shunt between two
B. a decline in growth rate above situation is atria is called
C. growth spurt A. Autonomy vs. Shame and doubt A. Ductus venosous
D. slow uniform growth rate B. Industry vs. Inferiority B. Foramen Magnum
2. In assessing Raphael’s growth and development, the nurse is C. Trust vs. mistrust C. Ductus arteriosus
guided by principles of growth and development. Which is not D. Initiation vs. guilt D. Foramen Ovale
included? 9. Which of the following is true about Mongolian Spots? 16. What would cause the closure of the Foramen ovale after the
A. All individuals follow cephalo-caudal and proximo- A. Disappears in about a year baby had been delivered?
distal B. Are linked to pathologic conditions A. Decreased blood flow
B. Different parts of the body grows at different rate C. Are managed by tropical steroids B. Shifting of pressures from right side to the left side
C. All individual follow standard growth rate D. Are indicative of parental abuse of the heart
D. Rate and pattern of growth can be modified 10. Signs of cold stress that the nurse must be alert when caring C. Increased PO2
3. What type of play will be ideal for Raphael at this period? for a Newborn is: D. Increased in oxygen saturation
A. Make believe A. Hypothermia 17. Failure of the Foramen Ovale to close will cause what
B. Hide and seek B. Decreased activity level Congenital Heart Disease?
C. Peek-a-boo C. Shaking A. Total anomalous Pulmunary Artery
D. Building blocks D. Increased RR B. Atrial Septal defect
4. Which of the following information indicate that Raphael is Situation 3 Nursing care after delivery has an important aspect C. Transposition of great arteries
normal for his age? in every stages of delivery D. Pulmunary Stenosis
A. Determine own sense self 11. After the baby is delivered, the cord was cut between two Situation 4 Children are vulnerable to some minor health
B. Develop sense of whether he can trust the world clamps using a sterile scissors and blade, then the baby is placed problems or injuries hence the nurse should be able to teach
C. Has the ability to try new things at the: mothers to give appropriate home care.
D. Learn basic skills within his culture A. Mother’s breast 18. A mother brought her child to the clinic with nose bleeding.
5. Based on Kohlberg’s theory, what is the stage of moral B. Mother’s side The nurse showed the mother the most appropriate position for
development of Raphael? C. Give it to the grandmother the child which is:
A. Punishment-obedience D. Baby’s own mat or bed A. Sitting up
B. “good boy-Nice girl” 12. The baby’s mother is RH(-). Which of the following laboratory B. With low back rest
C. naïve instrumental orientation tests will probably be ordered for the newborn? C. With moderate back rest
D. social contact A. Direct Coomb’s D. Lying semi flat
Situation 2 Baby boy Lacson delivered at 36 weeks gestation B. Indirect Coomb’s 19. A common problem in children is the inflammation of the
weighs 3,400 gm and height of 59 cm (6-10) C. Blood culture middle ear. This is related to the malfunctioning of the:
6. Baby boy Lacson’s height is D. Platelet count A. Tympanic membrane
A. Long 13. Hypothermia is common in newborn because of their inability B. Eustachian tube
B. Short to control heat. The following would be an appropriate nursing C. Adenoid
C. Average intervention to prevent heat loss except: D. Nasopharynx
D. Too short A. Place the crib beside the wall 20. For acute otitis media, the treatment is prompt antibiotic
B. Doing Kangaroo care therapy. Delayed treatment may result in complications of:
C. By using mechanical pressure A. Tonsillitis
 B. Eardrum Problems 28. When assessing a family for potential child abuse risks, the A. Friendly with the nurse
C. Brain damage nurse would observe for which of the following? B. Prolonged loud crying, consoled only by mother
D. Diabetes mellitus A. Periodic exposure to stress C. Occasional temper tantrums and always says NO
21. When assessing gross motor development in a 3 year old, B. Low socio-economic status D. Repeatedly verbalizes desire to go home
which of the following activities would the nurse expect to finds? C. High level of self esteem 35. When Agata was brought to the OR, her parents where crying.
A. Riding a tricycle D. Problematic pregnancies What would be the most appropriate nursing diagnosis?
B. Hopping on one foot 29. Which of the following is a possible indicator of Munchausen A. Infective family coping r/t situational crisis
C. Catching a ball syndrome by proxy type of child abuse? B. Anxiety r/t powerlessness
D. Skipping on alternate foot. A. Bruises found at odd locations, with different stages of C. Fear r/t uncertain prognosis
22. When assessing the weight of a 5-month old, which of the healing D. Anticipatory grieving r/t gravity of child’s physical status
following indicates healthy growth? B. STD’s and genital discharges 36. Which of the following respiratory condition is always
A. Doubling of birth weight C. Unexplained symptoms of diarrhea, vomiting and apnea considered a medical emergency?
B. Tripling of birth weight with no organic basis A. Laryngeotracheobronchitis (LTB)
C. Quadrupling of birth weight D. Constant hunger and poor hygiene B. Epiglottitis
D. Stabilizing of birth weight 30. Which of the following is an inappropriate interventions when C. Asthma
23. An appropriate toy for a 4 year old child is: caring for a child with HIV? D. Cystic Fibrosis
A. Push-pull toys A. Teaching family about disease transmission 37. Which of the following statements by the family of a child
B. Card games B. Offering large amount of fresh fruits and with asthma indicates a need for additional teaching?
C. Doctor and nurse kits vegetables A. “We need to identify what things triggers his attacks”
D. Books and Crafts C. Encouraging child to perform at optimal level B. “He is to use bronchodilator inhaler before steroid inhaler”
24. Which of the following statements would the nurse expects a D. Teach proper hand washing technique C. “We’ll make sure he avoids exercise to prevent asthma
5-year old boy to say whose pet gerbil just died Situation 5 Agata, 2 years old is rushed to the ER due to cyanosis attacks”
A. “The boogieman got him” precipitated by crying. Her mother observed that after playing D. “he should increase his fluid intake regularly to thin
B. “He’s just a bit dead” she gets tired. She was diagnosed with Tetralogy of Fallot. secretions”
C. “Ill be good from now own so I wont die like my gerbil” 31. The goal of nursing care fro Agata is to: 38. Which of the following would require careful monitoring in
D. “Did you hear the joke about…” A. Prevent infection the child with ADHD who is receiving Methylphenidate (Ritalin)?
25. When assessing the fluid and electrolyte balance in an infant, B. Promote normal growth and development A. Dental health
which of the following would be important to remember? C. Decrease hypoxic spells B. Mouth dryness
A. Infant can concentrate urine at an adult level D. Hydrate adequately C. Height and weight
B. The metabolic rate of an infant is slower than in adults 32. The immediate nursing intervention for cyanosis of Agata is: D. Excessive appetite
C. Infants have more intracellular water that adult do A. Call up the pediatrician Situation 6 Laura is assigned as the Team Leader during the
D. Infant have greater body surface area than adults B. Place her in knee chest position immunization day at the RHU
26. When assessing a child with aspirin overdose, which of the C. Administer oxygen inhalation 39. What program for the DOH is launched at 1976 in cooperation
following will be expected? D. Transfer her to the PICU with WHO and UNICEF to reduce morbidity and mortality among
A. Metabolic alkalosis 33. Agata was scheduled for a palliative surgery, which creates infants caused by immunizable disease?
B. Respiratory alkalosis anastomosis of the subclavian artery to the pulmonary artery. A. Patak day
C. Metabolic acidosis This procedure is: B. Immunization day on Wednesday
D. Respiratory acidosis A. Waterston-Cooley C. Expanded program on immunization
27. Which of the following is not a possible systemic clinical B. Raskkind Procedure D. Bakuna ng kabtaan
manifestation of severe burns? C. Coronary artery bypass 40. One important principle of the immunization program is
A. Growth retardation D. Blalock-Taussig based on?
B. Hypermetabolism 34. Which of the following is not an indicator that Agata A. Statistical occurrence
C. Sepsis experiences separation anxiety brought about her B. Epidemiologic situation
D. Blisters and edema hospitalization? C. Cold chain management
 D. Surveillance study 47. Braguda asks you about Vitamin A supplementation. You A. Phimosis
41. The main element of immunization program is one of the responded that giving Vitamin A starts when the infant reaches 6 B. Hydrocele
following? months and the first dose is” C. Epispadias
A. Information, education and communication A. 200,000 “IU” D. Hypospadias
B. Assessment and evaluation of the program B. 100,000 “IU” 54. When teaching a group of parents about seat belt use, when
C. Research studies C. 500,000 “IU” would the nurse state that the child be safely restrained in a
D. Target setting D. 10,000 “IU” regular automobile seatbelt?
42. What does herd immunity means? 48. As part of CARI program, assessment of the child is your main A. 30 lb and 30 in
A. Interruption of transmission responsibility. You could ask the following question to the mother B. 35 lb and 3 y/o
B. All to be vaccinated except: C. 40 lb and 40 in
C. Selected group for vaccination A. “How old is the child?” D. 60 lb and 6 y/o
D. Shorter incubation B. “IS the child coughing? For how long?” 55. When assessing a newborn with cleft lip, the nurse would be
43. Measles vaccine can be given simultaneously. What is the C. “Did the child have chest indrawing?” alert which of the following will most likely be compromised?
combined vaccine to be given to children starting at 15 months? D. “Did the child have fever? For how long?” A. Sucking ability
A. MCG 49. A newborn’s failure to pass meconium within 24 hours after B. Respiratory status
B. MMR birth may indicate which of the following? C. Locomotion
C. BCG A. Aganglionic Mega colon D. GI function
D. BBR B. Celiac disease 56. For a child with recurring nephritic syndrome, which of the
Situation 7: Braguda brought her 5-month old daughter in the C. Intussusception following areas of potential disturbances should be a prime
nearest RHU because her baby sleeps most of the time, with D. Abdominal wall defect consideration when planning ongoing nursing care?
decreased appetite, has colds and fever for more than a week. 50. The nurse understands that a good snack for a 2 year old with A. Muscle coordination
The physician diagnosed pneumonia. a diagnosis of acute asthma would be: B. Sexual maturation
44. Based on this data given by Braguda, you can classify A. Grapes C. Intellectual development
Braguda’s daughter to have: B. Apple slices D. Body image
A. Pneumonia: cough and colds C. A glass of milk 57. An inborn error of metabolism that causes premature
B. Severe pneumonia D. A glass of cola destruction of RBC?
C. Very severe pneumonia 51. Which of the following immunizations would the nurse expect A. G6PD
D. Pneumonia moderate to administer to a child who is HIV (+) and severely B. Hemocystinuria
45. For a 3-month old child to be classified to have Pneumonia immunocomromised? C. Phenylketonuria
(not severe), you would expect to find RR of: A. Varicella D. Celiac Disease
A. 60 bpm B. Rotavirus 58. Which of the following would be a diagnostic test for
B. 40 bpm C. MMR Phenylketonuria which uses fresh urine mixed with ferric
C. 70 bpm D. IPV chloride?
D. 50 pbm 52. When assessing a newborn for developmental dysplasia of the A. Guthrie Test
46. You asked Braguda if her baby received all vaccines under EPI. hip, the nurse would expect to assess which of the following? B. Phenestix test
What legal basis is used in implementing the UN’s goal on A. Symmetrical gluteal folds C. Beutler’s test
Universal Child Immunization? B. Trendelemburg sign D. Coomb’s test
A. PD no. 996 C. Ortolani’s sign 59. Dietary restriction in a child who has Hemocystenuria will
B. PD no. 6 D. Characteristic limp include which of the following amino acid?
C. PD no. 46 53. While assessing a male neonate whose mother desires him to A. Lysine
D. RA 9173 be circumcised, the nurse observes that the neonate’s urinary B. Methionine
meatus appears to be located on the ventral surface of the penis. C. Isolensine tryptophase
The physician is notified because the nurse would suspect which D. Valine
of the following?
60. A milk formula that you can suggest for a child with own and no longer responds to or imitate the 13. A. Place the crib beside the wall. Placing the crib
Galactosemia: actions of other children or of their parents. beside the wall is inappropriate because it can
A. Lofenalac 5. C. naïve instrumental orientation. According to provide heat loss by radiation. Doing Kangaroo care
B. Lactum Kohlber, a preschooler is under Pre-conventional or hugging the baby, mechanical pressure or
C. Neutramigen where a child learns about instrumental purpose incubators and drying and wrapping the baby will
D. Sustagen and exchange, that is they will something do for help conserve heat.
Answers and Rationales another if that that person does something with 14. B. Increase ICP. Hypoglycemia may occur due to
1. B. a decline in growth rate. During the Preschooler the child in return. Letter A is applicable for increase metabolic rate, and because of newborns
stage growth is very minimal. Weight gain is only Toddlers and letter B is for a School age child. are born slightly acidic, and they catabolize
4.5lbs (2kgs) per year and Height is 3.5in (6-8cm) 6. A. Long. The average length of full-term babies at brownfat which will produce ketones which is an
per year. birth is 20 in. (51 cm), although the normal range is acid will cause metabolic acidosis. Also a NB with
 Review: 46 cm (18 in.) to 56 cm (22 in.). severe hypothermia is in high risk for kernicterus
 Most rapid growth and development- 7. A. From cognitive to psychosexual. Growth and (too much bilirubin in the brain) can lead to
Infancy development occurs in cephalo-caudal (head to Cerebral palsy. There is no connection in the
 Slow growth- Toddler hood and Preschooler toe), proximo-distal (trunk to tips of the extremities increase of ICP with hypothermia. (NOTE:
 Slower growth- School age and general to specific, but it doesn’t occurs in pathognomonic sign of Kernicterus in adult-
 Rapid growth- Adolescence cognitive to psychosexual because they can asterexis, or involuntary flapping of the hand.)
2. D. Rate and pattern of growth can be develop at the same time. 15. D. Foramen Ovale. Foramen ovale is opening
modified. Growth and development occurs in 8. C. Trust vs. mistrust. According to Erikson, children between two atria, Ductus venosus is the shunt
cephalo-caudal meaning development occurs 0-18 months are under the developmental task of from liver to the inferior vena cava, and your
through out the body’s axis. Example: the child Trust vs. Mistrust. Ductus Arteriosus is the shunt from the pulmonary
must be able to lift the head before he is able to lift 9. A. Disappears in about a year. Mongolian spots are artery to the aorta.
his chest. Proximo-distal is development that stale grey or bluish patches of discoloration 16. B. Shifting of pressures from right side to the left
progresses from center of the body to the commonly seen across the sacrum or buttocks due side of the heart. During feto-placental circulation,
extremities. Example: a child first develops arm to accumulation of melanocytes and they the pressure in the heart is much higher in the right
movement before fine-finger movement. Different disappears in 1 year. They are not linked to steroid side, but once breathing/crying is established, the
parts of the body grows at different range because use and pathologic conditions. pressure will shift from the R to the L side, and will
some body tissue mature faster than the other 10. D. Increased RR. Hypothermia is inaccurate cause facilitate the closure of Foramen Ovale. (Note: that
such as the neurologic tissues peaks its growth normally, temperature of a newborn drop, Also a is why you should position the NB in R side lying
during the first years of life while the genital tissue child under cold stress will kick and cry to increase position to increase pressure in the L side of the
doesn’t till puberty. Also G&D is predictable in the the metabolic rate thereby increasing heat so B heart.)
sequence which a child normally precedes such as isn’t a good choice. A newborn doesn’t have the  Review:
motor skills and behavior. Lastly G&D can never be ability to shiver, so letter B and C is wrong. A  Increase PO2-> closure of ductus arteriosus
modified . newborn will increase its RR because the NB will  Decreased bloodflow -> closure of the ductus
3. A. Make believe. Make believe is most appropriate need more oxygen because of too much activity. venosus
because it enhances the imitative play and 11. A. Mother’s breast. Place it at the mother’s breast  Circulation in the lungs is initiated by -> lung
imagination of the preschooler. C and D are for for latch-on. (Note: for NSD breast feed ASAP while expansion and pulmonary ventilation
infants while letter A is B is recommended for for CS delivery, breast feed after 4 hours)  What will sustain 1st breath-> decreased artery
schoolers because it enhances competitive play. 12. A. Direct Coomb’s. Coomb’s test is the test to pressure
4. C. Has the ability to try new things. Erickson determine if RH antibodies are present. Indirect  What will complete circulation-> cutting of the
defines the developmental task of a preschool Coomb’s is done to the mother and Direct Coomb’s cord
period is learning Initiative vs. Guilt. Children can is the one don’t to the baby. Blood culture and 17. B. Atrial Septal defect. Foramen ovale is the
initiate motor activities of various sorts on their Platelet count doesn’t help detect RH antibodies. opening between two Atria so, if its will not close
Atrial Septal defect can occur.
18. A. Sitting up. The correct position is making the adult, increasing their risk to F&E imbalances. Also or “squatting” position because it traps blood into
child having an upright sitting position with the infants cant concentrate a urine at an adult level the lower extremities. Though also letter C would
head slightly tilted forward. This position will and their metabolic rate, also called water be a good choice but the question is asking for
minimize the amount of blood pressure in nasal turnover, is 2 to 3 times higher than adult. Plus “Immediate” so letter B is more appropriate. Letter
vessels and keep blood moving forward not back more fluids of the infants are at the ECF spaces not A and D are incorrect because its normal for a child
into the nasopharynx, which will have the choking in the ICF spaces. who have ToF to have hypoxic or “tets” spells so
sensation and increase risk of aspiration. Choices b, 26. C. Metabolic acidosis. Remember that Aspirin is there is no need to transfer her to the NICU or to
c, d, are inappropriate cause they can cause blood acid (Acetylsalicylic ACID). alert the Pediatrician.
to enter the nasopharynx. 27. D. Blisters and edema. The question was asking for 33. D. Blalock-Taussig. Blalock-Taussig procedure its
19. B. Eustachian tube. This is because children has a SYSTEMIC clinical manifestation, Letters A,B and C just a temporary or palliative surgery which creates
short, horizontal Eustachian tubes. The dysfunction are systemic manifestations while Blisters and a shunt between the aorta and pulmonary artery
in the Eustachian tube enables bacterial invasion of Edema weren’t. so that the blood can leave the aorta and enter the
the middle ear and obstructs drainage of 28. D. Problematic pregnancies. Typical factors that pulmonary artery and thus oxygenating the lungs
secretions. may be risk for Child abuse are problematic and return to the left side of the heart, then to the
20. C. Brain damage. One of the complication of pregnancies, chronic exposure to stress not aorta then to the body. This procedure also makes
recurring acute otitis media is risk for having periodic, low level of self esteem not high level. use of the subclavian vein so pulse is not palpable
Meningitis, thereby causing possible brain damage. Also child abuse can happen in all socio-economic at the right arm. The full repair for ToF is called the
That is why patient must follow a complete status not just on low socio-economic status. Brock procedure. Raskkind is a palliative surgery for
treatment regimen and follow up care. A,B and D 29. C. Unexplained symptoms of diarrhea, vomiting TOGA.
are not complications of AOM. and apnea with no organic basis. Munchausen 34. A. Friendly with the nurse. Because toddlers views
21. A. Riding a tricycle. Answer is A, riding a tricycle is syndrome by Proxy is the fabrication or hospitalization is abandonment, separation anxiety
appropriate for a 3 y/o child. Hopping on one foot inducement of an illness by one person to another is common. Its has 3 phases: PDD (parang c puff
can be done by a 4 y/o child, as well as catching person, usually mother to child. It is characterized daddy LOL) 1. Protest 2. despair 3. detachment (or
and throwing a ball over hand. Skipping can be by symptoms such as apnea and siezures, which denial). Choices B, C, D are usually seen in a child
done by a 5 y/o. may be due to suffocation, drugs or poisoning, with separation anxiety (usually in the protest
22. A. Doubling of birth weight. During the first 6 vomiting which can be induced with poisons and stage).
months of life the weight from birth will be diarrhea with the use of laxatives. Letter A can be  REVIEW:
doubled and as soon as the baby reaches 1 year, its seen in a Physical abuse, Letter B for sexual abuse  Separation anxiety begin at: 9 months
birth weight is tripled. and Letter C is for Physical Neglect.  Peaks: 18 months
23. C. Doctor and nurse kits. Letter C is appropriate 30. B. Offering large amount of fresh fruits and 35. D. Anticipatory grieving r/t gravity of child’s
because it will enhance the creativity and vegetables. A child with HIV is physical status. In this item letter A and be are
imagination of a pre-school child. Letter B and D immunocompromised. Fresh fruits and vegetables, inappropriate response so remove them. The
are inappropriate because they are too complex for which may be contaminated with organisms and possible answers are C and D. Fear defined as the
a 4 y/o. Push-pull toys are recommended for pesticides can be harmful, if not fatal to the child, perceived threat (real or imagined) that is
infants. therefore these items should be avoided. consciously recognized as danger (NANDA) is
24. B. “He’s just a bit dead”. A 5 y/o views death in 31. C. Decrease hypoxic spells. The correct answer is applicable in the situation but its defining
“degrees”, so the child most likely will say that “he letter C. Though letter B would be a good answer characteristics are not applicable. Crying per se can
is just a bit dead”. Personification of death like too, this goal is too vague and not specific. Nursing not be a subjective cue to signify fear, and most of
boogeyman occurs in ages 7 to 9 as well as denying interventions will not solely promote normal G&D the symptoms of fear in NANDA are physiological.
death can if they will be good. Denying death using unless he will undergo surgical repair. So Anticipatory grieving on the other hand are
jokes and attributing life qualities to death occurs decreasing Hypoxic Spells is more SMART. Letter A intellectual and EMOTIONAL responses based on a
during age 3-5. and D are inappropriate. potential loss. And remember that procedures like
25. D. Infant have greater body surface area than 32. B. Place her in knee chest position. The immediate this cannot assure total recovery. So letter D is a
adults. Infants have greater body surface area than intervention would be to place her on knee-chest more appropriate Nursing diagnosis.
36. B. Epiglottitis. Acute and sever inflammation of the  Severe under-nutrition (walang kinalaman ang asthma dahil ala naman
epiglottis can cause life threatening airway 45. D. 50 pbm. A child can be classified to have itong diatery restricted foods na nasa choices.)
obstruction, that is why its always treated as a Pneumonia (not severe) if: 51. D. IPV. IPV or Inactivated polio vaccine does not
medical emergency. NSG intervention : Prepare  the young infant is less than 2 months- 60 bpm contain live micro organisms which can be harmful
tracheostomy set at bed side. LTB, can also cause or more to an immunocompromised child. Unlike OPV, IPV
airway obstruction but its not an emergency.  if the child is 2 months up to less than 12 is administered via IM route.
Asthma is also not an emergency. CF is a chronic months- 50 bpm or more 52. C. Ortolani’s sign. Correct answer is Ortolani’s sign;
disease, so its not a medical emergency.  if the child is 12 months to 4 y/o- 40 bpm or it is the abnormal clicking sound when the hips are
37. C. “We’ll make sure he avoids exercise to prevent more abducted. The sound is produced when the femoral
asthma attacks”. Asthmatic children don’t have to 46. B. PD no. 6 Presidential Proclamation no. 6 (April 3, head enters the acetabulum. Letter A is wrong
avoid exercise. They can participate on physical 1986) is the “Implementing a United Nations goal because its should be “asymmetrical gluteal fold”.
activities as tolerated. Using a bronchodilator on Universal Child Immunization by 1990”. PD 996 Letter B and C are not applicable for newborns
before administering steroids is correct because (September 16, 1976) is “providing for compulsory because they are seen in older children.
steroids are just anti-inflammatory and they don’t basic immunization for infants and children below 53. D. Hypospadias. Hypospadias is a c condition in
have effects on the dilation of the bronchioles. OF 8 years of age. PD no. 46 (September 16, 1992) is which the urethral opening is located below the
course letters A and B are obviously correct. the “Reaffirming the commitment of the glans penis or anywhere along the ventral surface
38. C. Height and weight. Dental problems are more Philippines to the universal Child and Mother goal of the penile shaft. Epispadias, the urethral meatus
likely to occur in children under going TCA therapy. of the World Health Assembly. RA 9173 is of course is located at the dorsal surface of the penile shaft.
Mouth dryness is a expected side effects of Ritalin the “Nursing act of 2002” (Para di ka malilto, I-alphabetesize mo Dorsal,
since it activates the SNS. Also loss of appetite is 47. B. 100,000 “IU”. An infant aging 6-11 months will (Above) eh mauuna sa Ventral (Below) , Epis
more likely to happen, not increase in appetite. The be given Vitamin supplementation of 100, 000 IU mauuna sa Hypo.)
correct answer is letter C, because Ritalin can affect and for Preschoolers ages 12-83 months 200,000 54. C. 40 lb and 40 in. Basta tandaan ang rule of 4! 4
the child’s G&D. Intervention: medication “holidays “IU” will be given. years old, 40 lbs and 40 in.
or vacation”. (This means during weekends or 48. C. “Did the child have chest indrawing?”. The CARI 55. A. Sucking ability. Because of the defect, the child
holidays or school vacations, where the child wont program of the DOH includes the “ASK” and “LOOK, will be unable to form the mouth adequately
be in school, the drug can be withheld.) LISTEN” as part of the assessment of the child who arounf the nipple thereby requiring special devices
39. C. Expanded program on immunization has suspected Pneumonia. Choices A, B and D are to allow feeding and sucking gratification.
40. B. Epidemiologic situation. Letters A, C and D are included in the “ASK” assessment while Chest Respiratory status may be compromised when the
not included in the principles of EPI. indrawings is included in the “LOOK, LISTEN” and child is fed improperly or during post op period.
41. D. Target setting should not be asked to the mother. 56. D. Body image. Because of edema, associated with
42. A. Interruption of transmission 49. A. Aganglionic Mega colon. Failure to pass nephroitic syndrome, potential self concept and
43. B. MMR. MMR or Measles, Mumps, Rubella is a meconium of Newborn during the first 24 hours of body image disturbance related to changes in
vaccine furnished in one vial and is routinely given life may indicate Hirschsprung disease or appearance and social isolation should be
in one injection (Sub-Q). It can be given at 15 Congenital Aganglionic Megacolon, an anomaly considered.
months but can also be given as early as 12th resulting in mechanical obstruction due to 57. A. G6PD. G6PD is the premature destruction of RBC
month. inadequate motility in an intestinal segment. B, C, when the blood is exposed to antioxidants, ASA
44. B. Severe pneumonia. For a child aging 2months up and D are not associated in the failure to pass (ano un? Aspirin), legumes and flava beans.
to 5 years old can be classified to have sever meconium of the newborn. 58. B. Phenestix test. Phenestix test is a diagnostic test
pneumonia when he have any of the following 50. B. Apple slices. Grapes is in appropriate because of which uses a fresh urine sample (diapers) and
danger signs: its “balat” that can cause choking. A glass of milk is mixed with ferric chloride. If positive, there will be
 Not able to drink not a good snack because it’s the most common a presence of green spots at the diapers. Guthrie
 Convulsions cause of Iron-deficiency anemia in children (milk test is another test for PKU and is the one that
 Abnormally sleepy or difficult to wake contains few iron), A glass of cola is also not mostly used. The specimen used is the blood and it
 Stridor in calm child or appropriate cause it contains complex sugar. tests if CHON is converted to amino acid.
59. B. Methionine. Hemocystenuria is the elevated
excretion of the amino acid hemocystiene, and
there is inability to convert the amino acid
methionine or cystiene. So dietary restriction of
this amino acids is advised. This disease can lead to
mental retardation.
60. C. Neutramigen. Neutramien is suggested for a
child with Galactosemia. Lofenalac is suggested for
a child with PKU.