A 4-month old infant named Baby Rev was brought to the health center because of cough.

Her respiratory rate is 42/minute. Using the Integrated Management of Child Illness (IMCI) guidelines of assessment, her breathing is considered Fast A. Slow B. Normal C. Insignificant D. 2. Which of the following signs will indicate that Baby Rev is suffering from severe pneumonia? nakuw npka dali... Dyspnea A. Wheezing B. Fast Breathing C. Chest Indrawing D. 3. A 5-month old Baby Doc was brought by his YAYA to the health center because of diarrhea occurring 4 to 5 times a day. His skin goes back slowly after a skin pinch and his eyes are sunken. Using the IMCI guidelines, you will classify this Stupid infant in which category? Nyahahaha! No Signs of Dehydration A. Some Dehydration B. Severe Dehydration C. Persistent Dehydration D. 4. Based on assessment, you classified a 3-month old infant with the chief complaint of diarrhea in the category of SOME DEHYDRATION. Based on IMCI management guidelines, which of the following will you do? Bring the infant to the nearest facility where IV fluids can be given. A. Supervise the mother in giving 200 to 400 ml. of Oresol in 4 hours. B. Give the infants mother instructions on home management. C. Keep the infant in your health center for close observation. D. 5. Mommy Joy is using Oresol in the management of diarrhea of her 3-year old Baby Rev. She asked you what to do if Baby Rev vomits. You will tell her to.. Bring Baby Rev to the nearest hospital for further assessment. A. Bring Baby Rev to the health center for intravenous fluid therapy. B. .Bring Baby Rev to the health center for assessment by the physician. C. Let Baby Rev rest for 10 minutes then continue giving Oresol more slowly. D. 6. A mother brought her daughter, 4 years old, to the RHU because of cough and colds. Following the IMCI assessment guide, which of the following is a danger sign that indicates the need for urgent referral to a hospital? Inability to drink A. High grade fever B. Signs of severe dehydration C. Cough for more than 30 days D. 7. Assessment of a 2-year old child revealed baggy pants. Using the IMCI guidelines, how

will you manage this child? Refer the child urgently to a hospital for confinement. A. Coordinate with the social worker to enroll the child in a feeding program B. Make a teaching plan for the mother, focusing on menu planning for her child. C. Assess and treat the child for health problems like infections and intestinal parasitism. D. 8. A mother brought her 10 month old infant for consultation because of fever, which started 4 days prior to consultation. To determine malaria risk, what will you do? Do a tourniquet test. A. Ask where the family resides. B. Get a specimen for blood smear. C. Ask if the fever is present everyday. D. 9. In Integrated Management of Childhood Illness, severe conditions generally require urgent referral to a hospital. Which of the following severe conditions DOES NOT always require urgent referral to a hospital? Mastoiditis A. Severe dehydration B. Severe pneumonia C. Severe febrile disease D. 10. . A 3-year old child was brought by his mother to the health center because of fever of 4day duration. The child had a positive tourniquet test result. In the absence of other signs, which is the most appropriate measure that the PHN may carry out to prevent Dengue shock syndrome? A. B. C. D. Insert an NGT and give fluids per NGT. A. Instruct the mother to give the child Oresol. B. Start the patient on intravenous fluids STAT. C. Refer the client to the physician for appropriate management. D. Situation: Mrs. Oncomelania brought Elena her 3 year old daughter to the center due to cough for 1 week, unusual irritability and episodes of vomiting. 1. On assessment, you noted coryza, reddish posterior palate, temperature of 37.6, nagging cough and respiratory rate of 47 breaths per minute. Using the assess the sick child chart, Elena can be classified under: A. Pneumonia B. Very severe disease C. Severe Pneumonia D. No Pneumonia A. Pneumonia Fast breathing: 0 to 12 months - 60 breaths per minute

12 months to 2 years - 50 breaths per minute 2 years to 5 years - 40 breaths per minute Based on Elena's classification, you plan to take which of the following actions? A. Give the first dose of procaine penicillin B. Refer Elena to the nearest hospital C. Give the first dose of Cotrimoxazole D. Soothe the throat with safe remedies C. Give the first dose of Cotrimoxazole For Pneumonia: Give oral antibiotic --> Amoxicillin (first line) 2x a day for 3 days Cotrimoxazole (second line) 2x a day for 5 days Give antibiotic first before soothing the throat with: - breast milk for exclusively breastfed infant - tamarind - calamansi - ginger Give bronchodilator if wheezing is present - 2 puffs of Salbutamol metered dose (100ug/puff) q 15 minutes 3x - continue Salbutamol for 5 days even in the absence of wheezing sound Refer for assessment of asthma/TB if cough = >3 weeks and with recurrent wheezing She may present with fast breathing if her respiration is A. 40 bpm and above B. 50 bpm and above C. 60 bpm and above D. 70 bpm and above A. 40 bpm and above If you are to provide antibiotics, which one is appropriate for Elena? A. Cotrimoxazole BID B. Procaine penicillin 800,000 IU C. Procaine penicillin 400,000 IU D. Cotrimoxazole TID A. Cotrimoxazole BID Give oral antibiotic --> Amoxicillin (first line) 2x a day for 3 days Cotrimoxazole (second line) 2x a day for 5 days Procaine Penicillin: - 2 months to 12 months - 200,000 IU - 12 months to 5 years old - 400,000 IU

 Your instructions to Mrs. Oncomelania include: I. Soothe the throat with safe remedies II. Provide sugar water or milk to prevent low blood sugar level III. Bring her back to the center after 2 days IV. Bring her immediately to the center if her condition worsens A. I, II, III B. I, II, III, IV C. I, III, IV D. II, III, IV C. I, III, IV Situation: The WHO is concerned of the unnecessary deaths of children below 5 years old in the developing countries. IMCI is trying to fight these unnecessary deaths. According to WHO, the most common cause of death among these under 5 children is: A. Pneumonia B. Diarrhea C. Malaria D. Malnutrition A. Pneumonia If the child has only one of the danger sign implicitly stated in the IMCI guideline, this child will be classified under what color? A. Yellow B. Pink C. Blue D. Green B. Pink 1 Pink + 1 Yellow = Pink Which vital sign is important in classifying a child with pneumonia from those who do not have? A. Stridor B. Temperature C. RR D. Chest indrawing D. Chest indrawing

After receiving an immunization for diphtheria, tetanus, and pertussis, a child develops swelling and tenderness at the injection site, a low-grade fever, and malaise. The pediatric nurse informs the child's parents that:

the reaction is severe enough that they should bring the child to an emergency department. they should delay future immunizations until the child is seen by an allergist. this is a mild reaction, and teaches them how to manage it. this is an appropriate reaction, and instructs them to do nothing. n 8-year-old is admitted with drooling, muffled phonation, and a temperature of 102F. The nurse should immediately notify the doctor because the childs symptoms are suggestive of: A. Strep throat B. Epiglottitis C. Laryngotracheobronchitis D. Bronch

1. A 2-year-old girl who is having difficulty breathing and a barky cough has had a feverand runny nose for the past 3 days. She is alert and sitting on her mother s lap.Assessment reveals that she has warm, flushed skin, is using her abdominal muscles tobreathe, and has increased work of breathing. She has a blood pressure of 88/66 mm Hg, apulse of 128 beats/min, and respirations of 48 breaths/min.You should immediately determine whether the patient has:A. stridor.B. delayed capillary refill time.C. weak pulses.D. the ability to tolerate oral feeding

2.A 2-year-old girl who is having difficulty breathing and a barky cough has had a feverand runny nose for the past 3 days. She is alert and sitting on her mother s lap.Assessment reveals that she has warm, flushed skin, is using her abdominal muscles tobreathe, and has increased work of breathing. She has a blood pressure of 88/66 mm Hg, apulse of 128 beats/min, and respirations of 48 breaths/min.Abdominal breathing in this patient should be viewed as a:C A. normal finding for a toddler.O B. sign of impending respiratory failure.O C. sign of decreased perfusion to the respiratory center.O D. compensatory mechanism to increase the volume of air inhaled and respiratory rae 3. The first step in treatment is to:O A. administer a nebulizer treatment with a beta-agonist medication.C B. administer humidified oxygen via blow-by method.O C. suction the oropharynx for secretion.O D. deliver bag-valve-mask ventilations. 4. An infant should be immediately evaluated by a physician if which of the followingsigns or symptoms are present?O A. Use of abdominal muscles to breatheO B. Temperature of 37 degrees (98.6 F)C C. Acting fussier than normalO D. Refuses a paci5-year-old is admitted to the unit following a tonsillectomy. Which of
the following would indicate a complication of the surgery? A.

Decreased appetite B. A low-grade fever C. Chest congestio

Fier Constant swallowing