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 ac!ors P"#sical inac!ivi!#
$n"eal!"# die!
%mokin&
3 'asic Primar# (eal!" Care )eam (under !"e *es!ruc!ured "eal!" Care
Deliver# %#s!em)
P"#sician
Public (eal!" Nurse
Mid+ives
4 P(N moni!ors and su,ervise !"e ,erormance o mid+ives %u,ervisor (role)
- Communi!# or&ani.in& ends +"en )"e communi!# is sel-relian!
/ )eam ,lannin& 0ssen!ial or !"e eec!iveness and eicienc# o "eal!"
services
1 Vaccines, mos! sensi!ive !o "ea! OPV and measles
2 Vaccines, leas! sensi!ive !o "ea! DP), (e,a ', 'C3, ))
4 Vaccine, !o5oid Di,"!"eria and )e!anus
16 Vaccine, killed bac!eria Per!usis
11 Vaccine, live a!!enua!ed OPV
12 Vaccine, ree.e dried Measles and 'C3
13 Overridin& &oal o DO( (eal!" %ec!or *eorm
14 7rame+ork o (eal!" *eorm %ec!or Pro&ram 7O$*mula One or (eal!"
1- 3oals o 7O$*mula ON0 or (eal!" 1 8 be!!er "eal!" ou!comes
2 8 more res,onsive "eal!" s#s!ems
3 8 e9ui!able "eal!" care inancin&
1/ 4 0lemen!s o 7O$*mula One or (eal!" 1 - (eal!" inancin&
2 - (eal!" re&ula!ion
3 - (eal!" service deliver#
4 - 3ood &overnance
11 4 corners!ones: ,illars in Primar# (eal!" Care (P(C) 1 8 ac!ive communi!# ,ar!ici,a!ion
2 8 in!ra and in!er sec!oral linka&es
3 8 use o a,,ro,ria!e !ec"nolo&#
4 8 su,,or! mec"anism made available
12 0lemen!s: com,onen!s o P(C 1 8 environmen!al sani!a!ion
2 8 con!rol o communicable diseases
3 8 immuni.a!ion
4 8 "eal!" educa!ion
- 8 MC( and 7amil# ,lannin&
/ 8 ood and ,ro,er nu!ri!ion
1 8 ,rovision medical care and emer&enc# !rea!men!
2 8 !rea!men! o locall# endemic diseases
4 8 ,rovision o essen!ial dru&s
14 *; 241/ 7ood or!iica!ion <a+
26 *; 2141 Na!ional Diabe!es ;c!
21 PD /-1 *e&is!ra!ion o bir!" +i!"in 36 da#s
22 *; 3-13 *e,or!in& o communicable diseases
23 *; 31-3 Civil re&is!r# la+
24 *; 1/66 'reas!eedin& and *oomin& in ac!
2- *; 1/16 %,ecial C"ildren Pro!ec!ion a&ains! c"ild abuse
2/ *; 11/6 <ocal 3overnmen! $ni! Code
21 <ocal 3overnmen! $ni! Code ;lloca!ion o ,ersonnel, bud&e! and ,rovide
s!ruc!ures or cascadin& "eal!" care deliver# !o all
22 7as! brea!"in&, 2 mon!"s !o 12 mon!" -6 brea!"s ,er minu!e and above
24 7as! brea!"in&, 12 mon!"s !o - #ears 46 brea!"s ,er minu!e and above
36 3eneral Dan&er si&ns C - onvulsions
U - nable !o drink
V - omi!s ever#!"in&
A - bnormall# slee,#
31 Main %#m,!oms C - ou&"
D - iarr"ea
F - ever
E - ar inec!ion
32 'asic uni! o care in C(N 7amil#
33 *ole and unc!ion o DO( under 0O 162 1 8 <eaders"i, in (eal!"
2 8 0nabler and Ca,aci!# 'uilder
3 8 ;dminis!ra!or o s,eciic services
34 %u,ervisor o mid+ives Public "eal!" nurse
3- N0= >MC>? > +"ee.in& @ 7as! brea!"in& O*
> +"ee.in& @ C"es! indra+in&
'ronc"odila!or
3/ N0= >MC>? D#sen!er# 1
s!
<>N0? Ci,rolo5acin
31 N0= >MC>? Pnemonia, acu!e ear inec!ion, or ver# severe disease 1
s!
<>N0? ;mo5icillin
2
nd
<>N0? CO)*>MOA;BO<0
32 N0= >MC>? C"olera 1
s!
<>N0? )e!rac#cline
2
nd
<>N0? 0r#!"rom#cin
34 N0= >MC>? Malaria 1
s!
<>N0? ;r!eme!er - <umeran!ine
2
nd
<>N0? C"loro9uine, Prima9uine, %ulado5ine,
P#rime!"amine
46 %!ra!e&ies !o address !"e nu!ri!ional ,roblems o 7ili,inos ; 8 im or ideal bod# +ei&"!
' 8 uild "eal!"# nu!ri!ion-rela!ed ,rac!ices
C 8 "oose ood +isel#
TOP TOPICS FOR NLE 1
MATERNAL CHILD HEALTH NURSING
QUESTIONS ANSWERS
1 Posi!ive si&ns o ,re&nanc# 7e!al "ear! !one
7e!al ou!line
7e!al movemen! el! b# !"e e5aminer
2 ;&e o viabili!# 26 +eeks
3 =ei&"! o viabili!# -66 &ms
4 Posi!ive ,re&nanc# !es! Probable si&n
- (ormonal *e,lacemen! !"era,#, e5,ec!ed eec! Decreases "o! las"es
/ (ormonal *e,lacemen! !"era,#, adverse eec! Dee, vein !"rombosis (le& ,ain)
(#,er!ension
1 >n!ra-u!rrine device, side eec! Pelvic >nlamma!or# Disease (P>D)
2 <as! mens!rual ,eriod 7irs! da# o !"e mense
4 Dia,"ra&m, correc! "eal!" !eac"in& >nser! 2 "ours beore se5ual ac!ivi!# and leave i! in
,lace or / "ours a!er se5
16 'ack ac"e in ,re&nan! +omen, mana&emen! Pelvic rockin&
11 Mornin& sickness in ,re&nan! +omen, mana&emen! Oer dr# crackers
12 <e& cram,s, mana&emen! Dorsile5 !"e le&s and oer "i&" calcium die!
13 )*$0 labor Con!rac!ion re9uenc# and dura!ion increases and
>n!erval decreases
14 7undus a! 26 +eeks $mbilical level
1- 0arlies! !ime undus is ,al,able 12 +eeks
1/ (-mole >ncrease (C3, nausea and vomi!in&
No 7*)
0nlar&in& abdomen
11 3
rd
s!a&e o labor (s!a&e o Placen!al), irs! si&n *ise o undus
12 3
rd
s!a&e o labor (s!a&e o Placen!al), bes! si&n <en&!"enin& o !"e cord
14 3
rd
s!a&e o labor, irs! nursin& ac!ion C"eck or com,le!eness o !"e ,lacen!al co!#ledons
26 <eo,olds maneuver, 1
s!
, ,ur,ose !o de!ermine e!al ,ar! l#in& in !"e undus: !o
de!ermine e!al ,resen!a!ion
21 <eo,olds maneuver, 2
nd
, ,ur,ose )o de!ermine e!al back and 7()
22 <eo,olds maneuver, 3
rd
, ,ur,ose )o de!ermine en&a&emen! and ,resen!a!ion as +ell
23 <eo,olds maneuver, 4!", ,ur,ose )o de!ermine e!al a!!i!ude
24 Cord ,rola,sed, ,osi!ion Cnee c"es!
2- P>(, severe eclam,sia 'lurrin& o vision, e,i&as!ric ,ain
2/ Ma&nesium sula!e, eec!s Decrease 'P
Decrease $O
Decrease **
Decrease D)* (,a!ellar rele5)
21 C"arac!eris!ic o con!rac!ion, D$*;)>ON 7rom !"e '03>NN>N3 o !"e con!rac!ion !o !"e 0ND
o !"e con!rac!ion
22 C"arac!eris!ic o con!rac!ion, 7*0D$0NCE 7rom !"e '03>NN>N3 o !"e con!rac!ion !o !"e
'03>NN>N3 o !"e ne5! con!rac!ion
24 C"arac!eris!ic o con!rac!ion, >N)0*V;< 7rom !"e 0ND o !"e irs! con!rac!ion !o !"e
'03>NN>N3 o !"e ne5! con!rac!ion
36 P"ases o con!rac!ion >ncremen!
;cme
Decremen!
31 $rinar# re9uenc# in 1
s!
!rimes!er Pressure o undus !o !"e bladder
32 $rinar# re9uenc# in 3
rd
!rimes!er Pressure o ,resen!in& !o !"e bladder
33 7() usin& do,,ler 12 +eeks
34 7() usin& s!e!"osco,e 26 +eeks
3- 0ec!s o alco"ol in e!us Me!al re!arda!ion
7acial anomalies
3/ 05,ec!ed !o "a,,en durin& ,re&nanc# <o+ "emo&lobin and "ema!ocri!
31 <OP and *OP ,os!erior Causes ,ain durin& labor (';CC <;'O*)
32 ;ddi!ional calories durin& ,re&nanc# Plus 366 calories
34 'a& o +a!er broke >nec!ion
46 'reas! cancer, manies!a!ion Dim,le in *$D o breas!
41 'reas! cancer, risk ac!or Nullli,ari!#
42 7e!us 2 +eeks and on+ards
43 ;bor!ion )ermina!ion o ,re&nanc# beore 26 +eeks
44 %e9uence o e!al develo,men! B#&o!e, blas!omere, morula, blas!oc#!, embr#o, e!us
4- Pol#"#dramnios )rac"eoeso,"a&eal is!ula
4/ Oli&i"#dramnios Cidne# ,roblem
41 Missin& blood vessel in umbilical cord (ear! and kidne# ,roblem
42 *"o&am Preven! an!ibodies orma!ion
44 *ole o nurse in amil# ,lannin& 0duca!or: counselor
-6 *e-i! dia,"ra&m =ei&"! loss or &ain o 16 !o 1- ,ounds
-1 =ei&"! &ain durin& ,re&nanc# 26 !o 2- ,ounds
(More !"an 36 ,ounds P>()
-2 Nae&elFs rule Minus 3 (mon!"s)
Plus 1 (da#s)
-3 N%), reac!ive: accelera!ion Normal
-4 N%), non-reac!ive: decelera!ion ;bnormal
-- C%), reac!ive: accelera!ion ;bnormal
-/ C%), non-reac!ive: decelera!ion Normal
-1 ;mniocen!esis, 2
nd
!rimes!er Neural !ube deec!: C"romosomal abnormali!ies
-2 ;mniocen!esis, 3
rd
!rimes!er <un& ma!uri!#
-4 $l!rasound, 1
s!
!rimes!er ;O3, mul!i,le ,re&nanc#
/6 $l!rasound, 2
nd
!rimes!er Placen!al loca!ion
/1 $l!rasound, 3
rd
!rimes!er 7e!al ,osi!ion and si.e
/2 'es! and common e!al ,osi!ion <O;, *O;
/3 Durin& 0A)0N%>ON C"eck or nuc"al cord
/4 Durin& 0AP$<%>ON call !"e !ime o bir!"
/- )*$0 labor 'e&ins in back and radia!es !o abdomen
TOP TOPICS FOR NLE 2
PEDIATRIC NURSING
QUESTIONS ANSWERS
1 Ne+born, ,riori!# a!er bir!" 1 8 ;ir+a#
2 8 'od# !em,era!ure
3 8 Cord clam, and cu!
2 Mas!urba!ion in sc"ooler, mana&emen! Diver! !"e a!!en!ion
Provide ,rivac#
3 )em,er !an!rums, mana&emen! >&nore !"e '0(;V>O*
4 )em,er !an!rums, &oal )o &e! a!!en!ion
- Pick# ea!er, mana&emen! Provide ood c"oices
/ ;nimism in ,resc"ooler Pu!!in& lie !o non livin& !"in&s
1 0&ocen!rism >, me, m# and m#sel
2 12 mon!"s old, lan&ua&e 2 +ords ,lus mama and dada
4 C;* %ea! or an inan! middle sea! a! !"e back rear acin&
16 )oddler is "avin& !em,er !an!rums and suddenl# becomes 9uie! Des,air s!a&e
11 )o ,romo!e au!onom# (inde,endence), in !oddlers ;llo+ sim,le decision makin&
12 3 ,s#c"osocial !ask o !oddlers ;u!onom#, >nde,endence and Con!rol
13 Cr#,!orc"idism, causes %3; and ,rema!uri!#
14 Cr#,!orc"idism, sur&er# Orc"io,e5#
1- Orc"io,e5#, +"en !o be done 'e!+een / mon!"s !o 2 #ears old
1/ Cle! li, and cle! ,ala!e, in!erna!ional eedin& me!"od 0 8 enlar&e !"e ni,,le
% 8 s!imula!e !"e suckin&
% 8 s+allo+
* 8 res!
11 >na,,ro,ria!e in a c"ild +i!" cle! li, and ,ala!e $sin& small-"oled ni,,le
12 *0%)*;>N), ,os! sur&er# o Cle! li, and cle! ,ala!e 0lbo+ res!rain!s
14 ="en !o do sur&er# or cle! li, and cle! ,ala!e Cle! li, beore 16 +eeks
Cle! ,ala!e beore develo,men! o s,eec"
26 ;VP$ is used !o measure leavel o consciousness in ,reverbal c"ild ; 8 ler! and a+ake
V 8 erbal res,onse !o s!imuli
P 8 ain res,onse !o s!imuli
$ 8 nres,onsive
21 Pa!en! Duc!us ;r!eriosus, dru& !"a! ,romo!e closure >ndome!"acin: >bu,roen
22 Coarc!a!ion o !"e ;or!a, common indin&s >ncrease 'P in u,,er e5!remi!ies
Decrease 'P in lo+er e5!remi!ies
23 )O7, deec!s Pulmonic s!enosis
*i&"! ven!ricular "#,er!ro,"#
Ven!ricular se,!al deec!
Overridin& o !"e aor!a
24 Posi!ion or !e! s,ells %9ua!!in&: Cnee c"es!
2- Posi!ion a!er VP s"un!in& %ide l#in& !o !"e unoo,era!ive side
2/ Non la!e5 balloon: %aes! balloon or inan!s M#lar
21 Pain assessmen! in ,edia!ric clien!s =on& 'akers 7aces %cale
22 ="a! is added !o mos! inan! milk ormulas makin& i! su,erior !o
breas!milk be#ond / mon!"s o breas!eedin&G
>ron
24 Con&eni!al (ear! deec! %:s5? 3ro+!" *e!arda!ion: inabili!# !o &ain +ei&"!
36 7or "os,i!ali.ed c"ildren, red means (ur!in&
31 (ead la& disa,,ears a! 4 mon!"s
32 3as!ric ca,aci!# o ne+born /6 ml
33 Da!e or ac9uian!ance ra,e )"rea! or +i!" orce
34 ;mule! in sick c"ildren ;llo+
3- Ne,"ro!ic s#ndrome, cause ;u!oimmune
3/ Ne,"ro!ic s#ndrome, manies!a!ion Pro!einuria
(#,o,ro!einemia
0dema (&enerali.ed)
(#,erc"oles!erolemia
31 7le5ion burn in c"ild abuse Bebra ,a!!ern
32 3love !#,e burn (ands is burned !"a! "as a look o a &love
34 ;rnold c"iari malorma!ion %!ridor
=eakenin&
%+allo+in& diicul!ies
46 Com,onen! o breas!milk a! makes !"e s!ool sour in odor <ac!ose
LEADERSHIP AND MANAGEMENT
QUESTIONS ANSWERS
1 ; se! o causes and condi!ions !"a! re,ea!edl# come !o&e!"er in a series
o s!e,s !o !ranser in,u!s in!o ou!comes is called?
Process
2 05!ernal cus!omer are !"ose ,eo,le +"o are ou!side !"e ("eal!" care)
or&ani.a!ion and receive !"e ou!,u! o !"e or&ani.a!ion suc" as
Pa!ien!s
re&ula!or# a&encies (Hoin! Commission, !"e
De,ar!men! o (eal!")
!"e communi!# !"e or&ani.a!ion serves
,riva!e ,rac!i!ioners
3 >n!ernal cus!omers are !"ose ,eo,le +"o +ork +i!"in !"e or&ani.a!ion and
received ou!,u! o ano!"er em,lo#ee
Nurses
P"armacis!s
"os,i!al c"a,lains
!"era,is!s
4 )"e ,lan-do-s!ud#-ac! (PD%;) c#cle, a ,rocess im,rovemen! !ool, be&ins
+i!" s!ar!s +i!" !"ree 9ues!ions?
1) ="a! are +e !r#in& !o accom,lis"G
2) (o+ +ill +e kno+ !"a! a c"an&e is an
im,rovemen!G
3) ="a! c"an&es can +e make !"a! +ill resul! in
im,rovemen!G
- 7OC$% me!"odolo&# uses a s!e,+ise ,rocess or "o+ !o move !"rou&" 1) 7 - ocus on an im,rovemen! idea,
TOP TOPICS FOR NLE 3
!"e im,rovemen! ,rocessI 2) O - r&ani.e a !eam !"a! kno+s !"e +ork ,rocess,
3) C - lari# !"e curren! ,rocess,
4) $ - nders!and !"e de&ree o c"an&e needed, and
-) % - olu!ion, selec! a solu!ion or im,rovemen!
/ ; sen!inel even! is? an une5,ec!ed inciden! involvin& a dea!" or serious
,"#sical or ,s#c"olo&ical inJur# !o a ,a!ien!
1 *ela!ed common-sense skills !"a! "el, one !o use !"eir !ime in !"e mos!
eec!ive and ,roduc!ive manner ,ossible are called?
!ime mana&emen!
2 )"e Pare!o ,rinci,le is? 26K o unocused eor! resul!s in 26K o ou!come
resul!s
)"e Pare!o ,rinci,le is based u,on !"e ,riori!i.a!ion
o +ork eor! !"rou&" suc" measures as mana&in&
oneFs !ime eec!ivel#I )"e basic ,remise is !"a! 26K
o unocused eor!s resul!s in 26K o ou!come resul!s
or !"a! 26K o ocused eor!s resul!s in 26K o
ou!come resul!sI
4 ;n inde,enden! &rou, o i!ems, ,eo,le, or ,rocedures +i!" a common
,ur,ose is called a?
%#s!em
Or&ani.a!ions are made u, o various s#s!ems suc"
as dieren! de,ar!men!s (iIeI, radiolo&#, labora!or#,
and cardiolo&#) or ,rocesses (iIeI, D> or risk
mana&emen! de,ar!men!s)I
16 Value is? a unc!ion o 9uali!# ou!comes and cos!
)"e re,ercussions o 9uali!# im,rovemen! or ,a!ien!
care can be measured b# !"e overall value o !"a!
careI Value i!sel is a unc!ion o bo!" 9uali!#
ou!comes and cos!I 7or e5am,le ou!comes can be a
,a!ien!Fs re!urn !o unc!ional s!a!us or
mor!ali!#:morbidi!#, and !"e cos! is a combina!ion o
bo!" !"e indirec! and direc! ,a!ien! care needsI
11 ; !eam assessin& and anal#.in& !"e care &iven !o )' ,a!ien!s is an
e5am,le o +"ic" or&ani.a!ional s!ra!e&# or 9uali!# and ,rocess
im,rovemen!G
'enc"markin& 8 measurin& and com,arin& !"e
resul!s o ke# +ork ,rocesses +i!" !"ose o !"e bes!
,erormers and uses !"ose bes! ,rocesses (,rac!ices)
!o im,rove +ork desi&n and ,a!ien! care deliver#I
12 ="ic" o !"e ollo+in& is a subs!i!u!e or leaders"i,G Cohesive groups, +ork e5,erience, in!rinsic
sa!isac!ion, ormal or&ani.a!ional s!ruc!ures,
,roessionalism, indierence !o re+ards, rou!ine
!asks, eedback ,rovided b# !"e !ask, ri&id ad"erence
!o rules, role dis!ance, and lo+ ,osi!ion ,o+er o !"e
leader
13 )"ree com,onen!s o "eal!" care s#s!ems are? Structur (resources or Ls!ruc!uresF re9uired !o
deliver "eal!" care),
Proc!! (9uali!# ac!ivi!ies, ,rocedures, and !asks
,erormed !o deliver 9uali!# "eal!" care)
Outco" (!"e resul!s o &ood "eal!" care deliver#)I
14 ; se! o causes and condi!ions !"a! re,ea!edl# come !o&e!"er in a series
o s!e,s !o !ranser in,u!s in!o ou!comes is called?
Process
1- 7ormalis! !"eor# (use in ar! and li!era!ure) 7ocus on !"e ormal: !ec"nical as,ec! o a +ork
1/ $!ili!arian !"eor# (conse9uence-based !"eor#) Vie+s a &ood ac! as one !"a! brin&s !"e mos! &ood
and !"e leas! "em or !"e &rea!es! number o ,eo,le
(e& undin& and deliver# o "eal!" care)
11 Deon!olo&ical !"eor# (,rinci,le-based !"eor#) )"e morali!# o an ac!ion is de!ermined no! b# i!s
conse9uences bu! b# +"e!"er i! is done accordin& !o
an im,ar!ial, obJec!ive ,rinci,le
(e& ollo+in& !"e rule MDO NO) <>0N)
12 *ule o ,ersonal liabili!# 0ver# ,erson is liable or "is o+n !or!ous conduc!
14 Doc!rine o *es >,sa <o9ui!or )"e !"in&s s,eaks or i!sel
26 ;ssaul! ;c!ion done +i!" orce
TOP TOPICS FOR NLE 4