Terms in this set (145) 3.

Population- focused nursing practice requires

which of the following processes?
1. Which is the primary goal of community health
nursing? A. Community organizing

A. To support and supplement the efforts of the B. Nursing, process

medical profession in the promotion of health and
prevention of C. Community diagnosis

B. To enhance the capacity of individuals, families D. Epidemiologic process

and communities to cope with their health needs
3. Answer: (C)
C. To increase the productivity of the people by
Community diagnosis
providing them with services that will increase their
level of health FB:Population-focused nursing care means providing
care based on the greater need of the majority of
D. To contribute to national development through
the population. The greater need is identified
promotion of family welfare, focusing particularly on
through community diagnosis.
mothers and children
4. RA 1054 is also known as the Occupational Health
Answer: (B) To enhance the capacity of individuals,
Act. Aside from the number of employees, what
families and communities to cope with their health
other factor must be considered in determining the
needs.
occupational health privileges to which the workers
FB: To contribute to national development through will be entitled?
promotion of family welfare, focusing particularly on
A. Type of occupation,: agriculture, commercial,
mothers and children.
industrial
2. CHN is a community-based practice. Which best
B. Location of the workplace in relation to health
explains this statement?
facilities
A. The service is provided in the natural environment
C. Classification of the business enterprise based on
of people
net profit
B. The nurse has to conduct community diagnosis to
D. Sex and age composition of employees
determine nursing needs and problems
B. Location of the workplace in relation to health
C. The service are based on the available resources
facilities
within the community
FB: Based on R.A. 1054, an occupational nurse must
D. Priority setting is based on the magnitude of the
be employed when there are 30 to 100 employees
health problems identified
and the workplace is more than 1 km. away from the
Answer: (B) The nurse has to conduct community nearest health center.
diagnosis to determine nursing needs and problems.
5. A business firm must employ an occupational
Community-based practice means providing care to health nurse when it has at least how many
people in their own natural environments: the employees.
home, school and workplace, for example.
A. 21 B. 101 C. 201 D. 301
B. 101 D. The statement may be true or false; depending on
policies of the government concerned.
6. . When the occupational health nurse employs
ergonomic principles, she is performing which of her B. The statement is false; people pay indirectly for
roles? public health services

A. Health care provider Community health services, including public health

services, are prepaid paid services, through taxation,
B. Health educator for example.

C. Health care coordinator 9. According to C.E. Winslow, which of the following

is the goal of Public Health?
D. Environment manager
A. For people to attain their birthrights and longevity
D. Environment manager
B. For promotion of health and prevention and
Ergonomics is improving efficiency of workers by
diseases
improving the worker's environment through
appropriately designed furniture, for example. C. For people to have access to basic health services

7. A garment factory does not have an occupational D. For people to be organized in their health efforts
nurse. Who shall provide the occupational health
needs of the factory workers? A. For people to attain their birthrights and longevity

A. Occupational health nurse at the Provincial Health 10. We say that a Filipino has attained longevity
Office when he is able to reach the average life span of
Filipinos. What other statistic may be used to
B. Physician employed by the factory determine attainment of longevity?

C. Public Health nurse of the RHU of their A. Age-specific mortality rate

municipality
B. Proportionate mortality rate
D. Rural Sanitary inspector of the RHU in their
municipality C. Swaroop's index

C. Public Health nurse of the RHU of their D. Case fatality rate

municipality
C. Swaroop's index
8. "Public health services are given free of charge". Is
this statement true or false? Swaroop's index is the percentage of the deaths
aged 50 years or older. Its inverse represents the
A. The statement is true; it is the responsibility of percentage of untimely deaths (those who died
government to provide haste services younger than 50 years).

B. The statement is false; people pay indirectly for 11. Which of the following is the most prominent
public health services feature of public health nursing?

C. The statement may be true or false; depending on A. It involves providing home care to sick people
the Specific service required who are not confined in the hospital
B. Services are provided free of charge to people A. Primary B. Secondary
within the catchment area
C. Intermediate D. Tertiary
C. The public health nurse functions as part of a
team providing a public health nursing service D. Tertiary Regional hospitals are tertiary facilities
because they serve as training hospitals for the
D. Public health nursing focuses on preventive, not region.
curative services
15. What is true of primary facilities?
D. Public health nursing focuses on preventive, not
curative services A. They are usually government-run

The catchment area in PHN consists of a residential B. Their services are provided on an out-patient basis
community, many of whom are well individuals who
C. They are training facilities for health professionals
have greater need for preventive rather than
curative services. D. A community hospital is an example of this level
of health facilities
12. According to Margaret Shetland, the philosophy
of public health nursing is based on which of the B. Their services are provided on an out-patient basis
following?
Primary facilities government and non-government
A. Health and longevity as birthrights facilities that provide basic out-patient services.

B. The mandate of the state to protect the 16. Which is an example of the school nurse's health
birthrights of its citizens care provider function?

C. Public health nursing as a specialized field of A. Requesting for BCG from the RHU for school
nursing entrance immunization

D. The worth and dignity of man B. Conducting random classroom inspection during
measles epidemic
D. The worth and dignity of man
C. Taking remedial action on an accident hazard in
13. Which of the following is the mission of the
the school playground
Department of Health?
D. Observing places in the school where pupils spend
A. Health for all Filipinos
their free times
B. Ensure the accessibility and quality of health
B. Conducting random classroom inspection during
C. Improve the general health status of the measles epidemic
population
Random classroom inspection is assessment of
D. Health in the hands of the Filipino people by the pupils/students and teachers for signs of a health
year 2020 problem prevalent in the community.

B. Ensure the accessibility and quality of health care 17. When the nurse determines whether resources
were maximized in implementing Ligtas Tigdas, she
14. Region IV Hospital is classified as what level of is evaluating:
facility?
A. Effectiveness B. Efficiency
C. Adequacy D. Appropriateness B. Municipal Health Officer

B. Efficiency- Efficiency is determining whether the C. Public Health Nurse

goals were attained at the least possible cost.
D. Any qualified physician
18. You are a new B.S.N. graduate. You want to
become a Public Health Nurse. Where will you A. Mayor
apply?
The local executive serves as the chairman of the
A. Department of Health Municipal Health Board.

B. Provincial Health Office 21. Which level of health facility is the usual point of
entry of a client into the health care delivery
C. Regional Health Office system?

D. Rural Health Unit A. Primary

D. Rural Health Unit B. Secondary

R.A. 7160 devolved basic health services to local C. Intermediate

government units (LGU's). The public health nurse is
an employee of the LGU. D. Tertiary

19. RA 7160 mandates devolution of basic services A. Primary

from the national government to local government
The entry of a person into the health care delivery
units. Which of the following is the major goal of
system is usually through a consultation in out-
devolution?
patient services.
A. To strengthen local government units
22. The public health nurse is the supervisor of rural
B. To allow greater autonomy to local government health midwives. Which of the following is a
units. supervisory function of the pubic health nurse?

A. Referring cases or patients to the midwife

C. To empower the people and promote their self- B. Providing technical guidance to the midwife
reliance
C. Proving nursing care to cases referred by the
D. To make basic services more accessible to the midwife
people
D. Formulating and implementing training programs
C. To empower the people and promote their self- for midwives
reliance
B. Providing technical guidance to the midwife
People empowerment is the basic motivation behind
The nurse provides technical guidance to the
devolution of basic services to LGU's.
midwife in the care of clients, particularly in the
20. Who is the Chairman of the Municipal Health implementation of management guidelines, as in
Board? Integrated Management of Childhood Illness.

A. Mayor
23. One of the participants in a hilot training class 26. As an epidemiologist, the nurse is responsible for
asked you to whom she should refer a patient in reporting cases or notifiable diseases. What law
labor who develops a complication. You will answer, mandates reporting cases of notifiable diseases?
to the;
A. Act 3573
A. Public health nurse
B. RA.3753 C. RA 1054 D. RA 1082
B. Rural health midwife
A. Act 3573
C. Municipal health officer
Act 3573, the Law on Reporting of Communicable
D. Any of these health professionals Diseases, enacted in 1929, mandated the reporting
of diseases listed in the law to the nearest health
C. Municipal health officer station.

A public health nurse and rural health midwife can 27. According to Freeman and Heinrich, community
provide care during normal childbirth. A physician health nursing is a developmental service. Which of
should attend to a woman with a complication the following best illustrates this statement?
during labor.
A. The community health nurse continuously
24. You are the public health nurse in a municipality develops himself personally and professionally
with a total population of about 20,000. There are 3
health midwives among the RHU personnel. How B. Health education and community organizing are
many more midwife items will the RHU need? necessary in providing community health services

A. 1 B. 2 C. 3 D. 4 C. Community health nursing in intended primarily

for health promotion and prevention and treatment
A. 1 of disease.

Each rural health midwife is given a population D. The goal of community health nursing is to
assignment of about 5,000. provide nursing services to people in their own place
of .residence
25. If the RHU needs additional midwife items, you
will submit the request for additional midwife items B. Health education and community organizing are
for approval to the: necessary in providing community health services

A. Rural Health Unit The community health nurse develops the health
capability of people through health education and
B. District Health Office
community organizing activities.
C. Provincial Health Office
28. Which disease was declared through Presidential
D. Municipal Health Board Proclamation No. 4 as a target for, eradication in the
Philippines?
D. Municipal Health Board
A. Pioliomyelitis
As mandated by R.A. 7160, basic health services
have been devolved from the national government B. Measles
to local government units.
C. Rabies
D. Neonatal Tetanus B. Community organization

B. Measles

Presidential Proclamation No. 4 is on the Ligtas Community organization is the step when
Tigdas Program. community assemblies take place. During the
community assembly, the people may opt to
29. The public health nurse is responsible for formalize the community organization and make
presenting the municipal health statistics using plans for community action to resolve a community
graphs and tables. To compare the frequency of the health problem.
leading causes of mortality in the municipality, which
graph will you prepare? 32. The public health nurse takes an active role in
community participation. What is the primary goal of
A. Line B. Bar C. Pie D. Scatter diagram community organizing?

B. Bar A. To educate the people regarding community

health problems
A bar graph is used to present comparison of values,
a line graph for trends over time or age, a pie graph B. To mobilize the people to resolve community
for population composition or distribution, and a health problems
scatter diagram for correlation of two variables.
C. To maximize the community's resources in dealing
30. Which step in community organizing involves with health problems
training of potential leaders in the community?
C. To maximize the community's resources in dealing
A. Integration with health problems

B. Community organization Community organizing is a developmental service,

with the goal of developing the people's self-reliance
C. Community study
in dealing with community health problems. A, B and
D. Core group formation C are objectives of contributory objectives to this
goal.
D. Core group formation
33. An indicator of success in community organizing
In core group formation, the nurse is able to transfer is when people are able to:
the technology of community organizing to the
potential or informal community leaders through a A. Participate in community activities for the solution
training program. of a community problem

31. In which step are plans formulated for solving B. Implement activities for the solution of the
community problems? community problem

A. Mobilization C. Plan activities for the solution of the community

problem
B. Community organization

C. Follow-up/extension
D. Identify the health problem as a common concern
D. Core group formation
A. Participate in community activities for the solution Its purpose is early diagnosis and, subsequently,
of a community problem prompt treatment.

Participation in community activities in resolving a 37. Which type of family-nurse contact will provide
community problem may be in any of the processes you with the best opportunity to observe family
mentioned in the other choices. dynamics?

34. Tertiary prevention is needed in which stage of A. Clinic consultation

the natural history of disease?
B. Group conferences
A. Pre-pathogenesis B. Pathogenesis
C. Home visit
C. Predromal D. Terminal
D. Written communication
D. Terminal
C. Home visit
Tertiary prevention involves rehabilitation,
prevention of permanent disability and disability Dynamics of family relationships can best be
limitation appropriate for convalescents, the observed in the family's natural environment, which
disabled, complicated cases and the terminally ill is the home.
(those in the terminal stage of a disease)
38. The typology of family nursing problems is used
35. Isolation of a child with measles belongs to what in the statement of nursing diagnosis in the care of
level of prevention? families. The youngest child of the delos Reyes
family has been diagnosed as mentally retarded. This
A. Primary is classified as:

B. Secondary A. Health threat B. Health deficit

C. Intermediate C. Foreseeable crisis D. Stress point

D. Tertiary B. Health deficit

A. Primary Failure of a family member to develop according to

what is expected, as in mental retardation, is a
The purpose of isolating a client with a health deficit.
communicable disease is to protect those who are
not sick (specific disease prevention). 39. The delos Reyes couple have 6-year old child
entering school for the first time. The delos Reyes
36. On the other hand, Operation Timbang is_____ family has a:
prevention?
A. Health threat
A. Primary B. Secondary
B. Health deficit
C. Intermediate D. Tertiary
C. Foreseeable crisis
B. Secondary
D. Stress point
Operation Timbang is done to identify members of
the susceptible population who are malnourished. C. Foreseeable crisis
Entry of the 6-year old into school is an anticipated A. Should save time and effort
period of unusual demand on the family.
B. Should minimize if not totally prevent the spread
40. Which of the following is an advantage of a home of infection
visit?
C. Should not overshadow concern for the patient
A. It allows the nurse to provide nursing care to a and his family
greater number of people
D. May be done in variety of ways depending on the
B. It provides an opportunity to do first hand home situation, etc.
appraisal of the home situation
B. Should minimize if not totally prevent the spread
C. It allows sharing of experience among people with of infection
similar health problems
Bag technique is performed before and after
D. It develops the family's initiative in providing for handling a client in the home to prevent
health needs of its members transmission of infection to and from the client.

B. It provides an opportunity to do first hand 43. To maintain the cleanliness of the bag and its
appraisal of the home situation contents, which of the following must the nurse do?

Choice A is not correct since a home visit requires

that the nurse spend so much time with the family.
Choice C is an advantage of a group conference, A. Wash his/her hands before and after providing
while choice D is true of a clinic consultation. nursing care to the family members

41. Which is CONTRARY to the principles in planning B. In the care of family member's, as much as
a home visit? possible, use only articles taken from the bag

A. A home visit should have a purpose of objective C. Put on an apron to protect her uniform and fold it
with the right side out before putting it back into the
B. The plan should revolve around the family bag.
health .needs
D. At the end of the visit, fold the lining on which the
C. A home visit should be conducted in the manner bag was placed, ensuring that the contaminated side
prescribed by RHU is on the outside.

D. Planning of continuing care should involve a A. Wash his/her hands before and after providing
responsible-family member nursing care to the family members

C. A home visit should be conducted in the manner Choice B goes against the idea of utilizing the
prescribed by RHU family's resources, which is encouraged in CHN.
Choices C and D goes against the principle of asepsis
The home visit plan should be flexible and practical, of confining the contaminated surface of objects.
depending on factors, such as the family's needs and
the resources available to the nurse and the family. 44. The public health conducts a study on the factors
contributing to the high morality rate due to heart
42. The PHN bag is an important tool in providing diseases in the municipality where she works. Which
nursing care during a home visit. The most important branch of epidemiology does the nurse practice in
principle in bag technique states that it; this situation?
A. Descriptive B. Analytical C. Participating in the investigation to determine the
source of epidemic
C. Therapeutic D. Evaluation
Epidemiology is the study of patterns of occurrence
B. Analytical and distribution of disease in the community, as well
as the factors that affect disease patterns. The
Analytical epidemiology is the study of factors or
purpose of an epidemiologic investigation is to
determinants affecting the patterns of occurrence
identify the source of an epidemic, i.e., what brought
and distribution of disease in a community.
about the epidemic.
45. Which of the following is a function of
47. The primary purpose of conducting an
epidemiology?
epidemiologic investigation is to;
A. Identifying the disease condition based on
A. Delineate the etiology of the epidemic
manifestations presented by a client
B. Encourage cooperation and support of the
B. Determining factors that contributed to the
community
occurrence of pneumonia in a 3 year old
C. Identify groups who are at risk of contracting the
C. Determining the efficacy of the antibiotic used in
disease
the treatment of the 3 year old client with
pneumonia D. Identify geographical location of cases of the
disease in the community
D. Evaluating the effectiveness of the
implementation of the Integrated Management of A. Delineate the etiology of the epidemic
Childhood Illness
Delineating the etiology of an epidemic is identifying
D. Evaluating the effectiveness of the its source.
implementation of the Integrated Management of
Childhood Illness 48. Which is a characteristic of person-to-person
propagated epidemic?
Epidemiology is used in the assessment of a
community or evaluation of interventions in A. There are more cases of the disease than
community health practice. expected

46. Which of the following is an epidemiologic B. The disease must necessarily be transmitted
function of the nurse during an epidemic? through a vector

A Conducting assessment of suspected cases to C. The spread of the disease can be attributed to a
detect the communicable diseases common vehicle

B. Monitoring the condition of the cases affected by D. There is gradual build up of cases before we
the communicable disease epidemic becomes easily noticeable

C. Participating in the investigation to determine the A. There is a gradual build up of cases before the
source of epidemic epidemic becomes easily noticeable.

D. Teaching the community on preventive measures A gradual or insidious onset of the epidemic is
against the disease usually observable in person-to-person propagated
epidemics.
49. In the investigation of an epidemic, you compare 52. In the census of the Philippines in 1995, there
the present frequency of the disease with the usual were about 35,299,000 males and about 34,968,000
frequency at this time of the year in this community. females. What is the sex ratio?
This is done during which stage of the investigation?
A. 99.06:100 B. 100.94:100
A. Establishing the epidemic
C. 50.23% D. 49.76%
B. Testing the hypothesis
B. 100.94:100
C. Formulation of the hypothesis
Sex ratio is the number of males for every 100
D. Appraisal of facts females in the population.

A. Establishing the epidemic 53. Primary health care is a total approach to

community development. Which of the following is
Establishing the epidemic is determining whether an indicator of success in the use of the primary
there is an epidemic or not. This is done by health care approach?
comparing the present number of cases with the
usual number of cases of the disease at the same A. Health services are provided free of charge to
time of the year, as well as establishing the individuals and families
relatedness of the cases of the disease.
B. Local officials are empowered as the major
50. The number of cases of Dengue fever usually decision makers in matters of health
increases towards the end of the rainy season. This
pattern of occurrence of Dengue fever is best C. Health workers are able too provide care based on
described as; identified health needs of the people

A. Epidemic occurrence B. Cyclical variation D. Health programs are sustained according to the
level of development of the community
C. Sporadic occurrence D. Secular occurrence
D. Health programs are sustained according to the
B. Cyclical variation level of development of the community.

A cyclical variation is a periodic fluctuation in the Primary health care is essential health care that can
number of cases of a disease in the community. be sustained in all stages of development of the
community.
51. In the year 1980, the World Health Organization
declared the Philippines, together with some other 54. Sputum examination is the major screening tool
countries in the Western Pacific Region, "free" of for pulmonary tuberculosis. Clients would
which disease? sometimes get false negative results in this exam.
This means that the test is not perfect in terms of
A. Pneumonic plaque B. Poliomyelitis which characteristic of a diagnostic examination?

C. Small pox D. Anthrax A. Effectiveness B. Efficacy

C. Small pox C. Specificity D. Sensitivity

The last documented case of Smallpox was in 1977 D. Sensitivity

at Somalia.
Sensitivity is the capacity of a diagnostic examination A. Alma Ata Declaration of PHC
to detect cases of the disease. If a test is 100%
sensitive, all the cases tested will have a positive B. Letter of Instruction No 949
result, i.e., there will be no false negative results.
C. Presidential Decree No. 147
55. Use of appropriate technology requires
D. Presidential Decree 996
knowledge of indigenous technology. Which medical
herb is given for fever, headache and cough? B. Letter of Instruction No 949

A. Sambong B. Tsaang gubat Letter of Instruction 949 was issued by then

President Ferdinand Marcos, directing the formerly
C. Akapulko D. Lagundi
called Ministry of Health, now the Department of
D. Lagundi Health, to utilize Primary Health Care approach in
planning and implementing health programs.
Sambong is used as a diuretic. Tsaang gubat is used
to relieve diarrhea. Akapulko is used for its 59. Which of the following demonstrates inter-
antifungal property. sectoral linkages?

56. What law created the Philippine institute of A. Two-way referral system
Traditional and Alternative Health Care?
B. Team approach
A. RA 8483 B. RA4823
C. Endorsement done by a midwife to another
C. RA 2483 D. RA 3482 midwife

A. RA 8483 D. Cooperation between PHN and public school

teacher
"AN ACT CREATING THE PHILIPPINE INSTITUTE OF
TRADITIONAL AND ALTERNATIVE HEALTH CARE D. Cooperation between PHN and public school
(PITAHC) TO ACCELERATE THE DEVELOPMENT OF teacher
TRADITIONAL AND ALTERNATIVE HEALTH CARE IN
Intersectoral linkages refer to working relationships
THE PHILIPPINES, PROVIDING FOR A TRADITIONAL
between the health sector and other sectors
AND ALTERNATIVE HEALTH CARE DEVELOPMENT
involved in community development.
FUND AND FOR OTHER PURPOSES" signed to a law
on December 9, 1997. 60. The municipality assigned to you has a
population of about 20/000. Estimate the number of
57. In traditional Chinese medicine, the yielding,
1-4 year old children who be given Retinol capsule
negative and feminine force is termed:
200.000 every 6 months.
A. Yin B. Yang C. Qi D. Chai
A. 1,500 B. 1,800 C. 2,000 D. 2,300
A. Yin
D. 2,300
Yang is the male dominating, positive and masculine
Based on the Philippine population composition, to
force.
estimate the number of 1-4 year old children,
58. What is the legal basis of Primary Health Care multiply total population by 11.5%.
approach in the Philippines?
61. Estimate the number of pregnant women who
will be given tetanus toxoid during an immunization
outreach activity in a barangay with a population of B. 5.2/1000
about 1,500.
SOL'N:
A. 265 B.. 300 C. 375 D. 400
94 DEATHS divide by 18,000= 0.00522 x 1,000= 5.2
A. 265
65. Knowing that malnutrition is a frequent
To estimate the number of pregnant women, community health problem, you decided to conduct
multiply the total population by 3.5%. nutritional assessment. What population is
particularly susceptible to protein energy
62. To describe the sex composition of the malnutrition (PEM)?
population, which demographic tool may be used?
A. Pregnant women and the elderly

B. Under 5 year old children

A. Sex ratio B. Sex proportion
C. 1-4 year old children
C. Population pyramid
D. School age children
D. Any of these maybe used
C. 1-4 year old children
D. Any of these maybe used
Preschoolers are the most susceptible to PEM
Sex ratio and sex proportion are used to determine because they have generally been weaned. Also, this
the sex composition of a population. A population is the population who, unable to feed themselves,
pyramid is used to present the composition of a are often the victims of poor intrafamilial food
population by age and sex. distribution.

63. Which of the following is a natality rate? 66. Which statistic can give the most accurate
reflection of the health status of a community?
A. Crude birth rate
A. 1-4 year old age-specific mortality rate
B. Neonatal mortality rate
B. Infant mortality rate
C. Infant mortality rate
C. Swaroop's index
D. General fertility rate
D. Crude death rate
A. Crude birth rate
C. Swaroop's index
Natality means birth. A natality rate is a birth rate.
Swaroop's index is the proportion of deaths aged 50
64. You are computing the crude rate of your
years and above. The higher the Swaroop's index of
municipality, with a total population o about 18,000
a population, the greater the proportion of the
for last year. There were 94 deaths. Among those
deaths who were able to reach the age of at least 50
who died, 20 died because of diseases of the heart
years, i.e., more people grew old before they died.
and 32 were aged 50 years or older. What is the
crude death rate? 67. In the past year, Barangay A had an average
population of 1655. 46 babies were born in that
A. 4.1/1000 B. 5.2/1000
year, 2 of whom died less than 4 weeks after they
C. 6.3/1000 D. 7.3/1000
were born. They were 4 recorded stillbirths. What is families with members who belong to the target
the neonatal mortality rate? population for PEM. What method of delta gathering
is best for this purpose?
A. 27.8/1000 B. 43.5/1000
A. Census B. Survey
C. 86.9/1000 D. 130.4/1000
C. Record Review D. Review of civil registry
B. 43.5/1000
B. Survey
SOL'N:
A survey, also called sample survey, is data gathering
2 DEAD divide by 46 BABIES= 0.04347 x 1000= 43.5 about a sample of the population.

68. Which statistic best reflects the nutritional status 71. In the conduct of a census, the method of
of a population? population assignment based on the actual physical
location of the people is termed;
A. 1-4 year old age-specific mortality rate
A. De jure B. De locus
B. Proportionate mortality rate
C. De facto D. De novo
C. Infant mortality rate
C. De facto
D. Swaroop's index
The other method of population assignment, de jure,
A. 1-4 year old age-specific mortality rate
is based on the usual place of residence of the
Since preschoolers are the most susceptible to the people.
effects of malnutrition, a population with poor
72. The Field Health Services and information System
nutritional status will most likely have a high 1-4
(FHSIS) is the recording and reporting system in
year old age-specific mortality rate, also known as
public health) care in the Philippines. The monthly
child mortality rate.
field health service activity report is a form used in
69. What numerator is used in computing general which of the components of the FHSIS?
fertility rate?
A. Tally report B. Output report
A. Estimated midyear population
C. Target/client list
B. Number of registered live births
D. Individual health record
C. Number of pregnancies in the year
A. Tally report
D. Number of females of reproductive age
A tally report is prepared monthly or quarterly by
B. Number of registered live births the RHU personnel and transmitted to the Provincial
Health Office.
To compute for general or total fertility rate, divide
the number of registered live births by the number 73. To monitor clients registered in long-term
of females of reproductive age (15-45 years), then regimens, such as the Multi-Drug Therapy, which
multiply by 1,000. component will be most useful?

70. You will gather data for nutritional assessment of A. Tally report
a purok. You will gather information only from
B. Output report C. Magnitude of the health problem

C. Target/client list Magnitude of the problem refers to the percentage

of the population affected by a health problem. The
D. Individual health record other choices are criteria considered in both family
and community health care.
C. Target/client list
77. The Sentrong Sigla Movement has been launched
The MDT Client List is a record of clients enrolled in
to improve health service delivery. Which of the
MDT and other relevant data, such as dates when
following is/are true of this movement?
clients collected their monthly supply of drugs.
A. This is a project spearheaded by local government
74. Civil registries are important sources of data.
units
Which law requires registration of births within 30
days from the occurrence of the birth? B. It is a basis for increasing funding from local
government units
A. PD 651 B. Act 3573
C. It encourages health centers to focus on disease
C. RA 3753 D. RA 3375
prevention and control
A. PD 651
D. Its main strategy is certification of health centers
P.D. 651 amended R.A. 3753, requiring the registry able to comply with standards
of births within 30 days from their occurrence.
D. Its main strategy is certification of health centers
75. Which of the following professionals can sign the able to comply with standards
birth certificate?
Sentrong Sigla Movement is a joint project of the
A. Public health nurse DOH and local government units. Its main strategy is
certification of health centers that are able to
B. Rural health midwife comply with standards set by the DOH.

C. Municipal health officer 78. Which of the following women should be

considered as special targets for family planning?
D. Any of these health professionals
A. Those who have two children or more
D. Any of these health professionals
B. Those with medical conditions such as anemia
R.A. 3753 states that any birth attendant may sign
the certificate of live birth. C. Those younger than 20 years and older than 35
years
76. Which criterion in priority setting of health
problems is used only in community health care? D. Those who just had a delivery within the past 15
months
A. Modifiability of the problem
D. Those who just had a delivery within the past 15
B. Nature of the problem presented
months
C. Magnitude of the health problem
The ideal birth spacing is at least two years. 15
D. Preventive potential of the health problem months plus 9 months of pregnancy = 2 years.
79. Freedom of choice in one of the policies of the B. She has some palmar pallor
Family Planning Program of the Philippines. Which of
the following illustrates this principle? C. Her blood pressure is 130/80

A. Information dissemination about the need for D. Her baby is in cephalic presentation
family planning
A. Her OB score is G5P3
B. Support of research and development in family
Only women with less than 5 pregnancies are
planning methods
qualified for a home delivery. It is also advisable for a
C. Adequate information for couples regarding the primigravida to have delivery at a childbirth facility.
different methods
82. Inadequate intake by the pregnant woman of
D. Encouragement of couples to take family planning which vitamin may cause neural tube defects?
as a joint responsibility
A. Niacin B. Riboflavin
C. Adequate information for couples regarding the
C. Folic Acid D. Thiamine
different methods
C. Folic Acid
To enable the couple to choose freely among
different methods of family planning, they must be It is estimated that the incidence of neural tube
given full information regarding the different defects can be reduced drastically if pregnant
methods that are available to them, considering the women have an adequate intake of folic acid.
availability of quality services that can support their
choice. 83. You are in a client's home to attend to a delivery.
Which of the following will you do first?
80. A woman, 6 months pregnant, came to the
center for consultation. Which of the following A. Set up a sterile area
substances is contraindicated?
B. Put on a clean gown and apron
A. Tetanus toxoid
C. Cleanse the client's vulva with soap and water
B. Retinol 200,000 IU
D. Note the interval, duration and intensity of labor
C. Ferrous sulfate 200mg and contractions

D. Potassium iodate 200 mg, capsule D. Note the interval, duration and intensity of labor
and contractions
B. Retinol 200,000 IU
Assessment of the woman should be done first to
Retinol 200,000 IU is a form of megadose Vitamin A. determine whether she is having true labor and, if
This may have a teratogenic effect. so, what stage of labor she is in.

81. During prenatal consultation, a client asked you 84. In preparing a primigravida for breastfeeding,
if she can have her delivery at home. After history which of the following will you do?
taking and physical examination, you advised her
against a home delivery. Which of the following A. Tell her that lactation begins within a day after
findings disqualifies her for a home delivery? delivery

A. Her OB score is G5P3

B. Teach her nipple stretching exercises if her nipples A. The baby takes shallow, rapid sucks
are everted
B. The mother does not feel nipple pain

C. The baby's mouth is only partly open

C. Instruct her to wash her nipples before and after
each breastfeeding D. Only the mother's nipple is inside the baby's
mouth

B. The mother does not feel nipple pain

D. Explain to her that putting the baby to breast will
lessen blood loss after delivery When the baby has properly latched on to the
breast, he takes deep, slow sucks; his mouth is wide
D. Explain to her that putting the baby to breast will open; and much of the areola is inside his mouth.
lessen blood loss after delivery And, you're right! The mother does not feel nipple
pain.
Suckling of the nipple stimulates the release of
oxytocin by the posterior pituitary gland, which 87. You explain to a breastfeeding mother that
causes uterine contraction. Lactation begins 1 to 3 breastmilk is sufficient for all of the baby's nutrient
days after delivery. Nipple stretching exercises are needs only up to:
done when the nipples are flat or inverted. Frequent
washing dries up the nipples, making them prone to A. 3 months B. 6 months
the formation of fissures.
C. 1 year D. 2 years
85. A primigravida is instructed to offer her breast to
B. 6 months
the baby for the first time within 30 minutes after
delivery. What is the purpose of offering the breast After 6 months, the baby's nutrient needs, especially
this early? the baby's iron requirement, can no longer be
provided by mother's milk alone.
A. To initiate the occurrence of milk letdown
88. What is given to a woman within a month after
B. To stimulate milk production by the mammary
the delivery of a baby?
acini
A. Malunggay capsule
C. To make sure that the baby is able to get the
colustrum B. Ferrous sutfate l00mg O.D.

D. To allow the woman to practice breastfeeding in C. Retinol 200.000 IU 1 capsule

the presence of the health worker
D. Potassium Iodate 200 mg, 1 capsule
B. To stimulate milk production by the mammary
acini C. Retinol 200.000 IU 1 capsule

Suckling of the nipple stimulates prolactin reflex (the A capsule of Retinol 200,000 IU is given within 1
release of prolactin by the anterior pituitary gland), month after delivery. Potassium iodate is given
which initiates lactation. during pregnancy; malunggay capsule is not
routinely administered after delivery; and ferrous
86. In a mother's class, you discuss proper sulfate is taken for two months after delivery.
breastfeeding technique. Which of these is a sign
that the baby has "lactated on" the breast property?
89. Which biological used in EPI is stored in the D. Hepatitis B vaccination
freezer?
B. BCG
A. DPT B. Tetanus toxoid
BCG causes the formation of a superficial abscess,
C. Measles vaccine which begins 2 weeks after immunization. The
abscess heals without treatment, with the formation
D. Hepatitis B vaccine of a permanent scarl.

C. Measles vaccine 93. A 4 week old baby was brought to the health
center for his first immunization. Which can be given
Among the biologicals used in the Expanded
to him?
Program on Immunization, measles vaccine and OPV
are highly sensitive to heat, requiring storage in the A. DPT1 B. OPV1
freezer.
C. Infant BCG D. Hepatitis B Vaccine
90. Unused BCG should be discarded how many
hours after reconstitution? C. Infant BCG

A. 2 B. 4C. 6 D. At the end of the day Infant BCG may be given at birth. All the other
immunizations mentioned can be given at 6 weeks of
B. 4 age.

While the unused portion of other biologicals in EPI 94. You will not give DPT 2 if the mother says that
may be given until the end of the day, only BCG is the infant had?
discarded 4 hours after reconstitution. This is why
BCG immunization is scheduled only in the morning. A. Seizures a day after DPT1

91. In immunity school entrants with BCG, you not B. Fever for 3 days after DPT1
obliged to secure parental consent. This is because
of which legal document? C. Abscess formation after DPT1

A. PD 996 B. RA 7864 D. Local tenderness for 3 days after DPT1

C. Presidential Proclamation No. 6 A. Seizures a day after DPT1

D. Presidential Proclamation No. 46 Seizures within 3 days after administration of DPT is

an indication of hypersensitivity to pertussis vaccine,
A. PD 996 a component of DPT. This is considered a specific
contraindication to subsequent doses of DPT.
Presidential Decree 996, enacted in 1976, made
immunization in the EPI compulsory for children 95. A 2-month old infant was brought to the health
under 8 years of age. Hepatitis B vaccination was center for immunization. During assessment, the
made compulsory for the same age group by R.A. infant's temperature registered at 38.1 C. Which is
7846. the best course of action that you will take?

92. Which immunization produces a permanent A. Go on with the infants immunization

scar?
B. Give paracetamol and wait for his fever to subside
A. DPT B. BCG C. Measles vaccination
C. Refer the infant to the physician for further 99. Using IMCI guidelines, you classify a child as
assessment having severe pneumonia. What is the best
management for the child?
D. Advise the infant's mother to bring him back for
immunization when he is well A. Prescribe antibiotic

A. Go on with the infants immunization B. Refer him urgently to the hospital

In the EPI, fever up to 38.5°C is not a C. Instruct the mother to increase fluid intake
contraindication to immunization. Mild acute
respiratory tract infection, simple diarrhea and D. Instruct the mother to continue breastfeeding
malnutrition are not contraindications either.
B. Refer him urgently to the hospital
96. A pregnant woman had just received her 4th
Severe pneumonia requires urgent referral to a
dose of tetanus toxoid. Subsequently, her baby will
hospital. Answers A, C and D are done for a client
have protection against tetanus for how long?
classified as having pneumonia.
A. 1 year B. 3 years C. 10 years D. Lifetime
100. A 5-month old infant was brought by his mother
A. 1 year to the health center because of diarrhea occurring 4
to 5 times a day. His skin goes back slowly after a
The baby will have passive natural immunity by skin pinch and his eyes are sunken. Using the IMCI
placental transfer of antibodies. The mother will guidelines, you will classify this infant in which
have active artificial immunity lasting for about 10 category?
years. 5 doses will give the mother lifetime
protection. A. No signs of dehydration

97. A 4-month old infant was brought to the health B. Some dehydration
center of cough. Her respiratory rate is 42/minute.
C. Severe dehydration
Using the IMCI guidelines of assessment, her
breathing is considered; D. The data is insufficient

A. Fast B. Slow C. Normal D. Insignificant B. Some dehydration

C. Normal Using the assessment guidelines of IMCI, a child (2

months to 5 years old) with diarrhea is classified as
In IMCI, a respiratory rate of 50/minute or more is
having SOME DEHYDRATION if he shows 2 or more
fast breathing for an infant aged 2 to 12 months.
of the following signs: restless or irritable, sunken
98. Which of the following signs will indicate that a eyes, the skin goes back slow after a skin pinch.
young child is suffering from severe pneumonia?

A. Dyspnea B. Wheezing

C. Fast breathing D. Chest indrawing

D. Chest indrawing

In IMCI, chest indrawing is used as the positive sign

of dyspnea, indicating severe pneumonia.