Community Health Nursing Exam Review Notes

Overview

• Discussion on Community Health Nursing (CHN) concepts.
• Distinctions between CHN and other nursing fields (Obstetrics, Maternal, Pediatric, Medical, Surgical).
• Importance of understanding NCLEX concepts as some may not be included in the Philippine Nurse Licensure Examination but important for U.S., Canada, and Australia.

Key Questions and Answers

1. Bemong Facilities

• Question: Which of the following is not true about Bemong facilities?
  • A. Provides antibiotics.
  • B. Provides oxytocic drugs.
  • C. Can remove placenta.
  • D. Conducts cesarean delivery.
• Correct Answer: D (Conducts cesarean delivery is not true for Bemong facilities).
• Explanation: Bemong refers to Basic Emergency Obstetrics and Newborn Care. Services include A, B, and C, but cesarean deliveries are done in Semong facilities (Comprehensive Emergency Obstetrics and Newborn Care).

2. Comprehensive Tool for Monitoring Mothers' Pregnancy

• Question: Tool to monitor the progress of mother's pregnancy?
  • A. FHSIS.
  • B. PEDSAR.
  • C. HBMR.
  • D. DREAMH.
• Correct Answer: C (HBMR - Home-based Mother's Record).
• Explanation: This record serves as a diary for mother’s pregnancy progress.

3. Prenatal Checkups

• Question: Minimum number of visits for a prenatal checkup?
  • A. Once.
  • B. Twice.
  • C. Thrice.
  • D. Four times.
• Correct Answer: D (Four times).
• Explanation: More visits allow for better monitoring of mother and baby's health.

4. Leopold's Maneuver

• Question: First step in Leopold's maneuver?
  • A. Identify type of presentation.
  • B. Check number of babies.
  • C. Check engagement.
  • D. Check fetal back.
• Correct Answer: A (Identify type of presentation).
• Explanation: The first maneuver is called fundal grip.

5. Dietary Advice for Pregnant Mothers

• Question: Recommended calorie increase for pregnant mothers?
  • A. 1,000 calories.
  • B. 500 calories.
  • C. 300 calories.
  • D. No increase.
• Correct Answer: C (Increase by 300 calories).
• Explanation: This is the recommended calorie increase during pregnancy.

6. Thyroid Monitoring

• Question: Suggestion for monitoring thyroid glands?
  • A. Warm compress the neck.
  • B. Massage the neck.
  • C. Palpate the neck.
  • D. None of the above.
• Correct Answer: C (Simply palpate the neck).

7. Exclusive Breastfeeding

• Question: Recommendation for exclusive breastfeeding?
  • A. At least eight times a day.
  • B. At least six times a day.
  • C. Breastfeeding at night should be lesser.
  • D. None of the above.
• Correct Answer: D (All of the above).
• Explanation: Eight times a day is ideal, with 75% during the daytime.

8. Family Planning Decision Making

• Question: When should family planning decisions be facilitated?
  • A. Before pregnancy.
  • B. Later part of pregnancy.
  • C. After delivery.
  • D. Nurse should not intervene.
• Correct Answer: B (Later part of pregnancy).

9. Home Birth Deliveries

• Question: True statement about home birth deliveries?
  • A. Not allowed.
  • B. Allowed in some instances.
  • C. Must be attended by a doctor.
  • D. None of the above.
• Correct Answer: B (Allowed in some instances).

10. Qualifications for Home Delivery

• Question: Which situation qualifies for a home delivery?
  • A. Attended by a healthcare provider.
  • B. Pregnancy is full term.
  • C. No signs of bleeding.
  • D. All of the above.
• Correct Answer: D (All of the above).

Additional Notes

• Emphasize the importance of community health nursing knowledge for the Philippine Nurse Licensure Examination.
• Understand specific tools, techniques, and guidelines used in community health and nursing practices.
• Familiarize with policies and programs relevant to public health in the Philippines.