THIRD YEAR FIRST SEMESTER EXAMINATION ? FEB 2017
NURCN 3144 CHILD HEALTH NURSING I- PAPER II
Date: 16.02.2017 Time: 2 hours
ANSWER ALL SIX QUESTIONS
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1. Mrs.Rani is a 32 year old primi mother, complaining pain while baby suckingthe breast
1.1. Write the cause for this pain
1.2. How can you support the mother to alleviating the pain?
1.3. How will you ensure the correct attachment of the baby with breast?
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1.4. Write a health teaching plan regarding breastfeeding to be taught tothe primi mother antenatally.
(10 Marks)
(20 marks)
(30 Marks)
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(40 Marks)2. A mother worried that her newborn baby is showing frighten reaction even
for a small noise.
2.1. Write down the name of this reflex? (10 Marks)
2.2. As a nurse, how would you alleviate the worries of this mother? (10 Marks)
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2.3. Briefly explain the other newborn reflexes (80 Marks)3.
3.1. What is meant by Complimentary feeding? (10 Marks)
3.2. Write the health education plan to the mother regarding Complimentary
feeding under following headings:
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3.2.1. Importance of introducing Complimentary feeding (15 Marks)3.2.2. Best period of introducing Complimentary feeding is at the end of
six month (15 Marks)
3.2.3. Characteristics of a good Complementary feeding (20 Marks)
3.2.4. Problem in an early introduction of Complimentary feeding (20 Marks)
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3.2.5. Methods to enrich the nutritive value of complementary food (20 Marks)1
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tUNIVERSITY OF JAFFNA, SRI LANKA
BACHELOR OF SCIENCE IN NURSING
THIRD YEAR FIRST SEMESTER EXAMINATION ? FEB 2017
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NURCN 3144 CHILD HEALTH NURSING I- PAPER IIDate: 16.02.2017 Time: 2 hours
ANSWER ALL SIX QUESTIONS
1. Mrs.Rani is a 32 year old primi mother, complaining pain while baby sucking
the breast
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1.1. Write the cause for this pain1.2. How can you support the mother to alleviating the pain?
1.3. How will you ensure the correct attachment of the baby with breast?
1.4. Write a health teaching plan regarding breastfeeding to be taught to
the primi mother antenatally.
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(10 Marks)(20 marks)
(30 Marks)
(40 Marks)
2. A mother worried that her newborn baby is showing frighten reaction even
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for a small noise.2.1. Write down the name of this reflex? (10 Marks)
2.2. As a nurse, how would you alleviate the worries of this mother? (10 Marks)
2.3. Briefly explain the other newborn reflexes (80 Marks)
3.
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3.1. What is meant by Complimentary feeding? (10 Marks)3.2. Write the health education plan to the mother regarding Complimentary
feeding under following headings:
3.2.1. Importance of introducing Complimentary feeding (15 Marks)
3.2.2. Best period of introducing Complimentary feeding is at the end of
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six month (15 Marks)3.2.3. Characteristics of a good Complementary feeding (20 Marks)
3.2.4. Problem in an early introduction of Complimentary feeding (20 Marks)
3.2.5. Methods to enrich the nutritive value of complementary food (20 Marks)
1
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4.4.1. Define full term newborn (05 Marks)
4.2. Describe the expected external physical features in a full term newborn (40 Marks)
4.3. Describe the nursing care of a newborn (30 Marks)
4.4. When you are assessing a newborn within one minute, he has a
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strong cry and actively moving when stimulated. His peripheries are blueand body is pink. The vital signs show a pulse rate 130, Respiratory rate 48.
Write his APGAR score in a chart format and explain the findings of
APGAR score. (25 Marks)
5. A seven day old full term baby, readmitted to the hospital with signs of jaundice
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5.1. What is the reason for hyperbilirubineamia in neonate. (20 Marks)5.2. Which organ is responsible for removing excessive bilirubin
from circulation (10 Marks)
5.3. How is the excessive bilirubin excreted? (10 marks)
5.4. How is the breastfeeding help to prevent Physiological jaundice (10 Marks)
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5.5. This baby is having Total Serum bilirubin level 350 gmo1/1.What is the total serum bilirubin level to start phototherapy? (10 Marks)
5.6. Briefly explain the expected nursing interventions for this baby (40 Marks)
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