--- Content provided by FirstRanker.com ---ANSWER ALL SIX QUESTIONS
Answer Part A & B in separate answer booklet.
PART A
1. A two year old male child had accidentally ingested kerosene three days ago and his
parents induced vomiting at that time. Now the child presented with history of fever and
1.1. How will you manage the child's fever in the ward? (20 marks)
1.2. List the clinical features that are expected in this child (40 marks)
1.3. Describe how you will manage each clinical feature. (40 marks)
2. Mother of a five year old child noticed her child having facial puffiness for last two days
medical officer suspected as Nephrotic syndrome.
2.1. Describe the steps in performing a urine ward test. (10 marks)
2.2. How will you interpret the results? (10 marks)
2.3. List the charts to be maintained in the ward for this patient (30 marks)
How will you advice the mother regarding the treatment (50 marks)
3. Six year old school going child from poor socio economic family was brought by the
parents to the paediatric clinic with the history of poor feeding, poor activity and easily
becoming tired while playing compared with other peers. He also has a habit of pica. On
anaemia is suspected.
3.1. Explain the term anemia (10 marks)
3.2. How will you investigate the child (30 marks)
3.3. List the steps in the management. (30 marks)
Anaemia due to Thalasemia major (30 marks)
1
FirstRanker.com - FirstRanker's Choice
UNIVERSITY OF JAFFNA, SRI LANKA
THIRD YEAR SECOND SEMESTER EXAMINATION ? AUG 2016
NURCN 3204 CHILD HEALTH NURSING II- PAPER II
Date: 19.08.2016 Time: 2 Hours
ANSWER ALL SIX QUESTIONS
PART A
1. A two year old male child had accidentally ingested kerosene three days ago and his
parents induced vomiting at that time. Now the child presented with history of fever and
difficulty inbreathing. On examination child is dyspnoeic with oxygen saturation of 90 %.
1.2. List the clinical features that are expected in this child (40 marks)
1.3. Describe how you will manage each clinical feature. (40 marks)
2. Mother of a five year old child noticed her child having facial puffiness for last two days
mostly in the morning. She also has abdominal distention and reduced urine output. The
2.1. Describe the steps in performing a urine ward test. (10 marks)
2.2. How will you interpret the results? (10 marks)
2.3. List the charts to be maintained in the ward for this patient (30 marks)
2.4. Once the diagnosis is confirmed the treatment was started with steroid.
3. Six year old school going child from poor socio economic family was brought by the
parents to the paediatric clinic with the history of poor feeding, poor activity and easily
becoming tired while playing compared with other peers. He also has a habit of pica. On
examination child had pallor without hepatosplenomegaly. A diagnosis of nutritional
3.1. Explain the term anemia (10 marks)
3.2. How will you investigate the child (30 marks)
3.3. List the steps in the management. (30 marks)
3.4. How does the management of Nutritional Anaemia differ from
1
4. A four year old child underwent circumcision for phymosis by the surgical team.
Following surgery the child wasbleeding from the surgical site. Mother's brother has a
history of bleeding disorder and he died following head injury. Mother's father didn't
the surgical site. A diagnosis of haemophelia was made.
4.1. How does haemostatic mechanisms work to stop the bleeding (20 marks)
4.2. At what point of the developmental stages of a child do you
suspect bleeding disorders. (20 marks)
4.4. Draw the family pedigree of this child (20 marks)
4.5. What advice will you give at discharge (20 marks)
PART B
5.1. What is cerebral palsy? (10 marks)
5.3. List the complications that are associated with cerebral palsy (20 marks)
5.4. Give five approaches of nursing care which helps in the management of
5.
6.
(30 a?..,uasty 1.11 VV 1L11 1./GL GUI al pa.ty. k." v mat
5.5. Write five causes which lead to cerebral palsy in children. (20 marks)
6.1. Define febrile convulsion (15 marks)
6.2. What are the types of febrile convulsions (15 marks)
6.4. Give the immediate management steps in a child who is fitting for the
last two minutes. (30 marks)
6.5. List the basic investigations to be ordered in a child with fever for
three days, headache and convulsion and give reasons (20 marks)
FirstRanker.com - FirstRanker's Choice
Answer Part A & B in separate answer booklet.
PART A
1. A two year old male child had accidentally ingested kerosene three days ago and his
parents induced vomiting at that time. Now the child presented with history of fever and
--- Content provided by FirstRanker.com ---
difficulty inbreathing. On examination child is dyspnoeic with oxygen saturation of 90 %.1.1. How will you manage the child's fever in the ward? (20 marks)
1.2. List the clinical features that are expected in this child (40 marks)
1.3. Describe how you will manage each clinical feature. (40 marks)
2. Mother of a five year old child noticed her child having facial puffiness for last two days
--- Content provided by FirstRanker.com ---
mostly in the morning. She also has abdominal distention and reduced urine output. Themedical officer suspected as Nephrotic syndrome.
2.1. Describe the steps in performing a urine ward test. (10 marks)
2.2. How will you interpret the results? (10 marks)
2.3. List the charts to be maintained in the ward for this patient (30 marks)
--- Content provided by FirstRanker.com ---
2.4. Once the diagnosis is confirmed the treatment was started with steroid.How will you advice the mother regarding the treatment (50 marks)
3. Six year old school going child from poor socio economic family was brought by the
parents to the paediatric clinic with the history of poor feeding, poor activity and easily
becoming tired while playing compared with other peers. He also has a habit of pica. On
--- Content provided by FirstRanker.com ---
examination child had pallor without hepatosplenomegaly. A diagnosis of nutritionalanaemia is suspected.
3.1. Explain the term anemia (10 marks)
3.2. How will you investigate the child (30 marks)
3.3. List the steps in the management. (30 marks)
--- Content provided by FirstRanker.com ---
3.4. How does the management of Nutritional Anaemia differ fromAnaemia due to Thalasemia major (30 marks)
1
FirstRanker.com - FirstRanker's Choice
UNIVERSITY OF JAFFNA, SRI LANKA
--- Content provided by FirstRanker.com ---
BACHELOR OF SCIENCE IN NURSINGTHIRD YEAR SECOND SEMESTER EXAMINATION ? AUG 2016
NURCN 3204 CHILD HEALTH NURSING II- PAPER II
Date: 19.08.2016 Time: 2 Hours
ANSWER ALL SIX QUESTIONS
--- Content provided by FirstRanker.com ---
Answer Part A & B in separate answer booklet.PART A
1. A two year old male child had accidentally ingested kerosene three days ago and his
parents induced vomiting at that time. Now the child presented with history of fever and
difficulty inbreathing. On examination child is dyspnoeic with oxygen saturation of 90 %.
--- Content provided by FirstRanker.com ---
1.1. How will you manage the child's fever in the ward? (20 marks)1.2. List the clinical features that are expected in this child (40 marks)
1.3. Describe how you will manage each clinical feature. (40 marks)
2. Mother of a five year old child noticed her child having facial puffiness for last two days
mostly in the morning. She also has abdominal distention and reduced urine output. The
--- Content provided by FirstRanker.com ---
medical officer suspected as Nephrotic syndrome.2.1. Describe the steps in performing a urine ward test. (10 marks)
2.2. How will you interpret the results? (10 marks)
2.3. List the charts to be maintained in the ward for this patient (30 marks)
2.4. Once the diagnosis is confirmed the treatment was started with steroid.
--- Content provided by FirstRanker.com ---
How will you advice the mother regarding the treatment (50 marks)3. Six year old school going child from poor socio economic family was brought by the
parents to the paediatric clinic with the history of poor feeding, poor activity and easily
becoming tired while playing compared with other peers. He also has a habit of pica. On
examination child had pallor without hepatosplenomegaly. A diagnosis of nutritional
--- Content provided by FirstRanker.com ---
anaemia is suspected.3.1. Explain the term anemia (10 marks)
3.2. How will you investigate the child (30 marks)
3.3. List the steps in the management. (30 marks)
3.4. How does the management of Nutritional Anaemia differ from
--- Content provided by FirstRanker.com ---
Anaemia due to Thalasemia major (30 marks)1
4. A four year old child underwent circumcision for phymosis by the surgical team.
Following surgery the child wasbleeding from the surgical site. Mother's brother has a
history of bleeding disorder and he died following head injury. Mother's father didn't
--- Content provided by FirstRanker.com ---
have any symptom. On examination he was found to have pallor with oozing of blood atthe surgical site. A diagnosis of haemophelia was made.
4.1. How does haemostatic mechanisms work to stop the bleeding (20 marks)
4.2. At what point of the developmental stages of a child do you
suspect bleeding disorders. (20 marks)
--- Content provided by FirstRanker.com ---
4.3. Mention the steps that you will take to arrest the bleeding. (20 marks)4.4. Draw the family pedigree of this child (20 marks)
4.5. What advice will you give at discharge (20 marks)
PART B
5.1. What is cerebral palsy? (10 marks)
--- Content provided by FirstRanker.com ---
5.2. Write down the types of cerebral palsy (20 marks)5.3. List the complications that are associated with cerebral palsy (20 marks)
5.4. Give five approaches of nursing care which helps in the management of
5.
6.
--- Content provided by FirstRanker.com ---
ear. r ,11 r,11,171,1(30 a?..,uasty 1.11 VV 1L11 1./GL GUI al pa.ty. k." v mat
5.5. Write five causes which lead to cerebral palsy in children. (20 marks)
6.1. Define febrile convulsion (15 marks)
6.2. What are the types of febrile convulsions (15 marks)
--- Content provided by FirstRanker.com ---
6.3. Write three clinical features to differentiate each type? (20 marks)6.4. Give the immediate management steps in a child who is fitting for the
last two minutes. (30 marks)
6.5. List the basic investigations to be ordered in a child with fever for
three days, headache and convulsion and give reasons (20 marks)
--- Content provided by FirstRanker.com ---
2FirstRanker.com - FirstRanker's Choice