CHILD HEALTH NURSING

SESSIONAL EXAM - 1
Section – A
Duration – 3 Hours Total Marks – 75
I. Answer the all the questions (15 X 1 = 15)
1. Define under five
2. List the nutritional programmerrelated to child health.
3. What is the life span of RBC in neonates?
4.What is the cause of infant mortality rate ?
5.Define IMR?
6.Expand CARE
7.Deine grief
8.Define development
9.when does anterior and posterior fontanels will close?.
10. What is the storage temperature of oral polio vaccine?.
11. what is the composition of fore milk and hind milk?.
12. at the age of ________ head circumferences become equal to the chest circumferences.
13. Expand VVM.
14. An increase in mass are size of the Tissue is known as.
15. List out the behavioural disorder of the toddler.

SECTION – B
II. Answer any Six of the following. (6 X 5 = 30)
16. Write the universally accepted rights of children.

1. The right to equality, without distinction on account of race, religion or national origin.

2. The right to special protection for the child’s physical, mental and social development.
 3. The right to a name and a nationality.

4. The right to adequate nutrition, housing and medical services.

5. The right to special education and treatment when a child is physically or mentally
handicapped.

6. The right to understanding and love by parents and society.

7. The right to recreational activities and free education.

8. The right to be among the first to receive relief in all circumstances.

9. The right to protection against all forms of neglect, cruelty and exploitation.

10. The right to be brought up in a spirit of understanding, tolerance, friendship among

peoples, and universal brotherhood.

17. Mention the nutritional programme related to child health and explain about ICDS.
1. Integrated child development service scheme (ICDS)
2. Mid-day meal programme (MDM)
3. Special nutrition programme (SNP)
4. National nutritional anemia prophylaxis programme
5. National iodine deficiency disorders control programme
6. Vitamin A Prophylaxis programme (1970)
7. Balwadi Nutrition Programme
8. National food security bill (2011)

Integrated child development service scheme (ICDS)

Child Development Service Scheme ICDS Launched 2nd October 1975. It reaches more
than 34 million children aged between 0-6 years and 7 million pregnant and lactating
mothers.
Objectives of ICDS
 To improve the nutritional and health status of children in the age-group 0-6 years;  to
lay the foundation for proper psychological, physical and social development of the child;
 To reduce the incidence of mortality, morbidity, malnutrition and school dropout;

Beneficiaries Of ICDS: Pregnant women, Nursing mothers, Children between less than 03
years of age, Children between 03-06 years of age, Adolescent girls (11-18 years).
Components of ICDS: Health check – ups, Growth promotion and supplementary feeding,
Immunization, Referral services, Early childhood care and pre-school education, Nutrition
and health education.
 18. Discuss the principle of pre and post operative care.
pre operative

 enema to be administered
 administer pre operative medications
 child bath should be done
 make the child should wear clean gown
 provide all the reports
post operative

 maintain patent airway

 keep monitoring vital signs
 fluid replacements
 pain following surgery should be managed
 check the drainage tubes
19. Explain the psychosocial development of an infant
Erik Erikson’s theory of psychosocial development
Psychosocial development of an infant Stage - Trust vs. Mistrust (birth to 18
months)
The first stage of Erik Erikson's theory centers around the infant's basic needs
being met by the parents and this interaction leading to trust or mistrust.
characterized by taking in through all the senses; loving care of a mothering
person is essential to develop trust; must have basic needs met; attachment to primary
care taker; the favorable outcome is faith and optimism.

20. List the advantages of breast feeding

Breast feeding is ideal for the neonates. it has several advantages both for the baby and
mother.

Advantages for the baby

It is a wholesome food for the baby as it contains all the nutrients that a baby needs in
first 6 months of life for optimum growth and development.

Lowers the risk of infection

Protects from allergy

Therapeutic effects

Physiological adaptation
 Economic factors

Emotional bonding

Advantages for mother

Serves as a natural contraceptives

Lowers the risk of ovarian and breast cancer

Convenient for the mother as she required to clean the bottle and prepare milk

Helps mother to lose extra weight that she put during pregnancy.

Promotes involution of uterus.

21. Discuss the common injuries in infant and its prevention.

1. Skin: abrasions, cuts, scalds and burns
2. Bones and joints: getting fingers caught in doors or drawers, fractures, dislocation of
elbows or shoulders
3. Impact: bruises from knocks, head injuries from falls, eye injuries
4. Foreign objects: swallowed objects, choking, accidental poisoning, objects lodged in
the ears and nose.
PRVENTION:
 Remove Danger
 Add Safety Measures
 Choose Child-Safe Equipment
 Water Safety
22. Discuss the importance of play
Play promotes physical, physiological, moral, cognitive, emotional, and
intellectual capacity, enhance coping abilities, express fear, anxiety, tension, anger,
fantasies. Continue growth and development.
SECTION – C

III. Answer anyThree of the following. (3 X 10 = 30)

23. Discuss in detail about weaning, principles of weaning and procedures of weaning to
be followed.
24.Discuss the role of nurse in caring for the hospitalize child.
25. Describe the adolescent growth and development.
26. Explain in detail regarding accident and its prevention.