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General Instructions: Write your name on the questionnaire. Choose the best answer for each
test item. Then, properly shade the letter of your choice on your answer sheet. Upon
submission, insert the scantron paper on the folded questionnaire.

1. It is the screening test to determine normalcy or delays in the development of 6 and 1/2 years old
children and below.
A. Fine-Motor Adaptive
B. Screening
C. Metro Manila Developmental Screening Test
D. Denver Developmental Screening Test

2. Which theories of development is not properly matched?

A. Intellectual/Cognitive Development – Jean Piaget
B. Moral Development – Erik Erikson
C. Development of Sexuality – Sigmund Freud
D. Spiritual/Faith Development – James Fowler

3. It is the screening test to determine behavioral and cognitive development/problems in children 0 - 6

years old.
A. Gross-Motor
B. Denver Developmental Screening Test
C. Fine-Motor Adaptive
D. Screening

4. How many test items are there in MMDST?

A. 100
B. 105
C. 103
D. 95

5. The presumptive identification of unrecognized disease through tests and examinations is:
A. Signs and Symptoms
B. Diagnostic Test
C. Screening
D. Emotional Test

6. The tasks which indicate the child’s ability to see and use his hands to pick up objects and to draw.
A. Language
B. Gross-Motor
C. Fine-Motor Adaptive
D. Personal-Social

7. The tasks which indicate the child’s ability to sit, walk, and jump.
A. Personal-Social
B. Gross-Motor
C. Language
D. Behavior

8. The tasks which indicate the child’s ability to get along with people and to take care of himself.
A. Behavior
B. Language
C. Growth
D. Personal-Social

9. The tasks which indicate the child’s ability to hear, follow directions, and to speak.
A. Language
B. Growth
C. Gross Motor
D. Behavior

10. It refers to the action of an organism usually in relation to its environment which includes the other
organism around the physical environment
A. Behavior
B. Attitude
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C. Maturity
D. Growth

11. The process of increasing in size and maturity.

A. Behavior
B. Attitude
C. Maturity
D. Growth

12. A test that determines whether a disease or suspected risky condition is present with 100%
accuracy.
A. Signs and Symptoms
B. Diagnostic Test
C. Screening
D. Emotional Test

13. State the importance of the MMDST.

A. To screen if the developmental milestone of the child is appropriately developed for his/her
age.
B. To know the capability of the child at his/her age
C. To know how the personal-social, fine motor adaptive, language and gross motor develops.
D. All of the above.

14. Which is NOT a feature of MMDST?

A. It is NOT an intelligence test
B. It is a diagnostic test
C. It is NOT a predictor of future adaptive or intellectual ability.
D. It is a screening test.

15. The following are the guidelines in the conduct of MMDST test, EXCEPT:
A. Nurses must be prepared and must be well equipped with knowledge.
B. Establish rapport before the test.
C. Record and note the result findings.
D. Present the result of the screening to the consultant for determination, screen hearing and
vision to rule out sensory impairments.

16. Which is not included in the ratings or test scores in MMDST:

A. P- pass
B. F- failure
C. R- refusal
D. N.A.- not applicable

17. What are the sectors or domains of development assessed in MMDST?

i. Fine-motor adaptive
ii. Gross-motor
iii. Personal-social
iv. Language
v. All of the above
A. I and ii
B. Ii and iii
C. Iii and iv
D. v only

18. Identify what are difficult test situations that might be encountered in the conducting the MMDST.
A. Shy child
B. Uncooperative child
C. Overactive
D. All of the above

19. Which materials to be used in MMDST is NOT included?

A. A bright red yarn pom-pom
B. A rattle with a narrow handle
C. Eight 1-inch colored wooden blocks (red, blue, yellow and green)
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D. A red cartolina

Interpret the test results of MMDST using the following criteria.

A. Abnormal
B. Questionable
C. Untestable
D. Normal

20. 2 or more sectors with 2 or more delays

21. 1 sector with 2 or more delays plus 1 or more sectors with 1 delay and in that same sector, no
passes intersecting the age line

22. 1 sector with 2 or more delays

23. 1 or more sectors with 1 delay and in that sector, no passes intersecting the age line

24. When REFUSALS occur in numbers large enough to cause the test result to be
QUESTIONABLE or ABNORMAL if these were scored as failures

25. Any condition not listed above

Situation: Aling Betty a retired school and a sari-sari store owner came to the health center complaining of
easy fatigabilty. She is very much worried about her health although according to her work in the store is very
light.

_____26. Based on the above situation which of the following statement BEST exemplify a health
promotion priority goal for Aling Betty?
a. Plan a therapeutic diet for her c. Allay or reduce her stress
b. Encourage her to have bedrests d. Have a regular physical examination

_____27. In doing risk appraisal (priority) for Aling Betty,which of the following behavior of the nurse is most
appropriate?
a. Perform the physical assessment including technical gynecological history
b. Show an attitude of concern considering her individuality as a person
c. Show an attitude of concern considering her individuality as a person
d. Show a helping attitude by supervising her ADL (Activities 0f Daily Living)

_____28. The objective of a risk appraisal for Aling Betty is finding out the:
a. Health threats in the community c. Danger signs of diseases
b. Health habits and practices d. Undesirable health practices

____29. Having gathered information,which of the following potential health problems can be BEST
modified or addressed by the nurse according to the health needs of the client?
a. Illness among the family members c. Health resources in the community
b. health habits and practices d. Her work as a sari-sari store owner

____30. Upon taking the blood pressure,Aling Betty’s BP registered at 170/100mmHg.You should provide
her health teachings that pertains to:
a. Past illness c. Daily activities of living
b. Dietary pattern d. Sleeping habits

Situation: Water quality and monitoring for surveillance id the responsibility of each municipality thru the
RHU.Planning must be assisted by the environmental health service.

_____31. The nurse should know the examination of drinking water by government or non-government
municipality thru the RHU. Planning must be assisted by the Environmental Health Service.
a. Sanitary Engineer b. Department of Health c. Municipality d. City of Health

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_____32.Nursing responsibilities and activities to ward-off environmental pollution is beyond measure. The
nurse is in best’s position to conduct health education through which of the following?
a. Development of designs or programs c. Development and distribution of IEC materials
b. Use of communicable media d. Role modelling approach

Situation: The Expanded program of Immunization (EPI) was started in July 1976 by virtue of PD 996, a
compulsory immunization of children below 8 years old.

____33. The general objective of EPI is to reduce morbidity and mortality among children. BCG is given at
birth followed by 2 doses. When will the 2nd and 3rd doses be given?
a. Pre-schooler booster c. two months after first dose
b. One and half months after 1 month after d. every month for 2 months

____34. Measles is given simultaneously at a dose of 0.5ml,at what age is this done?
a. Nine months b. Six months c. One and a half year d. One year

Situation: Being the Public Health Nurse, you perform your role as a health educator in the community
health care.

_____35. In the preparation of your health education plan,the first things you do is:
a. Assess community needs for health education
b. Identify the subjects for health teaching
c. Specify your goals and objectives
d. Identify who will provide support and the type of support to be provided

_____36. You are effective health educator if you can:

a. Listen to people’s problems and help then decide the approach for meeting their needs
b. Select the bests strategy for health action for the people to implement
c. Direct the people’s efforts to implement community-based projects
d. Just tell client’s what to do for their problems and needs

_____37. In teaching a responsible member of a family to perform a certain procedure for the patient, what is
the best thing to do?
a. Do all these steps c. Describe the procedure
b. Arrange for the practice of the procedure d. Demonstrate the procedure

Situation: In the municipality where you are signed, the people have poor hygiene practices, poor
environmental sanitation, and poor nutrition. Their educational levels are low. Infant mortality is low
compared to the national infant mortality rate.

_____38. In this municipality the nursing health care plan should be focused on:
a. Rehabilitative services c. Health promotion and disease prevention
b. All these services d. Curative services

____39. You assisted the midwife in formulating the objectives of the plan of care in the barangay. Which
of the following is a well-stated objective?
a. to reduce the number of children with ascariasis by 20%
b. to protect the water sources from pollution
c. to conduct health teachings on proper nutrition
d. to reduce the number of underweight children by 10%

Situation: The community health nurse prepares/participate in the preparation of the community health
center.

_____40. In order to plan effectively,the nurse working knowledge on the following except:
a. None of these
b. The way people view health and how they are using health care services
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c. Health status profile of the community

d. Data on quality assurance

_____41. In a Rural health Unit, with full manpower complement the nurse’s main contribution in the total
health care plan is the:
a. Preparation of the nursing component
b. Collection of data on health statistics plan
c. Identification of health problems in the Barangays
d. Analysis of the community survey data

Situation: A review of the records of municipality B revealed that:

-40% of the records of the municipality B revealed that:
-average number of children of families in the municipality is 4
-around 70% of children were immunized
-you will prepare a care for this community

_____42.The community health care plan should be based on a community health care needs as
recognized by:
a. Barangay health workers c. midwife assigned in the barangay

b. Midwife assigned in the barangay d. individuals and families in the community

_____43.The following is a priority as well-stated objective of health care plan for community B:
a. To intensify education on environmental sanitation in all barangays in the municipality

b. To reduce the number of undernourised children by 20% by the end of one year

c. To motivate at least 20% of the couples to practices of family planning

d. To increase immunization coverage after one year

Situation: You are a new public health nurse in a community with 9 barangays.As a result of your family
and community study,you found out that:
. In baragnay A,more 50% of the household used unsanitary toilets,there are standing water
and scattered waste materials.
-In barangay B, the average number of children in the family is 5.60% of the 0-5 years old
children are underweight.

_____44.If you are to evaluate your plan of care in barangay B,at the end of 2 years,which of the
following is an appropriate indicator.
a. Improved environmental sanitation

b. Percentage of 0-5 children who are underweight and who developed protein malnutrition

c. Number of children who have diarrhea due to parasitism

d. Number of sick children due to poor hygiene practices

_____45, Which of the following will you do to detect signs of malnutrition?

a. Clinic home visit c. Weighing the child and conducting regular physical assessment

b. All of these d. Performing sample laboratory procedures

____46. In the plan of care for barangay B,the first objective is to prevent protein energy malnutrition among
children of 0-5 years old. To achieve this objective,what is/are the health teachings you should give the mother.
a. practice family planning
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b. All these health teachings

c. Complete breastfeeding of babies from 4-6 months

d. Bring child to health center for regular check up and immunization

_____47. You assisted the midwife assigned in barangay A, in preparing for the plan of care for this
barangay.Following specific objectives what should be considered a priority in the plan of care of
barangay A?
a. To conduct monthly health education session on environmental sanitation

b. To reduce the incidence of parasitism by 30% by the end of the year

c. To reduce the incidence of under nutrition by 50% by end of the year

d. To encourage families to bring their children to well-family clinics regularly

Situation: Home visit is a professional face-face contact of the nurse with the family.

____48. Which of the following principles should the nurse considered during a visit?
a. identifying family need c.purpose of the visit

b. Flexible and practical plan d. planning for the family

____49. Which of the factors determines frequency of a visit?

a. Ability to identify family’s needs c. Acceptance of the family

b. Previous health services d. Availability of Rural health units

____50.Which is an important tool of a Public health nurse?

a. Patient,s chart b. vaccines c. umbrella d. PHN bag

TEST II- Identification.

Questions refers to the first level of assessment. Write A for health deficit,B for health threats and C for
forseeable crisis.

_____1. unsanitary waste disposal

_____2. resettlement in a new community
_____3. head of the family suffers paralysis
_____4. presence of breeding or resting sites of vector of diseases
_____5. Low birth-weight baby
_____6. self- medication
_____7. 6 years-old child’s first day of school
_____8. diagnosed with HPN and cardio-pulmonary disease
_____9. conflict between family
____10. birth of a new child

Test III- Matching type. Match Column A with Column B.

Instruction: Set A are statements referring to the 2nd level of assessment. Choose from SeT B which appropriate
statements correlates with Set A. write the letter of your choice. (2 points each)

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SET A SET B

______1. Inability to recognize the presence of a A. Inadequate family resources due to financial
health condition/problem due to: constrains

______2. In ability to make decision with respect to B. Lack of knowledge to alternative action to take
taking appropriate health action due to:

C. Lack of trust or confidence with health workers

______3. Inability to provide inadequate nursing
care to the sick member of the family due to:

D. Lack of inadequate knowledge and skills in

______4. Inability to provide a home environment carrying out necessary intervention
conducive to health maintenance and personal
development due to:
E. Inadequate knowledge

______5. Failure to utilize community resources

like health centers for health care due to: F. Fear of diagnosis of a problem specifically
emotions

G. Needed vaccinations for older children

Test V- Essay. Provide answers that are brief and concise.

1. Discuss family health nursing,you may include in your discussions its goals ,objectives and principles.(5
points)

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