Antenatal visits, immunisation and the child's growth chart are recorded together in the:

Mother and Child Protection card

In a two-way referral system, the higher centre that receives a patient must:

Send feedback to the referring unit

Keep the patient until fully cured

Refer the patient to a third centre

On the MCP card growth chart, a child's weight stays the same at two monthly visits, though it is still in the green band. This means:

Growth faltering needing counselling

Normal growth needing no action

On a home visit, a woman at 32 weeks complains of headache and blurred vision. Her BP is 160/110 mmHg and her ankles are swollen. The best action is to:

Refer her at once to the FRU with a referral note

Give IFA tablets and restrict salt

Record it and report at the monthly meeting

Advise rest and recheck BP next week

Family health services, home visits and records

15 Kerala PSC Staff Nurse Gr II practice questions on Family health services, home visits and records, part of Community Health Nursing and Nutrition. The first 15 are below; the first 5 with answers and explanations (tap Show answer after you have chosen), the rest in Learn with a free account.

Question 1 · Easy
Antenatal visits, immunisation and the child's growth chart are recorded together in the:
1. ABirth certificate
2. BMother and Child Protection card
3. CFamily planning card
4. DEligible couple register
Show answerHide answer
Answer: B · Mother and Child Protection card
The Mother and Child Protection (MCP) card is a single home-based record for the mother and child. It carries antenatal care, delivery details, immunisation and the WHO growth chart. The mother keeps it and brings it to every visit. It also gives her key health messages in pictures.
- A: A birth certificate records only the birth event.
- C: A family planning card records contraceptive use only.
- D: The register lists couples for family planning, not child growth.
Question 2 · Easy
In a two-way referral system, the higher centre that receives a patient must:
1. ACharge a fee for the referral
2. BKeep the patient until fully cured
3. CSend feedback to the referring unit
4. DRefer the patient to a third centre
Show answerHide answer
Answer: C · Send feedback to the referring unit
Two-way referral means the patient goes up to a higher level of care and information comes back down. The receiving centre sends a back-referral note with the diagnosis, treatment and follow-up advice. The health worker can then continue care at home. Without feedback, the referral loop is broken and follow-up fails.
- A: Referral under public health services is not tied to a fee.
- B: Patients are sent back for follow-up once the higher-level care is done.
- D: Onward referral is not what makes the system two-way.
Question 3 · Medium
On the MCP card growth chart, a child's weight stays the same at two monthly visits, though it is still in the green band. This means:
1. ANormal growth needing no action
2. BGrowth faltering needing counselling
3. CSevere acute malnutrition
4. DAn error in the weighing scale
Show answerHide answer
Answer: B · Growth faltering needing counselling
The direction of the growth curve matters more than the band. A flat line means the child is not gaining weight, which is growth faltering. The nurse looks for illness and poor feeding and counsels the mother before the child slips into a lower band. A rising curve parallel to the reference lines is the healthy pattern.
- A: A flat curve is not normal even within the green band.
- C: SAM needs severe wasting, MUAC under 11.5 cm or oedema.
- D: A scale error is not assumed when two visits agree.
Question 4 · Easy
The record that holds the health details of every member of one household, kept at the sub-centre, is the:
1. AFamily folder
2. BDaily diary
3. CEligible couple register
4. DReferral slip
Show answerHide answer
Answer: A · Family folder
A family folder keeps the health record of all members of a household in one place: a family card plus individual cards. It gives the nurse a picture of the whole family's health problems and services received. It is used before every home visit to plan care. Continuity of care depends on it being updated after each contact.
- B: The daily diary records the worker's own daily activities.
- C: The eligible couple register lists only couples with wives aged 15-49.
- D: A referral slip goes with one patient to a higher centre.
Question 5 · Hard
On a home visit, a woman at 32 weeks complains of headache and blurred vision. Her BP is 160/110 mmHg and her ankles are swollen. The best action is to:
1. AGive IFA tablets and restrict salt
2. BRecord it and report at the monthly meeting
3. CRefer her at once to the FRU with a referral note
4. DAdvise rest and recheck BP next week
Show answerHide answer
Answer: C · Refer her at once to the FRU with a referral note
Headache and blurred vision with BP 160/110 mmHg suggest severe pre-eclampsia, which can progress to eclampsia. She needs urgent care at a centre that can give magnesium sulphate, control BP and do an emergency delivery. The nurse arranges transport and sends a referral note. Waiting or home advice risks fits, abruption and death.
- A: IFA and salt restriction do not treat severe pre-eclampsia.
- B: Reporting later delays care for an emergency.
- D: A week's delay is unsafe with features of severe pre-eclampsia.
Question 6 · Medium
Before leaving for a home visit, the first thing the nurse should do is:
1. ACollect the family's health card from the office
2. BReview the family folder and set the purpose
3. CPack every article in the bag
4. DInform the medical officer by phone
Answer and explanation in LearnFree account
Question 7 · Medium
A school health record kept up to date from a child's entry to school until he leaves is an example of a:
1. ADaily report
2. BCumulative record
3. CSurvey report
4. DReferral record
Answer and explanation in LearnFree account
Question 8 · Medium
During bag technique, the nurse washes her hands again after giving care and before putting articles back. The main reason is to:
1. ASave soap for the next visit
2. BRemove the smell of disinfectant
3. CShow the family how to wash hands
4. DKeep the inside of the bag uncontaminated
Answer and explanation in LearnFree account
Question 9 · Hard
A sub-centre serves 5,000 people. The crude birth rate is 18 per 1,000 population per year. About how many births should the JPHN plan to register in a year?
1. A18
2. B278
3. C90
4. D900
Answer and explanation in LearnFree account
Question 10 · Medium
Why should all members of a household with scabies be treated on the same day?
1. ATo prevent reinfestation from an untreated member
2. BBecause the mite lives only one day
3. CTo reduce the cost of the cream
4. DBecause symptoms start at the same time
Answer and explanation in LearnFree account
Question 11 · Easy
The topical drug of choice for scabies in children above two months is:
1. ACalamine lotion
2. BClotrimazole 1% cream
3. CGamma benzene hexachloride
4. DPermethrin 5% cream
Answer and explanation in LearnFree account
Question 12 · Medium
Low-osmolarity ORS (245 mOsm/L) is preferred to the older formula because it:
1. ACan be stored after mixing for 48 hours
2. BReduces stool output and the need for IV fluids
3. CContains more sodium for faster rehydration
4. DProvides more glucose for energy
Answer and explanation in LearnFree account
Question 13 · Easy
An eligible couple is a currently married couple in which the wife is aged:
1. A18-45 years
2. B20-35 years
3. C15-49 years
4. D12-50 years
Answer and explanation in LearnFree account
Question 14 · Hard
A JPHN plans visits to four homes today: a child with measles, a man with sputum-positive TB, a man with leprosy on treatment and a 3-day-old newborn with her mother. Which home should she visit first?
1. AThe man with leprosy on treatment
2. BThe child with measles
3. CThe man with sputum-positive TB
4. DThe newborn and her mother
Answer and explanation in LearnFree account
Question 15 · Easy
All of the following are correct steps in bag technique EXCEPT:
1. ASpreading paper under the bag
2. BPlacing the bag on the patient's bed
3. CCleaning used articles before repacking
4. DWashing hands before taking out articles
Answer and explanation in LearnFree account

More Community Health Nursing and Nutrition questions

Answer them one by one, keep your score and see your weak topics in Learn. Signed-out visitors try 25 per exam; sign in with Google to see them all.

Study Community Health Nursing and Nutrition

Family health services, home visits and records

Antenatal visits, immunisation and the child's growth chart are recorded together in the:

In a two-way referral system, the higher centre that receives a patient must:

On the MCP card growth chart, a child's weight stays the same at two monthly visits, though it is still in the green band. This means:

The record that holds the health details of every member of one household, kept at the sub-centre, is the:

On a home visit, a woman at 32 weeks complains of headache and blurred vision. Her BP is 160/110 mmHg and her ankles are swollen. The best action is to:

Before leaving for a home visit, the first thing the nurse should do is:

A school health record kept up to date from a child's entry to school until he leaves is an example of a:

During bag technique, the nurse washes her hands again after giving care and before putting articles back. The main reason is to:

A sub-centre serves 5,000 people. The crude birth rate is 18 per 1,000 population per year. About how many births should the JPHN plan to register in a year?

Why should all members of a household with scabies be treated on the same day?

The topical drug of choice for scabies in children above two months is:

Low-osmolarity ORS (245 mOsm/L) is preferred to the older formula because it:

An eligible couple is a currently married couple in which the wife is aged:

A JPHN plans visits to four homes today: a child with measles, a man with sputum-positive TB, a man with leprosy on treatment and a 3-day-old newborn with her mother. Which home should she visit first?

All of the following are correct steps in bag technique EXCEPT: