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8/3/2019 CD Mid Problem Based Learning
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MCNPS FUTURE REGISTERED MIDWIVES
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Situation 1: Amaya, a 12-year-old
girl was told by her mother toclean their backyard & burn theleaves of the jackfruit tree. After5 days, Amaya experienced fever,body malaise & occasional
petechial hemorrhages. She wasbrought to the Rural healthunit.
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Situation 2: Totoy, a car salesman
had been traveling a lot in thecountry. Three days ago, hedeveloped high grade fever
associated with chills anddiaphoresis. This prompted himto seek consultation. Upon check-up, examination reveals presenceof protozoal parasite on his
blood.
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Situation 3: A midwife is performing
an assessment on a 3-year old childwith newly erupted watery, shinyskin lesions-that started appearing
on his abdomen. The childsmother tells the the midwife, thatthe child keeps scratching at night,
and she teaches the mother aboutmeasures that will prevent analteration in skin integrity.
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SITUATION 4: A midwife is
assessing a 12-month-old infantwho recently had fever, runnynose, cough, and white spots in
the mouth for 3 days. A rashdeveloped that started on theface and spread to the whole
body. The midwife shouldsuspect that the child haseruptive communicable disease.
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Situation 5: James, a 4-year-old
boy is brought to the Rural HealthUnit for cough, fever and rashes.Rashes are warm to touch, slightly
elevated and started to appear onthe face, then on the trunk andextremities. The doctor examined
him further and found a bluish-white lesion on the inner cheekarea.
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Situation 6: Bugoy is a volunteer
rescue aider. He served the floodedpeople from Bulacan during thesurge of typhoon Pedring. After a
week of submerging in the floodedareas of the province, heexperienced fever, headache and
myalgia but he never soughtconsultation. After a month, hefurther experienced jaundice and
episodes of convulsion.
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Situation 7: Mandy started tocomplain severe headache andhigh grade fever for almost two
weeks. She remembered eating
sapin sapin in a nearby store,and after she developed rashesappearing on her chest, back
and abdomen. What would beyour initial impression of herillness?
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Situation 8: Mang Romy is
malnourished living in asquatters area. He came in thehealth center due to loss of
weight easy, fatigability, chroniccough and low grade fever. Uponarriving in the health center, he
was positive for tuberculinetesting and requires furtherexaminations.
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Situation 9: May was rushed to theemergency room suffering from
delirium and convulsions. Her motherstates that she was taking good care ofher daughter all this time. Ana, on the
other hand says she was bitten by a doglast two months, but kept it only toherself. She does not know who ownsthe dog and says she just accidentally
step on it while playing. Her motheralso observes that she does not drinknor take a bath.
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Situation: Immunization is the prevention of communicable diseases thru the utilization ofspecific immunizing agents, by the use of which the body protects itself against infectionsand diseases. Given the following patients, what is the best immunization to be given?
A newborn child born on August 10, 2011a. Active, natural immunization c. Passive, natural immunizationb. Active, artificial immunization d. Passive, artificial immunization
Jose while walking the road was suddenly beaten by a stray doga. Active, natural immunization c. Passive, natural immunizationb. Active, artificial immunization d. Passive, artificial immunization
An adult male accidentally stepped on a rusty nail. He cannot remember his childhoodimmunization.
a. Active, natural immunization c. Passive, natural immunizationb. Active, artificial immunization d. Passive, artificial immunization
A pregnant mother on her 4th month of pregnancy, sought her first prenatal check-up.a. Active, natural immunization c. Passive, natural immunization
b. Active, artificial immunization d. Passive, artificial immunization
A 3 year-old child had diphtheria and sought consult at the emergency unit of a tertiaryhospital
a. Active, natural immunization c. Passive, natural immunizationb. Active, artificial immunization d. Passive, artificial immunization
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