ASSESS & CLASSIFY THE SICK CHILD AGE 2 MONTHS TO 5 YEARS OLD

Question 1

Ask the caregiver about the 4 main symptoms which are

Answer 1

cough/difficult breathing
diarrhea
fever
ear problem

Question 2

Check ALL sick children for?

Answer 2

General Danger Signs (GDS)

Question 3

general danger sign is present if the child:

Answer 3

→ Not able to drink or breastfeed,
→ Vomits everything
→ Has had convulsions
→ Is lethargic or unconscious, or the child
is abnormally sleepy or difficult to
awaken

Question 4

A child with cough or difficult breathing is
assessed for:

Answer 4

1. How long the child has had cough or difficult breathing?
2. Fast breathing
3. Chest Indrawing
4. Stridor or wheeze in calm child
5. Oxygen saturation (thru pulse oximeter)

Question 5

A child who has cough or difficult breathing
for more than 30 days have a chronic
cough, this may be a sign of

Answer 5

tuberculosis
asthma
whooping cough

Question 6

If coughing is for more than 14 days, then
assess for

Answer 6

TB

Question 7

If the child is 2 months – 12 months
fast breathing is

Answer 7

50 breaths/mi

Question 8

If the child is 12 months – 5 years? Fast breathing is

Answer 8

40 breaths/min

Question 9

LOOK for Chest Indrawing what chest wall?

Answer 9

Lower ribs

Question 10

If you only see chest indrawing when the
child is crying or feeding,what can be concluded?

Answer 10

the child does not have chest indrawing

Question 11

If only the soft tissue between the ribs goes
in when the child breath in, which is also
called intercoastal indrawing or
intercoastal retractions, what can be concluded?

Answer 11

the child does not have chest indrawing

Question 12

If the child has abdominal distention and
malnutrition, what appears to be chest
indrawing, what can be concluded?

Answer 12

May not e the real chest indrawing

Question 13

is the hoarse noise made by the child, when the child breaths in

Answer 13

Stridor or Wheeze

Question 14

Stridor or wheeze happens when there is a
swelling in the

Answer 14

larynx
trachea
epiglottis

Question 15

The child with stridor or wheeze when calm is?

Answer 15

In dangerous condition

Question 16

where do you listen for strider or wheezing?

Answer 16

Your ear near the child’s mouth

Question 17

you hear a wet noise if the nose is blocked, clear the nose and listen again

Answer 17

Strider or wheezing

Question 18

You may hear a wheezing noise when the
child breaths out, what can be concluded?

Answer 18

Notstridor

Question 19

The 3 position classifications for a
child with cough or difficult breathing.

Answer 19

1. Severe pneumonia or very severe disease
2. Pneumonia
3. Cough or cold (no pneumonia)

Question 20

an infection of the lungs, both bacteria and viruses can cause

Answer 20

Pneumonia

Question 21

the most commo pneumonia are

Answer 21

streptococcus pneumoniae
haemophilus influenzae

Question 22

Children with bacterial pneumonia may
die from

Answer 22

hypoxia or sepsis

Question 23

When children develop pneumonia, their lungs become

Answer 23

Stiff

Question 24

Chest indrawing is a sign of severe

Answer 24

Pneumonia

Question 25

2 possible classifications for a child with Wheeze:

Answer 25

1. Recurrent wheeze 2. Wheeze (1st episode)

Question 26

• Occurs when stools contain more water than normal • Defined as 3 or more loose watery stools in 24-hour period

Answer 26

Diarrhea

Question 27

The best criteria for diarrhea is the

Answer 27

consistency of the stool – watery than normal

Question 28

lose of watery stools, only small proportion of all water proportion is due to cholera

Answer 28

Cholera

Question 29

diarrhea in less than 14 days, causes dehydration and contributes to malnutrition, death in this case is due to malnutrition

Answer 29

Acute Diarrhea

Question 30

last 14 days or more, up to 20% of episodes of diarrhea becomes persistent, often that causes nutritional problems and contributes to death

Answer 30

Persistent diarrhea

Question 31

a diarrhea with blood in stool with or without mucus, most common cause of this is shigella bacteria, this is not common in young children, but a child may have both watery diarrhea

Answer 31

Dysentery

Question 32

A child with diarrhea is assessed for

Answer 32

A. How long the child has had diarrhea B. Blood in the stool to determine if the child has dysentery, and C. Signs of dehydration

Question 33

Skin goes back longer than 2 seconds

Answer 33

Very slow

Question 34

In what child the skin may go back slowly even if the child is not dehydrated

Answer 34

Marasmus

Question 35

In what child’s does the skin may go back immediately even if the child is dehydrated

Answer 35

Overweight children and child with edema

Question 36

Severe dehydration

Answer 36

• If two or more of the signs in the pink row is present, then classify the child as having severe dehydration • If two or more of the signs are not present, then look at the yellow or middle row

Question 37

• If two or more of the signs in the yellow row is present, then classify the child as having some dehydration • If two or more of the signs are not present, then no enough signs to classify severe or some dehydration, then classify it with no visible dehydration

Answer 37

Some dehydration

Question 38

If the has had diarrhea for 14 days or more, or has had dehydration or losing weight

Answer 38

Severe Persistent Diarrhea

Question 39

If the has had diarrhea for 14 days or more, or has had dehydration or losing weight

Answer 39

Severe Persistent Diarrhea

Question 40

If no visible dehydration but has diarrhea for 14 days or more, then classify the child with persistent diarrhea

Answer 40

Persistent Diarrhea

Question 41

With diarrhea and blood in the stool

Answer 41

Severe Dysentery

Question 42

caused nearly all of life- threatening dysentery

Answer 42

Shigella

Question 43

Finding the actual cause of the dysentery requires what , it can take at least 2 days obtain the laboratory results

Answer 43

Stool culture