A mother brings a 10-month-old child with fever to a community clinic. The child has a stiff neck and a convulsion during assessment. What is the priority nursing action?

Correct answer: A. Arrange urgent referral after providing immediate supportive care

  • A. Arrange urgent referral after providing immediate supportive care
  • B. Advise the mother to give extra fluids at home
  • C. Schedule a routine review after the fever settles
  • D. Provide nutritional counselling before further assessment

Explanation

Convulsion and stiff neck are danger signs that may indicate a severe illness such as meningitis. Urgent referral takes priority because airway, breathing, circulation, and serious illness assessment come before routine counselling.

Submitted by a TestUstad contributor and published by the TestUstad editorial teamLast updated
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Maternal and child health covers antenatal care, danger signs in pregnancy, skilled birth attendance, postpartum care, family planning and prevention of maternal complications. It also includes newborn care, breastfeeding, growth monitoring, nutrition, immunization, common childhood illnesses and integrated management of childhood illness in the community.

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