During an integrated management of childhood illness assessment, a two-year-old is unable to drink and is unusually sleepy. What is the priority action?
Correct answer: B. Arrange urgent referral after giving appropriate pre-referral care
- A. Provide home care advice only
- B. Arrange urgent referral after giving appropriate pre-referral care
- C. Ask the caregiver to return after three days
- D. Recommend an over-the-counter cough mixture
Explanation
Inability to drink and abnormal sleepiness are general danger signs requiring urgent referral. The nurse should provide appropriate pre-referral care according to protocol and avoid delaying transfer for routine home treatment.
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About Maternal and Child Health in the Community
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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