All Free Community Health Nursing MCQs with Answers

• A. Checking blood pressure and testing urine for protein
• B. Giving antibiotics to every pregnant woman
• C. Restricting physical activity throughout pregnancy
• D. Performing an ultrasound at every visit

Explanation: Blood pressure and urine protein assessment can identify hypertension and pre-eclampsia risk.

• A. A person trained to conduct normal birth and manage complications
• B. A family member who has attended several home births
• C. A traditional birth attendant who gives herbal preparations
• D. A community worker who records births and deaths

Explanation: A skilled birth attendant has the education and competencies to conduct normal childbirth and recognize, manage, or refer complications.

• A. Mild after-pains during breastfeeding
• B. Small amounts of decreasing lochia
• C. Temperature of 38°C with foul-smelling lochia
• D. Mild tiredness after caring for the newborn

Explanation: Fever with foul-smelling lochia suggests postpartum infection and requires prompt assessment and treatment.

• A. Male or female condoms
• B. Copper-bearing intrauterine device
• C. Combined oral contraceptive pills
• D. Calendar method alone

Explanation: Condoms provide contraception and help reduce transmission of many sexually transmitted infections when used correctly.

• A. Keep the stump clean and dry, and avoid applying substances
• B. Cover the stump with a tight abdominal bandage
• C. Apply ash or oil to help the stump fall off
• D. Clean the stump repeatedly with household antiseptic

Explanation: Clean, dry cord care reduces bacterial contamination and infection. Applying ash, oil, or unprescribed antiseptics can introduce organisms…

• A. Prolonged skin-to-skin contact with the mother
• B. Bathing the newborn immediately after each feed
• C. Separating the newborn from the mother for routine observation
• D. Giving plain water between breastfeeds

Explanation: Kangaroo mother care provides warmth, supports breastfeeding, and promotes bonding in a stable low-birth-weight newborn.

• A. Intradermal injection
• B. Deep intramuscular injection
• C. Subcutaneous injection
• D. Oral administration

Explanation: BCG vaccine is administered by the intradermal route, usually in the upper arm, to provide protection against severe forms of childhood…

• A. Give oral rehydration solution and continue feeding
• B. Stop all fluids until the diarrhoea completely stops
• C. Give an antidiarrhoeal drug without assessment
• D. Give only clear tea for the next twenty-four hours

Explanation: Oral rehydration solution replaces water and electrolytes, while continued feeding helps prevent malnutrition and supports recovery.

• A. Refer urgently for assessment and treatment of severe malnutrition
• B. Advise the caregiver to reduce the child's food intake
• C. Give a routine multivitamin and review after one month
• D. Start a weight-loss plan and encourage more physical activity

Explanation: Severe wasting with bilateral pitting oedema is a sign of severe acute malnutrition and may involve serious medical complications.

• A. Discuss several suitable methods and support an informed choice
• B. Tell her that breastfeeding prevents pregnancy for one full year
• C. Recommend permanent sterilization without discussing alternatives
• D. Advise her to wait until menstruation returns before contraception

Explanation: Postpartum counselling should consider breastfeeding, medical eligibility, reproductive plans, and the woman's informed preference.

• A. It prevents neural tube defects in the developing fetus
• B. It prevents hypertension in the pregnant woman
• C. It increases breast milk production after delivery
• D. It prevents all infections during pregnancy

Explanation: Folic acid supports closure of the fetal neural tube and reduces neural tube defects when taken before conception and in early pregnancy.

• A. Break the suction and help the baby attach more deeply
• B. Limit each feed to five minutes on each breast
• C. Clean the nipple with antiseptic before every feed
• D. Give water before breastfeeding to improve sucking

Explanation: Clicking, nipple pain, and shallow areolar attachment indicate poor attachment.

• A. Administering vitamin K soon after birth
• B. Giving oral iron during the first hour
• C. Applying antibiotic cream to both eyes
• D. Starting complementary food during the first week

Explanation: Newborns have low vitamin K stores, so prophylactic vitamin K soon after birth reduces the risk of serious bleeding.

• A. Jaundice appearing during the first 24 hours
• B. Mild peeling of skin on the hands
• C. A brief sneeze after feeding
• D. Small amounts of breast milk regurgitation

Explanation: Jaundice within the first 24 hours is abnormal and may indicate haemolysis or another serious condition, so urgent assessment is needed.

• A. Keeping vaccines in a monitored cold box with conditioned ice packs
• B. Placing vaccine vials directly against frozen ice packs
• C. Carrying vaccines in an uninsulated bag for quick use
• D. Storing opened and unopened vials together without checking temperature

Explanation: A monitored cold box with suitable ice packs maintains the recommended cold chain during outreach.

• 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.

• A. A contraceptive implant placed under the skin
• B. Withdrawal used during every sexual act
• C. Calendar tracking based only on cycle dates
• D. Male condoms used only when pregnancy is feared

Explanation: A contraceptive implant is a long-acting reversible method that does not require daily user action and is highly effective.

• A. Both breasts are firm and tender without fever
• B. One breast is red with high fever and chills
• C. A breast abscess has a fluctuant painful swelling
• D. The mother has foul-smelling vaginal discharge

Explanation: Engorgement commonly causes bilateral fullness, firmness, and tenderness without systemic illness.

• A. Lentils with lemon and a small portion of meat
• B. Tea with biscuits and a small amount of sugar
• C. Plain rice with clear broth and no vegetables
• D. Carbonated drink with packaged salty snacks

Explanation: Lentils and meat provide iron, while lemon supplies vitamin C that improves absorption of plant iron.

• A. Refer the child for assessment of persistent diarrhoea
• B. Reassure the family that no follow-up is needed
• C. Stop breastfeeding until the stools become normal
• D. Give an antidiarrhoeal medicine without assessment

Explanation: Diarrhoea lasting 14 days or more is persistent diarrhoea and requires further assessment for dehydration, malnutrition, and an underlying…