SITUATION: Two children were brought to you. One with chest indrawing and the other had diarrhea.

1. Using the integrated Management of Childhood illness approach, how would you classify the 1st child?

a. Bronchopneumoniab. No pneumonia cough or coldsc. Sever pneumoniad. Pneumonia

2. The 1st child who is 13 months has fast breathing. Using IMCI parameters he has:

a. 40 breaths per minute or moreb. 50 breaths per minute or morec. 30 breaths per minute or mored. 60 breaths per minute or more

3. Nene the second child has diarrhea for 5 days. There is no blood in the stool. She is irritable and her eyes are sunken. The nurse offered fluids and the child drinks eagerly. How would you classify Nene’s illness?

a. Some dehydrationb. Dysenteryc. No dehydrationd. Severe dehydration

4. Nene’s treatment should include the following EXCEPT:

a. Reassess the child and classify him for dehydrationb. For infants under 6 months old who are not breastfed, give 100-200 ml of

clean water as well during this periodc. Give in the health center the recommended amount of ORS for 4 hours.d. Do not give any other foods to the child for home treatment

5. While on treatment, Nene 18 months old weighed 18 kg and her temperature registered at 370C. Her mother says she developed cough 3 days ago. Nene has no general danger signs. She has 45 breaths per minute, no chest indrawing, no stridor. How would you classify Nene’s manifestations?

a. No pneumoniab. Sever pneumoniac. Pneumoniad. Bronchopneumonia

SITUATION: Baby Gem, 3 months old, is brought to the health center for consultation because of fever and cough. You suspect that Baby Gem has a respiratory infection.

6. If you assess Baby Gem which of the following is/are important question’s that you would ask her mother?

a. “Is Baby Gem feeding well?”b. “Is Baby Gem able to drink?”c. “Did Baby Gem had convulsions during the present illness?”d. A and C only

7. It is important to assess Baby Gem breathing. You would know that she has fast breathing if her RR is:

a. 40 breaths/minb. 60 breaths/minc. 65 breaths/mind. 50 breaths/min

8. Baby Gem has fast breathing. The nurse knows that this is a sign of

a. No pneumoniab. Pneumoniac. Severe Pneumoniad. Very Severe Disease

9. Based on the IMCI protocol, Baby Gem belongs to what row?

a. Pinkb. Yellowc. Greend. Red

10. If baby Gem has stridor, what is the classification?

a. No Pneumonia: Cough and Coldb. Pneumoniac. Very Severe Diseased. Severe Pneumonia

SITUATION: Bebe is 4 years old. She is lethargic. Her mother brought her to the health center because of diarrhea for 5 days. She does not have cough and fever. She does not have an ear problem. The nurse assesses Bebe’s diarrhea. Bebe is lethargic. She has sunken eyes. When the abdomen was pinched, it went back to its original state very slowly.

11.The nurse will classify Bebe as having:

a. Diarrhea with some dehydrationb. Dehydration with severe dehydrationc. Severe persistent diarrhead. Dysentery

12.What will the nurse do first?

a. Refer Bebe urgently to a hospitalb. Find out of IV therapy can be provided to Bebec. Give Vitamin Ad. Prevent lowering of blood sugar level

13.What treatment plan is appropriate for Bebe?

a. Plan Ab. Plan Bc. Plan Cd. Plan D

14.The nurse started an IV infusion. What IV solution is recommended?

a. Plain Normal salineb. Normosolc. Ringer’s lactate solutiond. Dextrose 5% in water

15.The nurse reassess Bebe after 1 hour. Skin pinch returns back very slowly. Bebe is no longer lethargic. What is the next thing that the nurse will do?

a. Refer Bebe urgently to the hospitalb. Give appropriate antibioticc. Give IV drip more rapidlyd. Give vitamin A

SITUATION: Cruzita, 2 ½ years old was classified by Nurse Marimar as having Pneumonia, fever, not very low weight in her initial visit.

16.The nurse observes what sign that led to the classification of PNEUMONIA?

a. Abnormally sleepy

b. Stridorc. Chest indrawingd. Fast breathing

17.Which of the following is the treatment for Cruzita’s pneumonia?

a. Refer urgently to a hospitalb. Give amoxicillinc. Give cotrimoxazoled. Start IV therapy

18.Nurse Marimar teaches Cruzita’s mother on how to give oral drugs at home. Which of the following must not be observed?

a. Determine the appropriate drugs and dosage for the child’s age and weight

b. Tell the mother reason for giving the drug to the childc. Demonstrate how to measure a dosed. Instruct the mother to give the first dose at home

19.Does Cruzita live in a malaria-risk area?

a. Yesb. Noc. There is no data mentionedd. Probably

20.Cruzita’s mother brought Cruzita after 5 days. She said that Cruzita still has cough and breathing is still fast. She said that Cruzita sometimes still feels hot. What will be Nurse Marimar’s next action?

a. Refer to the hospitalb. Continue antibiotic for 1 more weekc. Add another antibioticd. Change to second line antibiotic

SITUATION: Zorayda, 2 weeks old, was brought by her mother to the health clinic for check up. Her mother said that the umbilicus is infected. Jolina, the nurse at the clinic assessed her for possible serious bacterial infection.

21.What should Jolina asked first?

a. Is the infant able to breastfeed?b. Has the infant had convulsions?c. Is there blood in the stool?d. For how long has the child had it?

22.The following are signs of a possible serious bacterial infection EXCEPT:

a. gruntingb. nasal flaringc. abnormal movementd. sunken fontanelle

23.Jolina looked at Zorayda’s umbilicus. There was redness, there was pus draining from it. There was no redness noted in the surrounding skin. Jolina will classify Zorayda as having:

a. Possible serious bacterial infectionb. Local bacterial infectionc. Very severe diseased. All of the above

24.What treatment will Jolina institute?

a. Give first dose of intramuscular antibiotics; treat the infant to prevent lowering of blood sugar level; advise the mother on ho to keep the infant warm; urgent referral

b. Give an appropriate oral antibiotic; treat the local infection in the health center and teach the mother how to treat local infections at home; advise the mother on home care; follow up in 2 days

c. Give the first dose of an appropriate antibiotic; Give vitamin A; Treat the child to prevent lowering of blood sugar level; Refer the child urgently to the hospital

d. Any of the above treatment is applicable

25.what is used to treat umbilical infection at home based on IMCI protocol?

a. alcohol and hydrogen peroxideb. alcohol and tincture of iodinec. alcohol and gentian violetd. alcohol and povidone iodine

SITUATION: Jimboy, 9 months old was classified as:

NO PNEUMONIA: COUGH AND COLDSFEVER: MALARIA UNLIKELYACUTE EAR INFECTIONVERY LOW WEIGHT FOR AGE

26.Does Jimboy live in malaria-infested area?

a. yesb. noc. there is no data mentionedd. probably

27.Jimboy’s mother said that he was coughing for more than 30 days. What will the nurse advise her?

a. Give antibiotics for two weeksb. Refer to a hospital for reassessmentc. Advise her to buy a nebulizerd. Soothe the throat and relieve the cough with cough syrups

28.The nurse taught Jimboy’s mother to soothe the throat and relieve the cough with a safe remedy. Which of the following are safe remedies based on IMCI protocol?

1. nasal decongestants2. breast milk3. SLK syrup4. Throat lozenges5. water and salt solution6. topical rubs

a. 1, 2 and 3b. 2 and 3c. 1, 3 and 6d. 1, 4 and 6

29.What is the first line antibiotic for acute ear infection?

a. amoxicillimb. cotrimoxazolec. nalidixic acidd. chloramphenicol

30.What is given if the weight is very low?

a. Albendazoleb. Ironc. Vitamin Ad. Cotrimoxazole

Situation: Grendel, 16 months old was brought to the clinic by her grandmother. He was classified as:

NO PNEUMONIA: COUGH AND COLDSDIARRHEA WITH NO DEHYDRATIONVERY LOW WEIGHT FOR AGE

The nurse asked his grandmother some questions to assess his care for development. His grandmother says that his parents does not play with Grendel since they are both working. Grendels’ brother sometimes play with him. His grandmother said that she is too old to play with a child. She just takes care of Grendels’ feeding, dressing and grooming. The nurse asked the grandmother if she talks to grendel. The grandmother said “I do not do much talking.”

31.Does Grendel need a feeding assessment?

a. Yesb. Noc. Probablyd. No data available

32.The nurse will identify what care for development problem?

a. The child has no toys to play withb. The child is not responsdingc. The grandmother does not know what the child does to playd. The child is being raised by someone other than the mother

33.What toys are recommended for Grendel?

a. Safe household things to handle, bang and dropb. Story and coloring booksc. Large colorful things for child to reach outd. Things to stack up, put into containers and take out

34.The nurse should advise the grandmother to:

a. Teach Grendel stories, song and gamesb. Ask Grendel simple questions and respond to Grendel’s attempt to talkc. Respond to Grendel’s sound and interestsd. All of the above

35.Which of the following is recommended for Grendel’s food and fluid intake?

a. Taho, Boiled saba, banana, yellow camote, peanuts two times a dayb. Lugaw with oil, mashed vegetables or beans, steamed tokwa, flaked fish 5

times a day if not breastfed.

c. Chicken, monggo, dilis, camote, potato, and other fruits and vegetables five times a day

d. Do not give any other food or fluids except for breastmilk substitute

SITUATION: Pumba, 12 months old, has no general danger signs. He was classified to have Diarrhea with some dehydration; persistent diarrhea; not very low weight for age; immunization history: BCG, DPT1, DPT2, OPV1, OPV2. Vitamin A given 2 months ago.

36.Pumba has which of the following signs to be classified as having some dehydration?

a. abnormally sleepy and difficult to awaken; sunken eyes; piched skin goes back very slowly

b. drinking poorly; sunken eyes; skin pinch goes back very slowlyc. Restless and irritable, thirsty; pinched skin goes back immediatelyd. Drinking eagerly, skin pinch goes back slowly

37.Pumba was classified as having dysentery because he has:

a. sunken eyesb. mucus in the stoolc. blood in the stoold. all of the above

38.Pumba’s diarrhea has been existing for how many days?

a. 5 daysb. 7 days or morec. 10 days or mored. 14 days or more

39.What immunization will be given to Pumba?

a. Noneb. Hepa B1c. Measlesd. Hepa B1, Measles

40.Will the Nurse give Pumba Vitamin A

a. Yesb. Noc. C. Yes but during their follow up visitd. It depends on the mother

SITUATION: Chucky, 7 weeks old, is brought to the clinic because of diarrhea. He is classified as having some dehydration. He has no other serious classification. He had BCG and Hepa B1.

41.Will the nurse refer Chucky to the hospital?

a. Nob. Yesc. It depends on the motherd. No adequate data

42.The nurse initiated Treatment Plan B. Which of the following describes this treatment plan?

a. Counsel the mother regarding the three rules of home treatment for diarrhea

b. Give in the health center the recommended amount of ORS over a 4-hour period

c. Intravenous administration of fluidsd. Use of nasogastric tube for rehydration

43.What immunization must be given to Chucky?

a. Hepa B2b. DPT 1, OPV 1c. Measlesd. Both A & B

44.Chuckie’s mother expressed her concern about giving Chucky the immunization. She said that Chucky is dehydrated and the vaccine may worsen the diarrhea. What is the nurse’s best response?

a. “It is ok. Just bring Chucky when his condition improves.”b. “There is no harm in trying. Anyway, he is on Plan B.”c. “It is not contraindicated to immunize when the child has diarrhea. This

will give him additional protection.”d. “I will just write “refused” in his chart.”

45. Which of the following statement is correct?

a. Do not give any vaccine to the child with feverb. Do not give BCG to a child who is born prematurec. Do not give DPT to a child who had a history of convulsionsd. All of the above

SITUATION: The nurse assessed Chucky’s breastfeeding. The mother offered Chucky her left breast. The nurse observed that Chuck’s mouth was not wide open. His chin was touching the mother’s breast. Lower lip is pushed forward. Equal amount of areola is present above than below. Chucky made rapid sucks.

46.From the data above, Chucky has:

a. good attachmentb. no attachment at allc. no signs of inadequate feedingd. no active feeding

47.Chucky was classified as:

a. Possible serious bacterial infectionb. Feeding problemc. No feeding problemd. Low weight for age

48.For an infant to suck effectively, the infant should have:

a. Rapid suckingb. Deep continuous suckingc. Slow deep sucks, sometimes pausingd. On and off sucking

SITUATION: Perfecto, 4 years old was classified as having SEVER DENGUE HEMORRHAGIC FEVER.

49.Perfecto has which of the following signs:

a. running noseb. positive blood smearc. positive tourniquet testd. all of the above

50.What should not be given to children with a classification of sever dengue hemorrhagic fever?

a. cotrimoxazoleb. aspirinc. paracetamold. ORS

51. IMCI as a strategy deals with managing different common childhood illnesses. It is a/an ___________effort conducted by DOH,APSOM, ADCPN, CHED

a. coordinatedb. collaborativec. integratedd. all of the above

52.To assess whether the child has stridor, it is best to:

a. listen to the child’s breath during breathing inb. listen when the child is calmc. place your ear near the child’s mouth and listen for harsh soundd. All of the above

53.When a child and the mother arrives at the health center, it is important to know how long has the child had cough or difficulty of breathing to correctly assess for:

a. pneumoniab. asthmac. TBd. All of the above

54.The objective of IMCI

a. reduce global mortality/morbidity of childhood illnessesb. contribute to healthy grown and development of childrenc. a onlyd. both a and b

Situation: Integrated Management of Childhoof Illness (IMCI) is a strategy used in providing holistic health care services among the under five-year-old children ranging from the detailed history taking, physical examination, diagnosis and treatment of disease and conditions. Below are questions related to IMCI.

55. If the child has pneumonia, the mother is instructed to return to the health center after:

a. one dayb. two daysc. 30 daysd. 14 days

56.a 1 ½ year old child who is being formula fed has persistent diarrhea. On assessment, the child is actively playing and alert. The nurse instructs the mother to do all except:

a. Replace formula with yoghurtb. Give the child nutrient rich semi solid food such as mashed bananac. Make the child drink more waterd. Give the child 400-700 ml Oresol to be taken within 4 hours

57.Dolor brought her 2 year old daughter to the health center because of 2 days cough and 3 days cold. On assessment, the nurse counted the child’s respiration to 56 BPM. Based on this finding, the following statements are true and applicable:

a. The child has pneumoniab. The child has to be referred to the hospital immediatelyc. Soothe the throat and relieve cough with a safe remedyd. The child can be treated at home

a. A, B, Cb. A, C, Dc. B, Cd. C, D

58.To check for the skin turgor of a child having diarrhea, the nurse will:

a. Pinch the child’s abdomenb. Apply pressure on the skin at the foot areac. Pinch the child’s outer upper armd. Look for sunken eyes

59.When a sick infant or child is brought to the health center for consultation, the initial action of the nurse is to assess for danger signs which include checking the following except:

a. Is the child able to drink or breastfeedb. Does the child vomit everythingc. Has the child had convulsionsd. Is the child passing watery stool frequently

60.An 8 month old infant is having fast breathing if his respiration is:

a. 30 BPMb. 40 BPMc. 50 BPMd. 60 BPM

61.Johny Boy, 3 years old, was brought to the RHU by her mother because of diarrhea. On assessment, the child is playful and alert. Which of the following will you not advise the boy’s mother?

a. Boil water for formula for 15-30 minutesb. Stop giving milk as it worsens diarrheac. Tell the mother she can give the child banana to eatd. Instruct the mother to return the child to the RHU after 3 days

SITUATION: The following questions pertain to nursing interventions for a child with diarrhea.

62. It is utilized in the extensive case management of diarrhea to reduce mortality rate in children?

a. Oral rehydration solutionb. Oral rehydration therapyc. Proper waste disposald. Improper wearing practices

63.What is the primary objective of the CDD advocated by DOH?

a. To reduce mortality from diarrheab. Environmental sanitationc. Maternal and child healthd. Promote breastfeeding

64.What is the primary prevention for CDD advocated by DOH that is effective and affordable?

a. Fluid replacementb. Breastfeedingc. Oral rehydration therapyd. Measles immunization

65.Home made oresol is composed of:

a. water, sugar and saltb. Electrolytesc. Water and little sugard. Electrolytes and sugar

66.What type of immunoglobulin is passed to the baby during breasfeeding?

a. IgGb. IgMc. IgA

d. IgE

67.The child with no dehydration needs home treatment. Which of the following is not included in the rules of home treatment in this case?

a. Know when to turn to the health centerb. Give the child extra fluidsc. Give oresol every 4 hoursd. Continue feeding the child

68.A child who has had diarrhea for 14 days but has no sign of dehydration is classified as:

a. Severe dysenteryb. Severe persistent diarrheac. Dysenteryd. Persistent diarrhea

69. If the child has sunken eyes, drinking eagerly, thirsty and skin pinch goes back slowly, the classification would be:

a. Moderate dehydrationb. Some dehydrationc. No dehydrationd. Severe dehydration

70.Carlo has had diarrhea for 5 days. There is no blood in the stool, he is irritable. His eyes are sunken. The nurse offers fluid to Carlo and he drinks eagerly. When the nurse pinched the abdomen, it goes back slowly. How will you classify Carlo’s illness?

a. No dehydrationb. Moderate dehydrationc. Severe dehydrationd. Some dehydration

71.The following are some diarrhea-preventive interventions found to be both effective and affordable except:

a. Breastfeedingb. Handwashingc. Minimizing use of waterd. Measles immunization

72.The nurse is assigned in a certain barrio where there is no Botika. What will you give to a dehydrated infant who is having diarrhea to prevent further dehydration?

a. Give “am” every hourb. Give cola to drinkc. Pounded guava leaves q 1 hourd. Give milk as usual

73.The objective of the CDD (Control Diarrheal Disease) in the under-five action group which is to reduce mortality from diarrhea is expected to be achieved through extensive case management utilizing:

a. ORTb. Environmental sanitation activitiesc. MCH program activitiesd. Health education activities

SITUATION: Among common conditions found in children especially among poor communities are ear infections/problems. The following questions apply.

74. It is the target of National objectives for Health (NOH) for 2005-2010 to eliminate the following major health problems;

a. Poliomyelitis, SARS and Avian influenzab. Leprosy, malaria, filariasis, schistosmiasis and rabiesc. Cancer, diabetes mellitus and other major degenerative diseasesd. Leprosy, malaria, filariasis, schistosomiasis

75. If the child does not have ear problem, using the IMCI what should you do as the nurse?

a. Check for tender swelling, behind the earb. Go to the next question, check for malnutritionc. Check for ear discharged. Check for ear pain

76.An ear discharge that has been present for more than 14 days can be classified as:

a. Chronic ear infectionb. Acute ear infectionc. Complicated ear infectiond. Mastoiditis

77.An ear discharge the has been present for less than 14 days can be classified as:

a. Complicated ear infectionb. Acute ear infectionc. Chronic ear infectiond. Mastoiditis

78. If the child has severe classification because of ear problem what would be the best thing the nurse can do?

a. Dry the ear by wickingb. Refer urgentlyc. Give an antibiotic for 5 daysd. Instruct the mother when to return immediately

79.A child with ear problem should be assessed for the following except:

a. Ear painb. Is there any fever?c. Ear discharged. If discharge is present for how long

80.A child with pneumonia is classified as having very severe disease and should be referred urgently to the hospital, if the child manifests which of the following?

a. Not able to drinkb. Fast breathingc. Severe chest in-drawingd. Stridor or wheezing

81.Fastbreathing in a child who is 1 week up to 2 months?

a. 50b. 60c. 40d. None of the above

82.As the patient comes to the health center, the health practitioner will ask what are the child’s problem. Who will provide the aforementioned information?

a. nurse b. midwifec. mother

d. none of the above

83.A General Danger Signs (GDS), when the child experience fits of jerky movements, spasm and seizure;

a. Abnormally sleepy or difficult to awakenb. Not able to drink or breastfeedc. Convulsiond. None of the above

84.The harsh sound heard when the child breaths in;

a. stridorb. mild chest indrawingc. chest indrawingd. intercostal indrawing

85.A classification that signifies a severe classification and hence, need urgent referral after the first dose of antibiotic

a. pink rowb. yellow rowc. green rowd. none of the above

86.What is the best treatment for the local infection called skin pustules

a. gentian violetb. isoprophyl alcoholc. betadined. none of the above

87.The following are the musts, in deciding whether is true or not , Except:

a. The child should be calmb. The child should be sleepingc. The child should be feedingd. Chest indrawing has to be regular

88. IMCI strategy is used by:

a. Doctorb. Nurse and midwivesc. Barangay Health Worker (BHW)d. All of the above

89.A childhood program that is integrated with the IMCI in treating diarrheal diseases;

a. CARIb. CDDc. Nutritiond. None of the above

90.A health facility managed by a Rural Health Midwife (RHM);

a. main health centerb. Barangay Health Station (BHS)c. Primary Health Care Unit (PHCU)d. None of the above

91.A good communication technique of IMCI is dubbed as APAC. P in the APAC means;

a. Preventb. Praisec. Patienced. None of the above

92. In assessing some palmar pallor, the nurse would be right if she is looking for a palm that is;

a. paper whiteb. paper white with a tinge of pinkc. whitishd. none of the above

93.How many petechiae is positive tourniquet test

a. 20 b. 30c. 25d. None of the above

94.A natural family planning that can be used when breastfeeding infants less than 6 months of age;

a. Basal Body temperature (BBT)b. Synptothermal method (STM)c. Billings Methodd. Lactational Amenorrhea

95.A patient who comes from a malaria endemic area, who has a generalized rash of measles will be classified as;

a. malariab. fever, malaria unlikelyc. fever; DHF unlikelyd. none of the above

96.A solution used to clean an infected umbilical cord;

a. isoprophyl alcohol and betadineb. isoprophyl alcohol and gentian violetc. betadine onlyd. none of the above

97.Plan B in the management of diarrhea means;

a. giving intravenous fluidb. giving 2 sachets of oresolc. observing and rehydrating the child for 4 hours in the health centerd. none of the above

98.This is a sign indicative of pneumonia

a. fast breathingb. chest indrawingc. stridord. none of the above

99.A sign “bleeding from the nose or gums” puts the child in what fever box classification”

a. very severe diseaseb. Severe Dengue Hemorrhagic Feverc. Fever: DHF unlikelyd. None of the above

100. What is the classification of the child who has cough and difficult breathing and has one General danger sign;

a. Pneumoniab. Severe Pneumoniac. Cough or difficult breathingd. No pneumonia, cough or cold.

FAMILY NURSING PROCESSSITUATION: The application of the nursing process in caring for the family level of clientele is a rational method of planning and providing individualized care. As a basic tool, its utilization ensures competent and safe practice.

101. When promoting health of the individual, family and community, the first step you should take is:

a. Do a health status assessmentb. Conduct a population censusc. Establish a registry of families d. Organize the community for action

102. When assessing the family health status, one most important data to collect is the:a. Roles of the family membersb. Level of immunization of the childrenc. Hospitalization experience of the family d. Health resources of the family

103. These are actions aimed at minimizing or eliminating the possible reasons for or causes of the family’s inability to do family health tasks.

a. Health seeking behaviorb. Family nursing interventions c. Objectivesd. Evaluation plan

104. In health promotion, which of the following nursing interventions should you give priority?

a. Adult education b. Health educationc. Primary Health Cared. Program planning

105. When implementing a family nursing care plan, it is most important to develop the family’s:

a. Self – respectb. Self – responsibility c. Self – awarenessd. Self - image

106 . The typology of family nursing problems is used in the statement of nursing diagnosis in the care of families. The youngest child of the de los Reyes family has been diagnosed as mentally retarded. This is classified as a A. Health threat B. Health deficit C. Foreseeable crisis D. Stress point

107 . The de los Reyes couple have a 6-year old child entering school for the first time. The de los Reyes family has a A. Health threat B. Health deficit C. Foreseeable crisis D. Stress point

108 . Which of the following is an advantage of a home visit? A. It allows the nurse to provide nursing care to a greater number of people. B. It provides an opportunity to do first hand appraisal of the home situation.

C. It allows sharing of experiences among people with similar health problems. D. It develops the family’s initiative in providing for health needs of its members.

109 . When promoting the health of the individual, family and community, the first step to take by the CH nurse is

A. establish a registry of familiesB. do a health assessmentC. conduct a community censusD. organize the community

110. The nurse makes a continuous appraisal of the care she provides for the community in relation to the objectives of care and the response of the community. This process is called community health

A. assessmentB. diagnosisC. participationD. evaluation

111. In the assessment phase of the family health nursing process, an indicator for problem prioritization of family health problem is

A. nature of the problemB. modifiabilityC. preventive potentialD. salience

112. By its nature, which of the following problems will be given LEAST priority?A. unemploymentB. scabiesC. poor home environmentD. ascariasis

113. All interventions made on the family health nursing problems are recorded in theA. Family folderB. Family Service and Progress RecordC. Family Care PlanD. Health Center Records