# Situation: The nurse supervises barangay nutrition scholars (BNS) and barangay health workers (BHWs) during growth monitoring and child health activities for children under 5 years of age. The barangay nutrition scholars ask how Operation Timbang Plus (OPT Plus) is scheduled. Which description is correct?

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=629631  
> language: ko  
> subject: Nursing Practice II — Maternal and Child Health Nursing

## 문제

Situation: The nurse supervises barangay nutrition scholars (BNS) and barangay health workers (BHWs) during growth monitoring and child health activities for children under 5 years of age.

The barangay nutrition scholars ask how Operation Timbang Plus (OPT Plus) is scheduled. Which description is correct?

## 보기

1. Every quarter, with the child health week
2. Once a year, in the first quarter, for all children 0 to 59 months **✔ 정답**
3. Twice a year, only for children listed as underweight
4. Every month, for all children younger than 2 years in each barangay

**정답: 2**

## 해설

OPT Plus is the annual weighing and height measurement of all preschool children aged 0 to 59 months in every barangay, done in the first quarter of the year. Its results locate malnourished children and guide local nutrition action plans. Monthly weighing of individual young children is growth monitoring and promotion, a different activity.

## 심화 해설

How OPT Plus is scheduled
Operation Timbang Plus (OPT Plus) is the annual weighing and height measurement of all preschool children aged 0 to 59 months in every barangay. It is done once a year, in the first quarter. Barangay nutrition scholars and barangay health workers carry it out house to house or at gathering points. OPT Plus is an annual, first-quarter census of the nutritional status of all children under 5 in the barangay.

What OPT Plus is used for
OPT Plus produces a complete picture of child nutrition in each barangay. Its results identify children who are underweight, stunted, wasted, or overweight, and they show how common each problem is in the community. Local government units use this information to target children for interventions such as supplementary feeding and to prepare local nutrition action plans. Because it covers every child, it also helps find children who are not being reached by regular health services.

Telling it apart from related activities

| Activity | Schedule and coverage | Purpose |
| --- | --- | --- |
| OPT Plus | Once a year, first quarter; all children 0 to 59 months | Community nutrition status; guides local nutrition plans |
| Growth monitoring and promotion | Regular, such as monthly, weighing of individual young children | Track each child's growth and counsel the family |
| Garantisadong Pambata (child health week) | Periodic campaign | Delivers vitamin A, deworming, and other child health services |

Watch out! Each distractor describes a real activity or a partial version of OPT Plus. Tying OPT Plus to the child health week confuses it with Garantisadong Pambata. Limiting it to children already listed as underweight misses its purpose, which is to measure all preschool children so that new cases are found. Monthly weighing of children under 2 is growth monitoring and promotion, which focuses on the individual child rather than the whole barangay.

The nurse's supervisory role
When supervising the barangay nutrition scholars, the nurse checks that scales and measuring boards are accurate, that ages are recorded correctly, that children are weighed with minimal clothing, and that the correct growth standards are used to classify nutritional status. Accurate data ensure that the right children are identified and that resources are directed where they are needed.

Exam takeaway
OPT Plus: once a year, first quarter, all children 0 to 59 months in every barangay. Key point! Distinguish the annual community census (OPT Plus) from regular individual growth monitoring and from periodic child health campaigns.

## 임상 시나리오

Operation Timbang PlusBriefing barangay nutrition scholars
OPT Plus is done once a year, in the first quarter, for all children 0 to 59 months in every barangay.

Results identify malnourished children and guide local nutrition action plans and targeted interventions.

Check accurate scales and boards, correct ages, minimal clothing, and correct classification using growth standards.

CautionDo not confuse OPT Plus with monthly growth monitoring or with Garantisadong Pambata.

## 핵심 개념

- **Operation Timbang Plus** — The annual first-quarter weighing and height measurement of all children 0 to 59 months in each barangay.
- **Growth monitoring and promotion** — Regular weighing and measuring of individual children with counseling to support healthy growth.
- **Barangay nutrition scholar** — A community volunteer who carries out nutrition activities in the barangay.
- **Garantisadong Pambata** — A periodic child health campaign that delivers vitamin A, deworming, and other services.

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