Nursing Elites

1. A woman, 6 months pregnant, came to the center for consultation. Which of the following substances is contraindicated?

• A. Tetanus toxoid
• B. Retinol 200,000 IU
• C. Ferrous sulfate 200mg
• D. Potassium iodate 200 mg capsule

Correct answer: B

Rationale: Retinol 200,000 IU, which is a form of megadose Vitamin A, is contraindicated in pregnancy as it may have teratogenic effects, potentially harming the developing fetus. It is important to avoid high doses of Vitamin A during pregnancy to prevent adverse outcomes.

2. Which statement is true of primary facilities?

• A. They are usually government-run.
• B. Their services are provided on an outpatient basis.
• C. They are training facilities for health professionals.
• D. A community hospital is an example of this level of health facility.

Correct answer: B

Rationale: Primary facilities are typically healthcare facilities that offer basic outpatient services to individuals. These services are often provided without the need for an overnight stay, distinguishing them from secondary or tertiary care facilities that offer more specialized and intensive care. Therefore, the correct statement about primary facilities is that their services are provided on an outpatient basis.

3. Which of the following is an essential component of prenatal care?

• A. Routine immunizations
• B. Nutritional counseling
• C. Surgical interventions
• D. Radiologic exams

Correct answer: B

Rationale: Nutritional counseling is a vital component of prenatal care as it helps ensure the health and well-being of both the mother and the baby. Proper nutrition during pregnancy is crucial for the healthy development of the fetus and to support the overall health of the expectant mother.

4. In a mother’s class, you discuss proper breastfeeding technique. Which of these is a sign that the baby has latched on the breast properly?

• A. The baby takes shallow, rapid sucks
• B. The mother does not feel nipple pain
• C. The baby’s mouth is only partly open
• D. Only the mother’s nipple is inside the baby’s mouth

Correct answer: B

Rationale: When a baby has properly latched onto the breast, they take deep, slow sucks, their mouth is wide open, and much of the areola is inside their mouth. A key indicator of a proper latch is that the mother does not feel nipple pain, indicating that the baby is positioned correctly and feeding effectively.

5. The public health nurse is responsible for presenting the municipal health statistics using graphs and tables. To compare the frequency of the leading causes of mortality in the municipality, which graph will you prepare?

• A. Line
• B. Bar
• C. Pie
• D. Scatter diagram

Correct answer: B

Rationale: A bar graph is the appropriate choice for comparing the frequency of the leading causes of mortality in the municipality because it allows for the clear visualization of the different causes side by side. Bar graphs are commonly used to compare discrete categories, making them ideal for this scenario. Line graphs are typically used for showing trends over time or age, pie graphs for illustrating population composition or distribution, and scatter diagrams for displaying the correlation between two variables.

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