Nursing Elites

1. During prenatal consultation, a client asked you if she can have her delivery at home. After history taking and physical examination, you advised her against a home delivery. Which of the following findings disqualifies her for a home delivery?

• A. Her OB score is G5P3
• B. She has some palmar pallor
• C. Her blood pressure is 130/80
• D. Her baby is in cephalic presentation

Correct answer: A

Rationale: The correct answer is A. An OB score of G5P3 indicates that the client has had five pregnancies and three live births, making her ineligible for a home delivery. Typically, women with fewer pregnancies are considered better candidates for home deliveries due to lower risks. Additionally, primigravidas are usually advised to deliver at a medical facility for their first pregnancy.

2. Which of the following practices can help reduce the transmission of HIV from mother to child?

• A. Exclusive breastfeeding
• B. Administering antiretroviral therapy
• C. Using unsterilized medical equipment
• D. Avoiding prenatal care

Correct answer: B

Rationale: Administering antiretroviral therapy to HIV-positive mothers is a crucial practice to reduce the risk of mother-to-child transmission of HIV. Antiretroviral therapy helps lower the viral load in the mother's body, decreasing the chance of passing the virus to the child during pregnancy, childbirth, or breastfeeding. Exclusive breastfeeding, using unsterilized medical equipment, and avoiding prenatal care do not directly contribute to reducing HIV transmission from mother to child.

3. Which of the following is an appropriate method for treating dehydration in infants?

• A. Administering oral rehydration solution
• B. Providing fruit juice
• C. Increasing milk intake
• D. Administering antibiotics

Correct answer: A

Rationale: Administering oral rehydration solution is an appropriate method for treating dehydration in infants. Oral rehydration solution helps replace lost fluids and electrolytes effectively, aiding in the rehydration process. It is specifically formulated to address dehydration and is recommended by healthcare professionals for managing this condition in infants.

4. As the public health nurse in a municipality with a total population of about 20,000 and 3 health midwives among the RHU personnel, how many more midwife positions will the RHU need?

• A. 1
• B. 2
• C. 3
• D. 4

Correct answer: A

Rationale: Since each rural health midwife is typically assigned a population of about 5,000, with the municipality's total population being 20,000, the existing 3 midwives can cover the current population adequately. Therefore, the RHU would not need any more midwife positions, making option A, '1', the correct answer.

5. During a home visit, the PHN bag is a crucial tool for providing nursing care. The most important principle in bag technique states that it:

• A. Should save time and effort
• B. Should minimize, if not totally prevent, the spread of infection
• C. Should not overshadow concern for the patient and their family
• D. May be done in a variety of ways depending on the home situation

Correct answer: B

Rationale: The bag technique is a vital practice to prevent the transmission of infections to and from the client during home visits. By following proper bag technique procedures, nurses can minimize, if not entirely prevent, the spread of infections between themselves and their clients, ensuring a safe care environment.

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