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 is a characteristic of person-to-person propagated epidemics?

• A. There are more cases of the disease than expected
• B. The disease must necessarily be transmitted through a vector
• C. The spread of the disease can be attributed to a common vehicle
• D. There is a gradual build-up of cases before the epidemic becomes easily noticeable

Correct answer: D

Rationale: In person-to-person propagated epidemics, there is typically a gradual build-up of cases before the epidemic becomes easily noticeable. This slow onset allows for the disease to spread from one individual to another, leading to a progressive increase in cases over time.

3. Which of the following is an example of a preventive measure in public health?

• A. Chemotherapy
• B. Vaccination
• C. Radiation therapy
• D. Surgical intervention

Correct answer: B

Rationale: Vaccination is a preventive measure used in public health to protect against infectious diseases by stimulating the immune system to develop immunity without causing the disease. It helps prevent the spread of infectious diseases within communities and is a cost-effective way to reduce the burden of illnesses.

4. What is the minimum interval between the administration of two doses of the MMR vaccine?

• A. 2 weeks
• B. 4 weeks
• C. 6 weeks
• D. 8 weeks

Correct answer: B

Rationale: The minimum interval between two doses of the MMR vaccine is 4 weeks. This interval is necessary to allow the immune system to respond to the first dose and develop a sufficient immune response before receiving the second dose. Administering the doses too close together may not provide optimal protection.

5. What is the purpose of administering Vitamin K to newborns?

• A. To prevent jaundice
• B. To boost the immune system
• C. To prevent bleeding disorders
• D. To enhance bone development

Correct answer: C

Rationale: The correct answer is C: To prevent bleeding disorders. Newborns are born with low levels of Vitamin K, which is essential for blood clotting. Administering Vitamin K helps prevent bleeding disorders in newborns.

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