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. What is the primary focus of the Integrated Management of Childhood Illness (IMCI) strategy?

• A. Hospital-based care
• B. Curative care only
• C. Prevention and treatment of childhood illnesses
• D. Surgical interventions

Correct answer: C

Rationale: The primary focus of the Integrated Management of Childhood Illness (IMCI) strategy is the prevention and treatment of major childhood illnesses. The IMCI strategy aims to reduce child mortality and morbidity by emphasizing a holistic approach that includes preventive measures along with curative interventions.

3. Which level of health facility is the usual point of entry for a client into the healthcare delivery system?

• A. Primary
• B. Secondary
• C. Intermediate
• D. Tertiary

Correct answer: A

Rationale: The primary level of health facility is the usual point of entry for a client into the healthcare delivery system. This level typically involves initial consultations, preventive care, and basic treatment services. Clients often start their healthcare journey at the primary level before being referred to higher levels of care if needed.

4. You are in a client’s home to attend to a delivery. Which of the following will you do first?

• A. Set up a sterile area
• B. Put on a clean gown and apron
• C. Cleanse the client’s vulva with soap and water
• D. Note the interval, duration and intensity of labor and contractions

Correct answer: D

Rationale: Assessment of the woman should be done first to determine whether she is having true labor and, if so, what stage of labor she is in.

5. As a new B.S.N. graduate aspiring to become a Public Health Nurse, where should you consider applying?

• A. Department of Health
• B. Provincial Health Office
• C. Regional Health Office
• D. Rural Health Unit

Correct answer: D

Rationale: As a new B.S.N. graduate aspiring to become a Public Health Nurse, the ideal place to apply would be the Rural Health Unit. This is because R.A. 7160 decentralized basic health services to local government units (LGUs), making public health nurses employees of the LGUs. Rural Health Units are typically operated by LGUs and focus on providing primary healthcare services to rural communities, making them a suitable starting point for someone interested in public health nursing.

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