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 is an example of a live attenuated vaccine?

• A. Hepatitis B vaccine
• B. Inactivated polio vaccine
• C. Measles, Mumps, Rubella (MMR) vaccine
• D. Diphtheria, Tetanus, Pertussis (DPT) vaccine

Correct answer: C

Rationale: The Measles, Mumps, Rubella (MMR) vaccine is an example of a live attenuated vaccine because it contains weakened versions of the viruses that cause measles, mumps, and rubella. These weakened viruses can replicate in the body to stimulate an immune response without causing the diseases themselves.

3. What is the primary goal of health education?

• A. To diagnose diseases
• B. To change behavior for improved health
• C. To provide emergency medical care
• D. To perform surgeries

Correct answer: B

Rationale: The primary goal of health education is to empower individuals with knowledge and skills to make informed decisions and adopt behaviors that lead to improved health outcomes. It focuses on promoting healthy habits, disease prevention, and overall well-being.

4. Which nutrient is most critical for preventing neural tube defects during pregnancy?

• A. Iron
• B. Calcium
• C. Folic acid
• D. Vitamin D

Correct answer: C

Rationale: Folic acid is the most critical nutrient for preventing neural tube defects during pregnancy. Neural tube defects are serious birth defects of the brain and spinal cord. Adequate intake of folic acid before and during early pregnancy can significantly reduce the risk of these defects. Iron, calcium, and vitamin D are important nutrients during pregnancy for other reasons, such as supporting the increased demands on the body for blood production, bone health, and calcium absorption, respectively.

5. Which type of family-nurse contact will provide you with the best opportunity to observe family dynamics?

• A. Clinic consultation
• B. Group conferences
• C. Home visit
• D. Written communication

Correct answer: C

Rationale: The best opportunity to observe family dynamics is through a home visit. This setting allows the nurse to observe the family in their natural environment, providing valuable insights into their relationships, interactions, and living conditions. By being present in the home, the nurse can better understand the family dynamics, communication patterns, and potential stressors that may not be evident in other forms of contact such as clinic consultations, group conferences, or written communication.

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