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. In family nursing, the typology of family nursing problems is used in the statement of nursing diagnosis for families. The youngest child of the Delos Reyes family has been diagnosed with mental retardation. This is classified as:

• A. Health threat
• B. Health deficit
• C. Foreseeable crisis
• D. Stress point

Correct answer: B

Rationale: In the context of family nursing, when a family member like the youngest child is diagnosed with mental retardation, it represents a health deficit. A health deficit occurs when a family member fails to develop as expected, as in the case of mental retardation. This classification helps nurses identify and address the specific health needs of the family.

3. What process is required for population-focused nursing practice?

• A. Community organizing
• B. Nursing process
• C. Community diagnosis
• D. Epidemiologic process

Correct answer: C

Rationale: Population-focused nursing practice involves identifying and addressing the health needs of a specific population group. Community diagnosis is a crucial process in population-focused nursing as it helps in understanding the health issues, concerns, and determinants within a community. Through community diagnosis, nurses can develop targeted interventions and strategies to promote the health and well-being of the population.

4. Where is the correct injection site for administering the DPT vaccine to an infant?

• A. Deltoid muscle
• B. Gluteal muscle
• C. Vastus lateralis muscle
• D. Forearm

Correct answer: C

Rationale: The vastus lateralis muscle is the preferred site for intramuscular injections in infants due to its larger muscle mass and fewer major nerves and blood vessels, reducing the risk of injury or adverse effects.

5. Which of the following practices is essential for preventing the spread of healthcare-associated infections?

• A. Frequent handwashing
• B. Sharing medical equipment
• C. Reducing patient turnover
• D. Increasing hospital bed capacity

Correct answer: A

Rationale: Frequent handwashing is a crucial practice for preventing the spread of healthcare-associated infections. Washing hands frequently helps remove pathogens and reduces the risk of transmitting infections between patients, healthcare providers, and other individuals in healthcare settings.

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