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 waterborne disease?

• A. Hepatitis A
• B. Influenza
• C. Measles
• D. Tuberculosis

Correct answer: A

Rationale: Hepatitis A is a waterborne disease caused by a virus that can be transmitted through contaminated water or food. Ingestion of even microscopic amounts of fecal matter from an infected person can lead to infection. It is important to practice good hygiene and ensure water sources are clean to prevent the spread of Hepatitis A.

3. Isolation of a child with measles belongs to which level of prevention?

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

Correct answer: A

Rationale: Isolating a child with measles is considered a primary prevention measure. Primary prevention aims to prevent the disease from occurring by intervening before exposure to the causative agent. Isolating the child helps to contain the spread of the disease and protect those who are not already sick. This strategy falls under the realm of specific disease prevention, which is a key aspect of primary prevention.

4. Primary health care is a total approach to community development. Which of the following is an indicator of success in using the primary health care approach?

• A. Health services are provided free of charge to individuals and families
• B. Local officials are empowered as the major decision-makers in health matters
• C. Health workers can provide care based on identified health needs of the people
• D. Health programs are sustained according to the level of development of the community

Correct answer: D

Rationale: Success in utilizing the primary health care approach is indicated by the sustainability of health programs based on the community's development level. This ensures that essential health services can be maintained at all stages of community development, reflecting the core principles of primary health care.

5. In the Field Health Services and Information System (FHSIS) in the Philippines, the monthly field health service activity report is a form used in which component of the FHSIS?

• A. Tally report
• B. Output report
• C. Target/client list
• D. Individual health record

Correct answer: A

Rationale: The correct answer is 'A: Tally report.' A tally report is completed monthly or quarterly by the Rural Health Unit (RHU) personnel and then sent to the Provincial Health Office for further processing and analysis.

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