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. The number of cases of Dengue fever usually increases towards the end of the rainy season. This pattern of occurrence of Dengue fever is best described as:

• A. Epidemic occurrence
• B. Cyclical variation
• C. Sporadic occurrence
• D. Secular occurrence

Correct answer: B

Rationale: Cyclical variation best describes the periodic fluctuation in the number of Dengue fever cases in the community, typically increasing towards the end of the rainy season and then decreasing during drier periods. This pattern suggests a recurring cycle rather than a sudden outbreak (epidemic), random occurrence (sporadic), or gradual long-term change (secular occurrence).

3. When educating a mother about the benefits of breastfeeding, what should be included?

• A. Breastfeeding reduces the risk of postpartum hemorrhage.
• B. Breastfeeding provides passive immunity to the infant.
• C. Breastfeeding increases the mother's risk of breast cancer.
• D. Breastfeeding delays the return of menstruation.

Correct answer: B

Rationale: Breastfeeding provides passive immunity to the infant by transferring antibodies from the mother to protect the infant from infections and illnesses. This is one of the key benefits of breastfeeding, as it helps boost the baby's immune system during the early stages of life.

4. 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.

5. What law created the Philippine Institute of Traditional and Alternative Health Care?

• A. RA 8483
• B. RA 4823
• C. RA 2483
• D. RA 3482

Correct answer: A

Rationale: The correct answer is A - RA 8483. R.A. 8483, also known as AN ACT CREATING THE PHILIPPINE INSTITUTE OF TRADITIONAL AND ALTERNATIVE HEALTH CARE (PITAHC), was signed into law on December 9, 1997. This law aims to accelerate the development of traditional and alternative health care in the Philippines by providing for a Traditional and Alternative Health Care Development Fund and addressing other related purposes.

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