Nursing Elites

1. Tertiary prevention is needed in which stage of the natural history of disease?

• A. Pre-pathogenesis
• B. Pathogenesis
• C. Predromal
• D. Terminal

Correct answer: D

Rationale: Tertiary prevention focuses on actions taken to prevent complications and further deterioration among individuals already diagnosed with a disease. It is implemented during the terminal stage of a disease when efforts are made to prevent disability, restore function, and improve quality of life. This stage is crucial for managing the disease's progression and enhancing the patient's well-being.

2. In a municipality with a population of about 20,000, estimate the number of 1-4 year old children who should be given Retinol capsules 200,000 every 6 months.

• A. 1,500
• B. 1,800
• C. 2,000
• D. 2,300

Correct answer: D

Rationale: To estimate the number of 1-4 year old children in a population, you can multiply the total population by the percentage of children in that age group. In this case, using the Philippine population composition as reference, which is about 11.5% for 1-4 year olds, the calculation would be 20,000 x 0.115 = 2,300 children.

3. Which of the following is an appropriate site for administration of DPT vaccine?

• A. Deltoid muscle
• B. Vastus lateralis muscle
• C. Gluteus maximus muscle
• D. Abdomen

Correct answer: B

Rationale: The vastus lateralis muscle (located in the thigh) is the recommended site for the administration of the DPT vaccine in infants and young children. This muscle is preferred due to its large muscle mass and lower risk of nerve or blood vessel injury, making it a safe and effective site for vaccine administration.

4. What care is given to a woman within a month after the delivery of a baby?

• A. Follow-up care
• B. Maternity care
• C. Puerperal care
• D. Post-natal care

Correct answer: D

Rationale: Post-natal care is the care provided to a woman after childbirth, typically within the first month. It involves various aspects such as monitoring the mother's health, providing guidance on maternal nutrition, promoting breastfeeding, and educating on maternal and child care practices. This comprehensive care aims to ensure the well-being of both the mother and the newborn during the postpartum period.

5. 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.

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