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. 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.

3. 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.

4. Which of the following is a benefit of exclusive breastfeeding?

• A. Reduces the risk of postpartum depression
• B. Increases the baby's risk of developing allergies
• C. Provides complete nutrition for the first 6 months
• D. Delays the return of menstrual periods

Correct answer: C

Rationale: The correct answer is C. Exclusive breastfeeding provides complete nutrition for the first 6 months of an infant's life. It is recommended by health experts as the ideal way to provide infants with the nutrients they need for healthy growth and development. Breast milk contains all the necessary nutrients in the right proportions, making it the perfect food for babies during the first half-year of life.

5. 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.

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