Nursing Elites

1. The appropriate order of steps in active management of the third stage of labor include:

• A. Cord clamping and cutting, controlled cord traction, ergometrine administration, and inspection to be sure the placenta is intact.
• B. Intravenous oxytocin, cord clamping and cutting, and fundal massage
• C. Intramuscular injection oxytocin, controlled cord traction with counter traction to the uterus, uterine massage
• D. Controlled cord traction, fundal massage and oxytocin

Correct answer: C

Rationale: Intramuscular injection of oxytocin, controlled cord traction with counter traction to the uterus, and uterine massage are the appropriate steps in active management of the third stage of labor.

2. What is the primary focus of public health?

• A. Preventing disease and promoting health
• B. Providing health education
• C. Ensuring access to health care services
• D. Reducing health disparities

Correct answer: A

Rationale: The primary focus of public health is to prevent disease and promote health at the population level. This includes implementing interventions and policies that aim to improve the overall health of communities, rather than focusing solely on individual care or education. By addressing the root causes of health issues and promoting wellness, public health efforts strive to create healthier environments and populations.

3. What best describes the role of nurses in community health?

• A. Conducting research to find new treatments for diseases
• B. Providing direct care to individuals and families
• C. Collaborating with other health professionals to address community health issues
• D. Advocating for policy changes to improve health outcomes

Correct answer: D

Rationale: Nurses play a crucial role in community health by advocating for policy changes to enhance health outcomes and working on addressing community health issues. While research and direct care are essential aspects of healthcare, nurses in community health often focus on advocating for policies that positively impact the health of the community as a whole.

4. For a complete spinal injury, which statement is true?

• A. Some of the motor and sensory functions are lost
• B. Only the motor functions are lost
• C. Only the sensory functions are lost
• D. Both the motor and sensory functions are lost

Correct answer: D

Rationale: In a complete spinal injury, there is total loss of motor and sensory functions below the level of the injury. This means that both motor (ability to move) and sensory (ability to feel) functions are affected. It is important to distinguish between complete and incomplete spinal injuries, as complete injuries result in the loss of all functions below the level of injury, while incomplete injuries allow for some preservation of motor or sensory functions.

5. During the assessment phase of the nursing process, a community health nurse conducted research to identify the distribution pattern of breast cancer within a population and the associated risk factors. This is called

• A. Statistical analysis.
• B. Needs assessment.
• C. Census collection.
• D. Epidemiology.

Correct answer: D

Rationale: Epidemiology is the study of the distribution and determinants of health-related states within a population. In this scenario, the nurse is investigating the distribution pattern of breast cancer and its associated risk factors, which aligns with the principles of epidemiology.

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