Nursing Elites

1. At what age is the first dose of the MMR vaccine typically administered to a child?

• A. At birth
• B. 6 months
• C. 12 months
• D. 18 months

Correct answer: C

Rationale: The first dose of the MMR vaccine is typically administered to a child at 12 months of age to provide protection against measles, mumps, and rubella. Administering the vaccine at this age ensures that the child's immune system is developed enough to generate a protective response to the vaccine.

2. Why is a primigravida instructed to offer her breast to the baby for the first time within 30 minutes after delivery?

• A. To initiate the occurrence of milk letdown
• B. To stimulate milk production by the mammary acini
• C. To provide the baby with colostrum
• D. To allow the mother to practice breastfeeding in the presence of healthcare providers

Correct answer: C

Rationale: Offering the breast to the baby early after delivery ensures that the baby receives colostrum, the initial milk produced by the mammary glands rich in antibodies and essential nutrients, which are crucial for the newborn's health and immune system. This early breastfeeding also helps establish the mother-infant bond and promotes successful breastfeeding in the long term.

3. According to Margaret Shetland, the philosophy of public health nursing is based on which of the following?

• A. Health and longevity as birthrights
• B. The mandate of the state to protect the birthrights of its citizens
• C. Public health nursing as a specialized field of nursing
• D. The worth and dignity of man

Correct answer: D

Rationale: Dr. Margaret Shetland emphasized that the philosophy of public health nursing is rooted in the belief in the worth and dignity of every individual. This principle underscores the core values of public health nursing, focusing on respect for human life and the promotion of health for all individuals, regardless of their background or circumstances.

4. Which statement is true of primary facilities?

• A. They are usually government-run.
• B. Their services are provided on an outpatient basis.
• C. They are training facilities for health professionals.
• D. A community hospital is an example of this level of health facility.

Correct answer: B

Rationale: Primary facilities are typically healthcare facilities that offer basic outpatient services to individuals. These services are often provided without the need for an overnight stay, distinguishing them from secondary or tertiary care facilities that offer more specialized and intensive care. Therefore, the correct statement about primary facilities is that their services are provided on an outpatient basis.

5. 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.

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