Nursing Elites

1. What is the primary purpose of administering Vitamin K to newborns?

• A. To prevent infection
• B. To promote growth
• C. To prevent bleeding disorders
• D. To enhance immune function

Correct answer: C

Rationale: Vitamin K is administered to newborns primarily to prevent bleeding disorders. Newborns have low levels of Vitamin K at birth, which can lead to a condition called vitamin K deficiency bleeding (VKDB). Administering Vitamin K helps prevent this potentially life-threatening bleeding disorder.

2. What other statistic may be used to determine attainment of longevity besides reaching the average life span of Filipinos?

• A. Age-specific mortality rate
• B. Proportionate mortality rate
• C. Swaroop’s index
• D. Case fatality rate

Correct answer: C

Rationale: Swaroop’s index is a useful statistic to determine attainment of longevity as it focuses on the percentage of deaths aged 50 years or older. Its inverse reflects the percentage of untimely deaths, which are those who died younger than 50 years. By considering Swaroop’s index in addition to average life span, a more comprehensive assessment of longevity can be achieved.

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. Knowing that malnutrition is a common community health issue, you decided to conduct a nutritional assessment. What population is particularly vulnerable to protein-energy malnutrition (PEM)?

• A. Pregnant women and the elderly
• B. Under 5-year-old children
• C. 1-4-year-old children
• D. School-age children

Correct answer: B

Rationale: Under 5-year-old children are particularly susceptible to protein-energy malnutrition (PEM) because they have generally been weaned and often rely on others for food. This population may suffer from poor intrafamilial food distribution, contributing to their vulnerability.

5. In a mother’s class, you discuss proper breastfeeding technique. Which of these is a sign that the baby has latched on the breast properly?

• A. The baby takes shallow, rapid sucks
• B. The mother does not feel nipple pain
• C. The baby’s mouth is only partly open
• D. Only the mother’s nipple is inside the baby’s mouth

Correct answer: B

Rationale: When a baby has properly latched onto the breast, they take deep, slow sucks, their mouth is wide open, and much of the areola is inside their mouth. A key indicator of a proper latch is that the mother does not feel nipple pain, indicating that the baby is positioned correctly and feeding effectively.

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