Nursing Elites

1. 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.

2. Which demographic tool may be used to describe the sex composition of the population?

• A. Sex ratio
• B. Sex proportion
• C. Population pyramid
• D. Any of these may be used

Correct answer: D

Rationale: To describe the sex composition of the population, both the sex ratio and sex proportion can be utilized. The sex ratio provides a numerical comparison of the number of males to females in a population, while the sex proportion expresses the relative number or percentage of males and females in a given population. On the other hand, a population pyramid is a graphical representation that shows the age and sex distribution of a population. Therefore, any of these tools may be used to analyze and present the sex composition of a population.

3. Which of the following is a key principle of Primary Health Care (PHC)?

• A. Centralized health planning
• B. Community participation
• C. Focus on specialized care
• D. High technology healthcare

Correct answer: B

Rationale: Community participation is a fundamental principle of Primary Health Care (PHC) as it involves the active involvement of individuals, families, communities, and organizations in the planning and delivery of healthcare services. This ensures that services are culturally appropriate, accessible, and acceptable to the community, leading to better health outcomes.

4. 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.

5. What is the primary purpose of providing iron supplementation to pregnant women?

• A. To prevent anemia
• B. To support fetal growth
• C. To reduce the risk of premature labor
• D. To decrease the likelihood of postpartum hemorrhage

Correct answer: A

Rationale: The primary reason for giving iron supplementation to pregnant women is to prevent anemia. Anemia can have detrimental effects on both the mother and the developing fetus. Iron is essential for the production of red blood cells, and during pregnancy, the demand for iron increases to support the mother's increased blood volume and the developing fetus. Anemia in pregnancy can lead to complications such as preterm birth, low birth weight, and even maternal mortality. Therefore, ensuring adequate iron intake through supplementation is crucial to prevent these adverse outcomes.

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