Nursing Elites

1. Which nutrient is most critical for preventing neural tube defects during pregnancy?

• A. Iron
• B. Calcium
• C. Folic acid
• D. Vitamin D

Correct answer: C

Rationale: Folic acid is the most critical nutrient for preventing neural tube defects during pregnancy. Neural tube defects are serious birth defects of the brain and spinal cord. Adequate intake of folic acid before and during early pregnancy can significantly reduce the risk of these defects. Iron, calcium, and vitamin D are important nutrients during pregnancy for other reasons, such as supporting the increased demands on the body for blood production, bone health, and calcium absorption, respectively.

2. Which of the following is the most prominent feature of public health nursing?

• A. Providing home care to sick people who are not confined in the hospital
• B. Providing free services to people within the catchment area
• C. Functioning as part of a team to provide a public health nursing service
• D. Focusing on preventive, not curative services

Correct answer: D

Rationale: The most prominent feature of public health nursing is its focus on preventive services rather than curative ones. Public health nursing aims to prevent diseases and promote health within the community by implementing interventions that target the population as a whole. This focus distinguishes public health nursing from other types of nursing that primarily provide curative care to individuals. Preventive services play a significant role in improving the overall health outcomes of communities and reducing the burden of disease.

3. Which of the following is the most effective method for preventing the spread of infectious diseases?

• A. Antibiotic treatment
• B. Quarantine of infected individuals
• C. Vaccination
• D. Nutritional supplementation

Correct answer: C

Rationale: Vaccination is the most effective method for preventing the spread of infectious diseases as it helps in developing immunity against specific pathogens, reducing the likelihood of infection and transmission within a population. Antibiotics are used to treat infections, not prevent their spread. Quarantine limits the contact of infected individuals but does not provide long-term prevention. Nutritional supplementation can support overall health but is not a primary method for preventing infectious diseases.

4. As the public health nurse in a municipality with a total population of about 20,000 and 3 health midwives among the RHU personnel, how many more midwife positions will the RHU need?

• A. 1
• B. 2
• C. 3
• D. 4

Correct answer: A

Rationale: Since each rural health midwife is typically assigned a population of about 5,000, with the municipality's total population being 20,000, the existing 3 midwives can cover the current population adequately. Therefore, the RHU would not need any more midwife positions, making option A, '1', the correct answer.

5. Which of the following is a benefit of antenatal care?

• A. Early detection of pregnancy complications
• B. Increased risk of preterm labor
• C. Decreased maternal weight gain
• D. Delayed fetal growth

Correct answer: A

Rationale: Antenatal care plays a crucial role in the early detection and management of pregnancy complications, allowing healthcare providers to intervene promptly and improve outcomes for both the mother and the baby. Monitoring for potential issues during antenatal care visits can help identify problems such as gestational hypertension, gestational diabetes, or fetal growth restrictions early on, enabling timely interventions to prevent complications.

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