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. The Sentrong Sigla Movement aims to enhance health service delivery. Which of the following statements is true about this movement?

• A. It is a project jointly led by the Department of Health and local government units
• B. It serves as a means to secure additional funding from local government units
• C. It promotes disease prevention and control as a priority for health centers
• D. Its primary approach involves certifying health centers meeting DOH standards

Correct answer: D

Rationale: The Sentrong Sigla Movement is a collaborative effort between the Department of Health (DOH) and local government units. Its primary strategy is the certification of health centers that meet the standards established by the DOH. This certification process ensures that health centers provide quality services and comply with the set guidelines, ultimately improving the overall health service delivery in the region.

3. 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.

4. Which vaccine leaves a permanent scar at the site of injection?

• A. BCG
• B. DPT
• C. Hepatitis B vaccine
• D. Measles vaccine

Correct answer: A

Rationale: The BCG vaccine, which is used for tuberculosis, is known to leave a permanent scar at the site of injection. This distinctive scar formation is one of the characteristic features of receiving the BCG vaccine and is used as a marker of vaccination in some regions.

5. 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.

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