Nursing Elites

1. Which of the following demonstrates intersectoral linkages?

• A. Two-way referral system
• B. Team approach
• C. Endorsement by a midwife to another midwife
• D. Cooperation between public health nurse and public school teacher

Correct answer: D

Rationale: Intersectoral linkages involve collaborations between the health sector and other sectors for community development. In this scenario, cooperation between a public health nurse (PHN) and a public school teacher exemplifies intersectoral linkages, as it represents a partnership between the health and education sectors.

2. When preparing a primigravida for breastfeeding, which of the following will you do?

• A. Explain that lactation usually begins 1 to 3 days after delivery
• B. Teach her nipple stretching exercises if her nipples are flat or inverted
• C. Advise against washing her nipples excessively before and after each breastfeeding
• D. Inform her that putting the baby to breast can help reduce post-delivery blood loss

Correct answer: D

Rationale: Putting the baby to breast can help reduce post-delivery blood loss as suckling stimulates the release of oxytocin, causing uterine contractions. Lactation typically starts 1 to 3 days after delivery, not immediately. Nipple stretching exercises are recommended for flat or inverted nipples, not everted ones. Excessive washing of the nipples can dry them out, increasing the risk of fissures.

3. What care is given to a woman within a month after the delivery of a baby?

• A. Follow-up care
• B. Maternity care
• C. Puerperal care
• D. Post-natal care

Correct answer: D

Rationale: Post-natal care is the care provided to a woman after childbirth, typically within the first month. It involves various aspects such as monitoring the mother's health, providing guidance on maternal nutrition, promoting breastfeeding, and educating on maternal and child care practices. This comprehensive care aims to ensure the well-being of both the mother and the newborn during the postpartum period.

4. In a municipality with a population of about 20,000, estimate the number of 1-4 year old children who should be given Retinol capsules 200,000 every 6 months.

• A. 1,500
• B. 1,800
• C. 2,000
• D. 2,300

Correct answer: D

Rationale: To estimate the number of 1-4 year old children in a population, you can multiply the total population by the percentage of children in that age group. In this case, using the Philippine population composition as reference, which is about 11.5% for 1-4 year olds, the calculation would be 20,000 x 0.115 = 2,300 children.

5. Which of the following is an epidemiologic function of the nurse during an epidemic?

• A. Conducting assessments of suspected cases to detect communicable diseases
• B. Monitoring the condition of cases affected by the communicable disease
• C. Participating in the investigation to determine the source of the epidemic
• D. Educating the community on preventive measures against the disease

Correct answer: C

Rationale: During an epidemic, nurses play a crucial role in participating in epidemiologic investigations to identify the source of the outbreak. By investigating the source of the epidemic, nurses can help in understanding what caused the outbreak and how it can be controlled and prevented in the future. This function is essential in managing and responding effectively to epidemics.

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