Nursing Elites

1. Which of the following is a benefit of providing Vitamin A supplements to children?

• A. Improves cognitive development
• B. Reduces the risk of severe measles
• C. Prevents iron deficiency anemia
• D. Enhances physical growth

Correct answer: B

Rationale: The correct benefit of providing Vitamin A supplements to children is reducing the risk of severe measles. Vitamin A supplementation is known to lower the risk of severe measles and its associated complications, making it an important intervention in regions where measles is prevalent.

2. The public health nurse is the supervisor of rural health midwives. Which of the following is a supervisory function of the public health nurse?

• A. Referring cases or patients to the midwife
• B. Providing technical guidance to the midwife
• C. Providing nursing care to cases referred by the midwife
• D. Formulating and implementing training programs for midwives

Correct answer: B

Rationale: The correct answer is B. Providing technical guidance to the midwife is a key supervisory function of the public health nurse. This guidance helps the midwife in delivering care to clients effectively, especially in adhering to management guidelines such as those in Integrated Management of Childhood Illness. While options A, C, and D involve various aspects of support and collaboration, providing technical guidance aligns directly with the supervisory role of ensuring quality and consistency in the care provided by midwives.

3. Which numerator is used in computing the general fertility rate?

• A. Estimated midyear population
• B. Number of registered live births
• C. Number of pregnancies in the year
• D. Number of females of reproductive age

Correct answer: B

Rationale: The general fertility rate is calculated by dividing the number of registered live births by the number of females of reproductive age (usually 15-45 years) and then multiplying the result by 1,000. This rate helps in understanding the average number of live births a woman in a specific population is expected to have during her reproductive years.

4. During prenatal consultation, a client asked you if she can have her delivery at home. After history taking and physical examination, you advised her against a home delivery. Which of the following findings disqualifies her for a home delivery?

• A. Her OB score is G5P3
• B. She has some palmar pallor
• C. Her blood pressure is 130/80
• D. Her baby is in cephalic presentation

Correct answer: A

Rationale: The correct answer is A. An OB score of G5P3 indicates that the client has had five pregnancies and three live births, making her ineligible for a home delivery. Typically, women with fewer pregnancies are considered better candidates for home deliveries due to lower risks. Additionally, primigravidas are usually advised to deliver at a medical facility for their first pregnancy.

5. In immunization, which of the following measures is considered the most effective in controlling the occurrence of diseases?

• A. Immunization coverage
• B. Cold chain
• C. Potency of vaccines
• D. Health education

Correct answer: A

Rationale: Immunization coverage is the proportion of the target population that has been immunized. To control the occurrence of diseases effectively, it is crucial that a high percentage of the population is immunized. This not only protects individuals but also helps in achieving herd immunity, reducing the spread of diseases within the community. Therefore, ensuring high immunization coverage is a key strategy in disease prevention and control.

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