Nursing Elites

1. Which of the following is a component of the Safe Motherhood Initiative?

• A. Promoting exclusive breastfeeding
• B. Providing routine immunizations
• C. Ensuring skilled attendance at birth
• D. Offering genetic counseling

Correct answer: C

Rationale: Ensuring skilled attendance at birth is a crucial component of the Safe Motherhood Initiative aimed at reducing maternal and neonatal mortality rates. By having skilled professionals attend births, complications can be identified early and appropriate care provided promptly, contributing to improved maternal and neonatal health outcomes.

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. To maintain the cleanliness of the bag and its contents, what should the nurse do?

• A. Wash their hands before and after providing care to family members
• B. Use only items from the bag when caring for family members
• C. Wear an apron to protect their uniform and fold it with the right side out before returning it to the bag
• D. Fold the lining on which the bag was placed at the end of the visit, ensuring the contaminated side is facing outward

Correct answer: A

Rationale: The most crucial step in maintaining cleanliness when caring for family members and handling the bag and its contents is to wash the nurse's hands before and after providing care. This practice helps prevent the spread of germs and maintains proper hygiene standards, reducing the risk of contamination. Washing hands is a fundamental infection control measure that all healthcare professionals should adhere to in their daily practice.

4. 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.

5. When the occupational health nurse employs ergonomic principles, they are performing which of their roles?

• A. Health care provider
• B. Health educator
• C. Health care coordinator
• D. Environment manager

Correct answer: D

Rationale: When an occupational health nurse applies ergonomic principles, they are acting as an environment manager. Ergonomics involves optimizing the work environment for efficiency and safety by considering factors like workplace design, equipment, and furniture to enhance worker well-being and productivity. By focusing on ergonomics, the nurse aims to create a workspace that minimizes physical strain, reduces the risk of musculoskeletal injuries, and promotes overall health and comfort for the employees.

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