Nursing Elites

1. What is the primary focus of community health nursing?

• A. Individual patient care
• B. Hospital-based care
• C. Community-wide health promotion and disease prevention
• D. Specialized medical treatment

Correct answer: C

Rationale: Community health nursing primarily concentrates on promoting health and preventing diseases within the community. It involves working with the community as a whole to improve health outcomes and prevent illnesses through education, interventions, and collaborations. This approach differs from individual patient care, hospital-based services, or specialized medical treatments, as it aims to enhance the well-being of the entire community by addressing broader health issues and promoting preventive measures.

2. 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.

3. What is the best type of milk for infants below 6 months of age?

• A. Cow's milk
• B. Goat's milk
• C. Breast milk
• D. Soy milk

Correct answer: C

Rationale: Breast milk is considered the best and most complete form of nutrition for infants below 6 months of age. It contains the ideal balance of nutrients, antibodies, and other components essential for the baby's growth, development, and immune system. Breast milk is easily digestible and helps protect infants from infections and illnesses. It is recommended by healthcare professionals as the optimal choice for feeding infants during the first 6 months of life.

4. Which of the following is a key strategy in the prevention of mother-to-child transmission of HIV?

• A. Exclusive breastfeeding
• B. Routine immunization
• C. Antiretroviral therapy
• D. Nutritional supplementation

Correct answer: C

Rationale: Antiretroviral therapy is a crucial strategy in preventing mother-to-child transmission of HIV. By providing antiretroviral medications to the mother during pregnancy, labor, and breastfeeding, the risk of transmitting the virus to the child is significantly reduced. This treatment approach has been shown to be highly effective in reducing the likelihood of HIV transmission from mother to child.

5. Which of the following is an appropriate site for administration of DPT vaccine?

• A. Deltoid muscle
• B. Vastus lateralis muscle
• C. Gluteus maximus muscle
• D. Abdomen

Correct answer: B

Rationale: The vastus lateralis muscle (located in the thigh) is the recommended site for the administration of the DPT vaccine in infants and young children. This muscle is preferred due to its large muscle mass and lower risk of nerve or blood vessel injury, making it a safe and effective site for vaccine administration.

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