Nursing Elites

1. Which of the following practices can help reduce the transmission of HIV from mother to child?

• A. Exclusive breastfeeding
• B. Administering antiretroviral therapy
• C. Using unsterilized medical equipment
• D. Avoiding prenatal care

Correct answer: B

Rationale: Administering antiretroviral therapy to HIV-positive mothers is a crucial practice to reduce the risk of mother-to-child transmission of HIV. Antiretroviral therapy helps lower the viral load in the mother's body, decreasing the chance of passing the virus to the child during pregnancy, childbirth, or breastfeeding. Exclusive breastfeeding, using unsterilized medical equipment, and avoiding prenatal care do not directly contribute to reducing HIV transmission from mother to child.

2. Which of the following health professionals can sign the birth certificate?

• A. Public health nurse
• B. Rural health midwife
• C. Municipal health officer
• D. Any of these health professionals

Correct answer: D

Rationale: According to R.A. 3753, any birth attendant, including public health nurses, rural health midwives, and municipal health officers, may sign the certificate of live birth. This law allows a range of health professionals involved in childbirth to be authorized to sign birth certificates, ensuring accessibility and convenience for parents.

3. Which of the following diseases is prevented by administration of the Hepatitis B vaccine?

• A. Jaundice
• B. Liver cancer
• C. Pneumonia
• D. Tuberculosis

Correct answer: B

Rationale: The correct answer is B: Liver cancer. The Hepatitis B vaccine helps prevent liver cancer by preventing chronic Hepatitis B infection. While Hepatitis B infection can lead to jaundice, the primary goal of the vaccine is to prevent liver complications such as cirrhosis and liver cancer.

4. During a home visit, the PHN bag is a crucial tool for providing nursing care. The most important principle in bag technique states that it:

• A. Should save time and effort
• B. Should minimize, if not totally prevent, the spread of infection
• C. Should not overshadow concern for the patient and their family
• D. May be done in a variety of ways depending on the home situation

Correct answer: B

Rationale: The bag technique is a vital practice to prevent the transmission of infections to and from the client during home visits. By following proper bag technique procedures, nurses can minimize, if not entirely prevent, the spread of infections between themselves and their clients, ensuring a safe care environment.

5. You are in a client’s home to attend to a delivery. Which of the following will you do first?

• A. Set up a sterile area
• B. Put on a clean gown and apron
• C. Cleanse the client’s vulva with soap and water
• D. Note the interval, duration and intensity of labor and contractions

Correct answer: D

Rationale: Assessment of the woman should be done first to determine whether she is having true labor and, if so, what stage of labor she is in.

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