Nursing Elites

1. 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.

2. Civil registries are important sources of data. Which law requires registration of births within 30 days from the occurrence of the birth?

• A. PD 651
• B. Act 3573
• C. RA 3753
• D. RA 3375

Correct answer: A

Rationale: Presidential Decree (P.D.) 651 amended Republic Act (R.A.) 3753, specifically requiring the registration of births within 30 days from their occurrence. This amendment emphasizes the timely and accurate recording of vital statistics, which is crucial for legal and administrative purposes.

3. What law created the Philippine Institute of Traditional and Alternative Health Care?

• A. RA 8483
• B. RA 4823
• C. RA 2483
• D. RA 3482

Correct answer: A

Rationale: The correct answer is A - RA 8483. R.A. 8483, also known as AN ACT CREATING THE PHILIPPINE INSTITUTE OF TRADITIONAL AND ALTERNATIVE HEALTH CARE (PITAHC), was signed into law on December 9, 1997. This law aims to accelerate the development of traditional and alternative health care in the Philippines by providing for a Traditional and Alternative Health Care Development Fund and addressing other related purposes.

4. One of the participants in a hilot training class asked you to whom she should refer a patient in labor who develops a complication. You will answer, to the:

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

Correct answer: C

Rationale: In the context of a patient in labor developing a complication, it is essential to refer them to a Municipal Health Officer. While a public health nurse and rural health midwife can provide care during normal childbirth, a physician, such as the Municipal Health Officer, should attend to a woman with a complication during labor. Therefore, the correct choice is the Municipal Health Officer as they are trained to handle complications that may arise during childbirth.

5. Where is the correct injection site for administering the DPT vaccine to an infant?

• A. Deltoid muscle
• B. Gluteal muscle
• C. Vastus lateralis muscle
• D. Forearm

Correct answer: C

Rationale: The vastus lateralis muscle is the preferred site for intramuscular injections in infants due to its larger muscle mass and fewer major nerves and blood vessels, reducing the risk of injury or adverse effects.

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