Nursing Elites

1. 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.

2. 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.

3. As the public health nurse in a municipality with a total population of about 20,000 and 3 health midwives among the RHU personnel, how many more midwife positions will the RHU need?

• A. 1
• B. 2
• C. 3
• D. 4

Correct answer: A

Rationale: Since each rural health midwife is typically assigned a population of about 5,000, with the municipality's total population being 20,000, the existing 3 midwives can cover the current population adequately. Therefore, the RHU would not need any more midwife positions, making option A, '1', the correct answer.

4. What is the primary focus of the Integrated Management of Childhood Illness (IMCI) strategy?

• A. Hospital-based care
• B. Curative care only
• C. Prevention and treatment of childhood illnesses
• D. Surgical interventions

Correct answer: C

Rationale: The primary focus of the Integrated Management of Childhood Illness (IMCI) strategy is the prevention and treatment of major childhood illnesses. The IMCI strategy aims to reduce child mortality and morbidity by emphasizing a holistic approach that includes preventive measures along with curative interventions.

5. 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.

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