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. What is the goal of the Safe Motherhood Initiative?

• A. To reduce child mortality
• B. To improve maternal health
• C. To provide free medical services
• D. To promote exclusive breastfeeding

Correct answer: B

Rationale: The goal of the Safe Motherhood Initiative is to enhance maternal health by reducing maternal mortality and morbidity. This initiative focuses on improving the health outcomes of pregnant women and new mothers, ensuring safer pregnancies and childbirth experiences.

3. Which of the following is a natality rate?

• A. Crude birth rate
• B. Neonatal mortality rate
• C. Infant mortality rate
• D. General fertility rate

Correct answer: A

Rationale: The correct answer is A: Crude birth rate. Natality refers to birth, making the crude birth rate a measure of the number of live births in a given population over a specific period of time. It is an essential indicator in demography and public health to understand population dynamics.

4. Which of the following exemplifies the school nurse’s health care provider function?

• A. Requesting BCG vaccine from the RHU for school entrance immunization
• B. Conducting random classroom inspections during a measles epidemic
• C. Taking corrective action on an accident hazard in the school playground
• D. Observing areas in the school where pupils spend their free time

Correct answer: B

Rationale: Conducting random classroom inspections during a measles epidemic is a vital function of the school nurse as it involves assessing pupils and teachers for signs of a health problem prevalent in the community. This function helps in early detection, prevention, and control of diseases among students and staff, contributing to maintaining a healthy school environment.

5. What is the recommended duration of exclusive breastfeeding?

• A. 3 months
• B. 6 months
• C. 9 months
• D. 12 months

Correct answer: B

Rationale: The World Health Organization recommends exclusive breastfeeding for the first 6 months of a child's life. During this time, breast milk provides all the necessary nutrients for the baby's growth and development, offering protection against infections and supporting optimal health outcomes. After 6 months, complementary foods can be introduced while continuing breastfeeding up to 2 years of age or beyond.

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