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. In family nursing, the typology of family nursing problems is used in the statement of nursing diagnosis for families. The youngest child of the Delos Reyes family has been diagnosed with mental retardation. This is classified as:

• A. Health threat
• B. Health deficit
• C. Foreseeable crisis
• D. Stress point

Correct answer: B

Rationale: In the context of family nursing, when a family member like the youngest child is diagnosed with mental retardation, it represents a health deficit. A health deficit occurs when a family member fails to develop as expected, as in the case of mental retardation. This classification helps nurses identify and address the specific health needs of the family.

3. When educating a mother about the benefits of breastfeeding, what should be included?

• A. Breastfeeding reduces the risk of postpartum hemorrhage.
• B. Breastfeeding provides passive immunity to the infant.
• C. Breastfeeding increases the mother's risk of breast cancer.
• D. Breastfeeding delays the return of menstruation.

Correct answer: B

Rationale: Breastfeeding provides passive immunity to the infant by transferring antibodies from the mother to protect the infant from infections and illnesses. This is one of the key benefits of breastfeeding, as it helps boost the baby's immune system during the early stages of life.

4. Which statement is true of primary facilities?

• A. They are usually government-run.
• B. Their services are provided on an outpatient basis.
• C. They are training facilities for health professionals.
• D. A community hospital is an example of this level of health facility.

Correct answer: B

Rationale: Primary facilities are typically healthcare facilities that offer basic outpatient services to individuals. These services are often provided without the need for an overnight stay, distinguishing them from secondary or tertiary care facilities that offer more specialized and intensive care. Therefore, the correct statement about primary facilities is that their services are provided on an outpatient basis.

5. What is the purpose of administering Vitamin K to newborns?

• A. To prevent jaundice
• B. To boost the immune system
• C. To prevent bleeding disorders
• D. To enhance bone development

Correct answer: C

Rationale: The correct answer is C: To prevent bleeding disorders. Newborns are born with low levels of Vitamin K, which is essential for blood clotting. Administering Vitamin K helps prevent bleeding disorders in newborns.

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