Nursing Elites

1. If the RHU needs additional midwife items, to whom should you submit the request for approval?

• A. Rural Health Unit
• B. District Health Office
• C. Provincial Health Office
• D. Municipal Health Board

Correct answer: D

Rationale: When the RHU requires additional midwife items, the request for approval should be submitted to the Municipal Health Board. According to R.A. 7160, basic health services have been decentralized from the national government to local government units, including municipalities. The Municipal Health Board plays a crucial role in overseeing health-related matters at the local level, making it the appropriate authority to seek approval for additional midwife items.

2. At what age is the first dose of the MMR vaccine typically administered to a child?

• A. At birth
• B. 6 months
• C. 12 months
• D. 18 months

Correct answer: C

Rationale: The first dose of the MMR vaccine is typically administered to a child at 12 months of age to provide protection against measles, mumps, and rubella. Administering the vaccine at this age ensures that the child's immune system is developed enough to generate a protective response to the vaccine.

3. RA 1054 is also known as the Occupational Health Act. Besides the number of employees, what other factor must be considered in determining the occupational health privileges to which the workers will be entitled?

• A. Type of occupation: agriculture, commercial, industrial
• B. Location of the workplace in relation to health facilities
• C. Classification of the business enterprise based on net profit
• D. Sex and age composition of employees

Correct answer: B

Rationale: According to R.A. 1054, the key factor to consider, apart from the number of employees, is the location of the workplace concerning health facilities. Specifically, an occupational nurse must be employed when there are 30 to 100 employees, and the workplace is more than 1 km away from the nearest health center. This ensures timely access to health services for employees in case of emergencies or health needs.

4. Which nutrient is essential for preventing anemia in pregnant women?

• A. Vitamin C
• B. Vitamin D
• C. Iron
• D. Calcium

Correct answer: C

Rationale: Iron is crucial for preventing anemia in pregnant women because it is needed for the production of hemoglobin, the protein in red blood cells that carries oxygen. During pregnancy, a woman's blood volume increases to support the baby's growth, making iron even more critical to prevent anemia, a condition characterized by a lack of healthy red blood cells. Anemia can lead to fatigue, weakness, and other complications for both the mother and the developing baby. Therefore, ensuring an adequate intake of iron-rich foods or supplements is vital for the health and well-being of pregnant women.

5. In the absence of an occupational nurse at a garment factory, who should provide the occupational health needs of the factory workers?

• A. Occupational health nurse at the Provincial Health Office
• B. Physician employed by the factory
• C. Public Health nurse of the RHU of their municipality
• D. Rural Sanitary inspector of the RHU in their municipality

Correct answer: C

Rationale: In the scenario where a garment factory lacks an occupational nurse, the responsibility of addressing the occupational health needs of the factory workers falls under the jurisdiction of the Public Health nurse of the Rural Health Unit (RHU) in their municipality. Public Health nurses are trained to provide essential health services to the community, including monitoring and promoting health in workplaces. They can assess workplace hazards, provide health education, and facilitate access to medical care when necessary, making them the most suitable option among the given choices to cater to the occupational health needs of the factory workers.

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