Nursing Elites

1. In the past year, Barangay A had an average population of 1655. There were 46 babies born in that year, 2 of whom died less than 4 weeks after birth, and 4 stillbirths were recorded. What is the neonatal mortality rate?

• A. 27.8/1000
• B. 43.5/1000
• C. 86.9/1000
• D. 130.4/1000

Correct answer: B

Rationale: Neonatal mortality rate is calculated by dividing the number of babies who died before reaching the age of 28 days by the total number of live births, then multiplying by 1,000. In this case, 2 babies died within 28 days out of 46 total live births. Therefore, the neonatal mortality rate is (2/46) * 1000 = 43.5/1000.

2. Knowing that malnutrition is a common community health issue, you decided to conduct a nutritional assessment. What population is particularly vulnerable to protein-energy malnutrition (PEM)?

• A. Pregnant women and the elderly
• B. Under 5-year-old children
• C. 1-4-year-old children
• D. School-age children

Correct answer: B

Rationale: Under 5-year-old children are particularly susceptible to protein-energy malnutrition (PEM) because they have generally been weaned and often rely on others for food. This population may suffer from poor intrafamilial food distribution, contributing to their vulnerability.

3. Which demographic tool may be used to describe the sex composition of the population?

• A. Sex ratio
• B. Sex proportion
• C. Population pyramid
• D. Any of these may be used

Correct answer: D

Rationale: To describe the sex composition of the population, both the sex ratio and sex proportion can be utilized. The sex ratio provides a numerical comparison of the number of males to females in a population, while the sex proportion expresses the relative number or percentage of males and females in a given population. On the other hand, a population pyramid is a graphical representation that shows the age and sex distribution of a population. Therefore, any of these tools may be used to analyze and present the sex composition of a population.

4. What is the main focus of the World Health Organization's (WHO) Health For All strategy?

• A. Providing free healthcare to all individuals
• B. Achieving a level of health that enables all people to lead economically productive lives
• C. Building more hospitals and clinics
• D. Increasing the number of healthcare workers

Correct answer: B

Rationale: The WHO's Health For All strategy focuses on achieving a level of health that allows individuals to lead socially and economically productive lives, emphasizing overall well-being beyond just physical health. This approach aims for a holistic improvement in health outcomes rather than just providing free healthcare or focusing solely on increasing healthcare infrastructure or workforce.

5. Which of the following is NOT a component of Primary Health Care (PHC)?

• A. Community participation
• B. Use of appropriate technology
• C. Equitable distribution of resources
• D. Exclusive focus on curative care

Correct answer: D

Rationale: Primary Health Care (PHC) is a comprehensive approach that includes preventive, promotive, curative, and rehabilitative care. It focuses on prevention, community participation, equitable distribution of resources, and the use of appropriate technology to address health needs. Exclusively focusing on curative care goes against the holistic nature of PHC.

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