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. When preparing a primigravida for breastfeeding, which of the following will you do?

• A. Explain that lactation usually begins 1 to 3 days after delivery
• B. Teach her nipple stretching exercises if her nipples are flat or inverted
• C. Advise against washing her nipples excessively before and after each breastfeeding
• D. Inform her that putting the baby to breast can help reduce post-delivery blood loss

Correct answer: D

Rationale: Putting the baby to breast can help reduce post-delivery blood loss as suckling stimulates the release of oxytocin, causing uterine contractions. Lactation typically starts 1 to 3 days after delivery, not immediately. Nipple stretching exercises are recommended for flat or inverted nipples, not everted ones. Excessive washing of the nipples can dry them out, increasing the risk of fissures.

3. In the year 1980, the World Health Organization declared the Philippines, along with some other countries in the Western Pacific Region, 'free' of which disease?

• A. Pneumonic plague
• B. Poliomyelitis
• C. Smallpox
• D. Anthrax

Correct answer: C

Rationale: The correct answer is C, Smallpox. The World Health Organization declared the Philippines, along with other countries in the Western Pacific Region, 'free' of Smallpox in 1980. The last documented case of Smallpox worldwide was in 1977 in Somalia, leading to the global eradication of the disease.

4. Which of the following best describes the role of a community health nurse?

• A. Providing acute care in hospitals
• B. Conducting surgeries
• C. Promoting health and preventing disease in the community
• D. Diagnosing and treating medical conditions

Correct answer: C

Rationale: The primary role of a community health nurse is to focus on promoting health and preventing disease within the community. They work to improve the overall health and well-being of individuals and populations by providing education, preventive care, and support to enhance community health outcomes. Community health nurses collaborate with community members, organizations, and public health agencies to address health disparities, implement health promotion strategies, and advocate for equitable access to healthcare services.

5. One of the participants in a hilot training class asked you to whom she should refer a patient in labor who develops a complication. You will answer, to the:

• A. Public health nurse
• B. Rural health midwife
• C. Municipal health officer
• D. Any of these health professionals

Correct answer: C

Rationale: In the context of a patient in labor developing a complication, it is essential to refer them to a Municipal Health Officer. While a public health nurse and rural health midwife can provide care during normal childbirth, a physician, such as the Municipal Health Officer, should attend to a woman with a complication during labor. Therefore, the correct choice is the Municipal Health Officer as they are trained to handle complications that may arise during childbirth.

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