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. 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.

3. According to C.E. Winslow, what is the goal of Public Health?

• A. For people to attain their birthrights and longevity
• B. For the promotion of health and prevention of diseases
• C. For people to have access to basic health services
• D. For people to be organized in their health efforts

Correct answer: A

Rationale: According to C.E. Winslow, the goal of Public Health is for people to achieve their birthrights of health and longevity. This encompasses ensuring that individuals have the opportunity to lead healthy lives and live long, fulfilling ones. It goes beyond just the absence of disease and includes promoting overall well-being and quality of life.

4. Civil registries are important sources of data. Which law requires registration of births within 30 days from the occurrence of the birth?

• A. PD 651
• B. Act 3573
• C. RA 3753
• D. RA 3375

Correct answer: A

Rationale: Presidential Decree (P.D.) 651 amended Republic Act (R.A.) 3753, specifically requiring the registration of births within 30 days from their occurrence. This amendment emphasizes the timely and accurate recording of vital statistics, which is crucial for legal and administrative purposes.

5. Which of the following is an essential component of prenatal care?

• A. Routine immunizations
• B. Nutritional counseling
• C. Surgical interventions
• D. Radiologic exams

Correct answer: B

Rationale: Nutritional counseling is a vital component of prenatal care as it helps ensure the health and well-being of both the mother and the baby. Proper nutrition during pregnancy is crucial for the healthy development of the fetus and to support the overall health of the expectant mother.

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