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. Which of the following is a natality rate?

• A. Crude birth rate
• B. Neonatal mortality rate
• C. Infant mortality rate
• D. General fertility rate

Correct answer: A

Rationale: The correct answer is A: Crude birth rate. Natality refers to birth, making the crude birth rate a measure of the number of live births in a given population over a specific period of time. It is an essential indicator in demography and public health to understand population dynamics.

3. What is the legal basis of the Primary Health Care approach in the Philippines?

• A. Alma Ata Declaration on PHC
• B. Letter of Instruction No. 949
• C. Presidential Decree No. 147
• D. Presidential Decree No. 996

Correct answer: B

Rationale: The correct answer is B, the Letter of Instruction No. 949. This instruction was issued by then President Ferdinand Marcos, directing the Ministry of Health (now the Department of Health) to utilize the Primary Health Care approach in planning and implementing health programs. This legal basis established the foundation for implementing Primary Health Care in the Philippines, aligning with the global Alma Ata Declaration's principles.

4. Which numerator is used in computing the general fertility rate?

• A. Estimated midyear population
• B. Number of registered live births
• C. Number of pregnancies in the year
• D. Number of females of reproductive age

Correct answer: B

Rationale: The general fertility rate is calculated by dividing the number of registered live births by the number of females of reproductive age (usually 15-45 years) and then multiplying the result by 1,000. This rate helps in understanding the average number of live births a woman in a specific population is expected to have during her reproductive years.

5. Which vaccine leaves a permanent scar at the site of injection?

• A. BCG
• B. DPT
• C. Hepatitis B vaccine
• D. Measles vaccine

Correct answer: A

Rationale: The BCG vaccine, which is used for tuberculosis, is known to leave a permanent scar at the site of injection. This distinctive scar formation is one of the characteristic features of receiving the BCG vaccine and is used as a marker of vaccination in some regions.

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