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 conditions is a contraindication for breastfeeding?

• A. Maternal HIV infection
• B. Maternal diabetes
• C. Maternal anemia
• D. Maternal hypertension

Correct answer: A

Rationale: Maternal HIV infection is a contraindication for breastfeeding because it poses a risk of transmission to the infant. HIV can be transmitted through breast milk, putting the baby at risk of acquiring the infection. Therefore, it is recommended that mothers with HIV do not breastfeed to prevent the transmission of the virus to their infants.

3. When educating a mother about the benefits of breastfeeding, what should be included?

• A. Breastfeeding reduces the risk of postpartum hemorrhage.
• B. Breastfeeding provides passive immunity to the infant.
• C. Breastfeeding increases the mother's risk of breast cancer.
• D. Breastfeeding delays the return of menstruation.

Correct answer: B

Rationale: Breastfeeding provides passive immunity to the infant by transferring antibodies from the mother to protect the infant from infections and illnesses. This is one of the key benefits of breastfeeding, as it helps boost the baby's immune system during the early stages of life.

4. In the investigation of an epidemic, you compare the present frequency of the disease with the usual frequency at this time of the year in this community. This is done during which stage of the investigation?

• A. Establishing the epidemic
• B. Testing the hypothesis
• C. Formulation of the hypothesis
• D. Appraisal of facts

Correct answer: A

Rationale: During the investigation of an epidemic, establishing the epidemic involves comparing the current frequency of the disease with the typical frequency for that time of year in the community. This comparison helps determine whether an epidemic is occurring by assessing if the number of cases exceeds the expected baseline, as well as establishing the link between the cases of the disease.

5. What is the goal of the Safe Motherhood Initiative?

• A. To reduce child mortality
• B. To improve maternal health
• C. To provide free medical services
• D. To promote exclusive breastfeeding

Correct answer: B

Rationale: The goal of the Safe Motherhood Initiative is to enhance maternal health by reducing maternal mortality and morbidity. This initiative focuses on improving the health outcomes of pregnant women and new mothers, ensuring safer pregnancies and childbirth experiences.

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