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 nutrient is most critical for preventing neural tube defects during pregnancy?

• A. Iron
• B. Calcium
• C. Folic acid
• D. Vitamin D

Correct answer: C

Rationale: Folic acid is the most critical nutrient for preventing neural tube defects during pregnancy. Neural tube defects are serious birth defects of the brain and spinal cord. Adequate intake of folic acid before and during early pregnancy can significantly reduce the risk of these defects. Iron, calcium, and vitamin D are important nutrients during pregnancy for other reasons, such as supporting the increased demands on the body for blood production, bone health, and calcium absorption, respectively.

3. RA 1054 is also known as the Occupational Health Act. Besides the number of employees, what other factor must be considered in determining the occupational health privileges to which the workers will be entitled?

• A. Type of occupation: agriculture, commercial, industrial
• B. Location of the workplace in relation to health facilities
• C. Classification of the business enterprise based on net profit
• D. Sex and age composition of employees

Correct answer: B

Rationale: According to R.A. 1054, the key factor to consider, apart from the number of employees, is the location of the workplace concerning health facilities. Specifically, an occupational nurse must be employed when there are 30 to 100 employees, and the workplace is more than 1 km away from the nearest health center. This ensures timely access to health services for employees in case of emergencies or health needs.

4. When determining whether resources were maximized in implementing Ligtas Tigdas, what is being evaluated?

• A. Effectiveness
• B. Efficiency
• C. Adequacy
• D. Appropriateness

Correct answer: B

Rationale: Efficiency is the correct answer because it assesses whether the desired outcomes were achieved with the least amount of resources expended. In the context of Ligtas Tigdas, evaluating efficiency would involve determining if the program goals were met in a cost-effective manner, optimizing the use of resources to achieve the best results.

5. Which of the following practices is part of the Baby-Friendly Hospital Initiative (BFHI)?

• A. Promoting the use of infant formula
• B. Encouraging skin-to-skin contact after birth
• C. Separating mother and baby after delivery
• D. Scheduling feedings at fixed intervals

Correct answer: B

Rationale: The correct answer is encouraging skin-to-skin contact after birth. The Baby-Friendly Hospital Initiative (BFHI) aims to promote breastfeeding and bonding by encouraging practices such as immediate skin-to-skin contact between mother and baby, rooming-in, and supporting exclusive breastfeeding. These practices have been shown to have numerous benefits for both the mother and the baby in terms of bonding, breastfeeding success, and overall health outcomes.

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