Nursing Elites

1. 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.

2. Which disease was declared as a target for eradication in the Philippines through Presidential Proclamation No. 4?

• A. Poliomyelitis
• B. Measles
• C. Rabies
• D. Neonatal Tetanus

Correct answer: B

Rationale: Presidential Proclamation No. 4 in the Philippines declared measles as a target for eradication through the Ligtas Tigdas Program. This program aims to eliminate measles, making it the correct choice in this case.

3. Which type of family-nurse contact will provide you with the best opportunity to observe family dynamics?

• A. Clinic consultation
• B. Group conferences
• C. Home visit
• D. Written communication

Correct answer: C

Rationale: The best opportunity to observe family dynamics is through a home visit. This setting allows the nurse to observe the family in their natural environment, providing valuable insights into their relationships, interactions, and living conditions. By being present in the home, the nurse can better understand the family dynamics, communication patterns, and potential stressors that may not be evident in other forms of contact such as clinic consultations, group conferences, or written communication.

4. Sputum examination is the major screening tool for pulmonary tuberculosis. Clients may sometimes receive false negative results in this exam. This means that the test is not perfect in terms of which characteristic of a diagnostic examination?

• A. Effectiveness
• B. Efficacy
• C. Specificity
• D. Sensitivity

Correct answer: D

Rationale: Sensitivity is the ability of a diagnostic test to correctly identify individuals with the disease. A test with high sensitivity will rarely give false negative results, as it will detect almost all positive cases. In the context of the given scenario, false negative results indicate that the test is lacking in sensitivity to pick up all cases of pulmonary tuberculosis, leading to some cases being missed.

5. Which vaccine is typically administered to newborns within the first 24 hours of birth?

• A. Hepatitis B
• B. BCG
• C. OPV
• D. Measles

Correct answer: A

Rationale: The correct answer is A, Hepatitis B. The Hepatitis B vaccine is usually administered to newborns within the first 24 hours of birth to provide protection against Hepatitis B infection. This early vaccination helps prevent transmission of the virus from infected mothers to their babies during childbirth, reducing the risk of chronic liver disease and liver cancer later in life.

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