Nursing Elites

1. The appropriate order of steps in active management of the third stage of labor include:

• A. Cord clamping and cutting, controlled cord traction, ergometrine administration, and inspection to be sure the placenta is intact.
• B. Intravenous oxytocin, cord clamping and cutting, and fundal massage
• C. Intramuscular injection oxytocin, controlled cord traction with counter traction to the uterus, uterine massage
• D. Controlled cord traction, fundal massage and oxytocin

Correct answer: C

Rationale: Intramuscular injection of oxytocin, controlled cord traction with counter traction to the uterus, and uterine massage are the appropriate steps in active management of the third stage of labor.

2. Which best describes the concept of risk?

• A. The probability that an individual will develop a specific condition
• B. The impact of a health condition on an individual's life
• C. The potential for harm from a specific condition
• D. The likelihood of being exposed to a health hazard

Correct answer: A

Rationale: The concept of risk is best described as the probability that an individual will develop a specific condition due to exposure to certain factors. It is not about the impact of a health condition on one's life (choice B), the potential harm from a specific condition (choice C), or the likelihood of being exposed to a health hazard (choice D). Understanding risk helps in assessing the chances of developing a particular health issue.

3. What is an essential skill for nurses in community health?

• A. Providing direct patient care
• B. Advocating for patients' health needs
• C. Educating about health promotion
• D. Managing chronic conditions

Correct answer: B

Rationale: Advocating for patients' health needs is a crucial skill for nurses in community health as it involves standing up for and promoting the well-being and rights of individuals within the community. While providing direct patient care, educating about health promotion, and managing chronic conditions are important aspects of nursing in community health, advocacy plays a vital role in ensuring that patients receive the necessary care, support, and resources to improve their health outcomes.

4. When studying for an epidemiology quiz, what does public health nursing surveillance involve?

• A. Having all carriers transferred to one main facility for care
• B. Gathering data to work toward primary illness prevention
• C. Establishing the incubation period of a disease
• D. Determining the colonization rate of the disease

Correct answer: B

Rationale: Public health nursing surveillance involves the systematic collection, analysis, and interpretation of health-related data for the purpose of preventing and controlling diseases. By gathering data, public health nurses can identify trends, risks, and patterns to implement interventions aimed at preventing illnesses in communities. This process is essential for early detection, timely response, and effective prevention strategies.

5. The healthcare provider should consider the following when assessing the child for chest indrawing EXCEPT

• A. Chest indrawing should be present at all times
• B. The lower chest wall does not move in when the child breathes in
• C. The lower chest moves in when the child breathes in
• D. The child should be calm

Correct answer: A

Rationale: When assessing a child for chest indrawing, it is important to note that chest indrawing should NOT be present at all times, as this would suggest a significant respiratory distress. Chest indrawing is an abnormal inward movement of the lower chest wall during inhalation, indicating increased work of breathing. Therefore, the absence of chest indrawing during normal breathing is a normal finding. The healthcare provider should observe for the lower chest moving in with each breath, which is abnormal, while ensuring that the child is calm during the assessment.

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