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. The community health nurse is involved in public health work. Which of these statements by the nurse reflects an understanding of upstream interventions?

• A. I will engage in policy initiatives in my urban area.
• B. I will administer the flu shot to interested seniors.
• C. I will help manage a senior's diabetes needs at home.
• D. I will work with a local school to provide asthma education.

Correct answer: A

Rationale: The correct answer is A because engaging in policy initiatives reflects an understanding of upstream interventions. Upstream interventions focus on influencing broader determinants of health, such as policies and social factors, to prevent health issues before they occur. This approach addresses the root causes of health problems rather than just treating symptoms or providing individual care.

3. What is the primary goal of public health?

• A. To achieve health equity
• B. To prevent disease and disability
• C. To prolong life
• D. To promote health

Correct answer: B

Rationale: The primary goal of public health is to prevent disease and disability by implementing measures to protect and improve the health of communities and populations. While achieving health equity, prolonging life, and promoting health are important aspects of public health, the central focus remains on preventing diseases and disabilities through various strategies such as vaccination programs, health education, and environmental regulations.

4. Which best describes the role of a community health nurse in promoting health?

• A. Advocating for health policy changes
• B. Providing direct care to individuals and families
• C. Educating the community about healthy lifestyles
• D. Conducting research on community health issues

Correct answer: A

Rationale: A community health nurse plays a vital role in promoting health by advocating for health policy changes. By advocating for policy changes that support healthy environments, access to care, and addressing social determinants of health, community health nurses work towards improving the overall health and well-being of the community they serve. While providing direct care to individuals and families, educating the community about healthy lifestyles, and conducting research on community health issues are important aspects of nursing practice, advocating for health policy changes has a broader impact on population health outcomes.

5. Which action exemplifies primary prevention in a community setting?

• A. Administering vaccines to children
• B. Screening for early signs of disease
• C. Offering support groups for chronic illness management
• D. Providing treatment for infectious diseases

Correct answer: A

Rationale: Administering vaccines to children is a primary prevention strategy that focuses on preventing the development of diseases before they occur. By administering vaccines, the aim is to protect individuals and the community from infectious diseases by building immunity against them. This proactive approach targets the root causes of illnesses, contributing to overall community health and well-being.

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