Nursing Elites

1. The number of cases of Dengue fever usually increases towards the end of the rainy season. This pattern of occurrence of Dengue fever is best described as:

• A. Epidemic occurrence
• B. Cyclical variation
• C. Sporadic occurrence
• D. Secular occurrence

Correct answer: B

Rationale: Cyclical variation best describes the periodic fluctuation in the number of Dengue fever cases in the community, typically increasing towards the end of the rainy season and then decreasing during drier periods. This pattern suggests a recurring cycle rather than a sudden outbreak (epidemic), random occurrence (sporadic), or gradual long-term change (secular occurrence).

2. Which of the following is a contraindication for the administration of live vaccines?

• A. Mild upper respiratory infection
• B. Previous allergic reaction to the vaccine
• C. Current antibiotic therapy
• D. Family history of allergies

Correct answer: B

Rationale: A previous allergic reaction to the vaccine is a contraindication for the administration of live vaccines. This is because individuals who have had a previous allergic reaction to a vaccine are at higher risk of developing a severe allergic reaction with subsequent doses. It is crucial to identify and avoid administering live vaccines to individuals with a history of allergic reactions to prevent potential adverse events.

3. What is the legal basis of the Primary Health Care approach in the Philippines?

• A. Alma Ata Declaration on PHC
• B. Letter of Instruction No. 949
• C. Presidential Decree No. 147
• D. Presidential Decree No. 996

Correct answer: B

Rationale: The correct answer is B, the Letter of Instruction No. 949. This instruction was issued by then President Ferdinand Marcos, directing the Ministry of Health (now the Department of Health) to utilize the Primary Health Care approach in planning and implementing health programs. This legal basis established the foundation for implementing Primary Health Care in the Philippines, aligning with the global Alma Ata Declaration's principles.

4. What is the interval between tetanus toxoid doses for pregnant women?

• A. 4 weeks
• B. 6 weeks
• C. 8 weeks
• D. 12 weeks

Correct answer: A

Rationale: The correct interval between doses of tetanus toxoid for pregnant women is 4 weeks. This interval ensures that pregnant women receive adequate protection against tetanus, particularly in areas where the disease is prevalent. The 4-week interval helps in building and maintaining immunity to protect both the pregnant woman and her developing baby from tetanus infection.

5. In the census of the Philippines in 1995, there were about 35,299,000 males and about 34,968,000 females. What is the sex ratio?

• A. 99.06:100
• B. 100.94:100
• C. 50.23%
• D. 49.76%

Correct answer: B

Rationale: The sex ratio is calculated as the number of males for every 100 females in the population. To find the sex ratio, divide the number of males by the number of females and multiply by 100. In this case, (35,299,000 / 34,968,000) * 100 ≈ 100.94:100. Therefore, the correct answer is B, indicating that there were approximately 100.94 males for every 100 females in the Philippines in 1995.

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