Nursing Elites

1. The public health nurse is the supervisor of rural health midwives. Which of the following is a supervisory function of the public health nurse?

• A. Referring cases or patients to the midwife
• B. Providing technical guidance to the midwife
• C. Providing nursing care to cases referred by the midwife
• D. Formulating and implementing training programs for midwives

Correct answer: B

Rationale: The correct answer is B. Providing technical guidance to the midwife is a key supervisory function of the public health nurse. This guidance helps the midwife in delivering care to clients effectively, especially in adhering to management guidelines such as those in Integrated Management of Childhood Illness. While options A, C, and D involve various aspects of support and collaboration, providing technical guidance aligns directly with the supervisory role of ensuring quality and consistency in the care provided by midwives.

2. Which of the following health professionals can sign the birth certificate?

• A. Public health nurse
• B. Rural health midwife
• C. Municipal health officer
• D. Any of these health professionals

Correct answer: D

Rationale: According to R.A. 3753, any birth attendant, including public health nurses, rural health midwives, and municipal health officers, may sign the certificate of live birth. This law allows a range of health professionals involved in childbirth to be authorized to sign birth certificates, ensuring accessibility and convenience for parents.

3. 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.

4. Which statement is true of primary facilities?

• A. They are usually government-run.
• B. Their services are provided on an outpatient basis.
• C. They are training facilities for health professionals.
• D. A community hospital is an example of this level of health facility.

Correct answer: B

Rationale: Primary facilities are typically healthcare facilities that offer basic outpatient services to individuals. These services are often provided without the need for an overnight stay, distinguishing them from secondary or tertiary care facilities that offer more specialized and intensive care. Therefore, the correct statement about primary facilities is that their services are provided on an outpatient basis.

5. Which of the following conditions is a contraindication for breastfeeding?

• A. Maternal HIV infection
• B. Maternal diabetes
• C. Maternal anemia
• D. Maternal hypertension

Correct answer: A

Rationale: Maternal HIV infection is a contraindication for breastfeeding because it poses a risk of transmission to the infant. HIV can be transmitted through breast milk, putting the baby at risk of acquiring the infection. Therefore, it is recommended that mothers with HIV do not breastfeed to prevent the transmission of the virus to their infants.

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