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. As the public health nurse in a municipality with a total population of about 20,000 and 3 health midwives among the RHU personnel, how many more midwife positions will the RHU need?

• A. 1
• B. 2
• C. 3
• D. 4

Correct answer: A

Rationale: Since each rural health midwife is typically assigned a population of about 5,000, with the municipality's total population being 20,000, the existing 3 midwives can cover the current population adequately. Therefore, the RHU would not need any more midwife positions, making option A, '1', the correct answer.

3. Knowing that malnutrition is a common community health issue, you decided to conduct a nutritional assessment. What population is particularly vulnerable to protein-energy malnutrition (PEM)?

• A. Pregnant women and the elderly
• B. Under 5-year-old children
• C. 1-4-year-old children
• D. School-age children

Correct answer: B

Rationale: Under 5-year-old children are particularly susceptible to protein-energy malnutrition (PEM) because they have generally been weaned and often rely on others for food. This population may suffer from poor intrafamilial food distribution, contributing to their vulnerability.

4. What is the primary aim of the Expanded Program on Immunization (EPI)?

• A. To eliminate non-communicable diseases
• B. To increase hospital bed capacity
• C. To provide immunizations to all children
• D. To train more healthcare workers

Correct answer: C

Rationale: The primary aim of the Expanded Program on Immunization (EPI) is to provide immunizations to all children. By offering vaccines to all children, the EPI aims to protect them from vaccine-preventable diseases, ultimately reducing the burden of these illnesses on public health. Increasing hospital bed capacity, eliminating non-communicable diseases, and training more healthcare workers are important goals in healthcare but are not the primary focus of the EPI.

5. 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.

Similar Questions