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. What is the primary goal of the Integrated Management of Childhood Illness (IMCI) strategy?

• A. To reduce the incidence of childhood diseases
• B. To improve the nutritional status of children
• C. To reduce child mortality and morbidity
• D. To promote exclusive breastfeeding

Correct answer: C

Rationale: The correct answer is C: To reduce child mortality and morbidity. The Integrated Management of Childhood Illness (IMCI) strategy aims to reduce child mortality and morbidity by providing a holistic approach to managing major childhood illnesses and improving overall child health outcomes. This strategy focuses on early recognition and prompt treatment of childhood illnesses, thereby reducing the impact of diseases and lowering mortality rates among children.

3. Which of the following is an essential nutrient required for preventing neural tube defects?

• A. Iron
• B. Vitamin C
• C. Calcium
• D. Folic acid

Correct answer: D

Rationale: Folic acid is a crucial nutrient required for preventing neural tube defects during pregnancy. It plays a vital role in the development of the neural tube in the fetus, reducing the risk of defects such as spina bifida and anencephaly. It is recommended that women of childbearing age consume adequate amounts of folic acid, either through diet or supplements, to support a healthy pregnancy and prevent these serious birth defects.

4. Which vaccine is typically administered to newborns within the first 24 hours of birth?

• A. Hepatitis B
• B. BCG
• C. OPV
• D. Measles

Correct answer: A

Rationale: The correct answer is A, Hepatitis B. The Hepatitis B vaccine is usually administered to newborns within the first 24 hours of birth to provide protection against Hepatitis B infection. This early vaccination helps prevent transmission of the virus from infected mothers to their babies during childbirth, reducing the risk of chronic liver disease and liver cancer later in life.

5. Which principle is CONTRARY to planning a home visit?

• A. A home visit should have a clear purpose or objective
• B. The plan should be centered around the family's health needs
• C. A home visit should strictly follow RHU guidelines
• D. Involving a responsible family member in continuing care planning is essential

Correct answer: C

Rationale: When planning a home visit, it is crucial for the visit to be tailored to the specific needs of the family. While guidelines are important, they should not restrict the flexibility and practicality of the plan. The plan should adapt to the family's unique circumstances, resources available, and the nurse's assessment, rather than being rigidly bound by preset guidelines.

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