Nursing Elites

1. 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.

2. During prenatal consultation, a client asked you if she can have her delivery at home. After history taking and physical examination, you advised her against a home delivery. Which of the following findings disqualifies her for a home delivery?

• A. Her OB score is G5P3
• B. She has some palmar pallor
• C. Her blood pressure is 130/80
• D. Her baby is in cephalic presentation

Correct answer: A

Rationale: The correct answer is A. An OB score of G5P3 indicates that the client has had five pregnancies and three live births, making her ineligible for a home delivery. Typically, women with fewer pregnancies are considered better candidates for home deliveries due to lower risks. Additionally, primigravidas are usually advised to deliver at a medical facility for their first pregnancy.

3. 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.

4. 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.

5. Freedom of choice is one of the policies of the Family Planning Program of the Philippines. Which of the following illustrates this principle?

• A. Information dissemination about the need for family planning
• B. Support for research and development in family planning methods
• C. Adequate information for couples regarding the different methods
• D. Encouragement for couples to take family planning as a joint responsibility

Correct answer: C

Rationale: The principle of freedom of choice in family planning programs emphasizes providing couples with adequate information about the different methods available. This enables them to make informed decisions based on their preferences and needs. By ensuring couples have access to comprehensive information, they can freely choose the family planning method that best suits their circumstances, promoting autonomy and informed decision-making.

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