Nursing Elites

1. 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.

2. Which numerator is used in computing the general fertility rate?

• A. Estimated midyear population
• B. Number of registered live births
• C. Number of pregnancies in the year
• D. Number of females of reproductive age

Correct answer: B

Rationale: The general fertility rate is calculated by dividing the number of registered live births by the number of females of reproductive age (usually 15-45 years) and then multiplying the result by 1,000. This rate helps in understanding the average number of live births a woman in a specific population is expected to have during her reproductive years.

3. What is the primary purpose of providing iron supplementation to pregnant women?

• A. To prevent anemia
• B. To support fetal growth
• C. To reduce the risk of premature labor
• D. To decrease the likelihood of postpartum hemorrhage

Correct answer: A

Rationale: The primary reason for giving iron supplementation to pregnant women is to prevent anemia. Anemia can have detrimental effects on both the mother and the developing fetus. Iron is essential for the production of red blood cells, and during pregnancy, the demand for iron increases to support the mother's increased blood volume and the developing fetus. Anemia in pregnancy can lead to complications such as preterm birth, low birth weight, and even maternal mortality. Therefore, ensuring adequate iron intake through supplementation is crucial to prevent these adverse outcomes.

4. What is a key objective of the Global Immunization Vision and Strategy (GIVS)?

• A. Eliminating non-communicable diseases
• B. Improving access to high-quality immunization services
• C. Reducing the cost of healthcare
• D. Increasing the number of healthcare professionals

Correct answer: B

Rationale: The Global Immunization Vision and Strategy (GIVS) aims to improve access to high-quality immunization services globally. This objective focuses on enhancing the availability and quality of immunization services to ensure that more individuals have access to vaccines to prevent diseases.

5. 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).

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