Nursing Elites

1. 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.

2. 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.

3. What is the appropriate action to take if a child is found to have a fever on the day of immunization?

• A. Administer the vaccine as scheduled
• B. Delay the immunization until the fever subsides
• C. Give a lower dose of the vaccine
• D. Administer an antipyretic before the vaccine

Correct answer: B

Rationale: When a child is found to have a fever on the day of immunization, it is recommended to delay the immunization until the fever subsides. This is important to ensure the child's safety and the vaccine's effectiveness. Administering the vaccine with a fever can potentially worsen the child's condition and reduce the vaccine's ability to generate an appropriate immune response.

4. 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.

5. Why is a primigravida instructed to offer her breast to the baby for the first time within 30 minutes after delivery?

• A. To initiate the occurrence of milk letdown
• B. To stimulate milk production by the mammary acini
• C. To provide the baby with colostrum
• D. To allow the mother to practice breastfeeding in the presence of healthcare providers

Correct answer: C

Rationale: Offering the breast to the baby early after delivery ensures that the baby receives colostrum, the initial milk produced by the mammary glands rich in antibodies and essential nutrients, which are crucial for the newborn's health and immune system. This early breastfeeding also helps establish the mother-infant bond and promotes successful breastfeeding in the long term.

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