Nursing Elites

1. 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.

2. You are in a client’s home to attend to a delivery. Which of the following will you do first?

• A. Set up a sterile area
• B. Put on a clean gown and apron
• C. Cleanse the client’s vulva with soap and water
• D. Note the interval, duration and intensity of labor and contractions

Correct answer: D

Rationale: Assessment of the woman should be done first to determine whether she is having true labor and, if so, what stage of labor she is in.

3. Which of the following is a key strategy in the prevention of mother-to-child transmission of HIV?

• A. Exclusive breastfeeding
• B. Routine immunization
• C. Antiretroviral therapy
• D. Nutritional supplementation

Correct answer: C

Rationale: Antiretroviral therapy is a crucial strategy in preventing mother-to-child transmission of HIV. By providing antiretroviral medications to the mother during pregnancy, labor, and breastfeeding, the risk of transmitting the virus to the child is significantly reduced. This treatment approach has been shown to be highly effective in reducing the likelihood of HIV transmission from mother to child.

4. You are tasked with collecting data for nutritional assessment of a specific area. You will gather information solely from families with members who are part of the target population for Protein-Energy Malnutrition (PEM). Which method of data collection is most suitable for this purpose?

• A. Census
• B. Survey
• C. Record Review
• D. Review of civil registry

Correct answer: B

Rationale: A survey, specifically a sample survey, is the most appropriate method for gathering data about a sample of the population. In this scenario, focusing on families with members who are part of the target population for PEM requires collecting specific data from a subset of the overall population, making a survey the best choice for this purpose.

5. In the investigation of an epidemic, you compare the present frequency of the disease with the usual frequency at this time of the year in this community. This is done during which stage of the investigation?

• A. Establishing the epidemic
• B. Testing the hypothesis
• C. Formulation of the hypothesis
• D. Appraisal of facts

Correct answer: A

Rationale: During the investigation of an epidemic, establishing the epidemic involves comparing the current frequency of the disease with the typical frequency for that time of year in the community. This comparison helps determine whether an epidemic is occurring by assessing if the number of cases exceeds the expected baseline, as well as establishing the link between the cases of the disease.

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