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. Which of the following is a common sign of dehydration in infants?

• A. Frequent urination
• B. Sunken fontanelle
• C. Excessive drooling
• D. Increased appetite

Correct answer: B

Rationale: A sunken fontanelle is a common sign of dehydration in infants. The fontanelle is the soft spot on an infant's head where the skull bones have not yet fused. When an infant is dehydrated, the fontanelle can appear sunken or indented. It is important for caregivers and healthcare providers to recognize this sign promptly to ensure timely intervention and hydration for the infant.

3. Which of the following is an appropriate site for administration of DPT vaccine?

• A. Deltoid muscle
• B. Vastus lateralis muscle
• C. Gluteus maximus muscle
• D. Abdomen

Correct answer: B

Rationale: The vastus lateralis muscle (located in the thigh) is the recommended site for the administration of the DPT vaccine in infants and young children. This muscle is preferred due to its large muscle mass and lower risk of nerve or blood vessel injury, making it a safe and effective site for vaccine administration.

4. Which nutrient is known to reduce the risk of neural tube defects when taken by pregnant women?

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

Correct answer: C

Rationale: Folic acid, a B vitamin, is essential for the development of the neural tube in the early stages of pregnancy. Adequate intake of folic acid before conception and during early pregnancy significantly reduces the risk of neural tube defects in the baby. It is recommended that women of childbearing age consume folic acid daily to support a healthy pregnancy.

5. Which level of health facility is the usual point of entry for a client into the healthcare delivery system?

• A. Primary
• B. Secondary
• C. Intermediate
• D. Tertiary

Correct answer: A

Rationale: The primary level of health facility is the usual point of entry for a client into the healthcare delivery system. This level typically involves initial consultations, preventive care, and basic treatment services. Clients often start their healthcare journey at the primary level before being referred to higher levels of care if needed.

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