Nursing Elites

1. When caring for a first-time mom and baby, the community RN would focus on which of the following as the first priority when developing appropriate interventions?

• A. Education
• B. Safety
• C. Policy-making
• D. Vaccination

Correct answer: B

Rationale: The primary priority when caring for a first-time mom and baby is ensuring safety. Safety encompasses various aspects such as preventing accidents, promoting a safe environment for both the mother and baby, and reducing risks of harm. By prioritizing safety, the community RN can address immediate concerns and create a foundation for the well-being of the mother and baby.

2. Which of the following are core functions of public health?

• A. Assessment
• B. Policy development
• C. Assurance
• D. All of the above

Correct answer: D

Rationale: All the options listed - Assessment, Policy development, and Assurance - are core functions of public health. Assessment involves collecting and analyzing data to identify health problems, Policy development focuses on creating and implementing policies to address those problems, and Assurance ensures that necessary health services are provided to the community.

3. During a discussion about partograph, a clinical instructor asked a midwifery student about its components. Which of the following are parts of the partograph? SELECT ALL THAT APPLY

• A. Maternal Wellbeing
• B. Fetal Wellbeing
• C. Fetal Heart Rate
• D. Maternal Vital Signs

Correct answer: D

Rationale: In the partograph, components such as Maternal Wellbeing, Fetal Wellbeing, and Fetal Heart Rate are recorded. Maternal Vital Signs are not typically part of the partograph. Therefore, 'Maternal Vital Signs' is the correct answer as it is not a part of the partograph.

4. How do social determinants impact health?

• A. They directly affect health behaviors and outcomes.
• B. They primarily influence genetic predisposition.
• C. They have minimal impact on overall health.
• D. They determine access to health resources.

Correct answer: A

Rationale: Social determinants play a significant role in impacting health by directly influencing health behaviors and outcomes. These determinants include factors such as socioeconomic status, education, neighborhood, and access to healthcare, which shape the conditions in which individuals live, work, and age, ultimately affecting their health status.

5. In evaluating the healthcare provided, which of the following vital statistics in the communities served will BEST indicate their health status?

• A. 0 crude death rate for the year 2012
• B. 50% (Swaroop's) index for the year 2011
• C. 0 infant mortality rate for the year 2011
• D. 0 crude birth rate for the year 2011

Correct answer: C

Rationale: The infant mortality rate is a critical indicator of a community's health status as it reflects the impact of economic and social conditions on the health of mothers and infants, as well as the effectiveness of healthcare systems. A low infant mortality rate signifies better overall health outcomes and healthcare access within a community.

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