Nursing Elites

1. 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.

2. Who serves as the Chairman of the Municipal Health Board?

• A. Mayor
• B. Municipal Health Officer
• C. Public Health Nurse
• D. Any qualified physician

Correct answer: A

Rationale: The Mayor, who is the local executive, typically serves as the Chairman of the Municipal Health Board. As the head of the municipality, the Mayor is responsible for overseeing various aspects of local governance, including public health matters. Therefore, the Mayor holds the position of Chairman on the Municipal Health Board to provide leadership and direction in health-related decisions and policies at the municipal level.

3. Which of the following is an example of a vector-borne disease?

• A. Measles
• B. Tuberculosis
• C. Malaria
• D. Hepatitis B

Correct answer: C

Rationale: Malaria is caused by the Plasmodium parasite that is transmitted to humans through the bite of infected Anopheles mosquitoes. These mosquitoes act as vectors in transmitting the disease from one host to another. The other choices, Measles, Tuberculosis, and Hepatitis B, are not vector-borne diseases. Measles is a highly contagious airborne viral infection, Tuberculosis is an airborne bacterial infection, and Hepatitis B is a bloodborne virus.

4. 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.

5. Which principle is CONTRARY to planning a home visit?

• A. A home visit should have a clear purpose or objective
• B. The plan should be centered around the family's health needs
• C. A home visit should strictly follow RHU guidelines
• D. Involving a responsible family member in continuing care planning is essential

Correct answer: C

Rationale: When planning a home visit, it is crucial for the visit to be tailored to the specific needs of the family. While guidelines are important, they should not restrict the flexibility and practicality of the plan. The plan should adapt to the family's unique circumstances, resources available, and the nurse's assessment, rather than being rigidly bound by preset guidelines.

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