Nursing Elites

1. Which of the following demonstrates intersectoral linkages?

• A. Two-way referral system
• B. Team approach
• C. Endorsement by a midwife to another midwife
• D. Cooperation between public health nurse and public school teacher

Correct answer: D

Rationale: Intersectoral linkages involve collaborations between the health sector and other sectors for community development. In this scenario, cooperation between a public health nurse (PHN) and a public school teacher exemplifies intersectoral linkages, as it represents a partnership between the health and education sectors.

2. When preparing a primigravida for breastfeeding, which of the following will you do?

• A. Explain that lactation usually begins 1 to 3 days after delivery
• B. Teach her nipple stretching exercises if her nipples are flat or inverted
• C. Advise against washing her nipples excessively before and after each breastfeeding
• D. Inform her that putting the baby to breast can help reduce post-delivery blood loss

Correct answer: D

Rationale: Putting the baby to breast can help reduce post-delivery blood loss as suckling stimulates the release of oxytocin, causing uterine contractions. Lactation typically starts 1 to 3 days after delivery, not immediately. Nipple stretching exercises are recommended for flat or inverted nipples, not everted ones. Excessive washing of the nipples can dry them out, increasing the risk of fissures.

3. Which is a characteristic of person-to-person propagated epidemics?

• A. There are more cases of the disease than expected
• B. The disease must necessarily be transmitted through a vector
• C. The spread of the disease can be attributed to a common vehicle
• D. There is a gradual build-up of cases before the epidemic becomes easily noticeable

Correct answer: D

Rationale: In person-to-person propagated epidemics, there is typically a gradual build-up of cases before the epidemic becomes easily noticeable. This slow onset allows for the disease to spread from one individual to another, leading to a progressive increase in cases over time.

4. What is the primary goal of the Integrated Management of Childhood Illness (IMCI) strategy?

• A. To reduce the incidence of childhood diseases
• B. To improve the nutritional status of children
• C. To reduce child mortality and morbidity
• D. To promote exclusive breastfeeding

Correct answer: C

Rationale: The correct answer is C: To reduce child mortality and morbidity. The Integrated Management of Childhood Illness (IMCI) strategy aims to reduce child mortality and morbidity by providing a holistic approach to managing major childhood illnesses and improving overall child health outcomes. This strategy focuses on early recognition and prompt treatment of childhood illnesses, thereby reducing the impact of diseases and lowering mortality rates among children.

5. The Sentrong Sigla Movement aims to enhance health service delivery. Which of the following statements is true about this movement?

• A. It is a project jointly led by the Department of Health and local government units
• B. It serves as a means to secure additional funding from local government units
• C. It promotes disease prevention and control as a priority for health centers
• D. Its primary approach involves certifying health centers meeting DOH standards

Correct answer: D

Rationale: The Sentrong Sigla Movement is a collaborative effort between the Department of Health (DOH) and local government units. Its primary strategy is the certification of health centers that meet the standards established by the DOH. This certification process ensures that health centers provide quality services and comply with the set guidelines, ultimately improving the overall health service delivery in the region.

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