Nursing Elites

1. Which of the following is a contraindication for the administration of live vaccines?

• A. Mild upper respiratory infection
• B. Previous allergic reaction to the vaccine
• C. Current antibiotic therapy
• D. Family history of allergies

Correct answer: B

Rationale: A previous allergic reaction to the vaccine is a contraindication for the administration of live vaccines. This is because individuals who have had a previous allergic reaction to a vaccine are at higher risk of developing a severe allergic reaction with subsequent doses. It is crucial to identify and avoid administering live vaccines to individuals with a history of allergic reactions to prevent potential adverse events.

2. 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.

3. What is the primary purpose of the Field Health Services and Information System (FHSIS)?

• A. To monitor hospital services
• B. To record and report public health services
• C. To evaluate private health services
• D. To manage health insurance claims

Correct answer: B

Rationale: The primary purpose of the Field Health Services and Information System (FHSIS) is to record and report public health services. It is specifically designed to improve health service delivery and planning by systematically collecting, managing, and analyzing health-related data. Monitoring hospital services, evaluating private health services, and managing health insurance claims are not the primary functions of the FHSIS, which is focused on public health services.

4. Where is the correct injection site for administering the DPT vaccine to an infant?

• A. Deltoid muscle
• B. Gluteal muscle
• C. Vastus lateralis muscle
• D. Forearm

Correct answer: C

Rationale: The vastus lateralis muscle is the preferred site for intramuscular injections in infants due to its larger muscle mass and fewer major nerves and blood vessels, reducing the risk of injury or adverse effects.

5. Which of the following is a key component of the IMCI strategy?

• A. Promoting hospital-based care
• B. Providing routine immunizations
• C. Enhancing maternal nutrition
• D. Integrated case management of childhood illnesses

Correct answer: D

Rationale: Integrated Management of Childhood Illness (IMCI) is a strategy developed by WHO and UNICEF. The key components of IMCI include integrated case management of childhood illnesses, where healthcare providers are trained to assess, classify, and treat common childhood illnesses holistically. This approach aims to improve the quality of care for children under five years of age by focusing on overall health, nutrition, immunization, and family and community practices. Therefore, promoting hospital-based care, providing routine immunizations, and enhancing maternal nutrition, while important, are not the sole key components of the IMCI strategy.

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