Nursing Elites

1. Which of the following is a function of epidemiology?

• A. Identifying disease conditions based on manifestations presented by a client
• B. Determining factors that contributed to the occurrence of pneumonia in a 3-year-old
• C. Determining the efficacy of the antibiotic used in the treatment of the 3-year-old client with pneumonia
• D. Evaluating the effectiveness of the implementation of the Integrated Management of Childhood Illness

Correct answer: D

Rationale: The function of epidemiology includes evaluating the effectiveness of interventions, programs, or policies implemented to improve public health outcomes. In this context, epidemiology aids in assessing the impact and success of strategies like the Integrated Management of Childhood Illness in community health practice.

2. During prenatal consultation, a client asked you if she can have her delivery at home. After history taking and physical examination, you advised her against a home delivery. Which of the following findings disqualifies her for a home delivery?

• A. Her OB score is G5P3
• B. She has some palmar pallor
• C. Her blood pressure is 130/80
• D. Her baby is in cephalic presentation

Correct answer: A

Rationale: The correct answer is A. An OB score of G5P3 indicates that the client has had five pregnancies and three live births, making her ineligible for a home delivery. Typically, women with fewer pregnancies are considered better candidates for home deliveries due to lower risks. Additionally, primigravidas are usually advised to deliver at a medical facility for their first pregnancy.

3. 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.

4. 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.

5. What is the goal of the Safe Motherhood Initiative?

• A. To reduce child mortality
• B. To improve maternal health
• C. To provide free medical services
• D. To promote exclusive breastfeeding

Correct answer: B

Rationale: The goal of the Safe Motherhood Initiative is to enhance maternal health by reducing maternal mortality and morbidity. This initiative focuses on improving the health outcomes of pregnant women and new mothers, ensuring safer pregnancies and childbirth experiences.

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