Nursing Elites

1. 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.

2. Which of the following is a component of the Safe Motherhood Initiative?

• A. Promoting exclusive breastfeeding
• B. Providing routine immunizations
• C. Ensuring skilled attendance at birth
• D. Offering genetic counseling

Correct answer: C

Rationale: Ensuring skilled attendance at birth is a crucial component of the Safe Motherhood Initiative aimed at reducing maternal and neonatal mortality rates. By having skilled professionals attend births, complications can be identified early and appropriate care provided promptly, contributing to improved maternal and neonatal health outcomes.

3. In traditional Chinese medicine, the yielding, negative, and feminine force is termed:

• A. Yin
• B. Yang
• C. Qi
• D. Chai

Correct answer: A

Rationale: In traditional Chinese medicine, the force characterized by yielding, negative, and feminine aspects is referred to as Yin. Yin is associated with qualities such as darkness, passivity, cold, and intuition. On the other hand, Yang represents the male, dominating, positive, and masculine force associated with light, activity, heat, and logic. Qi is the vital energy that flows through the body, and Chai is not a term used in traditional Chinese medicine for these forces.

4. 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.

5. Which numerator is used in computing the general fertility rate?

• A. Estimated midyear population
• B. Number of registered live births
• C. Number of pregnancies in the year
• D. Number of females of reproductive age

Correct answer: B

Rationale: The general fertility rate is calculated by dividing the number of registered live births by the number of females of reproductive age (usually 15-45 years) and then multiplying the result by 1,000. This rate helps in understanding the average number of live births a woman in a specific population is expected to have during her reproductive years.

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