Nursing Elites

1. Which nutrient is known to reduce the risk of neural tube defects when taken by pregnant women?

• A. Vitamin C
• B. Vitamin D
• C. Folic acid
• D. Iron

Correct answer: C

Rationale: Folic acid, a B vitamin, is essential for the development of the neural tube in the early stages of pregnancy. Adequate intake of folic acid before conception and during early pregnancy significantly reduces the risk of neural tube defects in the baby. It is recommended that women of childbearing age consume folic acid daily to support a healthy pregnancy.

2. Which of the following individuals should be considered as special targets for family planning?

• A. Individuals with two or more children
• B. Individuals with medical conditions such as anemia
• C. Individuals younger than 20 years or older than 35 years
• D. Individuals who have had a delivery within the past 15 months

Correct answer: D

Rationale: Individuals who have had a delivery within the past 15 months should be considered special targets for family planning because the ideal birth spacing is at least two years. By waiting two years (15 months post-delivery + 9 months of pregnancy), the individual can give their body enough time to recover and reduce potential health risks associated with closely spaced pregnancies.

3. Primary health care is a total approach to community development. Which of the following is an indicator of success in using the primary health care approach?

• A. Health services are provided free of charge to individuals and families
• B. Local officials are empowered as the major decision-makers in health matters
• C. Health workers can provide care based on identified health needs of the people
• D. Health programs are sustained according to the level of development of the community

Correct answer: D

Rationale: Success in utilizing the primary health care approach is indicated by the sustainability of health programs based on the community's development level. This ensures that essential health services can be maintained at all stages of community development, reflecting the core principles of primary health care.

4. The number of cases of Dengue fever usually increases towards the end of the rainy season. This pattern of occurrence of Dengue fever is best described as:

• A. Epidemic occurrence
• B. Cyclical variation
• C. Sporadic occurrence
• D. Secular occurrence

Correct answer: B

Rationale: Cyclical variation best describes the periodic fluctuation in the number of Dengue fever cases in the community, typically increasing towards the end of the rainy season and then decreasing during drier periods. This pattern suggests a recurring cycle rather than a sudden outbreak (epidemic), random occurrence (sporadic), or gradual long-term change (secular occurrence).

5. 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.

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