Nursing Elites

1. In calculating the crude death rate of your municipality, with a total population of about 18,000 last year, there were 94 deaths. Among the deceased, 20 died due to heart diseases, and 32 were aged 50 years or older. What is the crude death rate?

• A. 4.1/1000
• B. 5.2/1000
• C. 6.3/1000
• D. 7.3/1000

Correct answer: B

Rationale: To calculate the crude death rate, divide the total number of deaths (94) by the total population (18,000) and then multiply by 1,000. This gives a crude death rate of 5.2 deaths per 1,000 population.

2. Which of the following is NOT a goal of the Maternal and Child Health (MCH) program?

• A. Reducing infant mortality
• B. Improving maternal health
• C. Providing family planning services
• D. Focusing solely on curative care

Correct answer: D

Rationale: The Maternal and Child Health (MCH) program aims to reduce infant mortality, improve maternal health, and provide family planning services. It focuses on both preventive and curative care to promote the health and well-being of mothers and children. While curative care is a component of the program, it is not the sole focus as prevention and early intervention are equally important in achieving positive health outcomes.

3. What is the interval between tetanus toxoid doses for pregnant women?

• A. 4 weeks
• B. 6 weeks
• C. 8 weeks
• D. 12 weeks

Correct answer: A

Rationale: The correct interval between doses of tetanus toxoid for pregnant women is 4 weeks. This interval ensures that pregnant women receive adequate protection against tetanus, particularly in areas where the disease is prevalent. The 4-week interval helps in building and maintaining immunity to protect both the pregnant woman and her developing baby from tetanus infection.

4. If the RHU needs additional midwife items, to whom should you submit the request for approval?

• A. Rural Health Unit
• B. District Health Office
• C. Provincial Health Office
• D. Municipal Health Board

Correct answer: D

Rationale: When the RHU requires additional midwife items, the request for approval should be submitted to the Municipal Health Board. According to R.A. 7160, basic health services have been decentralized from the national government to local government units, including municipalities. The Municipal Health Board plays a crucial role in overseeing health-related matters at the local level, making it the appropriate authority to seek approval for additional midwife items.

5. 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.

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