Nursing Elites

1. You are in a client’s home to attend to a delivery. Which of the following will you do first?

• A. Set up a sterile area
• B. Put on a clean gown and apron
• C. Cleanse the client’s vulva with soap and water
• D. Note the interval, duration and intensity of labor and contractions

Correct answer: D

Rationale: Assessment of the woman should be done first to determine whether she is having true labor and, if so, what stage of labor she is in.

2. According to Margaret Shetland, the philosophy of public health nursing is based on which of the following?

• A. Health and longevity as birthrights
• B. The mandate of the state to protect the birthrights of its citizens
• C. Public health nursing as a specialized field of nursing
• D. The worth and dignity of man

Correct answer: D

Rationale: Dr. Margaret Shetland emphasized that the philosophy of public health nursing is rooted in the belief in the worth and dignity of every individual. This principle underscores the core values of public health nursing, focusing on respect for human life and the promotion of health for all individuals, regardless of their background or circumstances.

3. Which nutrient is essential for preventing anemia in pregnant women?

• A. Vitamin C
• B. Vitamin D
• C. Iron
• D. Calcium

Correct answer: C

Rationale: Iron is crucial for preventing anemia in pregnant women because it is needed for the production of hemoglobin, the protein in red blood cells that carries oxygen. During pregnancy, a woman's blood volume increases to support the baby's growth, making iron even more critical to prevent anemia, a condition characterized by a lack of healthy red blood cells. Anemia can lead to fatigue, weakness, and other complications for both the mother and the developing baby. Therefore, ensuring an adequate intake of iron-rich foods or supplements is vital for the health and well-being of pregnant women.

4. 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.

5. What is the purpose of the Expanded Program on Immunization (EPI)?

• A. To provide emergency medical services
• B. To ensure all children receive routine immunizations
• C. To offer specialized treatments for rare diseases
• D. To manage chronic health conditions

Correct answer: B

Rationale: The Expanded Program on Immunization (EPI) is designed to ensure that all children receive routine immunizations to prevent common infectious diseases. It focuses on providing vaccinations to children to build immunity against various preventable diseases, thus contributing to public health by reducing the spread of infectious illnesses.

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