Nursing Elites

1. As the public health nurse in a municipality with a total population of about 20,000 and 3 health midwives among the RHU personnel, how many more midwife positions will the RHU need?

• A. 1
• B. 2
• C. 3
• D. 4

Correct answer: A

Rationale: Since each rural health midwife is typically assigned a population of about 5,000, with the municipality's total population being 20,000, the existing 3 midwives can cover the current population adequately. Therefore, the RHU would not need any more midwife positions, making option A, '1', the correct answer.

2. Which vitamin deficiency in the pregnant woman may cause neural tube defects?

• A. Niacin
• B. Riboflavin
• C. Folic Acid
• D. Thiamine

Correct answer: C

Rationale: Neural tube defects are linked to a deficiency in folic acid intake during pregnancy. Adequate folic acid intake is crucial as it significantly reduces the risk of neural tube defects in newborns. Therefore, ensuring pregnant women have sufficient folic acid is essential in preventing this serious birth defect.

3. Sputum examination is the major screening tool for pulmonary tuberculosis. Clients may sometimes receive false negative results in this exam. This means that the test is not perfect in terms of which characteristic of a diagnostic examination?

• A. Effectiveness
• B. Efficacy
• C. Specificity
• D. Sensitivity

Correct answer: D

Rationale: Sensitivity is the ability of a diagnostic test to correctly identify individuals with the disease. A test with high sensitivity will rarely give false negative results, as it will detect almost all positive cases. In the context of the given scenario, false negative results indicate that the test is lacking in sensitivity to pick up all cases of pulmonary tuberculosis, leading to some cases being missed.

4. What is the primary benefit of exclusive breastfeeding for the first 6 months of life?

• A. Prevents childhood obesity
• B. Ensures complete nutrition for the infant
• C. Increases the risk of allergies
• D. Delays cognitive development

Correct answer: B

Rationale: The primary benefit of exclusive breastfeeding for the first 6 months of life is to ensure that the infant receives complete nutrition. Breast milk provides all the necessary nutrients for a baby's growth and development, along with protection against infections, making it the best source of nutrition for infants in the first months of life.

5. 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.

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