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During a discussion about partograph, a clinical instructor asked a midwifery student about its components. Which of the following are parts of the partograph? SELECT ALL THAT APPLY
- A. Maternal Wellbeing
- B. Fetal Wellbeing
- C. Fetal Heart Rate
- D. Maternal Vital Signs
Correct Answer: D
Rationale: The correct answer is D: Maternal Vital Signs. Maternal vital signs, including blood pressure, pulse rate, temperature, and respiratory rate, are essential components of the partograph. Monitoring maternal vital signs helps in assessing the progress of labor and detecting any abnormalities early.
Rationale:
1. Maternal Wellbeing (A) is not a specific component of the partograph. While maternal wellbeing is important, it is not a direct part of the partograph.
2. Fetal Wellbeing (B) is not a part of the partograph. Fetal wellbeing is assessed through other means such as fetal heart rate monitoring.
3. Fetal Heart Rate (C) is not a part of the partograph. Fetal heart rate monitoring is crucial in labor but is not a component of the partograph.
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The healthcare provider should consider the following when assessing the child for chest indrawing EXCEPT
- A. Chest indrawing should be present at all times
- B. The lower chest wall does not move in when the child breathes in
- C. The lower chest moves in when the child breathes in
- D. The child should be calm
Correct Answer: A
Rationale: The correct answer is A because chest indrawing should not be present at all times in a child. Chest indrawing is a sign of increased work of breathing and respiratory distress. Choices B and C describe the characteristic of chest indrawing accurately. Choice D is incorrect because a child in respiratory distress may not be calm. Therefore, the healthcare provider should consider all options except for choice A when assessing a child for chest indrawing.
Community organizing is an important part of the community nursing function. Given the following elements - choosing an organizational structure, identifying and recruiting members, defining mission, vision, and goals, clarifying roles and responsibilities - at which stage do these elements belong?
- A. Program maintenance-consolidation
- B. Dissemination-Reassessment
- C. Community Analysis/diagnosis
- D. Design and initiation
Correct Answer: D
Rationale: The elements mentioned are key components of designing and initiating a community organizing effort. Choosing structure, recruiting members, defining mission, vision, and goals, and clarifying roles are essential in the initial stages of organizing a community. This stage sets the foundation for the entire process. Program maintenance-consolidation (A) occurs after the program has been established. Dissemination-Reassessment (B) involves spreading information and evaluating outcomes. Community Analysis/diagnosis (C) is the initial assessment of community needs, which precedes the design and initiation phase. Thus, the correct answer is D as it aligns with the early stages of community organizing.
Which of the following is an example of a non-communicable disease?
- A. Tuberculosis
- B. Malaria
- C. Cancer
- D. Heart disease
Correct Answer: C
Rationale: The correct answer is C: Cancer. Non-communicable diseases are not transmitted from person to person and are often chronic in nature. Cancer is a non-communicable disease characterized by abnormal cell growth. Tuberculosis (A) and Malaria (B) are infectious diseases caused by bacteria and parasites, respectively, and can be transmitted between individuals. Heart disease (D) can have both genetic and lifestyle factors, but it is not communicable. In summary, cancer fits the criteria of being non-communicable, while the other choices involve transmission between individuals.
Care provided by specialists in health facilities such as medical centers, regional, and provincial hospitals falls under which level of care?
- A. Secondary level of care
- B. Tertiary level of care
- C. Primary level of care
- D. Intermediate level of care
Correct Answer: B
Rationale: The correct answer is B: Tertiary level of care. Specialists in health facilities like medical centers, regional, and provincial hospitals provide specialized and complex care, which is characteristic of tertiary care. This level of care involves advanced medical procedures, specialized equipment, and highly trained healthcare professionals. Primary care (choice C) focuses on preventive and basic healthcare services, while secondary care (choice A) provides more specialized services compared to primary care but is not as advanced as tertiary care. Intermediate care (choice D) typically refers to care that falls between secondary and tertiary levels but lacks the complexity and specialization of tertiary care.
Which of the following are core functions of public health?
- A. Assessment
- B. Policy development
- C. Assurance
- D. All of the above
Correct Answer: D
Rationale: The correct answer is D, All of the above. Assessment involves collecting and analyzing data to understand health issues. Policy development focuses on creating and implementing strategies to address public health concerns. Assurance ensures that necessary health services are provided to the community. All three functions are essential in public health to assess needs, develop effective policies, and ensure implementation. Choices A, B, and C are all core functions of public health, making option D the correct answer.