Nokea
What is the MOST COMMON cause of vaginal bleeding immediately after birth?
- A. Uterine atony
- B. Genital lacerations
- C. Abnormal clotting mechanisms
- D. Endometritis
Correct Answer: A
Rationale: The correct answer is A: Uterine atony. After birth, the uterus may not contract properly, leading to excessive bleeding known as postpartum hemorrhage. Uterine atony is the most common cause, as the uterus fails to remain contracted after delivery. This results in inadequate compression of blood vessels, leading to bleeding. Genital lacerations can cause bleeding but are less common than uterine atony. Abnormal clotting mechanisms and endometritis are less likely causes of immediate postpartum bleeding compared to uterine atony.
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As a community health nurse covering a cluster of Barangays, your population coverage includes the following:
- A. Families in their homes, school population, workers in factories
- B. All except workers in factories
- C. Families in their homes, school population, workers in factories, patients in hospitals
- D. All except patients in hospitals
Correct Answer: D
Rationale: Step 1: Community health nursing focuses on promoting health and preventing diseases within communities.
Step 2: Patients in hospitals are already receiving healthcare services, so they are not the primary focus of community health nursing.
Step 3: Excluding patients in hospitals from the population coverage allows the nurse to focus on preventive care for the community.
Step 4: Choices A, B, and C include populations that can benefit from community health nursing interventions, but they are not the primary target population.
Summary: Option D is correct because it aligns with the primary goal of community health nursing to promote health and prevent diseases within the community by excluding those who are already receiving healthcare services in hospitals. Options A, B, and C include additional populations that may benefit from nursing interventions but are not the primary focus.
Which group is an example of a community of solution?
- A. That lives within a specific geographic location.
- B. Concerned with reducing teenage suicides.
- C. With the same ethnic background.
- D. In which all members enjoy hiking.
Correct Answer: B
Rationale: The correct answer is B because a community of solution is a group focused on addressing a specific issue or problem, in this case, reducing teenage suicides. This group works together to find solutions and support individuals affected by this issue. Choice A is incorrect because it refers to a geographic community, not a community of solution. Choice C is incorrect as it focuses on ethnic background, not a common goal or problem-solving. Choice D is incorrect as enjoying hiking is a shared interest, not a shared purpose of solving a particular issue.
How can health professionals address social determinants of health?
- A. Providing direct care to underserved populations
- B. Advocating for policy changes
- C. Conducting health screenings
- D. Educating about healthy lifestyle behaviors
Correct Answer: B
Rationale: The correct answer is B because advocating for policy changes can address systemic issues that impact social determinants of health on a larger scale. Health professionals have the potential to influence policies that can improve access to healthcare, housing, education, and other social factors that impact health outcomes. Providing direct care (A) addresses immediate needs but does not address root causes. Health screenings (C) focus on early detection but do not tackle underlying social determinants. Educating about healthy lifestyle behaviors (D) is important but may not address the broader social context that influences health.
Which best describes an example of primary prevention in maternal newborn care?
- A. Providing prenatal education classes
- B. Screening for gestational diabetes
- C. Providing postpartum support groups
- D. Offering breastfeeding support
Correct Answer: A
Rationale: Primary prevention aims to prevent the occurrence of a disease or health condition before it happens. Providing prenatal education classes falls under primary prevention as it educates expecting mothers on healthy behaviors during pregnancy to prevent complications. This empowers them with knowledge and skills to promote their own and their baby's wellbeing. Screening for gestational diabetes (B) is a form of secondary prevention, as it detects a condition early to prevent its progression. Providing postpartum support groups (C) and offering breastfeeding support (D) are important interventions for promoting maternal and newborn health, but they are considered more as supportive or tertiary prevention measures rather than primary prevention.
Which of the following nursing interventions are appropriate to address parasitism issues?
- A. Administering broad-spectrum antihelminthic treatment to patients
- B. Emphasizing the importance of thoroughly washing vegetables, especially if consumed raw
- C. Instructing on proper stool disposal and emphasizing not to use it as fertilizer
- D. Promoting hand washing before and after meals
Correct Answer: C
Rationale: The correct answer is C because proper stool disposal and advising against using it as fertilizer are crucial in preventing the spread of parasites. This intervention targets the source of parasitic infections. Choice A is incorrect as administering antihelminthic treatment is reactive, not preventive. Choice B is important for preventing bacterial contamination, not specifically for parasitism. Choice D is a general hygiene measure and does not directly address parasitism issues. Thus, choice C is the most appropriate nursing intervention for addressing parasitism.