Nursing Elites

1. Why is a primigravida instructed to offer her breast to the baby for the first time within 30 minutes after delivery?

• A. To initiate the occurrence of milk letdown
• B. To stimulate milk production by the mammary acini
• C. To provide the baby with colostrum
• D. To allow the mother to practice breastfeeding in the presence of healthcare providers

Correct answer: C

Rationale: Offering the breast to the baby early after delivery ensures that the baby receives colostrum, the initial milk produced by the mammary glands rich in antibodies and essential nutrients, which are crucial for the newborn's health and immune system. This early breastfeeding also helps establish the mother-infant bond and promotes successful breastfeeding in the long term.

2. 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.

3. Which of the following practices can help reduce the transmission of HIV from mother to child?

• A. Exclusive breastfeeding
• B. Administering antiretroviral therapy
• C. Using unsterilized medical equipment
• D. Avoiding prenatal care

Correct answer: B

Rationale: Administering antiretroviral therapy to HIV-positive mothers is a crucial practice to reduce the risk of mother-to-child transmission of HIV. Antiretroviral therapy helps lower the viral load in the mother's body, decreasing the chance of passing the virus to the child during pregnancy, childbirth, or breastfeeding. Exclusive breastfeeding, using unsterilized medical equipment, and avoiding prenatal care do not directly contribute to reducing HIV transmission from mother to child.

4. When preparing a primigravida for breastfeeding, which of the following will you do?

• A. Explain that lactation usually begins 1 to 3 days after delivery
• B. Teach her nipple stretching exercises if her nipples are flat or inverted
• C. Advise against washing her nipples excessively before and after each breastfeeding
• D. Inform her that putting the baby to breast can help reduce post-delivery blood loss

Correct answer: D

Rationale: Putting the baby to breast can help reduce post-delivery blood loss as suckling stimulates the release of oxytocin, causing uterine contractions. Lactation typically starts 1 to 3 days after delivery, not immediately. Nipple stretching exercises are recommended for flat or inverted nipples, not everted ones. Excessive washing of the nipples can dry them out, increasing the risk of fissures.

5. Which nutrient is known to reduce the risk of neural tube defects when taken by pregnant women?

• A. Vitamin C
• B. Vitamin D
• C. Folic acid
• D. Iron

Correct answer: C

Rationale: Folic acid, a B vitamin, is essential for the development of the neural tube in the early stages of pregnancy. Adequate intake of folic acid before conception and during early pregnancy significantly reduces the risk of neural tube defects in the baby. It is recommended that women of childbearing age consume folic acid daily to support a healthy pregnancy.

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