Nursing Elites

1. 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.

2. Which of the following best describes the role of a community health nurse?

• A. Providing acute care in hospitals
• B. Conducting surgeries
• C. Promoting health and preventing disease in the community
• D. Diagnosing and treating medical conditions

Correct answer: C

Rationale: The primary role of a community health nurse is to focus on promoting health and preventing disease within the community. They work to improve the overall health and well-being of individuals and populations by providing education, preventive care, and support to enhance community health outcomes. Community health nurses collaborate with community members, organizations, and public health agencies to address health disparities, implement health promotion strategies, and advocate for equitable access to healthcare services.

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. Which of the following exemplifies the school nurse’s health care provider function?

• A. Requesting BCG vaccine from the RHU for school entrance immunization
• B. Conducting random classroom inspections during a measles epidemic
• C. Taking corrective action on an accident hazard in the school playground
• D. Observing areas in the school where pupils spend their free time

Correct answer: B

Rationale: Conducting random classroom inspections during a measles epidemic is a vital function of the school nurse as it involves assessing pupils and teachers for signs of a health problem prevalent in the community. This function helps in early detection, prevention, and control of diseases among students and staff, contributing to maintaining a healthy school environment.

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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