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. Public health services are given free of charge. Is this statement true or false?

• A. The statement is true; it is the responsibility of government to provide these services
• B. The statement is false; people pay indirectly for public health services
• C. The statement may be true or false; depending on the Specific service required
• D. The statement may be true or false; depending on policies of the government concerned.

Correct answer: B

Rationale: Community health services, including public health services, are prepaid paid services, through taxation, for example.

3. As a new B.S.N. graduate aspiring to become a Public Health Nurse, where should you consider applying?

• A. Department of Health
• B. Provincial Health Office
• C. Regional Health Office
• D. Rural Health Unit

Correct answer: D

Rationale: As a new B.S.N. graduate aspiring to become a Public Health Nurse, the ideal place to apply would be the Rural Health Unit. This is because R.A. 7160 decentralized basic health services to local government units (LGUs), making public health nurses employees of the LGUs. Rural Health Units are typically operated by LGUs and focus on providing primary healthcare services to rural communities, making them a suitable starting point for someone interested in public health nursing.

4. Which of the following is an example of secondary prevention?

• A. Vaccination
• B. Health education
• C. Screening for hypertension
• D. Rehabilitation therapy

Correct answer: C

Rationale: Secondary prevention focuses on early detection and intervention to prevent the progression of diseases. Screening for hypertension falls under secondary prevention as it aims to identify the condition early, allowing for timely management and prevention of complications.

5. 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.

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