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. 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.

3. When determining whether resources were maximized in implementing Ligtas Tigdas, what is being evaluated?

• A. Effectiveness
• B. Efficiency
• C. Adequacy
• D. Appropriateness

Correct answer: B

Rationale: Efficiency is the correct answer because it assesses whether the desired outcomes were achieved with the least amount of resources expended. In the context of Ligtas Tigdas, evaluating efficiency would involve determining if the program goals were met in a cost-effective manner, optimizing the use of resources to achieve the best results.

4. What process is required for population-focused nursing practice?

• A. Community organizing
• B. Nursing process
• C. Community diagnosis
• D. Epidemiologic process

Correct answer: C

Rationale: Population-focused nursing practice involves identifying and addressing the health needs of a specific population group. Community diagnosis is a crucial process in population-focused nursing as it helps in understanding the health issues, concerns, and determinants within a community. Through community diagnosis, nurses can develop targeted interventions and strategies to promote the health and well-being of the population.

5. Which of the following is the most effective method for preventing the spread of infectious diseases?

• A. Antibiotic treatment
• B. Quarantine of infected individuals
• C. Vaccination
• D. Nutritional supplementation

Correct answer: C

Rationale: Vaccination is the most effective method for preventing the spread of infectious diseases as it helps in developing immunity against specific pathogens, reducing the likelihood of infection and transmission within a population. Antibiotics are used to treat infections, not prevent their spread. Quarantine limits the contact of infected individuals but does not provide long-term prevention. Nutritional supplementation can support overall health but is not a primary method for preventing infectious diseases.

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