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 diseases is targeted for eradication through the Expanded Program on Immunization (EPI)?

• A. Hepatitis B
• B. Diphtheria
• C. Poliomyelitis
• D. Tuberculosis

Correct answer: C

Rationale: Poliomyelitis is the correct answer as it is one of the diseases targeted for eradication through the Expanded Program on Immunization (EPI). The EPI aims to control and eliminate vaccine-preventable diseases globally, with a specific focus on polio due to its severe consequences and the feasibility of eradication through vaccination campaigns.

3. What is the primary goal of the Integrated Management of Childhood Illness (IMCI) strategy?

• A. To reduce the incidence of childhood diseases
• B. To improve the nutritional status of children
• C. To reduce child mortality and morbidity
• D. To promote exclusive breastfeeding

Correct answer: C

Rationale: The correct answer is C: To reduce child mortality and morbidity. The Integrated Management of Childhood Illness (IMCI) strategy aims to reduce child mortality and morbidity by providing a holistic approach to managing major childhood illnesses and improving overall child health outcomes. This strategy focuses on early recognition and prompt treatment of childhood illnesses, thereby reducing the impact of diseases and lowering mortality rates among children.

4. In the absence of an occupational nurse at a garment factory, who should provide the occupational health needs of the factory workers?

• A. Occupational health nurse at the Provincial Health Office
• B. Physician employed by the factory
• C. Public Health nurse of the RHU of their municipality
• D. Rural Sanitary inspector of the RHU in their municipality

Correct answer: C

Rationale: In the scenario where a garment factory lacks an occupational nurse, the responsibility of addressing the occupational health needs of the factory workers falls under the jurisdiction of the Public Health nurse of the Rural Health Unit (RHU) in their municipality. Public Health nurses are trained to provide essential health services to the community, including monitoring and promoting health in workplaces. They can assess workplace hazards, provide health education, and facilitate access to medical care when necessary, making them the most suitable option among the given choices to cater to the occupational health needs of the factory workers.

5. When educating a mother about the benefits of breastfeeding, what should be included?

• A. Breastfeeding reduces the risk of postpartum hemorrhage.
• B. Breastfeeding provides passive immunity to the infant.
• C. Breastfeeding increases the mother's risk of breast cancer.
• D. Breastfeeding delays the return of menstruation.

Correct answer: B

Rationale: Breastfeeding provides passive immunity to the infant by transferring antibodies from the mother to protect the infant from infections and illnesses. This is one of the key benefits of breastfeeding, as it helps boost the baby's immune system during the early stages of life.

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