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. What is the primary purpose of conducting a health survey in a community?

• A. To provide medical treatment to individuals
• B. To gather data on health status and needs
• C. To distribute health education materials
• D. To perform laboratory tests

Correct answer: B

Rationale: The primary purpose of conducting a health survey in a community is to gather data on the health status and needs of the community. It helps in identifying health issues, assessing the prevalence of diseases, understanding health behaviors, and planning appropriate interventions. While health surveys can lead to improved healthcare delivery and interventions, their primary focus is on data collection rather than providing direct medical treatment, distributing health education materials, or performing laboratory tests.

3. Which of the following is a characteristic of Primary Health Care?

• A. Focuses on specialized care
• B. Emphasizes community participation
• C. Relies solely on hospital-based services
• D. Ignores preventive measures

Correct answer: B

Rationale: Primary Health Care is characterized by its emphasis on community participation, which involves active involvement of communities in health promotion, disease prevention, and healthcare decision-making. It is a comprehensive approach that encompasses preventive, promotive, curative, and rehabilitative services, aiming to provide accessible, affordable, and equitable healthcare to all individuals.

4. The public health nurse is the supervisor of rural health midwives. Which of the following is a supervisory function of the public health nurse?

• A. Referring cases or patients to the midwife
• B. Providing technical guidance to the midwife
• C. Providing nursing care to cases referred by the midwife
• D. Formulating and implementing training programs for midwives

Correct answer: B

Rationale: The correct answer is B. Providing technical guidance to the midwife is a key supervisory function of the public health nurse. This guidance helps the midwife in delivering care to clients effectively, especially in adhering to management guidelines such as those in Integrated Management of Childhood Illness. While options A, C, and D involve various aspects of support and collaboration, providing technical guidance aligns directly with the supervisory role of ensuring quality and consistency in the care provided by midwives.

5. When is the recommended time for introducing solid foods into an infant's diet?

• A. 3 months
• B. 6 months
• C. 9 months
• D. 12 months

Correct answer: B

Rationale: The recommended time for introducing solid foods into an infant's diet is around 6 months of age. Introducing solids too early can increase the risk of food allergies and digestive issues, while waiting too long may lead to nutritional deficiencies. By around 6 months, most infants have the necessary physical and developmental skills to start eating solid foods alongside breast milk or formula.

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