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 an advantage of conducting a home visit?

• A. It enables the nurse to provide nursing care to a greater number of people
• B. It provides an opportunity to conduct a firsthand appraisal of the home situation
• C. It allows sharing of experiences among people with similar health problems
• D. It fosters the family’s initiative in providing for the health needs of its members

Correct answer: B

Rationale: Conducting a home visit provides an opportunity to conduct a firsthand appraisal of the home situation. This allows healthcare professionals to observe the living conditions, identify potential health hazards, and tailor care plans to the individual's environment. It helps in gaining a better understanding of the patient's lifestyle, social support, and resources available at home, leading to more personalized and effective care.

3. At what age is the first dose of the MMR vaccine typically administered to a child?

• A. At birth
• B. 6 months
• C. 12 months
• D. 18 months

Correct answer: C

Rationale: The first dose of the MMR vaccine is typically administered to a child at 12 months of age to provide protection against measles, mumps, and rubella. Administering the vaccine at this age ensures that the child's immune system is developed enough to generate a protective response to the vaccine.

4. Which disease was declared as a target for eradication in the Philippines through Presidential Proclamation No. 4?

• A. Poliomyelitis
• B. Measles
• C. Rabies
• D. Neonatal Tetanus

Correct answer: B

Rationale: Presidential Proclamation No. 4 in the Philippines declared measles as a target for eradication through the Ligtas Tigdas Program. This program aims to eliminate measles, making it the correct choice in this case.

5. What is the primary focus of community health nursing?

• A. Individual patient care
• B. Hospital-based care
• C. Community-wide health promotion and disease prevention
• D. Specialized medical treatment

Correct answer: C

Rationale: Community health nursing primarily concentrates on promoting health and preventing diseases within the community. It involves working with the community as a whole to improve health outcomes and prevent illnesses through education, interventions, and collaborations. This approach differs from individual patient care, hospital-based services, or specialized medical treatments, as it aims to enhance the well-being of the entire community by addressing broader health issues and promoting preventive measures.

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