Nursing Elites

1. Isolation of a child with measles belongs to which level of prevention?

• A. Primary
• B. Secondary
• C. Intermediate
• D. Tertiary

Correct answer: A

Rationale: Isolating a child with measles is considered a primary prevention measure. Primary prevention aims to prevent the disease from occurring by intervening before exposure to the causative agent. Isolating the child helps to contain the spread of the disease and protect those who are not already sick. This strategy falls under the realm of specific disease prevention, which is a key aspect of primary prevention.

2. What is the primary aim of the Expanded Program on Immunization (EPI)?

• A. To eliminate non-communicable diseases
• B. To increase hospital bed capacity
• C. To provide immunizations to all children
• D. To train more healthcare workers

Correct answer: C

Rationale: The primary aim of the Expanded Program on Immunization (EPI) is to provide immunizations to all children. By offering vaccines to all children, the EPI aims to protect them from vaccine-preventable diseases, ultimately reducing the burden of these illnesses on public health. Increasing hospital bed capacity, eliminating non-communicable diseases, and training more healthcare workers are important goals in healthcare but are not the primary focus of the EPI.

3. As the public health nurse in a municipality with a total population of about 20,000 and 3 health midwives among the RHU personnel, how many more midwife positions will the RHU need?

• A. 1
• B. 2
• C. 3
• D. 4

Correct answer: A

Rationale: Since each rural health midwife is typically assigned a population of about 5,000, with the municipality's total population being 20,000, the existing 3 midwives can cover the current population adequately. Therefore, the RHU would not need any more midwife positions, making option A, '1', the correct answer.

4. What is the primary benefit of exclusive breastfeeding for the first 6 months of life?

• A. Prevents childhood obesity
• B. Ensures complete nutrition for the infant
• C. Increases the risk of allergies
• D. Delays cognitive development

Correct answer: B

Rationale: The primary benefit of exclusive breastfeeding for the first 6 months of life is to ensure that the infant receives complete nutrition. Breast milk provides all the necessary nutrients for a baby's growth and development, along with protection against infections, making it the best source of nutrition for infants in the first months of life.

5. 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.

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