Nursing Elites

1. Public health services are given free of charge. Is this statement true or false?

• A. The statement is true; it is the responsibility of government to provide these services
• B. The statement is false; people pay indirectly for public health services
• C. The statement may be true or false; depending on the Specific service required
• D. The statement may be true or false; depending on policies of the government concerned.

Correct answer: B

Rationale: Community health services, including public health services, are prepaid paid services, through taxation, for example.

2. What care is given to a woman within a month after the delivery of a baby?

• A. Follow-up care
• B. Maternity care
• C. Puerperal care
• D. Post-natal care

Correct answer: D

Rationale: Post-natal care is the care provided to a woman after childbirth, typically within the first month. It involves various aspects such as monitoring the mother's health, providing guidance on maternal nutrition, promoting breastfeeding, and educating on maternal and child care practices. This comprehensive care aims to ensure the well-being of both the mother and the newborn during the postpartum period.

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. Which of the following is NOT a goal of the Maternal and Child Health (MCH) program?

• A. Reducing infant mortality
• B. Improving maternal health
• C. Providing family planning services
• D. Focusing solely on curative care

Correct answer: D

Rationale: The Maternal and Child Health (MCH) program aims to reduce infant mortality, improve maternal health, and provide family planning services. It focuses on both preventive and curative care to promote the health and well-being of mothers and children. While curative care is a component of the program, it is not the sole focus as prevention and early intervention are equally important in achieving positive health outcomes.

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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