Nursing Elites

1. Tertiary prevention is needed in which stage of the natural history of disease?

• A. Pre-pathogenesis
• B. Pathogenesis
• C. Predromal
• D. Terminal

Correct answer: D

Rationale: Tertiary prevention focuses on actions taken to prevent complications and further deterioration among individuals already diagnosed with a disease. It is implemented during the terminal stage of a disease when efforts are made to prevent disability, restore function, and improve quality of life. This stage is crucial for managing the disease's progression and enhancing the patient's well-being.

2. Which of the following is an essential component of prenatal care?

• A. Routine immunizations
• B. Nutritional counseling
• C. Surgical interventions
• D. Radiologic exams

Correct answer: B

Rationale: Nutritional counseling is a vital component of prenatal care as it helps ensure the health and well-being of both the mother and the baby. Proper nutrition during pregnancy is crucial for the healthy development of the fetus and to support the overall health of the expectant mother.

3. Which of the following is a key component of the IMCI strategy?

• A. Promoting hospital-based care
• B. Providing routine immunizations
• C. Enhancing maternal nutrition
• D. Integrated case management of childhood illnesses

Correct answer: D

Rationale: Integrated Management of Childhood Illness (IMCI) is a strategy developed by WHO and UNICEF. The key components of IMCI include integrated case management of childhood illnesses, where healthcare providers are trained to assess, classify, and treat common childhood illnesses holistically. This approach aims to improve the quality of care for children under five years of age by focusing on overall health, nutrition, immunization, and family and community practices. Therefore, promoting hospital-based care, providing routine immunizations, and enhancing maternal nutrition, while important, are not the sole key components of the IMCI strategy.

4. What is the recommended duration for exclusive breastfeeding according to the World Health Organization (WHO)?

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

Correct answer: B

Rationale: The World Health Organization (WHO) recommends exclusive breastfeeding for the first 6 months of life. This means that infants should be fed only breast milk (no other liquids or solids) during this period to ensure optimal growth, development, and health benefits.

5. Why is a primigravida instructed to offer her breast to the baby for the first time within 30 minutes after delivery?

• A. To initiate the occurrence of milk letdown
• B. To stimulate milk production by the mammary acini
• C. To provide the baby with colostrum
• D. To allow the mother to practice breastfeeding in the presence of healthcare providers

Correct answer: C

Rationale: Offering the breast to the baby early after delivery ensures that the baby receives colostrum, the initial milk produced by the mammary glands rich in antibodies and essential nutrients, which are crucial for the newborn's health and immune system. This early breastfeeding also helps establish the mother-infant bond and promotes successful breastfeeding in the long term.

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