Nursing Elites

1. What is the best reason for administering vitamin A to a postpartum client?

• A. To help strengthen her immune system
• B. To improve her vision
• C. To protect her from infection
• D. To promote wound healing

Correct answer: A

Rationale: Vitamin A is crucial for maintaining the integrity of epithelial tissues, which are the body's first line of defense against pathogens. By supporting the immune system, vitamin A helps protect the postpartum client from infections and promotes overall health.

2. When the occupational health nurse employs ergonomic principles, they are performing which of their roles?

• A. Health care provider
• B. Health educator
• C. Health care coordinator
• D. Environment manager

Correct answer: D

Rationale: When an occupational health nurse applies ergonomic principles, they are acting as an environment manager. Ergonomics involves optimizing the work environment for efficiency and safety by considering factors like workplace design, equipment, and furniture to enhance worker well-being and productivity. By focusing on ergonomics, the nurse aims to create a workspace that minimizes physical strain, reduces the risk of musculoskeletal injuries, and promotes overall health and comfort for the employees.

3. When educating a mother about the benefits of breastfeeding, what should be included?

• A. Breastfeeding reduces the risk of postpartum hemorrhage.
• B. Breastfeeding provides passive immunity to the infant.
• C. Breastfeeding increases the mother's risk of breast cancer.
• D. Breastfeeding delays the return of menstruation.

Correct answer: B

Rationale: Breastfeeding provides passive immunity to the infant by transferring antibodies from the mother to protect the infant from infections and illnesses. This is one of the key benefits of breastfeeding, as it helps boost the baby's immune system during the early stages of life.

4. Which numerator is used in computing the general fertility rate?

• A. Estimated midyear population
• B. Number of registered live births
• C. Number of pregnancies in the year
• D. Number of females of reproductive age

Correct answer: B

Rationale: The general fertility rate is calculated by dividing the number of registered live births by the number of females of reproductive age (usually 15-45 years) and then multiplying the result by 1,000. This rate helps in understanding the average number of live births a woman in a specific population is expected to have during her reproductive years.

5. A woman, 6 months pregnant, came to the center for consultation. Which of the following substances is contraindicated?

• A. Tetanus toxoid
• B. Retinol 200,000 IU
• C. Ferrous sulfate 200mg
• D. Potassium iodate 200 mg capsule

Correct answer: B

Rationale: Retinol 200,000 IU, which is a form of megadose Vitamin A, is contraindicated in pregnancy as it may have teratogenic effects, potentially harming the developing fetus. It is important to avoid high doses of Vitamin A during pregnancy to prevent adverse outcomes.

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