Nursing Elites

1. What is the minimum interval between the administration of two doses of the MMR vaccine?

• A. 2 weeks
• B. 4 weeks
• C. 6 weeks
• D. 8 weeks

Correct answer: B

Rationale: The minimum interval between two doses of the MMR vaccine is 4 weeks. This interval is necessary to allow the immune system to respond to the first dose and develop a sufficient immune response before receiving the second dose. Administering the doses too close together may not provide optimal protection.

2. 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.

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 primary method of transmission for tuberculosis?

• A. Vector-borne
• B. Airborne
• C. Waterborne
• D. Fecal-oral

Correct answer: B

Rationale: The correct answer is 'Airborne.' Tuberculosis is mainly transmitted through the air via respiratory droplets when an infected person coughs or sneezes. This allows the bacteria to be inhaled by others and infect their lungs. It is important to implement infection control measures to prevent the spread of tuberculosis in healthcare settings and the community.

5. What is the purpose of a population pyramid?

• A. To show the distribution of income levels
• B. To illustrate the age and sex composition of a population
• C. To compare the incidence of diseases
• D. To display the literacy rates

Correct answer: B

Rationale: A population pyramid is a graphical illustration that shows the age and sex composition of a population. It displays the percentage or number of individuals in different age groups and gender categories. This tool helps in understanding the demographic structure of a population, including aspects such as birth rates, death rates, life expectancy, and dependency ratios.

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