Nursing Elites

1. What is the recommended duration of exclusive breastfeeding?

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

Correct answer: B

Rationale: The World Health Organization recommends exclusive breastfeeding for the first 6 months of a child's life. During this time, breast milk provides all the necessary nutrients for the baby's growth and development, offering protection against infections and supporting optimal health outcomes. After 6 months, complementary foods can be introduced while continuing breastfeeding up to 2 years of age or beyond.

2. Which of the following demonstrates intersectoral linkages?

• A. Two-way referral system
• B. Team approach
• C. Endorsement by a midwife to another midwife
• D. Cooperation between public health nurse and public school teacher

Correct answer: D

Rationale: Intersectoral linkages involve collaborations between the health sector and other sectors for community development. In this scenario, cooperation between a public health nurse (PHN) and a public school teacher exemplifies intersectoral linkages, as it represents a partnership between the health and education sectors.

3. According to C.E. Winslow, what is the goal of Public Health?

• A. For people to attain their birthrights and longevity
• B. For the promotion of health and prevention of diseases
• C. For people to have access to basic health services
• D. For people to be organized in their health efforts

Correct answer: A

Rationale: According to C.E. Winslow, the goal of Public Health is for people to achieve their birthrights of health and longevity. This encompasses ensuring that individuals have the opportunity to lead healthy lives and live long, fulfilling ones. It goes beyond just the absence of disease and includes promoting overall well-being and quality of life.

4. 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.

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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