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. You are in a client’s home to attend to a delivery. Which of the following will you do first?

• A. Set up a sterile area
• B. Put on a clean gown and apron
• C. Cleanse the client’s vulva with soap and water
• D. Note the interval, duration and intensity of labor and contractions

Correct answer: D

Rationale: Assessment of the woman should be done first to determine whether she is having true labor and, if so, what stage of labor she is in.

3. The public health nurse takes an active role in community participation. What is the primary goal of community organizing?

• A. To educate the people regarding community health problems
• B. To mobilize the people to resolve community health problems
• C. To maximize the community’s resources in dealing with health problems
• D. To develop the people’s self-reliance in dealing with health problems

Correct answer: C

Rationale: Community organizing aims to maximize the community’s resources in addressing health problems. This approach focuses on empowering the community to effectively address their health challenges by utilizing their collective resources and strengths. While educating and mobilizing the community are important components, the primary goal is to enhance the community's capacity to tackle health issues independently.

4. The public health nurse is the supervisor of rural health midwives. Which of the following is a supervisory function of the public health nurse?

• A. Referring cases or patients to the midwife
• B. Providing technical guidance to the midwife
• C. Providing nursing care to cases referred by the midwife
• D. Formulating and implementing training programs for midwives

Correct answer: B

Rationale: The correct answer is B. Providing technical guidance to the midwife is a key supervisory function of the public health nurse. This guidance helps the midwife in delivering care to clients effectively, especially in adhering to management guidelines such as those in Integrated Management of Childhood Illness. While options A, C, and D involve various aspects of support and collaboration, providing technical guidance aligns directly with the supervisory role of ensuring quality and consistency in the care provided by midwives.

5. 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.

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