Nursing Elites

1. Which of the following is NOT a component of Primary Health Care (PHC)?

• A. Community participation
• B. Use of appropriate technology
• C. Equitable distribution of resources
• D. Exclusive focus on curative care

Correct answer: D

Rationale: Primary Health Care (PHC) is a comprehensive approach that includes preventive, promotive, curative, and rehabilitative care. It focuses on prevention, community participation, equitable distribution of resources, and the use of appropriate technology to address health needs. Exclusively focusing on curative care goes against the holistic nature of PHC.

2. 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.

3. Which of the following is an essential nutrient required for preventing neural tube defects?

• A. Iron
• B. Vitamin C
• C. Calcium
• D. Folic acid

Correct answer: D

Rationale: Folic acid is a crucial nutrient required for preventing neural tube defects during pregnancy. It plays a vital role in the development of the neural tube in the fetus, reducing the risk of defects such as spina bifida and anencephaly. It is recommended that women of childbearing age consume adequate amounts of folic acid, either through diet or supplements, to support a healthy pregnancy and prevent these serious birth defects.

4. 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.

5. Which of the following is an appropriate site for administration of DPT vaccine?

• A. Deltoid muscle
• B. Vastus lateralis muscle
• C. Gluteus maximus muscle
• D. Abdomen

Correct answer: B

Rationale: The vastus lateralis muscle (located in the thigh) is the recommended site for the administration of the DPT vaccine in infants and young children. This muscle is preferred due to its large muscle mass and lower risk of nerve or blood vessel injury, making it a safe and effective site for vaccine administration.

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