Nursing Elites

1. 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.

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. 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.

4. 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.

5. What law mandates the reporting of cases of notifiable diseases by healthcare professionals?

• A. Act 3573
• B. RA 3753
• C. RA 1054
• D. RA 1082

Correct answer: A

Rationale: Act 3573, also known as the Law on Reporting of Communicable Diseases, enacted in 1929, mandates healthcare professionals to report cases of notifiable diseases listed in the law to the nearest health station. This law aims to facilitate early detection, prompt response, and control of communicable diseases to protect public health.

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