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. 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.

3. Which of the following interventions is an example of tertiary prevention?

• A. Vaccination campaigns
• B. Health education seminars
• C. Physical rehabilitation programs
• D. Early disease screening

Correct answer: C

Rationale: Tertiary prevention focuses on managing and improving the quality of life for individuals who already have a disease or condition. Physical rehabilitation programs fall under tertiary prevention as they aim to enhance functioning and reduce disability caused by ongoing illness or injury, thus aligning with the goal of tertiary prevention.

4. What is given to a child with measles?

• A. Tetanus toxoid
• B. Vitamin A
• C. Vitamin D
• D. Vitamin E

Correct answer: B

Rationale: Children with measles are given vitamin A to prevent complications, such as blindness. Vitamin A supplementation is crucial in reducing the severity and risk of complications associated with measles, particularly in populations with vitamin A deficiency.

5. A business firm must employ an occupational health nurse when it has at least how many employees?

• A. 21
• B. 101
• C. 201
• D. 301

Correct answer: B

Rationale:

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