Nursing Elites

1. In a mother’s class, you discuss proper breastfeeding technique. Which of these is a sign that the baby has latched on the breast properly?

• A. The baby takes shallow, rapid sucks
• B. The mother does not feel nipple pain
• C. The baby’s mouth is only partly open
• D. Only the mother’s nipple is inside the baby’s mouth

Correct answer: B

Rationale: When a baby has properly latched onto the breast, they take deep, slow sucks, their mouth is wide open, and much of the areola is inside their mouth. A key indicator of a proper latch is that the mother does not feel nipple pain, indicating that the baby is positioned correctly and feeding effectively.

2. Which of the following is NOT a goal of the Maternal and Child Health (MCH) program?

• A. Reducing infant mortality
• B. Improving maternal health
• C. Providing family planning services
• D. Focusing solely on curative care

Correct answer: D

Rationale: The Maternal and Child Health (MCH) program aims to reduce infant mortality, improve maternal health, and provide family planning services. It focuses on both preventive and curative care to promote the health and well-being of mothers and children. While curative care is a component of the program, it is not the sole focus as prevention and early intervention are equally important in achieving positive health outcomes.

3. Sputum examination is the major screening tool for pulmonary tuberculosis. Clients may sometimes receive false negative results in this exam. This means that the test is not perfect in terms of which characteristic of a diagnostic examination?

• A. Effectiveness
• B. Efficacy
• C. Specificity
• D. Sensitivity

Correct answer: D

Rationale: Sensitivity is the ability of a diagnostic test to correctly identify individuals with the disease. A test with high sensitivity will rarely give false negative results, as it will detect almost all positive cases. In the context of the given scenario, false negative results indicate that the test is lacking in sensitivity to pick up all cases of pulmonary tuberculosis, leading to some cases being missed.

4. What is the primary aim of the Expanded Program on Immunization (EPI)?

• A. To eliminate non-communicable diseases
• B. To increase hospital bed capacity
• C. To provide immunizations to all children
• D. To train more healthcare workers

Correct answer: C

Rationale: The primary aim of the Expanded Program on Immunization (EPI) is to provide immunizations to all children. By offering vaccines to all children, the EPI aims to protect them from vaccine-preventable diseases, ultimately reducing the burden of these illnesses on public health. Increasing hospital bed capacity, eliminating non-communicable diseases, and training more healthcare workers are important goals in healthcare but are not the primary focus of the EPI.

5. Which nutrient is essential for preventing anemia in pregnant women?

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

Correct answer: C

Rationale: Iron is crucial for preventing anemia in pregnant women because it is needed for the production of hemoglobin, the protein in red blood cells that carries oxygen. During pregnancy, a woman's blood volume increases to support the baby's growth, making iron even more critical to prevent anemia, a condition characterized by a lack of healthy red blood cells. Anemia can lead to fatigue, weakness, and other complications for both the mother and the developing baby. Therefore, ensuring an adequate intake of iron-rich foods or supplements is vital for the health and well-being of pregnant women.

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