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 statistic best reflects the nutritional status of a population?

• A. 1-4 year old age-specific mortality rate
• B. Proportionate mortality rate
• C. Infant mortality rate
• D. Swaroop’s index

Correct answer: A

Rationale: The most appropriate statistic to reflect the nutritional status of a population is the 1-4 year old age-specific mortality rate. This age group is highly susceptible to the effects of malnutrition, so a population with poor nutritional status is likely to have a high 1-4 year old age-specific mortality rate, also known as child mortality rate.

3. What is the purpose of a population pyramid?

• A. To show the distribution of income levels
• B. To illustrate the age and sex composition of a population
• C. To compare the incidence of diseases
• D. To display the literacy rates

Correct answer: B

Rationale: A population pyramid is a graphical illustration that shows the age and sex composition of a population. It displays the percentage or number of individuals in different age groups and gender categories. This tool helps in understanding the demographic structure of a population, including aspects such as birth rates, death rates, life expectancy, and dependency ratios.

4. 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.

5. What is the appropriate action to take if a child is found to have a fever on the day of immunization?

• A. Administer the vaccine as scheduled
• B. Delay the immunization until the fever subsides
• C. Give a lower dose of the vaccine
• D. Administer an antipyretic before the vaccine

Correct answer: B

Rationale: When a child is found to have a fever on the day of immunization, it is recommended to delay the immunization until the fever subsides. This is important to ensure the child's safety and the vaccine's effectiveness. Administering the vaccine with a fever can potentially worsen the child's condition and reduce the vaccine's ability to generate an appropriate immune response.

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