Nursing Elites

1. 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.

2. 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.

3. Which of the following is an example of a waterborne disease?

• A. Hepatitis A
• B. Influenza
• C. Measles
• D. Tuberculosis

Correct answer: A

Rationale: Hepatitis A is a waterborne disease caused by a virus that can be transmitted through contaminated water or food. Ingestion of even microscopic amounts of fecal matter from an infected person can lead to infection. It is important to practice good hygiene and ensure water sources are clean to prevent the spread of Hepatitis A.

4. 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.

5. 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.

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