Nursing Elites

1. Which vitamin deficiency in the pregnant woman may cause neural tube defects?

• A. Niacin
• B. Riboflavin
• C. Folic Acid
• D. Thiamine

Correct answer: C

Rationale: Neural tube defects are linked to a deficiency in folic acid intake during pregnancy. Adequate folic acid intake is crucial as it significantly reduces the risk of neural tube defects in newborns. Therefore, ensuring pregnant women have sufficient folic acid is essential in preventing this serious birth defect.

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 is a characteristic of Primary Health Care?

• A. Focuses on specialized care
• B. Emphasizes community participation
• C. Relies solely on hospital-based services
• D. Ignores preventive measures

Correct answer: B

Rationale: Primary Health Care is characterized by its emphasis on community participation, which involves active involvement of communities in health promotion, disease prevention, and healthcare decision-making. It is a comprehensive approach that encompasses preventive, promotive, curative, and rehabilitative services, aiming to provide accessible, affordable, and equitable healthcare to all individuals.

4. The public health nurse is responsible for presenting the municipal health statistics using graphs and tables. To compare the frequency of the leading causes of mortality in the municipality, which graph will you prepare?

• A. Line
• B. Bar
• C. Pie
• D. Scatter diagram

Correct answer: B

Rationale: A bar graph is the appropriate choice for comparing the frequency of the leading causes of mortality in the municipality because it allows for the clear visualization of the different causes side by side. Bar graphs are commonly used to compare discrete categories, making them ideal for this scenario. Line graphs are typically used for showing trends over time or age, pie graphs for illustrating population composition or distribution, and scatter diagrams for displaying the correlation between two variables.

5. Which of the following individuals should be considered as special targets for family planning?

• A. Individuals with two or more children
• B. Individuals with medical conditions such as anemia
• C. Individuals younger than 20 years or older than 35 years
• D. Individuals who have had a delivery within the past 15 months

Correct answer: D

Rationale: Individuals who have had a delivery within the past 15 months should be considered special targets for family planning because the ideal birth spacing is at least two years. By waiting two years (15 months post-delivery + 9 months of pregnancy), the individual can give their body enough time to recover and reduce potential health risks associated with closely spaced pregnancies.

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