Nursing Elites

1. 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.

2. Which of the following practices is part of the Baby-Friendly Hospital Initiative (BFHI)?

• A. Promoting the use of infant formula
• B. Encouraging skin-to-skin contact after birth
• C. Separating mother and baby after delivery
• D. Scheduling feedings at fixed intervals

Correct answer: B

Rationale: The correct answer is encouraging skin-to-skin contact after birth. The Baby-Friendly Hospital Initiative (BFHI) aims to promote breastfeeding and bonding by encouraging practices such as immediate skin-to-skin contact between mother and baby, rooming-in, and supporting exclusive breastfeeding. These practices have been shown to have numerous benefits for both the mother and the baby in terms of bonding, breastfeeding success, and overall health outcomes.

3. Which age group is most vulnerable to protein-energy malnutrition (PEM)?

• A. Infants below 6 months
• B. Children aged 1-4 years
• C. Adolescents
• D. Elderly

Correct answer: B

Rationale: Children aged 1-4 years are most vulnerable to protein-energy malnutrition (PEM) due to their rapid growth and development, increased nutritional requirements, and sometimes inadequate diets. This age group is particularly susceptible to malnutrition if they do not receive adequate protein and energy-rich foods to support their growth and development.

4. 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:

5. 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.

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