Nursing Elites

1. What is the primary goal of the Integrated Management of Childhood Illness (IMCI) strategy?

• A. To reduce the incidence of childhood diseases
• B. To improve the nutritional status of children
• C. To reduce child mortality and morbidity
• D. To promote exclusive breastfeeding

Correct answer: C

Rationale: The correct answer is C: To reduce child mortality and morbidity. The Integrated Management of Childhood Illness (IMCI) strategy aims to reduce child mortality and morbidity by providing a holistic approach to managing major childhood illnesses and improving overall child health outcomes. This strategy focuses on early recognition and prompt treatment of childhood illnesses, thereby reducing the impact of diseases and lowering mortality rates among children.

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 an essential nutrient required for preventing neural tube defects?

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

Correct answer: D

Rationale: Folic acid is a crucial nutrient required for preventing neural tube defects during pregnancy. It plays a vital role in the development of the neural tube in the fetus, reducing the risk of defects such as spina bifida and anencephaly. It is recommended that women of childbearing age consume adequate amounts of folic acid, either through diet or supplements, to support a healthy pregnancy and prevent these serious birth defects.

4. Which step in community organizing involves the training of potential leaders in the community?

• A. Integration
• B. Community organization
• C. Community study
• D. Core group formation

Correct answer: D

Rationale: In core group formation, potential or informal community leaders are trained in community organizing techniques to empower them to take on leadership roles within the community. This step is crucial in building capacity and sustainability within the community organizing process.

5. In a study on the factors contributing to the high mortality rate due to heart diseases in the municipality, which branch of epidemiology is being practiced?

• A. Descriptive
• B. Analytical
• C. Therapeutic
• D. Evaluation

Correct answer: B

Rationale: Analytical epidemiology focuses on studying factors or determinants that affect the patterns of disease occurrence and distribution in a community. In this scenario, the nurse is analyzing various factors contributing to the high mortality rate due to heart diseases, which aligns with the principles of analytical epidemiology.

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