Nursing Elites

1. Which biological used in Expanded Program on Immunization (EPI) is stored in the freezer?

• A. DPT
• B. OPV
• C. Hepatitis B vaccine
• D. Measles vaccine

Correct answer: B

Rationale: The correct answer is OPV. Oral Polio Vaccine should be stored in the freezer to maintain its potency. Vaccines like DPT, Hepatitis B vaccine, and Measles vaccine are typically stored in the refrigerator to ensure their efficacy.

2. 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.

3. An indicator of success in community organizing is when people are able to:

• A. Participate in community activities to address a community problem
• B. Implement activities to address the community problem
• C. Plan activities to address the community problem
• D. Identify the community problem as a common concern

Correct answer: A

Rationale: Success in community organizing is indicated when individuals actively participate in community activities aimed at addressing a shared community issue. While planning and implementation are essential components, active participation by community members is crucial for achieving sustainable solutions and fostering community engagement and empowerment.

4. What is the minimum interval between the administration of two doses of the MMR vaccine?

• A. 2 weeks
• B. 4 weeks
• C. 6 weeks
• D. 8 weeks

Correct answer: B

Rationale: The minimum interval between two doses of the MMR vaccine is 4 weeks. This interval is necessary to allow the immune system to respond to the first dose and develop a sufficient immune response before receiving the second dose. Administering the doses too close together may not provide optimal protection.

5. During prenatal consultation, a client asked you if she can have her delivery at home. After history taking and physical examination, you advised her against a home delivery. Which of the following findings disqualifies her for a home delivery?

• A. Her OB score is G5P3
• B. She has some palmar pallor
• C. Her blood pressure is 130/80
• D. Her baby is in cephalic presentation

Correct answer: A

Rationale: The correct answer is A. An OB score of G5P3 indicates that the client has had five pregnancies and three live births, making her ineligible for a home delivery. Typically, women with fewer pregnancies are considered better candidates for home deliveries due to lower risks. Additionally, primigravidas are usually advised to deliver at a medical facility for their first pregnancy.

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