which of the following conditions is a contraindication for breastfeeding

ATI LPN

ATI Proctored Community Health

1. Which of the following conditions is a contraindication for breastfeeding?

A. Maternal HIV infection
B. Maternal diabetes
C. Maternal anemia
D. Maternal hypertension

Correct answer: A

Rationale: Maternal HIV infection is a contraindication for breastfeeding because it poses a risk of transmission to the infant. HIV can be transmitted through breast milk, putting the baby at risk of acquiring the infection. Therefore, it is recommended that mothers with HIV do not breastfeed to prevent the transmission of the virus to their infants.

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. In the Field Health Services and Information System (FHSIS) in the Philippines, the monthly field health service activity report is a form used in which component of the FHSIS?

A. Tally report
B. Output report
C. Target/client list
D. Individual health record

Correct answer: A

Rationale: The correct answer is 'A: Tally report.' A tally report is completed monthly or quarterly by the Rural Health Unit (RHU) personnel and then sent to the Provincial Health Office for further processing and analysis.

4. Primary health care is a total approach to community development. Which of the following is an indicator of success in using the primary health care approach?

A. Health services are provided free of charge to individuals and families
B. Local officials are empowered as the major decision-makers in health matters
C. Health workers can provide care based on identified health needs of the people
D. Health programs are sustained according to the level of development of the community

Correct answer: D

Rationale: Success in utilizing the primary health care approach is indicated by the sustainability of health programs based on the community's development level. This ensures that essential health services can be maintained at all stages of community development, reflecting the core principles of primary health care.

5. Which of the following vaccines is recommended to be given at birth?

A. BCG
B. Hepatitis B
C. OPV
D. Measles

Correct answer: A

Rationale: The BCG vaccine is recommended to be given at birth to protect against tuberculosis. It is often administered soon after birth to provide early protection against the disease, especially in areas where tuberculosis is prevalent.