Nursing Elites

1. Which of the following is a key strategy in the prevention of mother-to-child transmission of HIV?

• A. Exclusive breastfeeding
• B. Routine immunization
• C. Antiretroviral therapy
• D. Nutritional supplementation

Correct answer: C

Rationale: Antiretroviral therapy is a crucial strategy in preventing mother-to-child transmission of HIV. By providing antiretroviral medications to the mother during pregnancy, labor, and breastfeeding, the risk of transmitting the virus to the child is significantly reduced. This treatment approach has been shown to be highly effective in reducing the likelihood of HIV transmission from mother to child.

2. 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.

3. What is the primary purpose of administering Vitamin K to newborns?

• A. To prevent infection
• B. To promote growth
• C. To prevent bleeding disorders
• D. To enhance immune function

Correct answer: C

Rationale: Vitamin K is administered to newborns primarily to prevent bleeding disorders. Newborns have low levels of Vitamin K at birth, which can lead to a condition called vitamin K deficiency bleeding (VKDB). Administering Vitamin K helps prevent this potentially life-threatening bleeding disorder.

4. Civil registries are important sources of data. Which law requires registration of births within 30 days from the occurrence of the birth?

• A. PD 651
• B. Act 3573
• C. RA 3753
• D. RA 3375

Correct answer: A

Rationale: Presidential Decree (P.D.) 651 amended Republic Act (R.A.) 3753, specifically requiring the registration of births within 30 days from their occurrence. This amendment emphasizes the timely and accurate recording of vital statistics, which is crucial for legal and administrative purposes.

5. 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.

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