Nursing Elites

1. 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.

2. Which of the following is an epidemiologic function of the nurse during an epidemic?

• A. Conducting assessments of suspected cases to detect communicable diseases
• B. Monitoring the condition of cases affected by the communicable disease
• C. Participating in the investigation to determine the source of the epidemic
• D. Educating the community on preventive measures against the disease

Correct answer: C

Rationale: During an epidemic, nurses play a crucial role in participating in epidemiologic investigations to identify the source of the outbreak. By investigating the source of the epidemic, nurses can help in understanding what caused the outbreak and how it can be controlled and prevented in the future. This function is essential in managing and responding effectively to epidemics.

3. 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.

4. Which vaccine is typically administered to newborns within the first 24 hours of birth?

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

Correct answer: A

Rationale: The correct answer is A, Hepatitis B. The Hepatitis B vaccine is usually administered to newborns within the first 24 hours of birth to provide protection against Hepatitis B infection. This early vaccination helps prevent transmission of the virus from infected mothers to their babies during childbirth, reducing the risk of chronic liver disease and liver cancer later in life.

5. What is the purpose of a community needs assessment?

• A. To diagnose individual health conditions
• B. To identify and prioritize community health needs
• C. To evaluate the effectiveness of a treatment plan
• D. To provide emergency medical services

Correct answer: B

Rationale: A community needs assessment is conducted to identify and prioritize the health needs of a community. It helps in planning appropriate interventions and allocating resources to address the most pressing health concerns of the community. This process is essential for developing effective public health programs and initiatives tailored to the specific needs of the population.

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