Nursing Elites

1. Which of the following is NOT a goal of the Maternal and Child Health (MCH) program?

• A. Reducing infant mortality
• B. Improving maternal health
• C. Providing family planning services
• D. Focusing solely on curative care

Correct answer: D

Rationale: The Maternal and Child Health (MCH) program aims to reduce infant mortality, improve maternal health, and provide family planning services. It focuses on both preventive and curative care to promote the health and well-being of mothers and children. While curative care is a component of the program, it is not the sole focus as prevention and early intervention are equally important in achieving positive health outcomes.

2. During a home visit, the PHN bag is a crucial tool for providing nursing care. The most important principle in bag technique states that it:

• A. Should save time and effort
• B. Should minimize, if not totally prevent, the spread of infection
• C. Should not overshadow concern for the patient and their family
• D. May be done in a variety of ways depending on the home situation

Correct answer: B

Rationale: The bag technique is a vital practice to prevent the transmission of infections to and from the client during home visits. By following proper bag technique procedures, nurses can minimize, if not entirely prevent, the spread of infections between themselves and their clients, ensuring a safe care environment.

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. When the occupational health nurse employs ergonomic principles, they are performing which of their roles?

• A. Health care provider
• B. Health educator
• C. Health care coordinator
• D. Environment manager

Correct answer: D

Rationale: When an occupational health nurse applies ergonomic principles, they are acting as an environment manager. Ergonomics involves optimizing the work environment for efficiency and safety by considering factors like workplace design, equipment, and furniture to enhance worker well-being and productivity. By focusing on ergonomics, the nurse aims to create a workspace that minimizes physical strain, reduces the risk of musculoskeletal injuries, and promotes overall health and comfort for the employees.

5. Which vitamin deficiency in the pregnant woman may cause neural tube defects?

• A. Niacin
• B. Riboflavin
• C. Folic Acid
• D. Thiamine

Correct answer: C

Rationale: Neural tube defects are linked to a deficiency in folic acid intake during pregnancy. Adequate folic acid intake is crucial as it significantly reduces the risk of neural tube defects in newborns. Therefore, ensuring pregnant women have sufficient folic acid is essential in preventing this serious birth defect.

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