Nokea
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: The correct answer is D because putting the baby to breast stimulates the release of oxytocin, which helps the uterus contract and reduce post-delivery blood loss. This promotes faster recovery for the mother.
A: Incorrect - Lactation usually begins within 24-48 hours, not 1 to 3 days after delivery.
B: Incorrect - Nipple stretching exercises are not necessary for breastfeeding success and can cause discomfort.
C: Incorrect - Excessive washing of nipples can strip away natural oils and cause dryness or irritation, affecting breastfeeding.
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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: Rationale:
1. Primigravida refers to a woman pregnant for the first time.
2. Colostrum is the first milk produced after childbirth, rich in antibodies and nutrients.
3. Offering the breast within 30 minutes ensures the baby receives this vital colostrum.
4. Colostrum provides immune protection and establishes the baby's gut microbiome.
5. Options A and B relate to mature milk production, not colostrum.
6. Option D focuses on practice, not the immediate benefits of colostrum.
Why is iron supplementation given to pregnant women?
- A. To prevent anemia
- B. To promote fetal growth
- C. To prevent premature labor
- D. To prevent postpartum hemorrhage
Correct Answer: A
Rationale: Iron supplementation is given to pregnant women to prevent anemia. During pregnancy, iron requirements increase to support the growing fetus and maternal blood volume expansion. Anemia in pregnancy can lead to complications such as low birth weight, preterm birth, and maternal fatigue. Iron is essential for the production of hemoglobin, which carries oxygen to the tissues. Therefore, ensuring adequate iron levels helps prevent anemia and supports the health of both the mother and the baby.
Summary:
- A: Correct. Prevents anemia by supporting hemoglobin production.
- B: Incorrect. Fetal growth is influenced by various factors, not just iron.
- C: Incorrect. Premature labor is not directly prevented by iron supplementation.
- D: Incorrect. Postpartum hemorrhage is more related to factors like uterine atony, not iron levels.
What is given to a child with measles?
- A. Tetanus toxoid
- B. Vitamin A
- C. Vitamin D
- D. Vitamin E
Correct Answer: B
Rationale: The correct answer is B: Vitamin A. During measles, Vitamin A supplementation is crucial to reduce the risk of complications and improve recovery. Vitamin A deficiency is common in children with measles and can lead to severe outcomes. Tetanus toxoid (A) is not indicated in measles treatment. Vitamin D (C) and Vitamin E (D) do not play a significant role in managing measles symptoms. In summary, Vitamin A is essential for children with measles to prevent complications and support recovery, making it the correct choice among the options provided.
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. The OB score G5P3 means the client has had 5 pregnancies with 3 live births. This indicates a history of multiple pregnancies and deliveries, suggesting a higher risk for complications during labor. This would disqualify her for a home delivery due to the increased potential for obstetric emergencies.
Explanation for why the other choices are incorrect:
- B: Palmar pallor may indicate anemia but can be managed in a hospital setting.
- C: Blood pressure of 130/80 is within normal range and does not necessarily disqualify her for a home delivery.
- D: Cephalic presentation means the baby's head is down, which is a favorable position for delivery and does not disqualify her for a home birth.
Which of the following is a natality rate?
- A. Crude birth rate
- B. Neonatal mortality rate
- C. Infant mortality rate
- D. General fertility rate
Correct Answer: A
Rationale: The correct answer is A: Crude birth rate. Natality rate refers to the number of live births per 1,000 people in a population per year. The crude birth rate includes all live births in a population without any adjustments.
B: Neonatal mortality rate measures the number of deaths within the first 28 days of life per 1,000 live births.
C: Infant mortality rate measures the number of deaths within the first year of life per 1,000 live births.
D: General fertility rate measures the number of live births per 1,000 women of childbearing age.