Nokea
In a mother's class, you discuss proper breastfeeding technique. Which of these is a sign that the baby has latched on the breast properly?
- A. The baby takes shallow, rapid sucks
- B. The mother does not feel nipple pain
- C. The baby's mouth is only partly open
- D. Only the mother's nipple is inside the baby's mouth
Correct Answer: B
Rationale: The correct answer is B because if the mother does not feel nipple pain, it indicates that the baby has latched on properly. Nipple pain is a common sign of improper latch, which can lead to discomfort and ineffective breastfeeding. The other choices are incorrect: A indicates ineffective sucking, C suggests a shallow latch, and D signifies a shallow latch that only involves the nipple, not the areola, leading to potential issues with milk transfer and nipple pain.
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In the year 1980, the World Health Organization declared the Philippines, along with some other countries in the Western Pacific Region, 'free' of which disease?
- A. Pneumonic plague
- B. Poliomyelitis
- C. Smallpox
- D. Anthrax
Correct Answer: C
Rationale: The correct answer is C: Smallpox. In 1980, the World Health Organization declared the Philippines and other countries in the Western Pacific Region 'free' of smallpox due to successful global vaccination campaigns. Smallpox is caused by the variola virus and is characterized by a distinctive rash. The other choices are incorrect because:
A: Pneumonic plague is a severe form of the bubonic plague caused by the bacterium Yersinia pestis.
B: Poliomyelitis is a viral infection that can lead to paralysis, but it was not eradicated in 1980.
D: Anthrax is a bacterial infection that primarily affects animals but can also infect humans.
Which of the following diseases is prevented by administration of the Hepatitis B vaccine?
- A. Jaundice
- B. Liver cancer
- C. Pneumonia
- D. Tuberculosis
Correct Answer: B
Rationale: The correct answer is B: Liver cancer. The Hepatitis B vaccine prevents Hepatitis B infection, which is a major cause of chronic liver disease and can lead to liver cancer. Jaundice (choice A) is a symptom of Hepatitis B infection, not a disease prevented by the vaccine. Pneumonia (choice C) and Tuberculosis (choice D) are both respiratory infections and are not prevented by the Hepatitis B vaccine. The key is to understand the specific disease targeted by the vaccine and its related health outcomes.
What is the best reason for administering vitamin A to a postpartum client?
- A. To help strengthen her immune system
- B. To improve her vision
- C. To protect her from infection
- D. To promote wound healing
Correct Answer: A
Rationale: The correct answer is A: To help strengthen her immune system. Vitamin A plays a crucial role in maintaining a healthy immune system, which is especially important for postpartum women to prevent infections. Vitamin A deficiency can weaken the immune response, making the body more susceptible to infections.
Explanation for other choices:
B: To improve her vision - While vitamin A is essential for good vision, it is not the primary reason for administering it to a postpartum client.
C: To protect her from infection - This is partially correct, as vitamin A helps protect against infections, but the primary reason is to strengthen the immune system.
D: To promote wound healing - Vitamin A is important for wound healing, but the immune system support is the key reason for administering it in the postpartum period.
In the conduct of a census, the method of population assignment based on the actual physical location of the people is termed:
- A. De jure
- B. De locus
- C. De facto
- D. De novo
Correct Answer: C
Rationale: The correct answer is C: De facto. This method assigns individuals to a specific location based on where they are physically located during the census. "De facto" means "in fact" or "in reality." This ensures accurate representation of the population in a specific area at the time of the census.
A: De jure refers to assignment based on legal residence, not necessarily physical location.
B: De locus is not a standard term in census methodology.
D: De novo means "from the beginning" and is not relevant to population assignment in a census.
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.