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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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.
You are in a client's home to attend to a delivery. Which of the following will you do first?
- A. Set up a sterile area
- B. Put on a clean gown and apron
- C. Cleanse the client's vulva with soap and water
- D. Note the interval, duration and intensity of labor and contractions
Correct Answer: D
Rationale: The correct answer is D because as a healthcare provider attending to a delivery, noting the interval, duration, and intensity of labor and contractions is crucial for assessing the progress of labor and ensuring the safety of both the mother and the baby. This information helps in determining if the delivery is progressing normally or if there are any complications that require immediate attention. Setting up a sterile area (choice A) and putting on a clean gown and apron (choice B) are important steps but should come after assessing the labor progress. Cleansing the client's vulva with soap and water (choice C) is not recommended during labor as it can introduce bacteria and increase the risk of infection.
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.
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.
Which of the following vaccines is recommended to be given at birth?
- A. BCG
- B. Hepatitis B
- C. OPV
- D. Measles
Correct Answer: A
Rationale: The correct answer is A: BCG. BCG vaccine is recommended at birth to prevent tuberculosis. It is given to protect infants from severe forms of TB. Other choices (B: Hepatitis B, C: OPV, D: Measles) are typically given at later stages as part of the routine childhood vaccination schedule. Hepatitis B vaccine is usually given within 24 hours of birth, OPV is given in multiple doses starting at 6 weeks of age, and Measles vaccine is given at around 12-15 months of age. Therefore, BCG is the recommended vaccine to be given at birth compared to the other choices.