Following an emergency Cesarean delivery, the nurse encourages the new mother to breastfeed her newborn. The client asks why she should breastfeed now. Which information should the nurse provide?

Correct Answer: C

Rationale: In this scenario, the correct answer is C) To stimulate contraction of the uterus. After childbirth, the uterus needs to contract to prevent excessive bleeding. Breastfeeding triggers the release of oxytocin, a hormone that causes uterine contractions, helping the uterus return to its pre-pregnancy size and reducing the risk of postpartum hemorrhage. Option A) To bond with the baby, is a common reason for breastfeeding, but in this specific situation, the immediate benefit is related to uterine contractions. Option B) To help the baby latch on better, is not directly related to the mother's physiological response post-Cesarean delivery. Option D) To promote milk production, while important in the long term, is not the immediate priority right after a Cesarean section. Educationally, this question highlights the physiological benefits of breastfeeding beyond just infant nutrition. It emphasizes the role of breastfeeding in promoting maternal health by aiding in uterine involution and preventing postpartum complications. This knowledge is crucial for nurses working in community health settings to provide evidence-based care and support to postpartum mothers.

Correct Answer: A

Rationale: The correct answer is A) designated clinics conveniently located in target neighborhoods. This intervention is likely to be most useful in increasing immunization rates in underserved community groups because it addresses key barriers to accessing healthcare services, such as transportation and proximity. By providing designated clinics in target neighborhoods, individuals in underserved communities can easily access the influenza vaccine without having to travel long distances or incur additional costs. This strategy improves convenience and increases the likelihood that individuals will receive the immunization. Option B) reports decreasing influenza rates during times of greatest prevalence does not directly address the issue of access to immunization services in underserved communities. While providing information about decreasing rates may raise awareness, it may not necessarily lead to increased vaccination rates, especially in populations facing barriers to access. Option C) legislative proposals that mandate influenza vaccinations for all may be met with resistance and may not effectively address the underlying reasons for low immunization rates in underserved communities. Mandates can be controversial and may not necessarily address the root causes of disparities in healthcare access. Option D) radio announcements about the availability of the influenza vaccine may increase awareness but may not overcome the practical barriers that individuals in underserved communities face in accessing healthcare services. Simply knowing about the availability of the vaccine may not be sufficient to increase immunization rates in these populations. In an educational context, understanding the importance of addressing barriers to healthcare access and tailoring interventions to meet the specific needs of underserved communities is crucial in community health nursing. By implementing strategies that improve access and convenience, nurses can effectively increase immunization rates and promote better health outcomes in these vulnerable populations.

Correct Answer: B

Rationale: In the context of community health nursing, understanding the risk factors associated with communicable diseases such as hepatitis A is crucial for effective prevention and intervention strategies. In this scenario, option B) low-income families living in cramped quarters have a higher risk of contracting hepatitis A. Low-income families living in cramped quarters are more susceptible to poor sanitation and hygiene practices due to overcrowding, limited access to clean water, and inadequate bathroom facilities. These conditions create an environment conducive to the spread of hepatitis A, which is primarily transmitted through the fecal-oral route. Option A) IV drug users who share needles are at higher risk for bloodborne diseases like hepatitis B and C, but not specifically hepatitis A, which is mainly transmitted through contaminated food or water. Option C) those who have recently received a blood transfusion are at risk for bloodborne pathogens but not necessarily hepatitis A, which is not commonly transmitted through blood products. Option D) sexually active persons with multiple partners are more at risk for sexually transmitted infections like HIV or hepatitis B and C, but again, not hepatitis A which is not primarily transmitted through sexual contact. Educationally, this question highlights the importance of understanding the social determinants of health and how they influence the risk of communicable diseases in different populations. It emphasizes the need for community health nurses to identify vulnerable groups and tailor interventions to address specific risk factors for effective disease prevention and control.

Correct Answer: B

Rationale: In this scenario, the correct answer is option B: demonstrate foot care to a group of clients who have diabetes. This option aligns with tertiary prevention, which focuses on managing and reducing the impact of disease or injury. For individuals with diabetes, foot care is crucial to prevent complications like ulcers and amputations, making it an essential aspect of tertiary prevention. Option A, teaching clients about immunizations, pertains more to primary prevention by preventing the onset of disease. Option C, taking blood pressures, falls under secondary prevention as it aims to detect and treat conditions early. Option D, educating teens on STD prevention, also relates to primary prevention by aiming to prevent the initial occurrence of sexually transmitted diseases. In an educational context, understanding the levels of prevention in community health nursing is essential for students to effectively plan and implement programs that address the specific needs of diverse populations. By analyzing the different prevention levels and their applications in real-world scenarios, students can develop comprehensive and targeted intervention strategies to promote community health effectively.

Correct Answer: D

Rationale: In this scenario, the correct answer is D) carbon monoxide poisoning. The client's symptoms of shortness of breath and headache are indicative of carbon monoxide exposure, which commonly occurs when using gasoline-powered equipment in poorly ventilated areas. As for the other options: A) Asbestos exposure typically presents with respiratory symptoms over a longer period. B) Silica dust exposure is more associated with lung diseases like silicosis, not the symptoms described. C) Histoplasmosis is a fungal infection spread through bird droppings, not related to the client's symptoms. In an educational context, understanding the signs and symptoms of different types of poisoning is crucial for community health nurses to provide prompt and accurate care. Recognizing the specific manifestations of carbon monoxide poisoning can help prevent further harm to individuals in the community. This knowledge underscores the importance of environmental health awareness and education in community nursing practice.