the best prophylactic treatment to prevent further rheumatic fever attack:

Correct Answer: C

Rationale: The best prophylactic treatment to prevent further rheumatic fever attacks is penicillin. Penicillin is recommended for long-term secondary prophylaxis to prevent the recurrence of acute rheumatic fever and reduce the risk of rheumatic heart disease. It helps to eradicate streptococcal infections, which are the underlying cause of rheumatic fever. Prednisone, aspirin, and paracetamol are not used for primary or secondary prevention of rheumatic fever.

Correct Answer: C

Rationale: Successful breastfeeding is most dependent on the mother's desire to breastfeed. A mother who is committed and motivated to breastfeed is more likely to overcome any challenges that may arise, such as difficulty latching, low milk supply, or lack of support. The mother's determination and willingness to persevere through any difficulties play a significant role in the success of breastfeeding. Additionally, a positive attitude and mindset can greatly impact the mother's breastfeeding experience and enhance the bond between the mother and baby.

Correct Answer: B

Rationale: Tinea capitis, also known as ringworm of the scalp, is a fungal infection caused by various dermatophyte fungi, primarily Trichophyton and Microsporum species. These fungi thrive on dead tissues, including hair, skin, and nails, and can lead to symptoms like red, scaly patches on the scalp, hair loss, and itching. The infection is contagious and can spread through direct contact with an infected person, animals, or contaminated objects. Proper diagnosis and treatment with antifungal medications are essential to manage tinea capitis effectively.

Correct Answer: D

Rationale: The most common test for diagnosing pinworms in a child is a laboratory examination of a fecal smear. This involves taking a sample of the child's feces and examining it under a microscope to look for pinworm eggs or actual adult worms. This test is more reliable and accurate compared to other methods for detecting pinworms. It is important to collect the sample in the morning before the child has a bowel movement or bath, as this increases the chances of finding the eggs.

Correct Answer: A

Rationale: Establishing a structured routine and following it consistently is an important nursing consideration when caring for an infant with failure to thrive. Infants with failure to thrive often struggle with feeding, growth, and development. By providing a structured routine, you can create a predictable environment that can help promote the infant's overall well-being. Consistency in feeding times, nap times, and play times can help establish a sense of security and stability for the infant. This routine can also support proper feeding patterns, which are essential for addressing the infant's nutrition needs and promoting growth and development.