When preparing a primigravida for breastfeeding, which of the following will you do?

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.

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.

Correct Answer: D

Rationale: The correct answer is D: Post-natal care. Post-natal care refers to the care given to a woman within a month after delivering a baby. This care is crucial for monitoring the mother's physical and emotional health, providing support with breastfeeding, ensuring proper healing, and addressing any postpartum complications. Follow-up care (A) is a general term that may include various types of care beyond the immediate post-natal period. Maternity care (B) typically refers to the care provided during pregnancy and childbirth, not specifically after delivery. Puerperal care (C) specifically focuses on the period immediately following childbirth and may not encompass the entire month post-delivery.

Correct Answer: B

Rationale: The correct answer is B: OPV. The oral polio vaccine (OPV) used in the Expanded Program on Immunization (EPI) is stored in the freezer to maintain its potency. OPV is a live vaccine that requires cold storage to prevent the virus from becoming inactive. DPT, Hepatitis B vaccine, and Measles vaccine are typically stored in the refrigerator, not the freezer, as they are either killed or attenuated vaccines that remain stable at higher temperatures. Therefore, the need for freezer storage specifically points to OPV as the correct answer.

Correct Answer: A

Rationale: The correct answer is A: Immunization coverage. This is the most effective measure as it ensures a high percentage of the population is vaccinated, leading to herd immunity. This reduces the spread of diseases. Cold chain (B) ensures vaccine quality but doesn't directly control disease occurrence. Potency of vaccines (C) is important but doesn't address population coverage. Health education (D) is valuable but doesn't directly prevent disease spread like high immunization coverage does.