Which best describes an example of primary prevention in maternal newborn care?

Correct Answer: A

Rationale: Primary prevention aims to prevent the occurrence of a disease or health condition before it happens. Providing prenatal education classes falls under primary prevention as it educates expecting mothers on healthy behaviors during pregnancy to prevent complications. This empowers them with knowledge and skills to promote their own and their baby's wellbeing. Screening for gestational diabetes (B) is a form of secondary prevention, as it detects a condition early to prevent its progression. Providing postpartum support groups (C) and offering breastfeeding support (D) are important interventions for promoting maternal and newborn health, but they are considered more as supportive or tertiary prevention measures rather than primary prevention.

Correct Answer: C

Rationale: The correct answer is C because by encouraging active participation and sharing personal examples, the facilitator helps attendees engage with the material, apply concepts to real-life situations, and deepen their understanding through experiential learning. This approach fosters a more interactive and dynamic learning environment, enhancing retention and application of knowledge. A is incorrect because the facilitator's aim is to enhance learning, not avoid preparation. B is incorrect as the primary focus is on facilitating learning, not just making participants feel appreciated. D is incorrect as while the facilitator may align with Freire's principles, the main rationale is to promote active participation and learning by doing.

Correct Answer: A

Rationale: The correct answer is A because the Ask, Advise, Assess, Assist, and Arrange approach is evidence-based and widely recognized for behavior change. Asking about behavior, advising to change, assessing readiness, assisting in making changes, and arranging follow-ups are key steps in effective behavior change interventions. Encouraging interaction with others (B) may help, but not as structured as A. Guilt-tripping (C) can lead to resistance and harm the therapeutic relationship. Subtle rewards (D) may provide short-term motivation but lack the systematic approach of A.

Correct Answer: B

Rationale: Step-by-step rationale for why choice B is correct: 1. Critical theory focuses on analyzing power dynamics and social structures that lead to oppression within society. 2. It emphasizes enabling group action to challenge and transform these oppressive structures. 3. In nursing, critical theory promotes advocacy for marginalized populations and addressing social determinants of health. 4. Health Belief Model and Orem's theory focus more on individual behavior and self-care, whereas critical theory looks beyond individual actions to systemic issues. Summary: A - Incorrect. Critical theory is not exclusive to nurses; it can be utilized by professionals in various fields to address social injustices. C - Incorrect. Critical theory is directly associated with health promotion through addressing social inequalities and advocating for social change. D - Incorrect. While critical theory may challenge individual beliefs as part of addressing systemic issues, its primary focus is on social structures and group action.

Correct Answer: D

Rationale: The correct answer is D because environmental health issues are complex and interconnected with social, economic, and political factors. Improving environmental health often involves addressing systemic issues and implementing large-scale changes. This includes policies, regulations, and community initiatives. Choices A, B, and C are incorrect because environmental health impacts both individuals and groups, requires more than just individual behavior change, and goes beyond just social neighborhoods and geography.