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Which of the following is not considered one of the four cornerstones or pillars in primary health care?
- A. Active community participation
- B. Support mechanisms made available
- C. Use of appropriate technology
- D. Inter-sectoral linkages only
Correct Answer: D
Rationale: Rationale: The correct answer is D because inter-sectoral linkages are not the only cornerstone of primary health care. The four cornerstones are active community participation, support mechanisms, appropriate technology, and inter-sectoral collaboration. Inter-sectoral linkages refer to collaboration between different sectors, but it is not the sole pillar. Active community participation involves engaging communities in decision-making, support mechanisms ensure access to essential health services, and appropriate technology focuses on the use of suitable tools for healthcare delivery. Therefore, D is the correct answer as it does not encompass the comprehensive scope of primary health care principles.
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During a discussion about partograph, a clinical instructor asked a midwifery student about its components. Which of the following are parts of the partograph? SELECT ALL THAT APPLY
- A. Maternal Wellbeing
- B. Fetal Wellbeing
- C. Fetal Heart Rate
- D. Maternal Vital Signs
Correct Answer: D
Rationale: The correct answer is D: Maternal Vital Signs. Maternal vital signs, including blood pressure, pulse rate, temperature, and respiratory rate, are essential components of the partograph. Monitoring maternal vital signs helps in assessing the progress of labor and detecting any abnormalities early.
Rationale:
1. Maternal Wellbeing (A) is not a specific component of the partograph. While maternal wellbeing is important, it is not a direct part of the partograph.
2. Fetal Wellbeing (B) is not a part of the partograph. Fetal wellbeing is assessed through other means such as fetal heart rate monitoring.
3. Fetal Heart Rate (C) is not a part of the partograph. Fetal heart rate monitoring is crucial in labor but is not a component of the partograph.
James' illness can be classified as:
- A. Pneumonia
- B. Very severe illness
- C. Severe pneumonia
- D. No pneumonia
Correct Answer: D
Rationale: The correct classification for James' illness is D: No pneumonia. This is because the question specifically states that James does not have pneumonia. Therefore, it is important to focus on the information provided in the question itself. Choices A, B, and C all suggest some form of pneumonia, which contradicts the information given. It is crucial to accurately interpret and address the details provided in the question to arrive at the correct answer.
Which level of care serves as a referral center for primary health facilities?
- A. Secondary level of care
- B. Tertiary level of care
- C. Primary level of care
- D. Intermediate level of care
Correct Answer: B
Rationale: The correct answer is B: Tertiary level of care. Tertiary care serves as a referral center for primary health facilities due to its specialized services and expertise in complex medical conditions. It offers advanced diagnostic and treatment options beyond what primary and secondary levels can provide. Primary care (C) focuses on preventive and basic health services. Secondary care (A) offers specialized services like outpatient care and diagnostic procedures. Intermediate care (D) is not a standard level in the healthcare system and does not fit the description of a referral center for primary health facilities.
Which of the following are core functions of public health?
- A. Assessment
- B. Policy development
- C. Assurance
- D. All of the above
Correct Answer: D
Rationale: The correct answer is D, All of the above. Assessment involves collecting and analyzing data to understand health issues. Policy development focuses on creating and implementing strategies to address public health concerns. Assurance ensures that necessary health services are provided to the community. All three functions are essential in public health to assess needs, develop effective policies, and ensure implementation. Choices A, B, and C are all core functions of public health, making option D the correct answer.
The World Health Organization defines health as:
- A. The health of individuals and communities is, to a large extent, affected by a combination of many factors.
- B. A state of complete physical, mental, and social well-being, not merely the absence of disease or infirmity.
- C. Refers to the well-being of individuals, families, and communities being influenced by several factors in the ecosystem.
- D. The science and art of preventing disease, prolonging life, promoting health, and efficiency through organized community effort for the sanitation of the environment, control of communicable diseases, education of individuals in personal hygiene, and organizing these benefits to enable every citizen to realize their birthright of health and longevity.
Correct Answer: B
Rationale: Step 1: The definition of health according to the World Health Organization (WHO) includes physical, mental, and social well-being.
Step 2: It emphasizes that health is not just the absence of disease but a holistic state of well-being.
Step 3: This definition aligns with the modern understanding of health as a multi-dimensional concept.
Step 4: Option B directly mirrors the WHO definition, making it the correct answer.
Summary: Option A is too vague and lacks the specific components mentioned by WHO. Option C focuses on the ecosystem, not the individual's well-being. Option D describes public health efforts, not the definition of health itself.