Nokea
What is the best reason for administering vitamin A to a postpartum client?
- A. To help strengthen her immune system
- B. To improve her vision
- C. To protect her from infection
- D. To promote wound healing
Correct Answer: A
Rationale: The correct answer is A: To help strengthen her immune system. Vitamin A plays a crucial role in maintaining a healthy immune system, which is especially important for postpartum women to prevent infections. Vitamin A deficiency can weaken the immune response, making the body more susceptible to infections.
Explanation for other choices:
B: To improve her vision - While vitamin A is essential for good vision, it is not the primary reason for administering it to a postpartum client.
C: To protect her from infection - This is partially correct, as vitamin A helps protect against infections, but the primary reason is to strengthen the immune system.
D: To promote wound healing - Vitamin A is important for wound healing, but the immune system support is the key reason for administering it in the postpartum period.
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Which statistic best reflects the nutritional status of a population?
- A. 1-4 year old age-specific mortality rate
- B. Proportionate mortality rate
- C. Infant mortality rate
- D. Swaroop's index
Correct Answer: A
Rationale: The correct answer is A: 1-4 year old age-specific mortality rate. This statistic reflects the overall health and nutritional status of a population by focusing on a specific age group vulnerable to malnutrition-related issues. It provides a comprehensive view of the impact of nutrition on child health and development. Proportionate mortality rate (B) measures the distribution of causes of death, not specifically related to nutrition. Infant mortality rate (C) focuses on deaths within the first year of life, which may not fully capture the nutritional status of the whole population. Swaroop's index (D) assesses life expectancy and income level, but does not directly measure nutritional status.
In a municipality with a population of about 20,000, estimate the number of 1-4 year old children who should be given Retinol capsules 200,000 every 6 months.
- A. 1,500
- B. 1,800
- C. 2,000
- D. 2,300
Correct Answer: D
Rationale: The correct answer is D (2,300). To estimate the number of 1-4 year old children who should be given Retinol capsules 200,000 every 6 months in the municipality, we can use the rule of thumb that around 10-15% of the population falls within the 1-4 age group. With a population of 20,000, this translates to approximately 2,000-3,000 children. Since 200,000 capsules are provided every 6 months, we can divide this by the number of children to determine the number of capsules per child. Therefore, 200,000 / 2,300 ≈ 87 capsules per child over 6 months, which is a reasonable estimate.
Summary of other choices:
A: 1,500 - This is too low given the population estimate and age group percentage.
B: 1,800 - This is also too low given the population estimate and age group percentage.
C
To monitor clients registered in long-term regimens, such as Multi-Drug Therapy, which component will be most useful?
- A. Tally report
- B. Output report
- C. Target/client list
- D. Individual health record
Correct Answer: C
Rationale: Step 1: Target/client list is most useful as it provides a comprehensive list of clients in long-term regimens.
Step 2: It allows for easy monitoring of individual progress and adherence to treatment plans.
Step 3: Tally report (A) only provides a count, lacking specific client information.
Step 4: Output report (B) may not include all necessary client details.
Step 5: Individual health record (D) is specific to one client, not ideal for overall monitoring.
Which of the following is a natality rate?
- A. Crude birth rate
- B. Neonatal mortality rate
- C. Infant mortality rate
- D. General fertility rate
Correct Answer: A
Rationale: The correct answer is A: Crude birth rate. Natality rate refers to the number of live births per 1,000 people in a population per year. The crude birth rate includes all live births in a population without any adjustments.
B: Neonatal mortality rate measures the number of deaths within the first 28 days of life per 1,000 live births.
C: Infant mortality rate measures the number of deaths within the first year of life per 1,000 live births.
D: General fertility rate measures the number of live births per 1,000 women of childbearing age.
A woman, 6 months pregnant, came to the center for consultation. Which of the following substances is contraindicated?
- A. Tetanus toxoid
- B. Retinol 200,000 IU
- C. Ferrous sulfate 200mg
- D. Potassium iodate 200 mg capsule
Correct Answer: B
Rationale: The correct answer is B: Retinol 200,000 IU. Retinol in high doses can cause birth defects in a developing fetus. Pregnant women should avoid excessive vitamin A intake to prevent harm to the baby. Tetanus toxoid (A), ferrous sulfate (C), and potassium iodate (D) are safe and recommended for pregnant women to support their health and the baby's development. In summary, retinol 200,000 IU is contraindicated due to the potential for birth defects, while the other choices are safe and beneficial during pregnancy.