Nokea
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.
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In a mother's class, you discuss proper breastfeeding technique. Which of these is a sign that the baby has latched on the breast properly?
- A. The baby takes shallow, rapid sucks
- B. The mother does not feel nipple pain
- C. The baby's mouth is only partly open
- D. Only the mother's nipple is inside the baby's mouth
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.
Knowing that malnutrition is a common community health issue, you decided to conduct a nutritional assessment. What population is particularly vulnerable to protein-energy malnutrition (PEM)?
- A. Pregnant women and the elderly
- B. Under 5-year-old children
- C. 1-4-year-old children
- D. School-age children
Correct Answer: B
Rationale: The correct answer is B, under 5-year-old children. They are particularly vulnerable to protein-energy malnutrition (PEM) due to their high nutritional needs for growth and development. Infants and young children have limited food intake capacity and are dependent on caregivers for proper nutrition. This age group is at a critical stage of growth, making them more susceptible to the negative impact of malnutrition on physical and cognitive development. Pregnant women and the elderly (choice A) have specific nutritional needs but are not as vulnerable to PEM as young children. Choices C and D are incorrect as 1-4-year-old children and school-age children have a lower risk of PEM compared to under 5-year-old children.
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
What is the legal basis of the Primary Health Care approach in the Philippines?
- A. Alma Ata Declaration on PHC
- B. Letter of Instruction No. 949
- C. Presidential Decree No. 147
- D. Presidential Decree No. 996
Correct Answer: B
Rationale: The correct answer is B: Letter of Instruction No. 949. This document issued by the Philippine government in 1979 officially adopted the Primary Health Care (PHC) approach. It outlined the strategies and framework for implementing PHC nationwide. The Alma Ata Declaration on PHC (A) is a global agreement but not the legal basis in the Philippines. Presidential Decree No. 147 (C) and Presidential Decree No. 996 (D) do not specifically address the PHC approach. Therefore, the legal basis for PHC in the Philippines is Letter of Instruction No. 949.
Freedom of choice is one of the policies of the Family Planning Program of the Philippines. Which of the following illustrates this principle?
- A. Information dissemination about the need for family planning
- B. Support for research and development in family planning methods
- C. Adequate information for couples regarding the different methods
- D. Encouragement for couples to take family planning as a joint responsibility
Correct Answer: C
Rationale: The correct answer is C because it directly aligns with the principle of freedom of choice in family planning. Providing couples with adequate information regarding different methods empowers them to make informed decisions based on their preferences and circumstances. This choice respects individual autonomy and allows couples to choose the method that best suits their needs.
Incorrect Choices:
A: Information dissemination is important but does not necessarily guarantee freedom of choice.
B: Supporting research and development is beneficial but does not directly relate to the freedom of choice for couples.
D: Encouraging joint responsibility is valuable for promoting communication, but it does not explicitly ensure freedom of choice for individuals.