Nokea
Primary health care is a total approach to community development. Which of the following is an indicator of success in using the primary health care approach?
- A. Health services are provided free of charge to individuals and families
- B. Local officials are empowered as the major decision-makers in health matters
- C. Health workers can provide care based on identified health needs of the people
- D. Health programs are sustained according to the level of development of the community
Correct Answer: D
Rationale: The correct answer is D, as it highlights the sustainability aspect crucial in primary health care. Sustainable health programs align with the community's development level, ensuring long-term effectiveness.
A: Providing free health services is not an indicator of success as sustainability and community involvement are key.
B: While empowering local officials is important, it doesn't directly measure the success of the primary health care approach.
C: Providing care based on identified needs is a fundamental aspect but doesn't guarantee success without sustainability.
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Which demographic tool may be used to describe the sex composition of the population?
- A. Sex ratio
- B. Sex proportion
- C. Population pyramid
- D. Any of these may be used
Correct Answer: D
Rationale: The correct answer is D because all of the choices can be used to describe the sex composition of the population. A, the sex ratio, compares the number of males to females. B, sex proportion, also refers to the distribution of males and females in a population. C, population pyramid, visually displays the age and sex distribution of a population. Therefore, any of these tools can be utilized to describe the sex composition accurately.
Which of the following health professionals can sign the birth certificate?
- A. Public health nurse
- B. Rural health midwife
- C. Municipal health officer
- D. Any of these health professionals
Correct Answer: D
Rationale: The correct answer is D because all of these health professionals can sign a birth certificate. Public health nurses, rural health midwives, and municipal health officers are all qualified to verify and certify births. This is important for accurate record-keeping and legal purposes. Each of these professionals has the training and authority to confirm the details of a birth and sign the necessary documentation. Therefore, the correct answer is D, as any of these health professionals can sign the birth certificate. The other choices (A, B, and C) are incorrect because they limit the scope of who can sign the birth certificate, whereas the correct answer encompasses all the options provided.
Which vitamin deficiency in the pregnant woman may cause neural tube defects?
- A. Niacin
- B. Riboflavin
- C. Folic Acid
- D. Thiamine
Correct Answer: C
Rationale: The correct answer is C: Folic Acid. Folic Acid deficiency during pregnancy is associated with an increased risk of neural tube defects in the developing fetus. Folic acid is crucial for proper neural tube formation in early pregnancy. Niacin (A), Riboflavin (B), and Thiamine (D) deficiencies do not directly impact neural tube development. Niacin is important for energy production, riboflavin for cell growth and function, and thiamine for nerve function, but they do not specifically affect neural tube closure like folic acid does.
You are in a client's home to attend to a delivery. Which of the following will you do first?
- A. Set up a sterile area
- B. Put on a clean gown and apron
- C. Cleanse the client's vulva with soap and water
- D. Note the interval, duration and intensity of labor and contractions
Correct Answer: D
Rationale: The correct answer is D because as a healthcare provider attending to a delivery, noting the interval, duration, and intensity of labor and contractions is crucial for assessing the progress of labor and ensuring the safety of both the mother and the baby. This information helps in determining if the delivery is progressing normally or if there are any complications that require immediate attention. Setting up a sterile area (choice A) and putting on a clean gown and apron (choice B) are important steps but should come after assessing the labor progress. Cleansing the client's vulva with soap and water (choice C) is not recommended during labor as it can introduce bacteria and increase the risk of infection.
Why is a primigravida instructed to offer her breast to the baby for the first time within 30 minutes after delivery?
- A. To initiate the occurrence of milk letdown
- B. To stimulate milk production by the mammary acini
- C. To provide the baby with colostrum
- D. To allow the mother to practice breastfeeding in the presence of healthcare providers
Correct Answer: C
Rationale: Rationale:
1. Primigravida refers to a woman pregnant for the first time.
2. Colostrum is the first milk produced after childbirth, rich in antibodies and nutrients.
3. Offering the breast within 30 minutes ensures the baby receives this vital colostrum.
4. Colostrum provides immune protection and establishes the baby's gut microbiome.
5. Options A and B relate to mature milk production, not colostrum.
6. Option D focuses on practice, not the immediate benefits of colostrum.