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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In immunization, which of the following measures is considered the most effective in controlling the occurrence of diseases?
- A. Immunization coverage
- B. Cold chain
- C. Potency of vaccines
- D. Health education
Correct Answer: A
Rationale: The correct answer is A: Immunization coverage. This is the most effective measure as it ensures a high percentage of the population is vaccinated, leading to herd immunity. This reduces the spread of diseases. Cold chain (B) ensures vaccine quality but doesn't directly control disease occurrence. Potency of vaccines (C) is important but doesn't address population coverage. Health education (D) is valuable but doesn't directly prevent disease spread like high immunization coverage does.
When preparing a primigravida for breastfeeding, which of the following will you do?
- A. Explain that lactation usually begins 1 to 3 days after delivery
- B. Teach her nipple stretching exercises if her nipples are flat or inverted
- C. Advise against washing her nipples excessively before and after each breastfeeding
- D. Inform her that putting the baby to breast can help reduce post-delivery blood loss
Correct Answer: D
Rationale: The correct answer is D because putting the baby to breast stimulates the release of oxytocin, which helps the uterus contract and reduce post-delivery blood loss. This promotes faster recovery for the mother.
A: Incorrect - Lactation usually begins within 24-48 hours, not 1 to 3 days after delivery.
B: Incorrect - Nipple stretching exercises are not necessary for breastfeeding success and can cause discomfort.
C: Incorrect - Excessive washing of nipples can strip away natural oils and cause dryness or irritation, affecting breastfeeding.
Which of the following is an appropriate site for administration of DPT vaccine?
- A. Deltoid muscle
- B. Vastus lateralis muscle
- C. Gluteus maximus muscle
- D. Abdomen
Correct Answer: B
Rationale: The correct answer is B: Vastus lateralis muscle. The vastus lateralis is a recommended site for administration of DPT vaccine in infants and young children. It is a large muscle located in the thigh, providing a well-developed area for injection with minimal risk of hitting nerves or blood vessels. The site is easily accessible, especially for parents or caregivers administering the vaccine.
Choice A (Deltoid muscle) is more commonly used in adults, not preferred for infants. Choices C (Gluteus maximus muscle) and D (Abdomen) are not recommended sites for DPT vaccine administration due to potential risk of hitting sciatic nerve in the gluteal region and abdominal organs in the abdomen, respectively.
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.
In the Field Health Services and Information System (FHSIS) in the Philippines, the monthly field health service activity report is a form used in which component of the FHSIS?
- A. Tally report
- B. Output report
- C. Target/client list
- D. Individual health record
Correct Answer: A
Rationale: The correct answer is A: Tally report. In the FHSIS, the monthly field health service activity report is used to tally and summarize the health services provided within a specific period. It helps track the number of services rendered and monitor performance indicators. The other choices are incorrect because:
B: Output report usually presents processed data in a structured format.
C: Target/client list is a list of clients or individuals targeted for specific health services.
D: Individual health record contains detailed health information of a specific individual, not a summary of services provided. In conclusion, the monthly field health service activity report in FHSIS is specifically designed for tallying and summarizing service activities, making option A the correct choice.