Nokea
The correct statement about malaria prophylaxis during pregnancy is that
- A. Sulfadoxine Pyrimethamine should be given to all pregnant women in malaria endemic zones
- B. All pregnant women in malaria endemic zones are assumed free of the parasite until tested
- C. Sulfadoxine Pyrimethamine should be administered with each alternate visit after quickening
- D. All antenatal clients in Kenya should receive intermittent presumptive treatment at least 6 doses
Correct Answer: A
Rationale: Step 1: Sulfadoxine Pyrimethamine is recommended for pregnant women in malaria endemic areas due to its safety and efficacy in preventing malaria during pregnancy.
Step 2: Pregnant women are at higher risk of severe complications from malaria, making prophylaxis crucial.
Step 3: The World Health Organization recommends intermittent preventive treatment with Sulfadoxine Pyrimethamine for pregnant women in malaria-endemic areas.
Step 4: Option A aligns with these guidelines, making it the correct choice.
Summary: Option B is incorrect because pregnant women are considered at risk regardless of testing. Option C is incorrect as the timing of administration is not based on quickening. Option D is incorrect as the recommended number of doses may vary based on guidelines.
You may also like to solve these questions
Delivery of the head in a complete breech presentation is usually accomplished through
- A. Lovset maneuver
- B. Mauriceau-Smellie-Veit
- C. Burns Marshall method
- D. Gentle traction of the neck
Correct Answer: B
Rationale: The correct answer is B: Mauriceau-Smellie-Veit. This method involves flexing the hips, extending the thighs, and applying suprapubic pressure to deliver the head in a complete breech presentation. This technique helps to avoid hyperextension of the neck and potential spinal cord injury. The Lovset maneuver (A) is used for delivering the arms in a breech presentation. The Burns Marshall method (C) involves performing an episiotomy and delivering the baby by flexion and traction on the legs. Gentle traction of the neck (D) is not recommended as it can cause spinal cord injury. Mauriceau-Smellie-Veit is the preferred method for safe delivery of the head in a complete breech presentation.
How does iron supplementation benefit pregnancy?
- A. Increases fetal blood flow
- B. Reduces anemia
- C. Prevents miscarriages
- D. Enhances fetal bone growth
Correct Answer: B
Rationale: Iron supplementation benefits pregnancy by correcting or preventing iron deficiency anemia in the mother. Anemia can lead to various complications for the mother and baby. Iron is essential for the production of hemoglobin, which carries oxygen to tissues. Therefore, by reducing anemia, iron supplementation ensures optimal oxygen delivery to both the mother and the developing fetus. This ultimately supports healthy pregnancy outcomes.
Explanation for other choices:
A: Iron supplementation does not directly increase fetal blood flow.
C: While iron deficiency may increase the risk of miscarriage, iron supplementation alone does not prevent miscarriages.
D: Iron is not directly involved in fetal bone growth, so iron supplementation does not enhance this aspect of fetal development.
With respect to tumor nomenclature, the AGACNP knows that the term carcinoma describes
- A. Malignant neoplasms of internal structure
- B. Tumors that have lost normal growth regulation
- C. A dysfunctional metaplastic adaptation
- D. Neoplasms of epithelial origin
Correct Answer: D
Rationale: The correct answer is D because the term "carcinoma" specifically refers to neoplasms of epithelial origin. Epithelial cells line the surfaces and cavities of the body, so carcinomas originate from these tissues. This term does not describe internal structure (A), loss of growth regulation (B), or metaplastic adaptation (C). Carcinomas are the most common type of cancer and can occur in various organs such as the skin, lungs, breasts, and colon.
ed rosy appearance on the face and greatly reduced eliminations are among the features of
- A. Hypothermia neonatorum
- B. Hypoglycemia neonatorum
- C. Hyperthermia neonatorum
- D. Hypocalcemia neonatorum
Correct Answer: C
Rationale: Step-by-step rationale for why choice C is correct:
1. Hyperthermia neonatorum refers to elevated body temperature in newborns.
2. The ed rosy appearance on the face is a common symptom of hyperthermia due to increased blood flow to the skin.
3. Greatly reduced eliminations can be a sign of dehydration associated with hyperthermia.
4. The other choices (hypothermia, hypoglycemia, hypocalcemia) do not align with the symptoms described.
Classical caesarean section is indicated for
- A. An anteriorly situated placenta praevia
- B. A posteriorly situated placenta praevia
- C. A gestation of more than 32 weeks
- D. Aesthetic purpose on maternal request
Correct Answer: A
Rationale: The correct answer is A because in cases of anteriorly situated placenta praevia, where the placenta partially or completely covers the cervix, a classical caesarean section is indicated to prevent severe bleeding during delivery. For choice B, a posteriorly situated placenta praevia does not necessitate a classical caesarean section. Choice C, gestation of more than 32 weeks, does not specifically indicate the need for a classical caesarean section. Choice D, aesthetic purpose on maternal request, is not a valid medical indication for a classical caesarean section.