Nokea
The Sentrong Sigla Movement aims to enhance health service delivery. Which of the following statements is true about this movement?
- A. It is a project jointly led by the Department of Health and local government units
- B. It serves as a means to secure additional funding from local government units
- C. It promotes disease prevention and control as a priority for health centers
- D. Its primary approach involves certifying health centers meeting DOH standards
Correct Answer: D
Rationale: The correct answer is D because the Sentrong Sigla Movement's primary approach is certifying health centers meeting DOH standards. This certification ensures that health centers provide quality services. A is incorrect because the movement is led by DOH only. B is incorrect as it focuses on improving services rather than securing funding. C is incorrect as the movement emphasizes overall health service quality, not just disease prevention. In summary, D is correct as it aligns with the movement's core objective, while the other options do not accurately represent its purpose.
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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.
What care is given to a woman within a month after the delivery of a baby?
- A. Follow-up care
- B. Maternity care
- C. Puerperal care
- D. Post-natal care
Correct Answer: D
Rationale: The correct answer is D: Post-natal care. Post-natal care refers to the care given to a woman within a month after delivering a baby. This care is crucial for monitoring the mother's physical and emotional health, providing support with breastfeeding, ensuring proper healing, and addressing any postpartum complications. Follow-up care (A) is a general term that may include various types of care beyond the immediate post-natal period. Maternity care (B) typically refers to the care provided during pregnancy and childbirth, not specifically after delivery. Puerperal care (C) specifically focuses on the period immediately following childbirth and may not encompass the entire month post-delivery.
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.
Where is the correct injection site for administering the DPT vaccine to an infant?
- A. Deltoid muscle
- B. Gluteal muscle
- C. Vastus lateralis muscle
- D. Forearm
Correct Answer: C
Rationale: The correct injection site for administering the DPT vaccine to an infant is the vastus lateralis muscle. This site is preferred for infants and young children because it has a larger muscle mass, reducing the risk of hitting a nerve or bone. The vastus lateralis muscle is located on the thigh, making it easily accessible and safe for injecting vaccines. It is recommended by healthcare professionals for infants due to better absorption and reduced discomfort. In contrast, the deltoid muscle is more suitable for adults, the gluteal muscle carries a risk of hitting the sciatic nerve, and the forearm lacks sufficient muscle mass for injection.
Which biological used in Expanded Program on Immunization (EPI) is stored in the freezer?
- A. DPT
- B. OPV
- C. Hepatitis B vaccine
- D. Measles vaccine
Correct Answer: B
Rationale: The correct answer is B: OPV. The oral polio vaccine (OPV) used in the Expanded Program on Immunization (EPI) is stored in the freezer to maintain its potency. OPV is a live vaccine that requires cold storage to prevent the virus from becoming inactive. DPT, Hepatitis B vaccine, and Measles vaccine are typically stored in the refrigerator, not the freezer, as they are either killed or attenuated vaccines that remain stable at higher temperatures. Therefore, the need for freezer storage specifically points to OPV as the correct answer.