Nokea
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.
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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.
Which of the following is a natality rate?
- A. Crude birth rate
- B. Neonatal mortality rate
- C. Infant mortality rate
- D. General fertility rate
Correct Answer: A
Rationale: The correct answer is A: Crude birth rate. Natality rate refers to the number of live births per 1,000 people in a population per year. The crude birth rate includes all live births in a population without any adjustments.
B: Neonatal mortality rate measures the number of deaths within the first 28 days of life per 1,000 live births.
C: Infant mortality rate measures the number of deaths within the first year of life per 1,000 live births.
D: General fertility rate measures the number of live births per 1,000 women of childbearing age.
Which of the following vaccines is recommended to be given at birth?
- A. BCG
- B. Hepatitis B
- C. OPV
- D. Measles
Correct Answer: A
Rationale: The correct answer is A: BCG. BCG vaccine is recommended at birth to prevent tuberculosis. It is given to protect infants from severe forms of TB. Other choices (B: Hepatitis B, C: OPV, D: Measles) are typically given at later stages as part of the routine childhood vaccination schedule. Hepatitis B vaccine is usually given within 24 hours of birth, OPV is given in multiple doses starting at 6 weeks of age, and Measles vaccine is given at around 12-15 months of age. Therefore, BCG is the recommended vaccine to be given at birth compared to the other choices.
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 demonstrates intersectoral linkages?
- A. Two-way referral system
- B. Team approach
- C. Endorsement by a midwife to another midwife
- D. Cooperation between public health nurse and public school teacher
Correct Answer: D
Rationale: The correct answer is D because it exemplifies intersectoral linkages by showcasing collaboration between different sectors (public health and education). This cooperation enables sharing of resources, expertise, and information to address broader community health needs. Choice A focuses on a single-sector referral system, Choice B emphasizes teamwork within the same sector, and Choice C highlights endorsement within a specific profession, all lacking the cross-sector collaboration seen in Choice D.