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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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.
In the year 1980, the World Health Organization declared the Philippines, along with some other countries in the Western Pacific Region, 'free' of which disease?
- A. Pneumonic plague
- B. Poliomyelitis
- C. Smallpox
- D. Anthrax
Correct Answer: C
Rationale: The correct answer is C: Smallpox. In 1980, the World Health Organization declared the Philippines and other countries in the Western Pacific Region 'free' of smallpox due to successful global vaccination campaigns. Smallpox is caused by the variola virus and is characterized by a distinctive rash. The other choices are incorrect because:
A: Pneumonic plague is a severe form of the bubonic plague caused by the bacterium Yersinia pestis.
B: Poliomyelitis is a viral infection that can lead to paralysis, but it was not eradicated in 1980.
D: Anthrax is a bacterial infection that primarily affects animals but can also infect humans.
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.
Why is iron supplementation given to pregnant women?
- A. To prevent anemia
- B. To promote fetal growth
- C. To prevent premature labor
- D. To prevent postpartum hemorrhage
Correct Answer: A
Rationale: Iron supplementation is given to pregnant women to prevent anemia. During pregnancy, iron requirements increase to support the growing fetus and maternal blood volume expansion. Anemia in pregnancy can lead to complications such as low birth weight, preterm birth, and maternal fatigue. Iron is essential for the production of hemoglobin, which carries oxygen to the tissues. Therefore, ensuring adequate iron levels helps prevent anemia and supports the health of both the mother and the baby.
Summary:
- A: Correct. Prevents anemia by supporting hemoglobin production.
- B: Incorrect. Fetal growth is influenced by various factors, not just iron.
- C: Incorrect. Premature labor is not directly prevented by iron supplementation.
- D: Incorrect. Postpartum hemorrhage is more related to factors like uterine atony, not iron levels.
During prenatal consultation, a client asked you if she can have her delivery at home. After history taking and physical examination, you advised her against a home delivery. Which of the following findings disqualifies her for a home delivery?
- A. Her OB score is G5P3
- B. She has some palmar pallor
- C. Her blood pressure is 130/80
- D. Her baby is in cephalic presentation
Correct Answer: A
Rationale: The correct answer is A. The OB score G5P3 means the client has had 5 pregnancies with 3 live births. This indicates a history of multiple pregnancies and deliveries, suggesting a higher risk for complications during labor. This would disqualify her for a home delivery due to the increased potential for obstetric emergencies.
Explanation for why the other choices are incorrect:
- B: Palmar pallor may indicate anemia but can be managed in a hospital setting.
- C: Blood pressure of 130/80 is within normal range and does not necessarily disqualify her for a home delivery.
- D: Cephalic presentation means the baby's head is down, which is a favorable position for delivery and does not disqualify her for a home birth.