Nokea
What is the interval between tetanus toxoid doses for pregnant women?
- A. 4 weeks
- B. 6 weeks
- C. 8 weeks
- D. 12 weeks
Correct Answer: A
Rationale: The correct interval between tetanus toxoid doses for pregnant women is 4 weeks. This short interval ensures optimal immunity for both the mother and the baby against tetanus. Giving the dose every 4 weeks during pregnancy helps maintain the protective levels of antibodies. Waiting longer intervals could decrease the effectiveness of the vaccine and leave the mother and baby vulnerable to tetanus infection. Choices B, C, and D are incorrect because longer intervals between doses may not provide adequate protection and could compromise immunity levels during pregnancy.
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In a municipality with a population of about 20,000, estimate the number of 1-4 year old children who should be given Retinol capsules 200,000 every 6 months.
- A. 1,500
- B. 1,800
- C. 2,000
- D. 2,300
Correct Answer: D
Rationale: The correct answer is D (2,300). To estimate the number of 1-4 year old children who should be given Retinol capsules 200,000 every 6 months in the municipality, we can use the rule of thumb that around 10-15% of the population falls within the 1-4 age group. With a population of 20,000, this translates to approximately 2,000-3,000 children. Since 200,000 capsules are provided every 6 months, we can divide this by the number of children to determine the number of capsules per child. Therefore, 200,000 / 2,300 ≈ 87 capsules per child over 6 months, which is a reasonable estimate.
Summary of other choices:
A: 1,500 - This is too low given the population estimate and age group percentage.
B: 1,800 - This is also too low given the population estimate and age group percentage.
C
In the past year, Barangay A had an average population of 1655. There were 46 babies born in that year, 2 of whom died less than 4 weeks after birth, and 4 stillbirths were recorded. What is the neonatal mortality rate?
- A. 27.8/1000
- B. 43.5/1000
- C. 86.9/1000
- D. 130.4/1000
Correct Answer: B
Rationale: The neonatal mortality rate is calculated as the number of neonatal deaths (deaths within the first 28 days of life) divided by the number of live births in a given period, multiplied by 1000. In this case, the number of neonatal deaths is 2 (babies who died less than 4 weeks after birth), and the number of live births is 46 (babies born excluding stillbirths). Therefore, the calculation is (2/46) * 1000 = 43.5/1000. This rate represents the number of neonatal deaths per 1000 live births in Barangay A for that year. Choice B is correct as it accurately represents the neonatal mortality rate based on the information provided. Choices A, C, and D are incorrect as they do not align with the calculation using the specific data given.
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.
Which numerator is used in computing the general fertility rate?
- A. Estimated midyear population
- B. Number of registered live births
- C. Number of pregnancies in the year
- D. Number of females of reproductive age
Correct Answer: B
Rationale: The correct answer is B: Number of registered live births. The general fertility rate is calculated by dividing the number of live births in a specific period by the total number of women of reproductive age during that period. This numerator reflects the actual occurrence of live births in the population, making it the most appropriate measure for determining fertility rates accurately.
A: Estimated midyear population is not used as the numerator because it does not directly measure fertility rates.
C: Number of pregnancies in the year includes all pregnancies, not just live births, which would overestimate the fertility rate.
D: Number of females of reproductive age is not used as the numerator as it represents the total population, not the specific group giving birth.
Estimate the number of pregnant women who will be given tetanus toxoid during an immunization outreach activity in a barangay with a population of about 1,500.
- A. 265
- B. 300
- C. 375
- D. 400
Correct Answer: A
Rationale: The correct answer is A: 265. To estimate the number of pregnant women receiving tetanus toxoid during an outreach activity, we can use the average prevalence rate of 17.7 pregnant women per 1,000 population. So, 1,500 * 17.7 / 1,000 = 26.55, which rounds to 27 pregnant women. Since the population is 1,500, we can estimate that around 27 * 10 = 270 pregnant women. However, not all pregnant women may attend the activity, so we can further estimate that around 270 * 0.98 = 265 pregnant women will likely receive tetanus toxoid.
Summary of other choices:
B: 300 - Overestimates the number of pregnant women likely to receive tetanus toxoid.
C: 375 - Overestimates even more, not a reasonable estimate based on the given population.
D: 400 - Significantly overestimates the number