Nokea
What is the primary purpose of administering Vitamin K to newborns?
- A. To prevent infection
- B. To promote growth
- C. To prevent bleeding disorders
- D. To enhance immune function
Correct Answer: C
Rationale: The primary purpose of administering Vitamin K to newborns is to prevent bleeding disorders. Vitamin K is essential for the production of blood clotting factors, which helps prevent excessive bleeding. Newborns are born with low levels of Vitamin K, putting them at risk for bleeding disorders like vitamin K deficiency bleeding. Administering Vitamin K at birth helps ensure proper blood clotting function. The other choices are incorrect because Vitamin K does not directly prevent infection, promote growth, or enhance immune function in newborns.
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Which of the following is a key principle of Primary Health Care (PHC)?
- A. Centralized health planning
- B. Community participation
- C. Focus on specialized care
- D. High technology healthcare
Correct Answer: B
Rationale: The correct answer is B: Community participation. This is a key principle of Primary Health Care (PHC) as it emphasizes involving communities in decision-making, planning, and implementation of healthcare services. Community participation ensures that healthcare services are culturally appropriate, accessible, and meet the specific needs of the population. It also promotes empowerment and ownership of health initiatives within the community.
Centralized health planning (A) goes against the decentralized and community-focused approach of PHC. Focus on specialized care (C) contradicts the comprehensive and holistic nature of PHC. High technology healthcare (D) may not always be feasible or accessible in resource-limited settings, which is a key consideration in PHC implementation.
What is the appropriate action to take if a child is found to have a fever on the day of immunization?
- A. Administer the vaccine as scheduled
- B. Delay the immunization until the fever subsides
- C. Give a lower dose of the vaccine
- D. Administer an antipyretic before the vaccine
Correct Answer: B
Rationale: The correct action is to delay the immunization until the fever subsides. This is because administering a vaccine during a fever may affect the body's immune response and efficacy of the vaccine. Giving a lower dose (choice C) may not provide adequate protection. Administering an antipyretic (choice D) may temporarily reduce fever but does not address the underlying illness causing the fever. Administering the vaccine as scheduled (choice A) can be harmful and is not recommended when the child has a fever.
What is the recommended duration of exclusive breastfeeding?
- A. 3 months
- B. 6 months
- C. 9 months
- D. 12 months
Correct Answer: B
Rationale: The recommended duration of exclusive breastfeeding is 6 months. This is because breast milk provides all the necessary nutrients for an infant's growth and development in the first 6 months of life. Introducing solid foods too early can increase the risk of infections and allergies. Choice A (3 months) is not ideal as it may not provide sufficient nutrients for the baby's growth. Choices C (9 months) and D (12 months) exceed the recommended duration and may not be necessary for exclusive breastfeeding, as other foods can be introduced after 6 months.
Which of the following practices is essential for preventing the spread of healthcare-associated infections?
- A. Frequent handwashing
- B. Sharing medical equipment
- C. Reducing patient turnover
- D. Increasing hospital bed capacity
Correct Answer: A
Rationale: The correct answer is A: Frequent handwashing. Handwashing is essential for preventing the spread of healthcare-associated infections as it helps remove and kill harmful bacteria and viruses. By washing hands regularly, healthcare workers can reduce the risk of transmitting infections between patients. Sharing medical equipment (B) can actually increase the spread of infections. Reducing patient turnover (C) can help minimize exposure, but without proper hand hygiene, infections can still spread. Increasing hospital bed capacity (D) is unrelated to preventing infections. Therefore, A is the most effective practice for infection control.
Which of the following is a contraindication for the administration of live vaccines?
- A. Mild upper respiratory infection
- B. Previous allergic reaction to the vaccine
- C. Current antibiotic therapy
- D. Family history of allergies
Correct Answer: B
Rationale: The correct answer is B: Previous allergic reaction to the vaccine. This is a contraindication for live vaccines because individuals with a history of allergic reactions to a specific vaccine are at a higher risk of developing severe allergic reactions upon re-administration. It is crucial to avoid administering live vaccines to these individuals to prevent potential life-threatening complications.
Incorrect Choices:
A: Mild upper respiratory infection - This is not a contraindication for live vaccines as it is a mild and temporary condition that does not affect vaccine administration.
C: Current antibiotic therapy - This is not a contraindication for live vaccines as antibiotics do not interfere with live vaccine effectiveness.
D: Family history of allergies - While a family history of allergies may increase the risk of developing allergies, it is not a direct contraindication for live vaccines as long as the individual themselves does not have a history of allergic reactions to the specific vaccine.