Nokea
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.
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Which of the following conditions is a contraindication for breastfeeding?
- A. Maternal HIV infection
- B. Maternal diabetes
- C. Maternal anemia
- D. Maternal hypertension
Correct Answer: A
Rationale: The correct answer is A: Maternal HIV infection. Breastfeeding is contraindicated in mothers with HIV due to the risk of transmission to the infant through breast milk. HIV can be transmitted through breast milk even if the mother is on antiretroviral therapy. Maternal diabetes, anemia, and hypertension are not contraindications for breastfeeding as long as they are well managed. Breastfeeding is actually beneficial in managing diabetes and anemia. Hypertensive mothers can breastfeed unless there are complications that require specific medications that may be unsafe for the infant.
Which of the following is a common sign of dehydration in infants?
- A. Frequent urination
- B. Sunken fontanelle
- C. Excessive drooling
- D. Increased appetite
Correct Answer: B
Rationale: The correct answer is B: Sunken fontanelle. Dehydration in infants can cause the fontanelle, the soft spot on the baby's head, to appear sunken. This is due to decreased fluid levels in the body. Sunken fontanelle is a common and easily identifiable sign of dehydration in infants. The other choices are incorrect because frequent urination is not typically associated with dehydration in infants, excessive drooling can be a normal part of teething, and increased appetite is not a specific sign of dehydration in infants.
What is the purpose of the Expanded Program on Immunization (EPI)?
- A. To provide emergency medical services
- B. To ensure all children receive routine immunizations
- C. To offer specialized treatments for rare diseases
- D. To manage chronic health conditions
Correct Answer: B
Rationale: The correct answer is B because the purpose of the Expanded Program on Immunization (EPI) is to ensure all children receive routine immunizations to prevent various communicable diseases. EPI focuses on providing vaccines to children at specific ages to build immunity and protect them from serious illnesses. It does not provide emergency medical services (A), offer specialized treatments for rare diseases (C), or manage chronic health conditions (D). By prioritizing routine immunizations, EPI aims to reduce the burden of vaccine-preventable diseases and improve overall public health.
Which of the following is an example of secondary prevention?
- A. Vaccination
- B. Health education
- C. Screening for hypertension
- D. Rehabilitation therapy
Correct Answer: C
Rationale: Secondary prevention aims to detect and treat a disease in its early stages to prevent complications. Screening for hypertension (Choice C) is an example as it involves identifying individuals at risk of developing high blood pressure-related issues. Vaccination (Choice A) is a form of primary prevention. Health education (Choice B) is more focused on promoting healthy behaviors. Rehabilitation therapy (Choice D) is part of tertiary prevention, aimed at improving function after a disease has occurred.
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.