Nokea
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.
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In the census of the Philippines in 1995, there were about 35,299,000 males and about 34,968,000 females. What is the sex ratio?
- A. 99.06:100
- B. 100.94:100
- C. 50.23%
- D. 49.76%
Correct Answer: B
Rationale: The sex ratio is calculated by dividing the number of males by the number of females and multiplying by 100. In this case, (35,299,000 / 34,968,000) x 100 = 100.94:100. This means for every 100 females, there are 100.94 males, indicating a slightly higher number of males.
Choice A (99.06:100) is incorrect as it suggests fewer males than females, which is not the case. Choice C (50.23%) and choice D (49.76%) are incorrect as they represent percentages rather than ratios, leading to a misleading interpretation of the data.
Which vitamin deficiency in the pregnant woman may cause neural tube defects?
- A. Niacin
- B. Riboflavin
- C. Folic Acid
- D. Thiamine
Correct Answer: C
Rationale: The correct answer is C: Folic Acid. Folic Acid deficiency during pregnancy is associated with an increased risk of neural tube defects in the developing fetus. Folic acid is crucial for proper neural tube formation in early pregnancy. Niacin (A), Riboflavin (B), and Thiamine (D) deficiencies do not directly impact neural tube development. Niacin is important for energy production, riboflavin for cell growth and function, and thiamine for nerve function, but they do not specifically affect neural tube closure like folic acid does.
Which of the following health professionals can sign the birth certificate?
- A. Public health nurse
- B. Rural health midwife
- C. Municipal health officer
- D. Any of these health professionals
Correct Answer: D
Rationale: The correct answer is D because all of these health professionals can sign a birth certificate. Public health nurses, rural health midwives, and municipal health officers are all qualified to verify and certify births. This is important for accurate record-keeping and legal purposes. Each of these professionals has the training and authority to confirm the details of a birth and sign the necessary documentation. Therefore, the correct answer is D, as any of these health professionals can sign the birth certificate. The other choices (A, B, and C) are incorrect because they limit the scope of who can sign the birth certificate, whereas the correct answer encompasses all the options provided.
Freedom of choice is one of the policies of the Family Planning Program of the Philippines. Which of the following illustrates this principle?
- A. Information dissemination about the need for family planning
- B. Support for research and development in family planning methods
- C. Adequate information for couples regarding the different methods
- D. Encouragement for couples to take family planning as a joint responsibility
Correct Answer: C
Rationale: The correct answer is C because it directly aligns with the principle of freedom of choice in family planning. Providing couples with adequate information regarding different methods empowers them to make informed decisions based on their preferences and circumstances. This choice respects individual autonomy and allows couples to choose the method that best suits their needs.
Incorrect Choices:
A: Information dissemination is important but does not necessarily guarantee freedom of choice.
B: Supporting research and development is beneficial but does not directly relate to the freedom of choice for couples.
D: Encouraging joint responsibility is valuable for promoting communication, but it does not explicitly ensure freedom of choice for individuals.
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.