Nokea
Which age group is most vulnerable to protein-energy malnutrition (PEM)?
- A. Infants below 6 months
- B. Children aged 1-4 years
- C. Adolescents
- D. Elderly
Correct Answer: B
Rationale: The correct answer is B: Children aged 1-4 years. This age group is most vulnerable to PEM due to their rapid growth and development, high energy requirements, and dependency on caregivers for nutrition. Infants below 6 months are typically protected by breast milk, adolescents have lower risk due to fewer growth demands, and elderly are more at risk for other types of malnutrition. Therefore, children aged 1-4 years are the most vulnerable to PEM.
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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 goal of the Safe Motherhood Initiative?
- A. To reduce child mortality
- B. To improve maternal health
- C. To provide free medical services
- D. To promote exclusive breastfeeding
Correct Answer: B
Rationale: The goal of the Safe Motherhood Initiative is to improve maternal health. This includes reducing maternal mortality rates and ensuring safe childbirth practices. Providing free medical services (choice C) and promoting exclusive breastfeeding (choice D) are important aspects, but not the primary goal. Choice A is focused on child mortality, not maternal health. Thus, the correct answer is B as it directly aligns with the main objective of the initiative.
Which of the following is a component of the Safe Motherhood Initiative?
- A. Promoting exclusive breastfeeding
- B. Providing routine immunizations
- C. Ensuring skilled attendance at birth
- D. Offering genetic counseling
Correct Answer: C
Rationale: The correct answer is C: Ensuring skilled attendance at birth. This is a key component of the Safe Motherhood Initiative as it focuses on providing trained healthcare professionals during childbirth to reduce maternal and neonatal mortality rates. This ensures that complications during labor can be promptly identified and managed, improving outcomes for both mother and baby.
A: Promoting exclusive breastfeeding is important for infant health but is not specifically a component of the Safe Motherhood Initiative.
B: Providing routine immunizations is crucial for child health but not directly related to maternal care during childbirth.
D: Offering genetic counseling is valuable for families at risk of genetic disorders but is not a primary focus of the Safe Motherhood Initiative.
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.
What is a key objective of the Global Immunization Vision and Strategy (GIVS)?
- A. Eliminating non-communicable diseases
- B. Improving access to high-quality immunization services
- C. Reducing the cost of healthcare
- D. Increasing the number of healthcare professionals
Correct Answer: B
Rationale: The correct answer is B: Improving access to high-quality immunization services. GIVS aims to ensure that everyone has access to vaccines and immunization services to prevent vaccine-preventable diseases. This objective aligns with the overall goal of increasing vaccination coverage and reducing the burden of vaccine-preventable illnesses globally. Choice A is incorrect as GIVS focuses on communicable diseases, not non-communicable diseases. Choice C is incorrect as GIVS aims to improve access to immunization services, not necessarily reduce the cost of healthcare. Choice D is incorrect as GIVS does not specifically target increasing the number of healthcare professionals, but rather improving access to immunization services.