Which nutrient is essential for preventing anemia in pregnant women?
- A. Vitamin C
- B. Vitamin D
- C. Iron
- D. Calcium
Correct Answer: C
Rationale: The correct answer is C: Iron. Iron is essential for preventing anemia in pregnant women because it is a key component of hemoglobin, the protein in red blood cells that carries oxygen to tissues and organs. During pregnancy, the demand for iron increases to support the growing fetus and the mother's increased blood volume. Without adequate iron intake, pregnant women are at a higher risk of developing iron-deficiency anemia, which can lead to complications for both the mother and the baby.
Other choices are incorrect because:
A: Vitamin C is important for iron absorption but does not directly prevent anemia.
B: Vitamin D is important for bone health but does not prevent anemia.
D: Calcium is important for bone health but does not prevent anemia in pregnant women.
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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 purpose of a population pyramid?
- A. To show the distribution of income levels
- B. To illustrate the age and sex composition of a population
- C. To compare the incidence of diseases
- D. To display the literacy rates
Correct Answer: B
Rationale: The correct answer is B: To illustrate the age and sex composition of a population. Population pyramids graphically represent the age and gender structure of a population, showing the distribution of different age groups and genders within a population at a specific point in time. This information is crucial for policymakers and demographers to understand population dynamics, such as birth rates, life expectancy, and potential workforce size.
Choice A (To show the distribution of income levels) is incorrect because income levels are not typically depicted in a population pyramid. Choice C (To compare the incidence of diseases) is incorrect because population pyramids do not provide information on disease prevalence. Choice D (To display the literacy rates) is incorrect as literacy rates are also not typically included in population pyramids.
Which of the following is a key component of the IMCI strategy?
- A. Promoting hospital-based care
- B. Providing routine immunizations
- C. Enhancing maternal nutrition
- D. Integrated case management of childhood illnesses
Correct Answer: D
Rationale: The correct answer is D: Integrated case management of childhood illnesses. This is a key component of the IMCI (Integrated Management of Childhood Illness) strategy, which focuses on a holistic approach to managing common childhood illnesses at the primary healthcare level. IMCI includes assessing and classifying sick children, providing appropriate treatments, counseling caregivers, and ensuring follow-up care. This strategy aims to reduce childhood morbidity and mortality by improving the quality of care provided to children.
Choices A, B, and C are incorrect as they do not directly align with the key component of the IMCI strategy. Promoting hospital-based care (A) may not be feasible or sustainable in resource-limited settings where primary healthcare is crucial. Providing routine immunizations (B) is important but is not the primary focus of the IMCI strategy. Enhancing maternal nutrition (C) is essential for maternal and child health but is not a key component of the IMCI strategy, which specifically targets childhood illnesses.
Which nutrient is most critical for preventing neural tube defects during pregnancy?
- A. Iron
- B. Calcium
- C. Folic acid
- D. Vitamin D
Correct Answer: C
Rationale: The correct answer is C: Folic acid. Folic acid is critical for preventing neural tube defects as it is essential for proper development of the neural tube in the fetus. It helps in the formation of the baby's brain and spinal cord. Iron (A) is important for preventing anemia, not neural tube defects. Calcium (B) is crucial for bone health but not directly related to neural tube development. Vitamin D (D) is important for calcium absorption, but not specifically for preventing neural tube defects. Overall, folic acid stands out as the most critical nutrient for this purpose.
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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