Nokea
Which of the following individuals should be considered as special targets for family planning?
- A. Individuals with two or more children
- B. Individuals with medical conditions such as anemia
- C. Individuals younger than 20 years or older than 35 years
- D. Individuals who have had a delivery within the past 15 months
Correct Answer: D
Rationale: The correct answer is D because individuals who have had a delivery within the past 15 months are at higher risk for closely spaced pregnancies, which may pose health risks for both the mother and the newborn. It is crucial to allow the body to recover adequately between pregnancies to reduce maternal and infant mortality rates. Choices A, B, and C do not specifically address the need for spacing pregnancies and do not highlight the increased health risks associated with closely spaced pregnancies.
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Which biological used in Expanded Program on Immunization (EPI) is stored in the freezer?
- A. DPT
- B. OPV
- C. Hepatitis B vaccine
- D. Measles vaccine
Correct Answer: B
Rationale: The correct answer is B: OPV. The oral polio vaccine (OPV) used in the Expanded Program on Immunization (EPI) is stored in the freezer to maintain its potency. OPV is a live vaccine that requires cold storage to prevent the virus from becoming inactive. DPT, Hepatitis B vaccine, and Measles vaccine are typically stored in the refrigerator, not the freezer, as they are either killed or attenuated vaccines that remain stable at higher temperatures. Therefore, the need for freezer storage specifically points to OPV as the correct answer.
Which of the following diseases is prevented by administration of the Hepatitis B vaccine?
- A. Jaundice
- B. Liver cancer
- C. Pneumonia
- D. Tuberculosis
Correct Answer: B
Rationale: The correct answer is B: Liver cancer. The Hepatitis B vaccine prevents Hepatitis B infection, which is a major cause of chronic liver disease and can lead to liver cancer. Jaundice (choice A) is a symptom of Hepatitis B infection, not a disease prevented by the vaccine. Pneumonia (choice C) and Tuberculosis (choice D) are both respiratory infections and are not prevented by the Hepatitis B vaccine. The key is to understand the specific disease targeted by the vaccine and its related health outcomes.
During prenatal consultation, a client asked you if she can have her delivery at home. After history taking and physical examination, you advised her against a home delivery. Which of the following findings disqualifies her for a home delivery?
- A. Her OB score is G5P3
- B. She has some palmar pallor
- C. Her blood pressure is 130/80
- D. Her baby is in cephalic presentation
Correct Answer: A
Rationale: The correct answer is A. The OB score G5P3 means the client has had 5 pregnancies with 3 live births. This indicates a history of multiple pregnancies and deliveries, suggesting a higher risk for complications during labor. This would disqualify her for a home delivery due to the increased potential for obstetric emergencies.
Explanation for why the other choices are incorrect:
- B: Palmar pallor may indicate anemia but can be managed in a hospital setting.
- C: Blood pressure of 130/80 is within normal range and does not necessarily disqualify her for a home delivery.
- D: Cephalic presentation means the baby's head is down, which is a favorable position for delivery and does not disqualify her for a home birth.
In the Field Health Services and Information System (FHSIS) in the Philippines, the monthly field health service activity report is a form used in which component of the FHSIS?
- A. Tally report
- B. Output report
- C. Target/client list
- D. Individual health record
Correct Answer: A
Rationale: The correct answer is A: Tally report. In the FHSIS, the monthly field health service activity report is used to tally and summarize the health services provided within a specific period. It helps track the number of services rendered and monitor performance indicators. The other choices are incorrect because:
B: Output report usually presents processed data in a structured format.
C: Target/client list is a list of clients or individuals targeted for specific health services.
D: Individual health record contains detailed health information of a specific individual, not a summary of services provided. In conclusion, the monthly field health service activity report in FHSIS is specifically designed for tallying and summarizing service activities, making option A the correct choice.
You are in a client's home to attend to a delivery. Which of the following will you do first?
- A. Set up a sterile area
- B. Put on a clean gown and apron
- C. Cleanse the client's vulva with soap and water
- D. Note the interval, duration and intensity of labor and contractions
Correct Answer: D
Rationale: The correct answer is D because as a healthcare provider attending to a delivery, noting the interval, duration, and intensity of labor and contractions is crucial for assessing the progress of labor and ensuring the safety of both the mother and the baby. This information helps in determining if the delivery is progressing normally or if there are any complications that require immediate attention. Setting up a sterile area (choice A) and putting on a clean gown and apron (choice B) are important steps but should come after assessing the labor progress. Cleansing the client's vulva with soap and water (choice C) is not recommended during labor as it can introduce bacteria and increase the risk of infection.