Nokea
Which of the following is a benefit of exclusive breastfeeding?
- A. Reduces the risk of postpartum depression
- B. Increases the baby's risk of developing allergies
- C. Provides complete nutrition for the first 6 months
- D. Delays the return of menstrual periods
Correct Answer: C
Rationale: Exclusive breastfeeding provides complete nutrition for the first 6 months of a baby's life as breast milk contains all necessary nutrients. This is crucial for infant growth and development. It is recommended by health organizations worldwide. Other choices are incorrect: A is not directly related to breastfeeding, B is false as breastfeeding actually helps reduce allergies, and D is not a primary benefit of exclusive breastfeeding.
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Which of the following practices is essential for preventing the spread of healthcare-associated infections?
- A. Frequent handwashing
- B. Sharing medical equipment
- C. Reducing patient turnover
- D. Increasing hospital bed capacity
Correct Answer: A
Rationale: The correct answer is A: Frequent handwashing. Handwashing is essential for preventing the spread of healthcare-associated infections as it helps remove and kill harmful bacteria and viruses. By washing hands regularly, healthcare workers can reduce the risk of transmitting infections between patients. Sharing medical equipment (B) can actually increase the spread of infections. Reducing patient turnover (C) can help minimize exposure, but without proper hand hygiene, infections can still spread. Increasing hospital bed capacity (D) is unrelated to preventing infections. Therefore, A is the most effective practice for infection control.
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 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.
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 primary goal of the Integrated Management of Childhood Illness (IMCI) strategy?
- A. To reduce the incidence of childhood diseases
- B. To improve the nutritional status of children
- C. To reduce child mortality and morbidity
- D. To promote exclusive breastfeeding
Correct Answer: C
Rationale: The primary goal of the Integrated Management of Childhood Illness (IMCI) strategy is to reduce child mortality and morbidity. This strategy focuses on providing holistic care to children, including early detection and treatment of common childhood illnesses. By improving healthcare access and quality, IMCI aims to decrease the number of children dying from preventable diseases.
Explanation:
A: Reducing the incidence of childhood diseases is important but not the primary goal of IMCI. The strategy is more focused on reducing mortality and morbidity.
B: Improving nutritional status is essential for child health but is not the primary goal of IMCI.
D: Promoting exclusive breastfeeding is a key component of child health but is not the primary goal of IMCI.