Which of the following is an appropriate site for administration of DPT vaccine?
- A. Deltoid muscle
- B. Vastus lateralis muscle
- C. Gluteus maximus muscle
- D. Abdomen
Correct Answer: B
Rationale: The correct answer is B: Vastus lateralis muscle. The vastus lateralis is a recommended site for administration of DPT vaccine in infants and young children. It is a large muscle located in the thigh, providing a well-developed area for injection with minimal risk of hitting nerves or blood vessels. The site is easily accessible, especially for parents or caregivers administering the vaccine.
Choice A (Deltoid muscle) is more commonly used in adults, not preferred for infants. Choices C (Gluteus maximus muscle) and D (Abdomen) are not recommended sites for DPT vaccine administration due to potential risk of hitting sciatic nerve in the gluteal region and abdominal organs in the abdomen, respectively.
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Which statistic best reflects the nutritional status of a population?
- A. 1-4 year old age-specific mortality rate
- B. Proportionate mortality rate
- C. Infant mortality rate
- D. Swaroop's index
Correct Answer: A
Rationale: The correct answer is A: 1-4 year old age-specific mortality rate. This statistic reflects the overall health and nutritional status of a population by focusing on a specific age group vulnerable to malnutrition-related issues. It provides a comprehensive view of the impact of nutrition on child health and development. Proportionate mortality rate (B) measures the distribution of causes of death, not specifically related to nutrition. Infant mortality rate (C) focuses on deaths within the first year of life, which may not fully capture the nutritional status of the whole population. Swaroop's index (D) assesses life expectancy and income level, but does not directly measure nutritional status.
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.
Sputum examination is the major screening tool for pulmonary tuberculosis. Clients may sometimes receive false negative results in this exam. This means that the test is not perfect in terms of which characteristic of a diagnostic examination?
- A. Effectiveness
- B. Efficacy
- C. Specificity
- D. Sensitivity
Correct Answer: D
Rationale: Step 1: Define false negative - An individual with the disease incorrectly identified as disease-free.
Step 2: Understand sensitivity - Ability to correctly identify individuals with the disease.
Step 3: False negatives indicate low sensitivity.
Step 4: Sensitivity is a key characteristic of a diagnostic test.
Step 5: Therefore, the correct answer is D: Sensitivity.
Summary:
A: Effectiveness - Overall ability of the test to achieve its intended purpose.
B: Efficacy - Ability of the test under ideal conditions.
C: Specificity - Ability to correctly identify individuals without the disease.
D: Sensitivity - Ability to correctly identify individuals with the disease.
In a mother's class, you discuss proper breastfeeding technique. Which of these is a sign that the baby has latched on the breast properly?
- A. The baby takes shallow, rapid sucks
- B. The mother does not feel nipple pain
- C. The baby's mouth is only partly open
- D. Only the mother's nipple is inside the baby's mouth
Correct Answer: B
Rationale: The correct answer is B because if the mother does not feel nipple pain, it indicates that the baby has latched on properly. Nipple pain is a common sign of improper latch, which can lead to discomfort and ineffective breastfeeding. The other choices are incorrect: A indicates ineffective sucking, C suggests a shallow latch, and D signifies a shallow latch that only involves the nipple, not the areola, leading to potential issues with milk transfer and nipple pain.
Which demographic tool may be used to describe the sex composition of the population?
- A. Sex ratio
- B. Sex proportion
- C. Population pyramid
- D. Any of these may be used
Correct Answer: D
Rationale: The correct answer is D because all of the choices can be used to describe the sex composition of the population. A, the sex ratio, compares the number of males to females. B, sex proportion, also refers to the distribution of males and females in a population. C, population pyramid, visually displays the age and sex distribution of a population. Therefore, any of these tools can be utilized to describe the sex composition accurately.