Nokea
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 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.
What is the interval between tetanus toxoid doses for pregnant women?
- A. 4 weeks
- B. 6 weeks
- C. 8 weeks
- D. 12 weeks
Correct Answer: A
Rationale: The correct interval between tetanus toxoid doses for pregnant women is 4 weeks. This short interval ensures optimal immunity for both the mother and the baby against tetanus. Giving the dose every 4 weeks during pregnancy helps maintain the protective levels of antibodies. Waiting longer intervals could decrease the effectiveness of the vaccine and leave the mother and baby vulnerable to tetanus infection. Choices B, C, and D are incorrect because longer intervals between doses may not provide adequate protection and could compromise immunity levels during pregnancy.
What care is given to a woman within a month after the delivery of a baby?
- A. Follow-up care
- B. Maternity care
- C. Puerperal care
- D. Post-natal care
Correct Answer: D
Rationale: The correct answer is D: Post-natal care. Post-natal care refers to the care given to a woman within a month after delivering a baby. This care is crucial for monitoring the mother's physical and emotional health, providing support with breastfeeding, ensuring proper healing, and addressing any postpartum complications. Follow-up care (A) is a general term that may include various types of care beyond the immediate post-natal period. Maternity care (B) typically refers to the care provided during pregnancy and childbirth, not specifically after delivery. Puerperal care (C) specifically focuses on the period immediately following childbirth and may not encompass the entire month post-delivery.
Why is a primigravida instructed to offer her breast to the baby for the first time within 30 minutes after delivery?
- A. To initiate the occurrence of milk letdown
- B. To stimulate milk production by the mammary acini
- C. To provide the baby with colostrum
- D. To allow the mother to practice breastfeeding in the presence of healthcare providers
Correct Answer: C
Rationale: Rationale:
1. Primigravida refers to a woman pregnant for the first time.
2. Colostrum is the first milk produced after childbirth, rich in antibodies and nutrients.
3. Offering the breast within 30 minutes ensures the baby receives this vital colostrum.
4. Colostrum provides immune protection and establishes the baby's gut microbiome.
5. Options A and B relate to mature milk production, not colostrum.
6. Option D focuses on practice, not the immediate benefits of colostrum.
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.