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.
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Which of the following is a natality rate?
- A. Crude birth rate
- B. Neonatal mortality rate
- C. Infant mortality rate
- D. General fertility rate
Correct Answer: A
Rationale: The correct answer is A: Crude birth rate. Natality rate refers to the number of live births per 1,000 people in a population per year. The crude birth rate includes all live births in a population without any adjustments.
B: Neonatal mortality rate measures the number of deaths within the first 28 days of life per 1,000 live births.
C: Infant mortality rate measures the number of deaths within the first year of life per 1,000 live births.
D: General fertility rate measures the number of live births per 1,000 women of childbearing age.
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.
Which criterion in priority setting of health problems is uniquely used in community health care?
- A. Modifiability of the problem
- B. Nature of the problem presented
- C. Magnitude of the health problem
- D. Preventive potential of the health problem
Correct Answer: C
Rationale: The correct answer is C: Magnitude of the health problem. In community health care, prioritizing based on the magnitude of the health problem is crucial as it helps identify issues affecting a large number of individuals. By addressing high-impact problems first, resources can be maximized to benefit the community as a whole. Modifiability (A) is important but not unique to community health. Nature of the problem (B) can vary and may not always indicate priority. Preventive potential (D) is valuable but does not solely determine priority in community health care.
What is the legal basis of the Primary Health Care approach in the Philippines?
- A. Alma Ata Declaration on PHC
- B. Letter of Instruction No. 949
- C. Presidential Decree No. 147
- D. Presidential Decree No. 996
Correct Answer: B
Rationale: The correct answer is B: Letter of Instruction No. 949. This document issued by the Philippine government in 1979 officially adopted the Primary Health Care (PHC) approach. It outlined the strategies and framework for implementing PHC nationwide. The Alma Ata Declaration on PHC (A) is a global agreement but not the legal basis in the Philippines. Presidential Decree No. 147 (C) and Presidential Decree No. 996 (D) do not specifically address the PHC approach. Therefore, the legal basis for PHC in the Philippines is Letter of Instruction No. 949.
To monitor clients registered in long-term regimens, such as Multi-Drug Therapy, which component will be most useful?
- A. Tally report
- B. Output report
- C. Target/client list
- D. Individual health record
Correct Answer: C
Rationale: Step 1: Target/client list is most useful as it provides a comprehensive list of clients in long-term regimens.
Step 2: It allows for easy monitoring of individual progress and adherence to treatment plans.
Step 3: Tally report (A) only provides a count, lacking specific client information.
Step 4: Output report (B) may not include all necessary client details.
Step 5: Individual health record (D) is specific to one client, not ideal for overall monitoring.