Nokea
Which vaccine leaves a permanent scar at the site of injection?
- A. BCG
- B. DPT
- C. Hepatitis B vaccine
- D. Measles vaccine
Correct Answer: A
Rationale: The correct answer is A: BCG. BCG vaccine is administered through intradermal injection, leaving a small scar due to the immune response it triggers. The scar formation is a characteristic feature of the BCG vaccine and is used as an indicator of successful vaccination. Other vaccines like DPT, Hepatitis B, and Measles do not typically leave a permanent scar at the injection site. The scar formation with BCG vaccine is a result of the body's immune response to the live attenuated Mycobacterium bovis strain in the vaccine, leading to a localized inflammatory reaction and subsequent scarring.
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When preparing a primigravida for breastfeeding, which of the following will you do?
- A. Explain that lactation usually begins 1 to 3 days after delivery
- B. Teach her nipple stretching exercises if her nipples are flat or inverted
- C. Advise against washing her nipples excessively before and after each breastfeeding
- D. Inform her that putting the baby to breast can help reduce post-delivery blood loss
Correct Answer: D
Rationale: The correct answer is D because putting the baby to breast stimulates the release of oxytocin, which helps the uterus contract and reduce post-delivery blood loss. This promotes faster recovery for the mother.
A: Incorrect - Lactation usually begins within 24-48 hours, not 1 to 3 days after delivery.
B: Incorrect - Nipple stretching exercises are not necessary for breastfeeding success and can cause discomfort.
C: Incorrect - Excessive washing of nipples can strip away natural oils and cause dryness or irritation, affecting breastfeeding.
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.
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.
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.
What is given to a child with measles?
- A. Tetanus toxoid
- B. Vitamin A
- C. Vitamin D
- D. Vitamin E
Correct Answer: B
Rationale: The correct answer is B: Vitamin A. During measles, Vitamin A supplementation is crucial to reduce the risk of complications and improve recovery. Vitamin A deficiency is common in children with measles and can lead to severe outcomes. Tetanus toxoid (A) is not indicated in measles treatment. Vitamin D (C) and Vitamin E (D) do not play a significant role in managing measles symptoms. In summary, Vitamin A is essential for children with measles to prevent complications and support recovery, making it the correct choice among the options provided.