Nokea
Which vitamin deficiency in the pregnant woman may cause neural tube defects?
- A. Niacin
- B. Riboflavin
- C. Folic Acid
- D. Thiamine
Correct Answer: C
Rationale: The correct answer is C: Folic Acid. Folic Acid deficiency during pregnancy is associated with an increased risk of neural tube defects in the developing fetus. Folic acid is crucial for proper neural tube formation in early pregnancy. Niacin (A), Riboflavin (B), and Thiamine (D) deficiencies do not directly impact neural tube development. Niacin is important for energy production, riboflavin for cell growth and function, and thiamine for nerve function, but they do not specifically affect neural tube closure like folic acid does.
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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.
Primary health care is a total approach to community development. Which of the following is an indicator of success in using the primary health care approach?
- A. Health services are provided free of charge to individuals and families
- B. Local officials are empowered as the major decision-makers in health matters
- C. Health workers can provide care based on identified health needs of the people
- D. Health programs are sustained according to the level of development of the community
Correct Answer: D
Rationale: The correct answer is D, as it highlights the sustainability aspect crucial in primary health care. Sustainable health programs align with the community's development level, ensuring long-term effectiveness.
A: Providing free health services is not an indicator of success as sustainability and community involvement are key.
B: While empowering local officials is important, it doesn't directly measure the success of the primary health care approach.
C: Providing care based on identified needs is a fundamental aspect but doesn't guarantee success without sustainability.
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.
Freedom of choice is one of the policies of the Family Planning Program of the Philippines. Which of the following illustrates this principle?
- A. Information dissemination about the need for family planning
- B. Support for research and development in family planning methods
- C. Adequate information for couples regarding the different methods
- D. Encouragement for couples to take family planning as a joint responsibility
Correct Answer: C
Rationale: The correct answer is C because it directly aligns with the principle of freedom of choice in family planning. Providing couples with adequate information regarding different methods empowers them to make informed decisions based on their preferences and circumstances. This choice respects individual autonomy and allows couples to choose the method that best suits their needs.
Incorrect Choices:
A: Information dissemination is important but does not necessarily guarantee freedom of choice.
B: Supporting research and development is beneficial but does not directly relate to the freedom of choice for couples.
D: Encouraging joint responsibility is valuable for promoting communication, but it does not explicitly ensure freedom of choice for individuals.
A woman, 6 months pregnant, came to the center for consultation. Which of the following substances is contraindicated?
- A. Tetanus toxoid
- B. Retinol 200,000 IU
- C. Ferrous sulfate 200mg
- D. Potassium iodate 200 mg capsule
Correct Answer: B
Rationale: The correct answer is B: Retinol 200,000 IU. Retinol in high doses can cause birth defects in a developing fetus. Pregnant women should avoid excessive vitamin A intake to prevent harm to the baby. Tetanus toxoid (A), ferrous sulfate (C), and potassium iodate (D) are safe and recommended for pregnant women to support their health and the baby's development. In summary, retinol 200,000 IU is contraindicated due to the potential for birth defects, while the other choices are safe and beneficial during pregnancy.