Nokea
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.
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Which numerator is used in computing the general fertility rate?
- A. Estimated midyear population
- B. Number of registered live births
- C. Number of pregnancies in the year
- D. Number of females of reproductive age
Correct Answer: B
Rationale: The correct answer is B: Number of registered live births. The general fertility rate is calculated by dividing the number of live births in a specific period by the total number of women of reproductive age during that period. This numerator reflects the actual occurrence of live births in the population, making it the most appropriate measure for determining fertility rates accurately.
A: Estimated midyear population is not used as the numerator because it does not directly measure fertility rates.
C: Number of pregnancies in the year includes all pregnancies, not just live births, which would overestimate the fertility rate.
D: Number of females of reproductive age is not used as the numerator as it represents the total population, not the specific group giving birth.
Which biological used in Expanded Program on Immunization (EPI) is stored in the freezer?
- A. DPT
- B. OPV
- C. Hepatitis B vaccine
- D. Measles vaccine
Correct Answer: B
Rationale: The correct answer is B: OPV. The oral polio vaccine (OPV) used in the Expanded Program on Immunization (EPI) is stored in the freezer to maintain its potency. OPV is a live vaccine that requires cold storage to prevent the virus from becoming inactive. DPT, Hepatitis B vaccine, and Measles vaccine are typically stored in the refrigerator, not the freezer, as they are either killed or attenuated vaccines that remain stable at higher temperatures. Therefore, the need for freezer storage specifically points to OPV as the correct answer.
What is the best reason for administering vitamin A to a postpartum client?
- A. To help strengthen her immune system
- B. To improve her vision
- C. To protect her from infection
- D. To promote wound healing
Correct Answer: A
Rationale: The correct answer is A: To help strengthen her immune system. Vitamin A plays a crucial role in maintaining a healthy immune system, which is especially important for postpartum women to prevent infections. Vitamin A deficiency can weaken the immune response, making the body more susceptible to infections.
Explanation for other choices:
B: To improve her vision - While vitamin A is essential for good vision, it is not the primary reason for administering it to a postpartum client.
C: To protect her from infection - This is partially correct, as vitamin A helps protect against infections, but the primary reason is to strengthen the immune system.
D: To promote wound healing - Vitamin A is important for wound healing, but the immune system support is the key reason for administering it in the postpartum period.
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.
In calculating the crude death rate of your municipality, with a total population of about 18,000 last year, there were 94 deaths. Among the deceased, 20 died due to heart diseases, and 32 were aged 50 years or older. What is the crude death rate?
- A. 4.1/1000
- B. 5.2/1000
- C. 6.3/1000
- D. 7.3/1000
Correct Answer: B
Rationale: To calculate the crude death rate, divide the total number of deaths by the total population and then multiply by 1000. In this case, 94 deaths out of 18,000 population is (94/18000)*1000 = 5.2/1000. This is the correct answer (B). Choice A (4.1/1000) is incorrect as it underestimates the death rate. Choice C (6.3/1000) and D (7.3/1000) are both overestimations of the death rate based on the given data.