Question 6251)
Knowing that malnutrition is a frequent community health problem, you decided to conduct nutritional assessment. What population is particularly susceptible to protein energy malnutrition (PEM)?
A. Pregnant women and the elderly
B. Under 5 year old children
C. 1 to 4 year old children
D. School age children
Answer: C
Explanation: Preschoolers are the most susceptible to PEM because they have generally been weared. Also ththe population who, able to feed themselves, are often the victims of poor food distribution.
Question 6252)
In the past year, Barangay A had an average population of 1655. 46 babies were born in that year, 2 of whom died less than 4 weeks after they were born. There were 4 recorded stillbirths. What is the neonatal mortality rate?
A. 43.5/1000
B. 27.8/1000
C. 130.4/1000
D. 86.9/1000
Answer: A
Explanation: On compute for neonatal mortality rate, divide the number of babies who died before reaching the age of 28 days by the total number of live birth, then multiply by 1,000.
Question 6253)
What number is used in computing 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
Answer: B
Explanation: To compute for general or total fertility rate, divide the number of registered live births by the number of females of reproductive age (15-45 years) then multiply by 1000.
Question 6254)
You will gather data for nutritional assessment of a purok. You will gather information only from families with members who belong to the target population for PEM. What method of data gathering is best for this purpose?
A. Census
B. Survey
C. Record review
D. Review of civil registry
Answer: B
Explanation: A survey also called sample survey, is data gathering about a sample of the population.
Question 6255)
In the conduct of a census, the method of population assignment based on the actual physical location of the people is termed?
A. De locus
B. De jure
C. De novo
D. De facto
Answer: D
Explanation: The other method of population assignment, de jure is based on the usual place of residence of the people.
Question 6256)
The field Health Services and Information System is the recording and reporting system in public health care in the Philippines. The monthly Field Health Service Activity Report is a form used in which of the components of the FHSIS?
A. Individual health record
B. Tally report
C. Output report
D. Target/client list
Answer: B
Explanation: A tally report is prepared monthly or quarterly by the MHU personnel and transmitted to the Provincial Health Office.
Question 6257)
Civil registries are important sources of data. Which law requires registration of birth within 30 days from the occurrence of the birth?
A. P.D. 651
B. Act 3375
C. Act 3573
D. Act 3753
Answer: A
Explanation: P.D. 651 amended R.A. 3753 requiring the registry of births within 30 days from their occurrence.
Question 6258)
Which criterion in priority setting of health problems is used only 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
Answer: C
Explanation: Magnitude of the problem refers to the percentage of the population affected by a health problem. The other choices are criteria considered in both family and community health care.
Question 6259)
Which of the following women should be considered as special targets for family planning?
A. Those who have two children or more
B. Those with medical conditions such as anemia
C. Those younger than 20 years and older than 35 years
D. Those who just had a delivery within the past 15 months
Answer: D
Explanation: The ideal birth spacing is at least two years 15 months plus 9 months of pregnancy = 2 years.
Question 6260)
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 of research and development in family planning methods
C. Adequate information for couples regarding the different methods
D. Encouragement of couples to take family planning as a joint responsibility.
Answer: C
Explanation: To enable the couple to choose freely among different methods of family planning they must be given full information regarding the different methods that are available to them, considering the availability of quality services that can support their choice.
Question 6261)
A woman, 6 months pregnant came to the center for consultation. Which of the following substances is contraindicated?
A. Tetanus toxoid
B. Retinol 200,00 IU
C. Ferrous sulfate 200 mg
D. Potassium iodate 200 mg. capsule
Answer: B
Explanation: Retinol 200,00 IU is a form of megacose Vitamin A. This may have a teratogenic affect.
Question 6262)
During prenatal consultation, a client asked you if she can have delivery at home. After history taking and physical examination, you advised her against a home delivery. Which of the following disqualifies her for a home delivery?
A. Her OB score is G5P3
B. She has some pal mar pallor.
C. Her blood pressure is 130/80.
D. Her baby is in cephalic presentation.0
Answer: A
Explanation: Only women with less then 5 pregnancies are qualified for a home delivery. It is also advisable for a primigravida to have delivery at a childbirth facility.
Question 6263)
You are in a client's home to attend to a delivery. Which of the following will do first?
A. Set up the sterile area.
B. Put on a clean gown or apron.
C. Cleanse the client's vulva with soap and water.
D. Note the interval, duration and intensity of labor contractions.
Answer: D
Explanation: Assessments of the woman should be done first to determine whether she is having true labor and if so what stage of labor she is in.
Question 6264)
In preparing a primigravida for breastfeeding, which of the following will you do?
A. Tell her that lactation begins within a day after delivery.
B. Teach her nipple stretching exercises if her nipples are ever ted.
C. Instruct her to wash her nipples before and after each breastfeeding.
D. Explain to her that putting the baby to breast will lesser blood loss after delivery.
Answer: D
Explanation: Sucking of the nipple stimulates the release of oxytocin by the posterior pituitary gland. Which cause uterine contraction. Lactation begins 1 to 3 days after delivery. Nipple stretching exercises are done when the nipples are flat or inverted. Frequent washing dries up the nipples, making them prone to the formation of fissures.
Question 6265)
A primigravida is instructed to offer her breast to the baby for the first time within 30 minutes after delivery. What is the purpose of offering the breast this early?
A. To initiate the occurrence of milk letdown.
B. To stimulate milk production by the mammary acini.
C. To make sure that the baby is able to get the colostrum.
D. To allow the woman to practice breastfeeding in the presence of the health worker.
Answer: B
Explanation: Sucking of the nipple stimulates prolactin reflex (the release of prolactin by the anterior pituitary gland.), which initiates lactation.
Question 6266)
In a mother's class, you discuss proper breastfeeding technique. Which is of these is a sign that the baby has "latched on" to the breast properly?
A. The baby takes shallow, rapid sucks.
B. The mother does not feel nipple pain.
C. The baby's mouth is only partly open.
D. Only the mother's nipple is inside the baby's mouth.
Answer: B
Explanation: When the baby has properly latched on to the breast, he takes deep,slow sucks, his mouth is wide open and much of the area is inside his mouth. And you're right. The mother does not feel nipple pain.
Question 6267)
You explain to a breastfeeding mother that breast milk is sufficient for all of the baby's nutrient needs only up to ________ .
A. 3 months
B. 6 months
C. 1 year
D. 2 year
Answer: B
Explanation: After 6 months, the baby's nutrient needs, especially the baby's iron requirement, can no longer be provided by mother's milk alone.
Question 6268)
Which biological used in Expanded Program on Immunization is stored in the freezer?
A. DPT
B. Tetanus toxoid
C. Measles vaccine
D. Hepatitis B vaccine
Answer: C
Explanation: Among the biological used in the Expanded Program on Immunization, measles vaccine and OPV are highly sensitive to heat, requiring storage in the freezer.
Question 6269)
Unused BCG should be discarded how many hours after reconstitution? A. 2 B. 4 C. 6 D. At the end of the day Answer: B Explanation: While the unused portion of other biological in EPI may be given until the end of the day, only BCG is discarded 4 hours after reconstitution. This is why BCG immunization is scheduled only in the morning.
Question 6270)
A nurse is performing routine assessment of an IV site in a patient receiving both IV fluids and medications through the line. Which of the following would indicate the need for discontinuation of the IV line as the next nursing action?
A. The patient complains of pain on movement.
B. The area proximal to the insertion site is reddened, warm, and painful.
C. The IV solution is infusing too slowly, particularly when the limb is elevated.
D. A hematoma is visible in the area of the IV insertion site.
Answer: B
Explanation: Rationale is First sign of phlebitis is pain along with IV cannula insertion site and redness over the area. The temperature of inflamed site is different from core body temperature. With these signs VIP(visual infusion phlebitis) score 2 is documented. At this score action required is respite of the IV cannula
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