A 2-month old infant was brought to the health center for immunization. During assessment,

Correct Answer: D

Rationale: The correct answer is D because at 2 months old, any fever or unusual symptoms should be taken seriously. Referring the infant to a physician for further assessment ensures proper evaluation and treatment if necessary, as infants are more vulnerable to serious illnesses. Choice A is too vague and does not provide specific actions. Choice B is risky as immunization may worsen the infant's condition if there is an underlying medical issue. Choice C is inappropriate as giving paracetamol without knowing the cause of the fever can mask symptoms and delay proper diagnosis and treatment.

Correct Answer: B

Rationale: The correct answer is B: Supervise the mother in giving 200 to 400 ml of Oresol in 4 hours. Rationale: 1. Oresol helps in rehydration and contains essential electrolytes. 2. For a 3-month-old with some dehydration, oral rehydration therapy is effective and safe. 3. The amount specified (200-400ml) is appropriate for the age and condition. 4. Supervision ensures proper administration and monitoring of intake. 5. This aligns with IMCI guidelines promoting effective home-based management of dehydration. Summary: A: Bringing the infant to a facility for IV fluids is not necessary for some dehydration. C: Giving home management instructions without active involvement may lead to improper rehydration. D: Keeping the infant in the health center is not needed if proper home-based rehydration can be supervised.

Correct Answer: D

Rationale: The correct answer is D: Assess and treat the child for health problems like infections and intestinal parasitism. This is the correct approach based on the IMCI guidelines for managing a 2-year-old child with "baggy pants," which may indicate malnutrition. By assessing and treating health issues like infections and parasitism, the child's nutritional status can improve. Referring the child urgently to a hospital for confinement (A) is not necessary unless there are severe complications. Coordinating with a social worker for a feeding program (B) may be beneficial but addressing health issues is the priority. Making a teaching plan for menu planning (C) is important, but addressing underlying health problems should come first.

Correct Answer: A

Rationale: Rationale: The correct dose for preschoolers to prevent xerophthalmia is 10,000 IU of Retinol every 6 months. This dosage is within the safe range for young children and is sufficient to meet their vitamin A requirements. Choices B, C, and D exceed the recommended dose for preschoolers, which can lead to toxicity and adverse effects. Therefore, choice A is correct as it provides the appropriate amount of Retinol to prevent xerophthalmia without risking vitamin A toxicity.

Correct Answer: B

Rationale: The correct answer is B: Bread. Bread is one of the food items mandated for fortification under RA 8976. This is because bread is a staple food consumed by a large portion of the population, making it an ideal vehicle for fortification to reach a wide audience and address micronutrient deficiencies effectively. Sugar (A) is not typically fortified due to its high consumption in refined form, which may not be suitable for adding nutrients. Margarine (C) can be fortified but is not specifically mandated under RA 8976. Filled milk (D) may be fortified, but it is not one of the food items specified under this regulation.