Correct Answer: B

Rationale: Retinol 200,000 IU, which is a form of megadose Vitamin A, is contraindicated in pregnancy as it may have teratogenic effects, potentially harming the developing fetus. It is important to avoid high doses of Vitamin A during pregnancy to prevent adverse outcomes.

Correct Answer: A

Rationale: The correct answer is A. An OB score of G5P3 indicates that the client has had five pregnancies and three live births, making her ineligible for a home delivery. Typically, women with fewer pregnancies are considered better candidates for home deliveries due to lower risks. Additionally, primigravidas are usually advised to deliver at a medical facility for their first pregnancy.

Correct Answer: D

Rationale: Putting the baby to breast can help reduce post-delivery blood loss as suckling stimulates the release of oxytocin, causing uterine contractions. Lactation typically starts 1 to 3 days after delivery, not immediately. Nipple stretching exercises are recommended for flat or inverted nipples, not everted ones. Excessive washing of the nipples can dry them out, increasing the risk of fissures.

Correct Answer: B

Rationale: A survey, specifically a sample survey, is the most appropriate method for gathering data about a sample of the population. In this scenario, focusing on families with members who are part of the target population for PEM requires collecting specific data from a subset of the overall population, making a survey the best choice for this purpose.

Correct Answer: D

Rationale: According to R.A. 3753, any birth attendant, including public health nurses, rural health midwives, and municipal health officers, may sign the certificate of live birth. This law allows a range of health professionals involved in childbirth to be authorized to sign birth certificates, ensuring accessibility and convenience for parents.