During prenatal consultation, a client asked you if she can have her delivery at home. After history taking and physical examination, you advised her against a home delivery. Which of the following findings disqualifies her for a home delivery?

Correct Answer: A

Rationale: The correct answer is A. The OB score G5P3 means the client has had 5 pregnancies with 3 live births. This indicates a history of multiple pregnancies and deliveries, suggesting a higher risk for complications during labor. This would disqualify her for a home delivery due to the increased potential for obstetric emergencies. Explanation for why the other choices are incorrect: - B: Palmar pallor may indicate anemia but can be managed in a hospital setting. - C: Blood pressure of 130/80 is within normal range and does not necessarily disqualify her for a home delivery. - D: Cephalic presentation means the baby's head is down, which is a favorable position for delivery and does not disqualify her for a home birth.

Correct Answer: B

Rationale: The sex ratio is calculated by dividing the number of males by the number of females and multiplying by 100. In this case, (35,299,000 / 34,968,000) x 100 = 100.94:100. This means for every 100 females, there are 100.94 males, indicating a slightly higher number of males. Choice A (99.06:100) is incorrect as it suggests fewer males than females, which is not the case. Choice C (50.23%) and choice D (49.76%) are incorrect as they represent percentages rather than ratios, leading to a misleading interpretation of the data.

Correct Answer: B

Rationale: The neonatal mortality rate is calculated as the number of neonatal deaths (deaths within the first 28 days of life) divided by the number of live births in a given period, multiplied by 1000. In this case, the number of neonatal deaths is 2 (babies who died less than 4 weeks after birth), and the number of live births is 46 (babies born excluding stillbirths). Therefore, the calculation is (2/46) * 1000 = 43.5/1000. This rate represents the number of neonatal deaths per 1000 live births in Barangay A for that year. Choice B is correct as it accurately represents the neonatal mortality rate based on the information provided. Choices A, C, and D are incorrect as they do not align with the calculation using the specific data given.

Correct Answer: C

Rationale: The correct answer is C: De facto. This method assigns individuals to a specific location based on where they are physically located during the census. "De facto" means "in fact" or "in reality." This ensures accurate representation of the population in a specific area at the time of the census. A: De jure refers to assignment based on legal residence, not necessarily physical location. B: De locus is not a standard term in census methodology. D: De novo means "from the beginning" and is not relevant to population assignment in a census.

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.

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.

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.

Correct Answer: D

Rationale: The correct answer is D because putting the baby to breast stimulates the release of oxytocin, which helps the uterus contract and reduce post-delivery blood loss. This promotes faster recovery for the mother. A: Incorrect - Lactation usually begins within 24-48 hours, not 1 to 3 days after delivery. B: Incorrect - Nipple stretching exercises are not necessary for breastfeeding success and can cause discomfort. C: Incorrect - Excessive washing of nipples can strip away natural oils and cause dryness or irritation, affecting breastfeeding.

Correct Answer: A

Rationale: The correct answer is A: Crude birth rate. Natality rate refers to the number of live births per 1,000 people in a population per year. The crude birth rate includes all live births in a population without any adjustments. B: Neonatal mortality rate measures the number of deaths within the first 28 days of life per 1,000 live births. C: Infant mortality rate measures the number of deaths within the first year of life per 1,000 live births. D: General fertility rate measures the number of live births per 1,000 women of childbearing age.