During which phase would the community health nurse (CHN) determine the ability of specific interventions to achieve an increase to at least 90% in the proportion of all pregnant women who receive first-trimester prenatal care?

Correct Answer: D

Rationale: The correct answer is D: Evaluation phase. During the evaluation phase, the CHN assesses the effectiveness of interventions in achieving the desired outcome of increasing the proportion of pregnant women receiving first-trimester prenatal care to at least 90%. This phase involves systematically collecting and analyzing data to determine if the interventions are successful. In contrast, the assessment phase (choice A) focuses on gathering information about the community's health needs, planning phase (choice B) involves developing strategies to address those needs, and implementation phase (choice C) is about putting the planned interventions into action. Therefore, the evaluation phase is the most appropriate stage to determine the success of the interventions in reaching the specified goal.

Correct Answer: D

Rationale: The correct answer is D because it meets all the criteria for identifying potential clients for a program. Children aged 18 months to 5 years are a specific target group, indicating a clear demographic. The fact that they have been treated for nutritional deficiencies at the district health clinic suggests they have existing health issues that the program could address. Choice A is not correct because it includes all women in a broad age range without specifying any health or program-related criteria. Choice B is incorrect as it focuses on immigrants with language barriers rather than specific health or program needs. Choice C is not the best answer as it only mentions pregnant women who received nutritional counseling but does not specify any ongoing health issues or program needs.

Correct Answer: C

Rationale: Step 1: Evaluating the effectiveness of a program designed to decrease obesity among school-aged children ultimately depends on whether the program has successfully achieved its intended outcome of reducing obesity rates. Step 2: Monitoring the decrease in obesity among the children directly assesses the impact and success of the program. Step 3: This metric provides concrete data to measure the program's effectiveness objectively. Step 4: Considering other factors like satisfaction of children, parental support, and cost-benefit analysis are important but secondary to the primary goal of reducing obesity rates. Step 5: Therefore, the most crucial question to consider in evaluating the program is whether obesity among school-aged children has decreased, making option C the correct answer.

Correct Answer: C

Rationale: The correct answer is C because it provides the most comprehensive and inclusive definition of women's health. It acknowledges that women's health encompasses health promotion, protection, and maintenance throughout their entire lifespan, addressing various aspects beyond just gynecological and reproductive wellness. Choice A focuses solely on gynecological and reproductive aspects, limiting the scope of women's health. Choice B emphasizes specific life stages but overlooks the broader concept of women's health. Choice D narrows down women's health to the management of unique conditions, neglecting the preventive and holistic approach encapsulated in choice C. Overall, choice C best encapsulates the multifaceted nature of women's health.

Correct Answer: A

Rationale: The correct answer is A: Primary prevention. This is because administering vaccines aims to prevent the occurrence of diseases in the first place, which is the primary goal of primary prevention. Vaccines help to build immunity and protect children and adolescents from infectious diseases. B: Secondary prevention focuses on early detection and intervention to prevent the progression of a disease. C: Tertiary prevention involves managing and reducing the impact of an already existing disease to prevent complications. D: While vaccines can contribute to both primary and secondary prevention indirectly, the main goal of vaccination is to prevent the initial occurrence of diseases, making A the most appropriate choice.