In calculating the crude death rate of your municipality, with a total population of about 18,000 last year, there were 94 deaths. Among the deceased, 20 died due to heart diseases, and 32 were aged 50 years or older. What is the crude death rate?

Correct Answer: B

Rationale: To calculate the crude death rate, divide the total number of deaths by the total population and then multiply by 1000. In this case, 94 deaths out of 18,000 population is (94/18000)*1000 = 5.2/1000. This is the correct answer (B). Choice A (4.1/1000) is incorrect as it underestimates the death rate. Choice C (6.3/1000) and D (7.3/1000) are both overestimations of the death rate based on the given data.

Correct Answer: D

Rationale: The correct answer is D (2,300). To estimate the number of 1-4 year old children who should be given Retinol capsules 200,000 every 6 months in the municipality, we can use the rule of thumb that around 10-15% of the population falls within the 1-4 age group. With a population of 20,000, this translates to approximately 2,000-3,000 children. Since 200,000 capsules are provided every 6 months, we can divide this by the number of children to determine the number of capsules per child. Therefore, 200,000 / 2,300 ≈ 87 capsules per child over 6 months, which is a reasonable estimate. Summary of other choices: A: 1,500 - This is too low given the population estimate and age group percentage. B: 1,800 - This is also too low given the population estimate and age group percentage. C

Correct Answer: C

Rationale: The correct answer is C: Magnitude of the health problem. In community health care, prioritizing based on the magnitude of the health problem is crucial as it helps identify issues affecting a large number of individuals. By addressing high-impact problems first, resources can be maximized to benefit the community as a whole. Modifiability (A) is important but not unique to community health. Nature of the problem (B) can vary and may not always indicate priority. Preventive potential (D) is valuable but does not solely determine priority in community health care.

Correct Answer: C

Rationale: The correct answer is C because it directly aligns with the principle of freedom of choice in family planning. Providing couples with adequate information regarding different methods empowers them to make informed decisions based on their preferences and circumstances. This choice respects individual autonomy and allows couples to choose the method that best suits their needs. Incorrect Choices: A: Information dissemination is important but does not necessarily guarantee freedom of choice. B: Supporting research and development is beneficial but does not directly relate to the freedom of choice for couples. D: Encouraging joint responsibility is valuable for promoting communication, but it does not explicitly ensure freedom of choice for individuals.

Correct Answer: D

Rationale: The correct answer is D: Post-natal care. Post-natal care refers to the care given to a woman within a month after delivering a baby. This care is crucial for monitoring the mother's physical and emotional health, providing support with breastfeeding, ensuring proper healing, and addressing any postpartum complications. Follow-up care (A) is a general term that may include various types of care beyond the immediate post-natal period. Maternity care (B) typically refers to the care provided during pregnancy and childbirth, not specifically after delivery. Puerperal care (C) specifically focuses on the period immediately following childbirth and may not encompass the entire month post-delivery.

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: D

Rationale: The correct answer is D because all of these health professionals can sign a birth certificate. Public health nurses, rural health midwives, and municipal health officers are all qualified to verify and certify births. This is important for accurate record-keeping and legal purposes. Each of these professionals has the training and authority to confirm the details of a birth and sign the necessary documentation. Therefore, the correct answer is D, as any of these health professionals can sign the birth certificate. The other choices (A, B, and C) are incorrect because they limit the scope of who can sign the birth certificate, whereas the correct answer encompasses all the options provided.

Correct Answer: D

Rationale: The correct answer is D because individuals who have had a delivery within the past 15 months are at higher risk for closely spaced pregnancies, which may pose health risks for both the mother and the newborn. It is crucial to allow the body to recover adequately between pregnancies to reduce maternal and infant mortality rates. Choices A, B, and C do not specifically address the need for spacing pregnancies and do not highlight the increased health risks associated with closely spaced pregnancies.

Correct Answer: B

Rationale: The correct answer is B: OPV. The oral polio vaccine (OPV) used in the Expanded Program on Immunization (EPI) is stored in the freezer to maintain its potency. OPV is a live vaccine that requires cold storage to prevent the virus from becoming inactive. DPT, Hepatitis B vaccine, and Measles vaccine are typically stored in the refrigerator, not the freezer, as they are either killed or attenuated vaccines that remain stable at higher temperatures. Therefore, the need for freezer storage specifically points to OPV as the correct answer.