To monitor clients registered in long-term regimens, such as the Multi-Drug Therapy, which component will be most useful?

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Community and Public Health Nursing Evidence for Practice Questions

Question 1 of 5

To monitor clients registered in long-term regimens, such as the Multi-Drug Therapy, which component will be most useful?

Correct Answer: D

Rationale: The correct answer is D: Individual health record. This is the most useful component for monitoring clients in long-term regimens like Multi-Drug Therapy because it contains detailed information on each client's health status, treatment history, medication adherence, and progress over time. It allows healthcare providers to track and assess the effectiveness of the treatment plan, identify any issues or trends, and make informed decisions for each individual client. A: Tally report and B: Output report provide general summaries and statistics but lack specific client details needed for individual monitoring. C: Target/client list may help identify clients but does not offer the depth of information provided in an individual health record.

Question 2 of 5

Which of the following women should be considered as special targets for family planning?

Correct Answer: D

Rationale: The correct answer is D because women who have just had a delivery within the past 15 months are at higher risk of unintended pregnancies and closely spaced births, which can have negative health outcomes for both the mother and the child. Providing family planning services to these women can help them space their pregnancies appropriately, reducing maternal and infant health risks. A: Women with two children or more may already be managing their family size effectively and may not necessarily need special targeting for family planning. B: Women with medical conditions such as anemia may require specialized care but may not specifically need family planning services. C: While age can be a factor in family planning, it does not necessarily make these women special targets compared to those who have recently given birth.

Question 3 of 5

A woman, 6 months pregnant, came to the center for consultation. Which of the following substances is contraindicated?

Correct Answer: B

Rationale: The correct answer is B: Retinol 200,000 IU. Retinol, also known as vitamin A, in high doses can be teratogenic and harmful during pregnancy, especially in the first trimester. It can lead to birth defects. Tetanus toxoid (A) is safe and recommended during pregnancy. Ferrous sulfate (C) is commonly prescribed to prevent anemia in pregnant women. Potassium iodate (D) is used to prevent iodine deficiency.

Question 4 of 5

You are in a client's home to attend to a delivery. Which of the following will you do first?

Correct Answer: D

Rationale: The correct answer is D because noting the interval, duration, and intensity of labor and contractions is crucial in assessing the progress of labor and determining the appropriate course of action. This information helps in monitoring the well-being of both the client and the fetus. Setting up a sterile area (A) is important but not the first step. Putting on a clean gown and apron (B) is necessary for infection control but not the initial priority. Cleansing the client's vulva with soap and water (C) can be done later but is not the first essential step in this situation.

Question 5 of 5

A primigravida is instructed to offer her breast to the baby for the first time within 30 minutes affer delivery. What is the purpose of offering the breast this early?

Correct Answer: C

Rationale: The correct answer is C: To make sure that the baby is able to get the colostrum. Rationale: 1. Colostrum is the early milk produced by the mammary glands after birth, rich in antibodies and vital nutrients. 2. Offering the breast within 30 minutes ensures that the baby receives this essential colostrum. 3. It kickstarts breastfeeding and provides the baby with important immune protection. 4. Options A and B are incorrect as milk letdown and production are not immediate after birth. 5. Option D is incorrect as the primary focus is on the baby receiving colostrum, not on practice or presence of a health worker.

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