What is the appropriate action to take if a child is found to have a fever on the day of immunization?

Correct Answer: B

Rationale: The correct action is to delay the immunization until the fever subsides. This is because administering a vaccine during a fever may affect the body's immune response and efficacy of the vaccine. Giving a lower dose (choice C) may not provide adequate protection. Administering an antipyretic (choice D) may temporarily reduce fever but does not address the underlying illness causing the fever. Administering the vaccine as scheduled (choice A) can be harmful and is not recommended when the child has a fever.

Correct Answer: A

Rationale: The correct answer is A: Hepatitis B. Newborns are typically administered the Hepatitis B vaccine within the first 24 hours of birth to prevent transmission from infected mothers. This early vaccination helps protect infants from a potentially serious viral infection. The other choices are incorrect because BCG is usually given for tuberculosis, OPV is an oral polio vaccine, and Measles vaccination is typically given at a later age. Administering Hepatitis B vaccine to newborns is a crucial preventive measure against a common viral infection transmitted from mother to child.

Correct Answer: B

Rationale: The correct answer is B: Nutritional counseling. Prenatal care focuses on ensuring the health of both the mother and the developing baby. Proper nutrition is essential for the well-being of both, as it supports the baby's growth and development and helps prevent complications for the mother. Nutritional counseling provides guidance on maintaining a balanced diet, taking necessary supplements, and managing any dietary restrictions during pregnancy. Routine immunizations (A) are important but not typically a primary component of prenatal care. Surgical interventions (C) and radiologic exams (D) are generally avoided during pregnancy unless absolutely necessary due to potential risks to the fetus. Therefore, B is the most essential component for prenatal care.

Correct Answer: C

Rationale: Tertiary prevention focuses on managing and improving quality of life for individuals with existing health conditions. Physical rehabilitation programs fall under this category as they help individuals recover and regain functioning after an illness or injury. This intervention aims to prevent further complications and disabilities. Vaccination campaigns (A) and health education seminars (B) are examples of primary and secondary prevention, focusing on preventing diseases before they occur or detecting them early. Early disease screening (D) is also a form of secondary prevention, aiming to detect diseases in their early stages before symptoms appear.

Correct Answer: C

Rationale: The correct answer is C: Folic acid. Folic acid is critical for preventing neural tube defects as it is essential for proper development of the neural tube in the fetus. It helps in the formation of the baby's brain and spinal cord. Iron (A) is important for preventing anemia, not neural tube defects. Calcium (B) is crucial for bone health but not directly related to neural tube development. Vitamin D (D) is important for calcium absorption, but not specifically for preventing neural tube defects. Overall, folic acid stands out as the most critical nutrient for this purpose.

Correct Answer: C

Rationale: The correct answer is C: To prevent bleeding disorders. Newborns have low levels of Vitamin K, which is essential for blood clotting. Administering Vitamin K at birth helps prevent a rare but serious condition called Vitamin K deficiency bleeding. Choice A is incorrect because Vitamin K does not prevent jaundice. Choice B is incorrect as Vitamin K does not boost the immune system. Choice D is incorrect as Vitamin K does not enhance bone development. Administering Vitamin K to newborns is crucial for preventing bleeding issues.

Correct Answer: C

Rationale: The correct answer is C: Folic acid. Folic acid is essential for fetal development, especially in preventing neural tube defects. It aids in the formation of the neural tube, which develops into the baby's brain and spinal cord. Pregnant women are advised to take folic acid supplements to reduce the risk of these defects. Rationale for other choices: A: Vitamin C - While important for overall health, Vitamin C does not specifically reduce the risk of neural tube defects. B: Vitamin D - Important for bone health, but not directly linked to reducing neural tube defects. D: Iron - Necessary for preventing anemia during pregnancy, but not specifically known to reduce the risk of neural tube defects.

Correct Answer: C

Rationale: The correct answer is C: To provide immunizations to all children. The primary aim of the Expanded Program on Immunization (EPI) is to ensure that all children receive essential vaccinations to prevent vaccine-preventable diseases. This program focuses on increasing vaccination coverage and reaching all children, especially those in underserved populations. Providing immunizations to all children helps in reducing the spread of infectious diseases and contributes to overall public health. Incorrect choices: A: To eliminate non-communicable diseases - This is not the primary aim of EPI. EPI primarily focuses on preventing communicable diseases through vaccinations. B: To increase hospital bed capacity - This is not the primary goal of EPI. Increasing hospital bed capacity is related to healthcare infrastructure, not vaccination programs. D: To train more healthcare workers - While training healthcare workers is important for delivering immunizations, it is not the primary aim of EPI. The main goal is to provide vaccinations to all children.

Correct Answer: A

Rationale: The correct answer is A: Hepatitis A. Waterborne diseases are caused by pathogens that are transmitted through contaminated water. Hepatitis A is a viral infection that spreads through the consumption of contaminated water or food. It affects the liver and is commonly associated with poor sanitation and hygiene. Influenza, Measles, and Tuberculosis are not waterborne diseases. Influenza and Measles are viral infections spread through respiratory droplets, while Tuberculosis is a bacterial infection primarily transmitted through the air. Hepatitis A is the only choice that aligns with the definition of a waterborne disease.