What is the best reason for administering vitamin A to a postpartum client?

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: A

Rationale: The correct answer is A: RA 8483. This law specifically established the Philippine Institute of Traditional and Alternative Health Care. RA 4823, RA 2483, and RA 3482 are incorrect as they do not pertain to the creation of this institute. RA 4823 is about the Agricultural Land Reform Code, RA 2483 is about the Philippine Medical Care Commission, and RA 3482 is about the Philippine Medical Association. Therefore, based on the specific content of each law, A is the correct choice for the creation of the Philippine Institute of Traditional and Alternative Health Care.

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: A

Rationale: The correct answer is A: To prevent anemia. Iron supplementation in pregnant women is primarily aimed at preventing iron-deficiency anemia, a common condition during pregnancy due to increased demand for iron. Anemia can lead to complications for both the mother and the fetus, such as low birth weight and preterm birth. Providing iron helps maintain adequate hemoglobin levels for optimal oxygen transport. Summary of why other choices are incorrect: B: Supporting fetal growth is an important aspect of prenatal care, but iron supplementation specifically targets preventing anemia. C: While iron deficiency may contribute to premature labor, the primary purpose of iron supplementation is to prevent anemia. D: Postpartum hemorrhage risk is more related to factors such as uterine atony and trauma during childbirth, not directly impacted by iron supplementation.

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 correct answer is B: Letter of Instruction No. 949. This document issued by the Philippine government in 1979 officially adopted the Primary Health Care (PHC) approach. It outlined the strategies and framework for implementing PHC nationwide. The Alma Ata Declaration on PHC (A) is a global agreement but not the legal basis in the Philippines. Presidential Decree No. 147 (C) and Presidential Decree No. 996 (D) do not specifically address the PHC approach. Therefore, the legal basis for PHC in the Philippines is Letter of Instruction No. 949.

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.

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.

Correct Answer: B

Rationale: The correct answer is B because if the mother does not feel nipple pain, it indicates that the baby has latched on properly. Nipple pain is a common sign of improper latch, which can lead to discomfort and ineffective breastfeeding. The other choices are incorrect: A indicates ineffective sucking, C suggests a shallow latch, and D signifies a shallow latch that only involves the nipple, not the areola, leading to potential issues with milk transfer and nipple pain.