What is the legal basis of the Primary Health Care approach in the Philippines?

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: D

Rationale: The correct answer is D, as it highlights the sustainability aspect crucial in primary health care. Sustainable health programs align with the community's development level, ensuring long-term effectiveness. A: Providing free health services is not an indicator of success as sustainability and community involvement are key. B: While empowering local officials is important, it doesn't directly measure the success of the primary health care approach. C: Providing care based on identified needs is a fundamental aspect but doesn't guarantee success without sustainability.

Correct Answer: B

Rationale: The correct answer is B, under 5-year-old children. They are particularly vulnerable to protein-energy malnutrition (PEM) due to their high nutritional needs for growth and development. Infants and young children have limited food intake capacity and are dependent on caregivers for proper nutrition. This age group is at a critical stage of growth, making them more susceptible to the negative impact of malnutrition on physical and cognitive development. Pregnant women and the elderly (choice A) have specific nutritional needs but are not as vulnerable to PEM as young children. Choices C and D are incorrect as 1-4-year-old children and school-age children have a lower risk of PEM compared to under 5-year-old children.

Correct Answer: B

Rationale: The neonatal mortality rate is calculated as the number of neonatal deaths (deaths within the first 28 days of life) divided by the number of live births in a given period, multiplied by 1000. In this case, the number of neonatal deaths is 2 (babies who died less than 4 weeks after birth), and the number of live births is 46 (babies born excluding stillbirths). Therefore, the calculation is (2/46) * 1000 = 43.5/1000. This rate represents the number of neonatal deaths per 1000 live births in Barangay A for that year. Choice B is correct as it accurately represents the neonatal mortality rate based on the information provided. Choices A, C, and D are incorrect as they do not align with the calculation using the specific data given.

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: B

Rationale: The correct answer is B: Vitamin A. During measles, Vitamin A supplementation is crucial to reduce the risk of complications and improve recovery. Vitamin A deficiency is common in children with measles and can lead to severe outcomes. Tetanus toxoid (A) is not indicated in measles treatment. Vitamin D (C) and Vitamin E (D) do not play a significant role in managing measles symptoms. In summary, Vitamin A is essential for children with measles to prevent complications and support recovery, making it the correct choice among the options provided.

Correct Answer: B

Rationale: The correct answer is B: Retinol 200,000 IU. Retinol in high doses can cause birth defects in a developing fetus. Pregnant women should avoid excessive vitamin A intake to prevent harm to the baby. Tetanus toxoid (A), ferrous sulfate (C), and potassium iodate (D) are safe and recommended for pregnant women to support their health and the baby's development. In summary, retinol 200,000 IU is contraindicated due to the potential for birth defects, while the other choices are safe and beneficial during pregnancy.

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: B

Rationale: The correct answer is B: Liver cancer. The Hepatitis B vaccine prevents Hepatitis B infection, which is a major cause of chronic liver disease and can lead to liver cancer. Jaundice (choice A) is a symptom of Hepatitis B infection, not a disease prevented by the vaccine. Pneumonia (choice C) and Tuberculosis (choice D) are both respiratory infections and are not prevented by the Hepatitis B vaccine. The key is to understand the specific disease targeted by the vaccine and its related health outcomes.