What is the primary aim of the Expanded Program on Immunization (EPI)?

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: C

Rationale: The correct answer is C: Measles, Mumps, Rubella (MMR) vaccine. Live attenuated vaccines contain weakened forms of the virus. MMR vaccine is made from weakened live viruses of measles, mumps, and rubella. When administered, the body develops an immune response without causing the disease. Choice A, Hepatitis B vaccine, is a subunit vaccine. Choice B, Inactivated polio vaccine, is a killed virus vaccine. Choice D, Diphtheria, Tetanus, Pertussis (DPT) vaccine, is a toxoid vaccine. Live attenuated vaccines provide stronger and longer-lasting immunity as they mimic natural infection without causing illness.

Correct Answer: C

Rationale: The correct answer is C because a community health nurse focuses on promoting health and preventing disease within the community through education, advocacy, and preventive care. This role involves working with individuals, families, and communities to improve overall health outcomes. A: Providing acute care in hospitals is incorrect as this is typically the role of hospital nurses, not community health nurses. B: Conducting surgeries is incorrect as this is a task performed by surgeons or operating room nurses, not community health nurses. D: Diagnosing and treating medical conditions is incorrect as this falls under the responsibility of healthcare providers such as physicians or nurse practitioners, not community health nurses.

Correct Answer: B

Rationale: The correct answer is B: Sunken fontanelle. Dehydration in infants can cause the fontanelle, the soft spot on the baby's head, to appear sunken. This is due to decreased fluid levels in the body. Sunken fontanelle is a common and easily identifiable sign of dehydration in infants. The other choices are incorrect because frequent urination is not typically associated with dehydration in infants, excessive drooling can be a normal part of teething, and increased appetite is not a specific sign of dehydration in infants.

Correct Answer: C

Rationale: The correct answer is C: Antiretroviral therapy. This is a key strategy because it involves giving HIV medications to the mother during pregnancy, labor, and delivery, as well as to the newborn, significantly reducing the risk of transmission. Antiretroviral therapy helps lower the viral load in the mother's body, making it less likely for the virus to be passed on to the child. Exclusive breastfeeding (choice A) can increase the risk of transmission, routine immunization (choice B) does not directly prevent mother-to-child transmission of HIV, and nutritional supplementation (choice D) is not a primary strategy for preventing transmission.

Correct Answer: B

Rationale: The correct answer is B because the purpose of the Expanded Program on Immunization (EPI) is to ensure all children receive routine immunizations to prevent various communicable diseases. EPI focuses on providing vaccines to children at specific ages to build immunity and protect them from serious illnesses. It does not provide emergency medical services (A), offer specialized treatments for rare diseases (C), or manage chronic health conditions (D). By prioritizing routine immunizations, EPI aims to reduce the burden of vaccine-preventable diseases and improve overall public health.

Correct Answer: B

Rationale: The correct answer is B: Improving access to high-quality immunization services. GIVS aims to ensure that everyone has access to vaccines and immunization services to prevent vaccine-preventable diseases. This objective aligns with the overall goal of increasing vaccination coverage and reducing the burden of vaccine-preventable illnesses globally. Choice A is incorrect as GIVS focuses on communicable diseases, not non-communicable diseases. Choice C is incorrect as GIVS aims to improve access to immunization services, not necessarily reduce the cost of healthcare. Choice D is incorrect as GIVS does not specifically target increasing the number of healthcare professionals, but rather improving access to immunization services.

Correct Answer: B

Rationale: The correct answer is B: 6 months. At this age, infants' digestive systems are more developed and ready for solid foods. Introducing solids too early (A) can lead to allergies and digestion issues. Waiting until 9 months (C) or 12 months (D) can delay important nutrients and increase the risk of iron deficiency. In summary, introducing solids at 6 months strikes the right balance between developmental readiness and nutritional needs for infants.

Correct Answer: D

Rationale: Step 1: Weight monitoring is crucial to assess maternal health and fetal growth. Step 2: Blood pressure measurement helps detect and manage hypertension in pregnancy. Step 3: Nutritional counseling ensures proper intake of nutrients for maternal and fetal well-being. Step 4: All components (A, B, C) are essential for a comprehensive antenatal care program to address different aspects of maternal and fetal health. Thus, D is the correct answer. Weight monitoring, blood pressure measurement, and nutritional counseling are all vital components of antenatal care to ensure the well-being of both the mother and the baby.