What is the primary purpose of providing iron supplementation to pregnant women?

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: D

Rationale: The correct answer is D: Post-natal care. Post-natal care refers to the care given to a woman within a month after delivering a baby. This care is crucial for monitoring the mother's physical and emotional health, providing support with breastfeeding, ensuring proper healing, and addressing any postpartum complications. Follow-up care (A) is a general term that may include various types of care beyond the immediate post-natal period. Maternity care (B) typically refers to the care provided during pregnancy and childbirth, not specifically after delivery. Puerperal care (C) specifically focuses on the period immediately following childbirth and may not encompass the entire month post-delivery.

Correct Answer: B

Rationale: The correct answer is B: Number of registered live births. The general fertility rate is calculated by dividing the number of live births in a specific period by the total number of women of reproductive age during that period. This numerator reflects the actual occurrence of live births in the population, making it the most appropriate measure for determining fertility rates accurately. A: Estimated midyear population is not used as the numerator because it does not directly measure fertility rates. C: Number of pregnancies in the year includes all pregnancies, not just live births, which would overestimate the fertility rate. D: Number of females of reproductive age is not used as the numerator as it represents the total population, not the specific group giving birth.

Correct Answer: A

Rationale: Iron supplementation is given to pregnant women to prevent anemia. During pregnancy, iron requirements increase to support the growing fetus and maternal blood volume expansion. Anemia in pregnancy can lead to complications such as low birth weight, preterm birth, and maternal fatigue. Iron is essential for the production of hemoglobin, which carries oxygen to the tissues. Therefore, ensuring adequate iron levels helps prevent anemia and supports the health of both the mother and the baby. Summary: - A: Correct. Prevents anemia by supporting hemoglobin production. - B: Incorrect. Fetal growth is influenced by various factors, not just iron. - C: Incorrect. Premature labor is not directly prevented by iron supplementation. - D: Incorrect. Postpartum hemorrhage is more related to factors like uterine atony, not iron levels.

Correct Answer: C

Rationale: The correct answer is C: Swaroop's index. This index considers the age distribution of deaths, providing a more accurate reflection of the health status of a community compared to other statistics. A focuses on a specific age group, limiting the scope. B solely focuses on infant deaths, ignoring other age groups. D is a basic measure that doesn't consider age distribution, leading to potential inaccuracies in reflecting the overall health status of the community. Swaroop's index is a comprehensive indicator that considers all age groups, making it the most accurate choice for assessing the health status of a community.

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: D

Rationale: The correct answer is D because all of the choices can be used to describe the sex composition of the population. A, the sex ratio, compares the number of males to females. B, sex proportion, also refers to the distribution of males and females in a population. C, population pyramid, visually displays the age and sex distribution of a population. Therefore, any of these tools can be utilized to describe the sex composition accurately.

Correct Answer: A

Rationale: The correct interval between tetanus toxoid doses for pregnant women is 4 weeks. This short interval ensures optimal immunity for both the mother and the baby against tetanus. Giving the dose every 4 weeks during pregnancy helps maintain the protective levels of antibodies. Waiting longer intervals could decrease the effectiveness of the vaccine and leave the mother and baby vulnerable to tetanus infection. Choices B, C, and D are incorrect because longer intervals between doses may not provide adequate protection and could compromise immunity levels during pregnancy.

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.