Which of the following conditions is a contraindication for breastfeeding?

Correct Answer: A

Rationale: The correct answer is A: Maternal HIV infection. Breastfeeding is contraindicated in mothers with HIV due to the risk of transmission to the infant through breast milk. HIV can be transmitted through breast milk even if the mother is on antiretroviral therapy. Maternal diabetes, anemia, and hypertension are not contraindications for breastfeeding as long as they are well managed. Breastfeeding is actually beneficial in managing diabetes and anemia. Hypertensive mothers can breastfeed unless there are complications that require specific medications that may be unsafe for the infant.

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: A

Rationale: The correct answer is A: Administering oral rehydration solution. This is the appropriate method for treating dehydration in infants because it helps replace lost fluids and electrolytes effectively. Oral rehydration solution contains the right balance of water, salts, and sugars needed to rehydrate the infant. It is safe and easy for infants to consume. Providing fruit juice (B) is not recommended as it may contain too much sugar and not enough electrolytes. Increasing milk intake (C) can worsen dehydration due to difficulty digesting milk during dehydration. Administering antibiotics (D) is not necessary for dehydration treatment as it does not address the primary issue of fluid and electrolyte loss.

Correct Answer: B

Rationale: The correct answer is B: Community participation. This is a key principle of Primary Health Care (PHC) as it emphasizes involving communities in decision-making, planning, and implementation of healthcare services. Community participation ensures that healthcare services are culturally appropriate, accessible, and meet the specific needs of the population. It also promotes empowerment and ownership of health initiatives within the community. Centralized health planning (A) goes against the decentralized and community-focused approach of PHC. Focus on specialized care (C) contradicts the comprehensive and holistic nature of PHC. High technology healthcare (D) may not always be feasible or accessible in resource-limited settings, which is a key consideration in PHC implementation.

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: To gather data on health status and needs. The primary purpose of conducting a health survey in a community is to systematically collect information on the health of the population, identify health issues, assess needs, and guide healthcare planning. This data helps in developing effective public health interventions and policies. Choice A (To provide medical treatment to individuals) is incorrect because health surveys focus on population-level data collection, not individual treatment. Choice C (To distribute health education materials) is incorrect as the primary purpose of a health survey is data collection, not distribution of materials. Choice D (To perform laboratory tests) is incorrect because health surveys typically involve collecting information through questionnaires and interviews, rather than conducting laboratory tests.

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: 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: C

Rationale: The correct answer is C: Iron. Iron is essential for preventing anemia in pregnant women because it is a key component of hemoglobin, the protein in red blood cells that carries oxygen to tissues and organs. During pregnancy, the demand for iron increases to support the growing fetus and the mother's increased blood volume. Without adequate iron intake, pregnant women are at a higher risk of developing iron-deficiency anemia, which can lead to complications for both the mother and the baby. Other choices are incorrect because: A: Vitamin C is important for iron absorption but does not directly prevent anemia. B: Vitamin D is important for bone health but does not prevent anemia. D: Calcium is important for bone health but does not prevent anemia in pregnant women.