Which of the following individuals should be considered as special targets for family planning?

Correct Answer: D

Rationale: The correct answer is D because individuals who have had a delivery within the past 15 months are at higher risk for closely spaced pregnancies, which may pose health risks for both the mother and the newborn. It is crucial to allow the body to recover adequately between pregnancies to reduce maternal and infant mortality rates. Choices A, B, and C do not specifically address the need for spacing pregnancies and do not highlight the increased health risks associated with closely spaced pregnancies.

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: 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: C

Rationale: The correct answer is C: Folic Acid. Folic Acid deficiency during pregnancy is associated with an increased risk of neural tube defects in the developing fetus. Folic acid is crucial for proper neural tube formation in early pregnancy. Niacin (A), Riboflavin (B), and Thiamine (D) deficiencies do not directly impact neural tube development. Niacin is important for energy production, riboflavin for cell growth and function, and thiamine for nerve function, but they do not specifically affect neural tube closure like folic acid does.

Correct Answer: D

Rationale: The correct answer is D because as a healthcare provider attending to a delivery, noting the interval, duration, and intensity of labor and contractions is crucial for assessing the progress of labor and ensuring the safety of both the mother and the baby. This information helps in determining if the delivery is progressing normally or if there are any complications that require immediate attention. Setting up a sterile area (choice A) and putting on a clean gown and apron (choice B) are important steps but should come after assessing the labor progress. Cleansing the client's vulva with soap and water (choice C) is not recommended during labor as it can introduce bacteria and increase the risk of infection.