Which of the following is a key principle of Primary Health Care (PHC)?

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: D

Rationale: The correct answer is D: Folic acid. Folic acid is essential for preventing neural tube defects because it plays a crucial role in DNA synthesis and cell division, particularly during early fetal development. Adequate folic acid intake before and during pregnancy can significantly reduce the risk of neural tube defects. Iron (A), Vitamin C (B), and Calcium (C) are important nutrients for overall health but do not have a direct role in preventing neural tube defects. Iron is vital for red blood cell production, Vitamin C is an antioxidant that supports the immune system, and Calcium is essential for bone health. However, for preventing neural tube defects specifically, folic acid is the essential nutrient.

Correct Answer: A

Rationale: The correct answer is A: Early detection of pregnancy complications. Antenatal care involves regular check-ups during pregnancy to monitor the health of both the mother and the baby. Early detection of pregnancy complications through antenatal care allows for timely intervention and management, reducing the risks to both the mother and the baby. This can help prevent serious complications and improve outcomes. Incorrect choices: B: Increased risk of preterm labor - Antenatal care aims to reduce the risk of preterm labor through monitoring and appropriate management. C: Decreased maternal weight gain - Antenatal care focuses on ensuring appropriate weight gain for a healthy pregnancy. D: Delayed fetal growth - Antenatal care helps monitor fetal growth and detect any issues early to prevent delayed growth.

Correct Answer: C

Rationale: The correct answer is C: Ensuring skilled attendance at birth. This is a key component of the Safe Motherhood Initiative as it focuses on providing trained healthcare professionals during childbirth to reduce maternal and neonatal mortality rates. This ensures that complications during labor can be promptly identified and managed, improving outcomes for both mother and baby. A: Promoting exclusive breastfeeding is important for infant health but is not specifically a component of the Safe Motherhood Initiative. B: Providing routine immunizations is crucial for child health but not directly related to maternal care during childbirth. D: Offering genetic counseling is valuable for families at risk of genetic disorders but is not a primary focus of the Safe Motherhood Initiative.

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: B

Rationale: The correct answer is B: To record and report public health services. FHSIS is designed to track and document various public health services provided by health facilities. It helps in monitoring disease outbreaks, health programs, and resource allocation. Choice A is incorrect as FHSIS focuses on public health services, not just hospital services. Choice C is incorrect as FHSIS does not specifically evaluate private health services. Choice D is incorrect as FHSIS does not handle health insurance claims but rather focuses on public health data collection and reporting.

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.

Correct Answer: C

Rationale: Secondary prevention aims to detect and treat a disease in its early stages to prevent complications. Screening for hypertension (Choice C) is an example as it involves identifying individuals at risk of developing high blood pressure-related issues. Vaccination (Choice A) is a form of primary prevention. Health education (Choice B) is more focused on promoting healthy behaviors. Rehabilitation therapy (Choice D) is part of tertiary prevention, aimed at improving function after a disease has occurred.

Correct Answer: C

Rationale: The primary goal of the Integrated Management of Childhood Illness (IMCI) strategy is to reduce child mortality and morbidity. This strategy focuses on providing holistic care to children, including early detection and treatment of common childhood illnesses. By improving healthcare access and quality, IMCI aims to decrease the number of children dying from preventable diseases. Explanation: A: Reducing the incidence of childhood diseases is important but not the primary goal of IMCI. The strategy is more focused on reducing mortality and morbidity. B: Improving nutritional status is essential for child health but is not the primary goal of IMCI. D: Promoting exclusive breastfeeding is a key component of child health but is not the primary goal of IMCI.