Which of the following is an example of a vector-borne disease?

Correct Answer: C

Rationale: The correct answer is C: Malaria. Malaria is an example of a vector-borne disease because it is transmitted to humans through the bite of an infected mosquito. The mosquito acts as a vector, carrying and transmitting the infectious agent (Plasmodium parasite) from one host to another. Measles (A), Tuberculosis (B), and Hepatitis B (D) are not vector-borne diseases. Measles is transmitted through respiratory droplets, Tuberculosis through airborne particles, and Hepatitis B through contact with infected blood or body fluids.

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: B

Rationale: The correct answer is B: Administering antiretroviral therapy. Antiretroviral therapy helps reduce the viral load in the mother, decreasing the risk of transmitting HIV to the child during pregnancy, childbirth, and breastfeeding. It is a proven method recommended by the World Health Organization. A: Exclusive breastfeeding can increase the risk of HIV transmission to the child if the mother is HIV positive. C: Using unsterilized medical equipment can increase the risk of HIV transmission. D: Avoiding prenatal care can lead to missed opportunities for prevention and treatment interventions.

Correct Answer: C

Rationale: The correct answer is C: Breast milk. Breast milk is the best type of milk for infants below 6 months of age because it provides the ideal nutrition and antibodies necessary for their growth and development. It contains the perfect balance of nutrients, is easily digestible, and helps protect infants from infections and diseases. Choice A: Cow's milk is not recommended for infants below 6 months as it is difficult for them to digest and lacks essential nutrients like iron and vitamin E. Choice B: Goat's milk is also not recommended for infants below 6 months as it lacks certain nutrients and may cause allergic reactions. Choice D: Soy milk is not suitable as a primary source of nutrition for infants below 6 months as it may not provide all the necessary nutrients and can lead to digestive issues. In summary, breast milk is the best choice for infants below 6 months due to its unique composition and numerous benefits compared to other types of milk.

Correct Answer: D

Rationale: The correct answer is D: Exclusive focus on curative care. Primary Health Care (PHC) emphasizes preventive, promotive, and rehabilitative services rather than solely focusing on curative care. Curative care is just one aspect of healthcare but not the sole focus of PHC. Community participation (A), use of appropriate technology (B), and equitable distribution of resources (C) are all essential components of PHC as they contribute to comprehensive and accessible healthcare for all.

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 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.

Correct Answer: B

Rationale: The correct answer is B: Encouraging skin-to-skin contact after birth. This practice is part of the Baby-Friendly Hospital Initiative (BFHI) as it promotes bonding, initiates breastfeeding, and helps regulate the baby's temperature and breathing. Skin-to-skin contact also supports the establishment of breastfeeding and enhances maternal-infant attachment. Incorrect Choices: A: Promoting the use of infant formula - This goes against the BFHI, which promotes exclusive breastfeeding. C: Separating mother and baby after delivery - BFHI encourages keeping mother and baby together to promote bonding and breastfeeding. D: Scheduling feedings at fixed intervals - BFHI promotes feeding on demand to support breastfeeding and responsive feeding practices.

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.