Which of the following vaccines is recommended to be given at birth?

Correct Answer: A

Rationale: The correct answer is A: BCG. BCG vaccine is recommended at birth to prevent tuberculosis. It is given to protect infants from severe forms of TB. Other choices (B: Hepatitis B, C: OPV, D: Measles) are typically given at later stages as part of the routine childhood vaccination schedule. Hepatitis B vaccine is usually given within 24 hours of birth, OPV is given in multiple doses starting at 6 weeks of age, and Measles vaccine is given at around 12-15 months of age. Therefore, BCG is the recommended vaccine to be given at birth compared to the other choices.

Correct Answer: B

Rationale: The correct answer is B because if the mother does not feel nipple pain, it indicates that the baby has latched on properly. Nipple pain is a common sign of improper latch, which can lead to discomfort and ineffective breastfeeding. The other choices are incorrect: A indicates ineffective sucking, C suggests a shallow latch, and D signifies a shallow latch that only involves the nipple, not the areola, leading to potential issues with milk transfer and nipple pain.

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: D

Rationale: The correct answer is D because putting the baby to breast stimulates the release of oxytocin, which helps the uterus contract and reduce post-delivery blood loss. This promotes faster recovery for the mother. A: Incorrect - Lactation usually begins within 24-48 hours, not 1 to 3 days after delivery. B: Incorrect - Nipple stretching exercises are not necessary for breastfeeding success and can cause discomfort. C: Incorrect - Excessive washing of nipples can strip away natural oils and cause dryness or irritation, affecting breastfeeding.

Correct Answer: B

Rationale: The correct answer is B (4 weeks) for the minimum interval between two doses of the MMR vaccine. This interval is necessary for the body to develop a strong immune response to the vaccine components. Waiting at least 4 weeks allows the immune system to properly process and respond to the initial dose before receiving the second dose. Administering the second dose too soon may result in a weaker immune response and decreased effectiveness of the vaccine. Choices A, C, and D are incorrect as they are not in line with the recommended minimum interval for effective vaccination.

Correct Answer: B

Rationale: The correct answer is B: Letter of Instruction No. 949. This document issued by the Philippine government in 1979 officially adopted the Primary Health Care (PHC) approach. It outlined the strategies and framework for implementing PHC nationwide. The Alma Ata Declaration on PHC (A) is a global agreement but not the legal basis in the Philippines. Presidential Decree No. 147 (C) and Presidential Decree No. 996 (D) do not specifically address the PHC approach. Therefore, the legal basis for PHC in the Philippines is Letter of Instruction No. 949.

Correct Answer: A

Rationale: The correct answer is A: To help strengthen her immune system. Vitamin A plays a crucial role in maintaining a healthy immune system, which is especially important for postpartum women to prevent infections. Vitamin A deficiency can weaken the immune response, making the body more susceptible to infections. Explanation for other choices: B: To improve her vision - While vitamin A is essential for good vision, it is not the primary reason for administering it to a postpartum client. C: To protect her from infection - This is partially correct, as vitamin A helps protect against infections, but the primary reason is to strengthen the immune system. D: To promote wound healing - Vitamin A is important for wound healing, but the immune system support is the key reason for administering it in the postpartum period.

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: A

Rationale: The correct answer is A: 265. To estimate the number of pregnant women receiving tetanus toxoid during an outreach activity, we can use the average prevalence rate of 17.7 pregnant women per 1,000 population. So, 1,500 * 17.7 / 1,000 = 26.55, which rounds to 27 pregnant women. Since the population is 1,500, we can estimate that around 27 * 10 = 270 pregnant women. However, not all pregnant women may attend the activity, so we can further estimate that around 270 * 0.98 = 265 pregnant women will likely receive tetanus toxoid. Summary of other choices: B: 300 - Overestimates the number of pregnant women likely to receive tetanus toxoid. C: 375 - Overestimates even more, not a reasonable estimate based on the given population. D: 400 - Significantly overestimates the number