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

Correct Answer: D

Rationale: The correct answer is D because women who have just had a delivery within the past 15 months are at higher risk of unintended pregnancies and closely spaced births, which can have negative health outcomes for both the mother and the child. Providing family planning services to these women can help them space their pregnancies appropriately, reducing maternal and infant health risks. A: Women with two children or more may already be managing their family size effectively and may not necessarily need special targeting for family planning. B: Women with medical conditions such as anemia may require specialized care but may not specifically need family planning services. C: While age can be a factor in family planning, it does not necessarily make these women special targets compared to those who have recently given birth.

Correct Answer: D

Rationale: The correct answer is D because noting the interval, duration, and intensity of labor and contractions is crucial in assessing the progress of labor and determining the appropriate course of action. This information helps in monitoring the well-being of both the client and the fetus. Setting up a sterile area (A) is important but not the first step. Putting on a clean gown and apron (B) is necessary for infection control but not the initial priority. Cleansing the client's vulva with soap and water (C) can be done later but is not the first essential step in this situation.

Correct Answer: C

Rationale: The correct answer is C: To make sure that the baby is able to get the colostrum. Rationale: 1. Colostrum is the early milk produced by the mammary glands after birth, rich in antibodies and vital nutrients. 2. Offering the breast within 30 minutes ensures that the baby receives this essential colostrum. 3. It kickstarts breastfeeding and provides the baby with important immune protection. 4. Options A and B are incorrect as milk letdown and production are not immediate after birth. 5. Option D is incorrect as the primary focus is on the baby receiving colostrum, not on practice or presence of a health worker.

Correct Answer: B

Rationale: The correct answer is B: Ferrous sulfate 100mg. After giving birth, women often experience postpartum anemia due to blood loss during delivery. Ferrous sulfate is an iron supplement commonly prescribed to prevent or treat anemia by replenishing the iron stores in the body. Iron is essential for the production of red blood cells, which helps in maintaining healthy blood levels. Malunggay capsule (A) is not typically given post-delivery for anemia. Retinol (D) is not relevant for postpartum care and can be harmful in high doses. Choice C is incomplete, making it an invalid option. Therefore, choice B is the most appropriate and necessary supplement for a woman after giving birth.

Correct Answer: C

Rationale: The correct answer is C (6 hours) because after reconstitution, the BCG vaccine loses its potency and effectiveness over time due to bacterial degradation. It is crucial to discard any unused BCG vaccine within 6 hours to ensure its efficacy. Choice A (2 hours) and B (4 hours) are too short of a time frame for the vaccine to remain stable and effective. Choice D (At the end of the day) is vague and does not provide a specific timeframe, which could lead to the vaccine being kept for too long, risking its efficacy.