what is the legal basis of primary health care approach in the philippines

ATI LPN

ATI Community Health Proctored Exam 2019 Quizlet

1. What is the legal basis of the Primary Health Care approach in the Philippines?

A. Alma Ata Declaration on PHC
B. Letter of Instruction No. 949
C. Presidential Decree No. 147
D. Presidential Decree No. 996

Correct answer: B

Rationale: The correct answer is B, the Letter of Instruction No. 949. This instruction was issued by then President Ferdinand Marcos, directing the Ministry of Health (now the Department of Health) to utilize the Primary Health Care approach in planning and implementing health programs. This legal basis established the foundation for implementing Primary Health Care in the Philippines, aligning with the global Alma Ata Declaration's principles.

2. Which of the following is a contraindication for the administration of live vaccines?

A. Mild upper respiratory infection
B. Previous allergic reaction to the vaccine
C. Current antibiotic therapy
D. Family history of allergies

Correct answer: B

Rationale: A previous allergic reaction to the vaccine is a contraindication for the administration of live vaccines. This is because individuals who have had a previous allergic reaction to a vaccine are at higher risk of developing a severe allergic reaction with subsequent doses. It is crucial to identify and avoid administering live vaccines to individuals with a history of allergic reactions to prevent potential adverse events.

3. When preparing a primigravida for breastfeeding, which of the following will you do?

A. Explain that lactation usually begins 1 to 3 days after delivery
B. Teach her nipple stretching exercises if her nipples are flat or inverted
C. Advise against washing her nipples excessively before and after each breastfeeding
D. Inform her that putting the baby to breast can help reduce post-delivery blood loss

Correct answer: D

Rationale: Putting the baby to breast can help reduce post-delivery blood loss as suckling stimulates the release of oxytocin, causing uterine contractions. Lactation typically starts 1 to 3 days after delivery, not immediately. Nipple stretching exercises are recommended for flat or inverted nipples, not everted ones. Excessive washing of the nipples can dry them out, increasing the risk of fissures.

4. What is the best reason for administering vitamin A to a postpartum client?

A. To help strengthen her immune system
B. To improve her vision
C. To protect her from infection
D. To promote wound healing

Correct answer: A

Rationale: Vitamin A is crucial for maintaining the integrity of epithelial tissues, which are the body's first line of defense against pathogens. By supporting the immune system, vitamin A helps protect the postpartum client from infections and promotes overall health.

5. Which principle is CONTRARY to planning a home visit?

A. A home visit should have a clear purpose or objective
B. The plan should be centered around the family's health needs
C. A home visit should strictly follow RHU guidelines
D. Involving a responsible family member in continuing care planning is essential

Correct answer: C

Rationale: When planning a home visit, it is crucial for the visit to be tailored to the specific needs of the family. While guidelines are important, they should not restrict the flexibility and practicality of the plan. The plan should adapt to the family's unique circumstances, resources available, and the nurse's assessment, rather than being rigidly bound by preset guidelines.