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1. Which nutrient is known to reduce the risk of neural tube defects when taken by pregnant women?
- A. Vitamin C
- B. Vitamin D
- C. Folic acid
- D. Iron
Correct answer: C
Rationale: Folic acid, a B vitamin, is essential for the development of the neural tube in the early stages of pregnancy. Adequate intake of folic acid before conception and during early pregnancy significantly reduces the risk of neural tube defects in the baby. It is recommended that women of childbearing age consume folic acid daily to support a healthy pregnancy.
2. Which of the following conditions is a contraindication for breastfeeding?
- A. Maternal HIV infection
- B. Maternal diabetes
- C. Maternal anemia
- D. Maternal hypertension
Correct answer: A
Rationale: Maternal HIV infection is a contraindication for breastfeeding because it poses a risk of transmission to the infant. HIV can be transmitted through breast milk, putting the baby at risk of acquiring the infection. Therefore, it is recommended that mothers with HIV do not breastfeed to prevent the transmission of the virus to their infants.
3. According to Margaret Shetland, the philosophy of public health nursing is based on which of the following?
- A. Health and longevity as birthrights
- B. The mandate of the state to protect the birthrights of its citizens
- C. Public health nursing as a specialized field of nursing
- D. The worth and dignity of man
Correct answer: D
Rationale: Dr. Margaret Shetland emphasized that the philosophy of public health nursing is rooted in the belief in the worth and dignity of every individual. This principle underscores the core values of public health nursing, focusing on respect for human life and the promotion of health for all individuals, regardless of their background or circumstances.
4. Which statement is true of primary facilities?
- A. They are usually government-run.
- B. Their services are provided on an outpatient basis.
- C. They are training facilities for health professionals.
- D. A community hospital is an example of this level of health facility.
Correct answer: B
Rationale: Primary facilities are typically healthcare facilities that offer basic outpatient services to individuals. These services are often provided without the need for an overnight stay, distinguishing them from secondary or tertiary care facilities that offer more specialized and intensive care. Therefore, the correct statement about primary facilities is that their services are provided on an outpatient basis.
5. Isolation of a child with measles belongs to which level of prevention?
- A. Primary
- B. Secondary
- C. Intermediate
- D. Tertiary
Correct answer: A
Rationale: Isolating a child with measles is considered a primary prevention measure. Primary prevention aims to prevent the disease from occurring by intervening before exposure to the causative agent. Isolating the child helps to contain the spread of the disease and protect those who are not already sick. This strategy falls under the realm of specific disease prevention, which is a key aspect of primary prevention.
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