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In a mother‘s class, you discuss proper breastfeeding technique. Which of these is a sign that the baby has “lactated on” the breast property?
A.
The baby takes shallow, rapid sucks
B.
The mother does not feel nipple pain
C.
The baby’s mouth is only partly open
D.
Only the mother’s nipple is inside the baby’s mouth
Correct Answer
B. The mother does not feel nipple pain
Explanation When a baby is properly latched onto the breast, the mother should not feel any nipple pain. This indicates that the baby has latched on correctly and is effectively extracting milk from the breast. Nipple pain can be a sign of an improper latch, which can lead to breastfeeding difficulties and discomfort for the mother. Therefore, the fact that the mother does not feel nipple pain suggests that the baby has "lactated on" the breast properly.
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2.
You explain to a breastfeeding mother that breast milk is sufficient for all of the baby’s nutrient needs only up to:
A.
3months
B.
6months
C.
1 year
D.
2 years
E.
Option 5
Correct Answer
B. 6months
Explanation Breast milk is sufficient for all of the baby's nutrient needs only up to 6 months. After this period, the baby's nutritional requirements increase and breast milk alone may not provide all the necessary nutrients. Introducing solid foods at around 6 months of age is important to meet the baby's growing nutritional needs.
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3.
Which biological used in EPI is stored in the freezer?
A.
DPT
B.
Tetanus toxoid
C.
Measles vaccine
D.
Hepatitis B vaccine
Correct Answer
C. Measles vaccine
Explanation The measles vaccine is stored in the freezer because it contains live attenuated virus, which needs to be kept at a very low temperature to maintain its potency. Freezing the vaccine helps to preserve the viability of the virus and ensure its effectiveness when administered to individuals.
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4.
Which immunization produces a permanent scar?
A.
DPT
B.
BCG
C.
Measles vaccination
D.
Hepatitis B vaccination
Correct Answer
B. BCG
Explanation The BCG immunization produces a permanent scar because it is administered through a small needle into the upper arm. This causes a small blister to form, which eventually heals and leaves a scar. The scar is a visible sign that the individual has received the BCG vaccine and provides evidence of immunization against tuberculosis.
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5.
A 4-week old baby was brought to the health center for his first immunization. Which can be given to him?
A.
DPT1
B.
OPV1
C.
Infant BCG
D.
Hepatitis B Vaccine
Correct Answer
C. Infant BCG
Explanation Infant BCG is the correct answer because it is a vaccine that is typically given to newborns to protect them against tuberculosis (TB). TB is a bacterial infection that primarily affects the lungs but can also affect other parts of the body. Giving the BCG vaccine early in life helps to provide immunity against TB and reduce the risk of developing the disease. Other options mentioned, such as DPT1, OPV1, and Hepatitis B Vaccine, are also important vaccines but are usually given at different ages or stages of infancy.
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6.
You will not give DPT 2 if the mother says that the infant had?
A.
Seizures a day after DPT1
B.
Fever for 3 days after DPT1
C.
Abscess formation after DPT1
D.
Local tenderness for 3 days after DPT1
Correct Answer
A. Seizures a day after DPT1
Explanation If the mother reports that the infant had seizures a day after receiving the DPT1 vaccine, it is likely that the infant experienced a severe adverse reaction to the vaccine. Seizures are a serious side effect that can occur after vaccination, and it is important to prioritize the safety and well-being of the child. Therefore, it would be appropriate to withhold the DPT2 vaccine in this case to prevent further harm to the infant.
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7.
A pregnant woman had just received her 4th dose of tetanus toxoid. Subsequently, her baby will have protection against tetanus for how long?
A.
1 year
B.
3 years
C.
10 years
D.
Lifetime
Correct Answer
C. 10 years
Explanation After receiving the 4th dose of tetanus toxoid, the pregnant woman's baby will have protection against tetanus for 10 years. The tetanus toxoid helps the mother's body produce antibodies that can pass through the placenta to the baby, providing temporary immunity against tetanus. However, this immunity gradually wanes over time, and after 10 years, the baby will no longer have protection against tetanus.
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8.
Among the following diseases, which is airborne?
A.
Viral conjunctivitis
B.
Acute poliomyelitis
C.
Diphtheria
D.
Measles
Correct Answer
D. Measles
Explanation Measles is an airborne disease because it is caused by the measles virus, which can be transmitted through respiratory droplets when an infected person coughs or sneezes. This means that the virus can remain suspended in the air for a period of time and can be inhaled by others who are in close proximity to the infected person. This mode of transmission makes measles highly contagious and easily spread in crowded places or areas with poor ventilation. Viral conjunctivitis, acute poliomyelitis, and diphtheria, on the other hand, are not primarily transmitted through the air.
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9.
Pregnant women in goiter endemic area will be given a:
A.
Cloroquine
B.
Folic Acid
C.
Calcium
D.
Iodized Oil
Correct Answer
D. Iodized Oil
Explanation Pregnant women in goiter endemic areas are given iodized oil because goiter is often caused by iodine deficiency. Iodized oil is a supplement that provides a concentrated dose of iodine, which helps to prevent and treat iodine deficiency and its associated complications, such as goiter. Folic acid and calcium are important for a healthy pregnancy, but they do not directly address the issue of iodine deficiency and goiter. Chloroquine is a medication used to treat malaria and is not relevant to the treatment of goiter in pregnant women.
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10.
A most appropriate natural family planning method for women who usually have cycles between 26 and 32 days long.
A.
Lactational Amenorrhea Method
B.
Cervical Mucus Method
C.
Standard Days Method
D.
Symptothermal Method
Correct Answer
C. Standard Days Method
Explanation The Standard Days Method is the most appropriate natural family planning method for women with cycles between 26 and 32 days long. This method relies on the fact that there is a fertile window of about 6 days in each menstrual cycle, with the highest chance of pregnancy occurring on days 8 to 19. By avoiding unprotected intercourse during this fertile window, women can effectively prevent pregnancy. The Standard Days Method is particularly suitable for women with regular cycles, making it a suitable choice for those with cycles between 26 and 32 days long.
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11.
A temporary postpartum method of postponing pregnancy based on physiological infertility experienced by breast-feeding mothers.
A.
Lactational Amenorrhea Method
B.
Cervical Mucus Method
C.
Standard Days Method
D.
Symptothermal Method
Correct Answer
A. Lactational Amenorrhea Method
Explanation The Lactational Amenorrhea Method is a temporary postpartum method of birth control that relies on the natural infertility experienced by breastfeeding mothers. Breastfeeding can delay the return of ovulation and menstruation, making it a natural form of contraception. This method is effective as long as certain criteria are met, such as exclusive breastfeeding, feeding on demand, and the absence of menstruation. It is important to note that this method is only effective for a limited period of time and should not be relied upon as a long-term contraceptive method.
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12.
A thin sheath of latex rubber made to fit on a man's erected penis, it prevent the passage of sperm into the internal vagina.
A.
Condom
B.
Pills
C.
Injectable
D.
IUD
Correct Answer
A. Condom
Explanation A condom is a thin sheath of latex rubber that is designed to fit on a man's erected penis. Its purpose is to prevent the passage of sperm into the internal vagina, thereby acting as a form of contraception. Condoms are widely used as a barrier method of birth control and also provide protection against sexually transmitted infections.
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13.
A long term birth control method that is a small, T-shaped plastic device that is wrapped in copper or contains hormones.
A.
Condom
B.
Pills
C.
Injectable
D.
IUD
Correct Answer
D. IUD
Explanation The correct answer is IUD because it is a long term birth control method that is a small, T-shaped plastic device that is wrapped in copper or contains hormones. Condoms are not long term and are made of latex or polyurethane. Pills are taken orally and are not a physical device. Injectable contraceptives are administered through injections and are not a physical device. Therefore, the IUD is the only option that matches the given description.
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14.
An acute highly communicable infection; death may be due to complications; also known as rubeola:
A.
Measles
B.
Chicken Pox
C.
Tuberculosis
D.
Mumps
Correct Answer
A. Measles
Explanation Measles is an acute highly communicable infection that can lead to complications and even death. It is also known as rubeola. Measles is characterized by a high fever, cough, runny nose, and a red rash all over the body. It spreads easily through respiratory droplets and is most common in children. Complications of measles can include pneumonia, encephalitis, and even death, particularly in vulnerable populations such as infants or those with weakened immune systems. Therefore, measles is the correct answer in this case.
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15.
In our herbal medicines, what are the uses of Akapulko?
A.
Lowers Uric Acid
B.
Anti-helmintic
C.
Anti Fungal, Ringworm, Athletes foot
D.
Anti Edema, Diuretic, Anti Urolithiasis
Correct Answer
C. Anti Fungal, Ringworm, Athletes foot
Explanation Akapulko has anti-fungal properties which make it effective in treating conditions such as ringworm and athlete's foot. It can help eliminate the fungal infection and provide relief from symptoms like itching and redness.
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16.
In our herbal medicines, what are the uses of Lagundi?
At least how many visits should be given to a pregnant woman?
A.
2
B.
5
C.
6
D.
4
Correct Answer
D. 4
Explanation A pregnant woman should have a minimum of four visits to ensure proper prenatal care. These visits are crucial for monitoring the health of both the mother and the baby, detecting any potential complications, and providing necessary guidance and support throughout the pregnancy. Regular check-ups enable healthcare professionals to assess the growth and development of the fetus, conduct necessary tests, and offer appropriate advice on diet, exercise, and lifestyle. By attending at least four visits, pregnant women can receive the necessary care and guidance to ensure a healthy pregnancy and delivery.
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18.
A condition which the babies are unable to process galactose, the sugar present in milk.
A.
Galactosemia
B.
Phenylketonuria
C.
G6PD
D.
Congenital Adrenal Hyperplasia
Correct Answer
A. Galactosemia
Explanation Galactosemia is a condition where babies are unable to process galactose, the sugar present in milk. This means that their bodies cannot break down galactose into glucose, leading to a buildup of galactose in the blood. This condition is caused by a deficiency in the enzyme needed to process galactose. If left untreated, galactosemia can lead to serious complications such as liver damage, developmental delays, and intellectual disabilities. Therefore, it is important for babies with galactosemia to follow a strict galactose-free diet.
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19.
A rare condition in which the baby cannot properly use one of the building blocks of protein called phenylalanine.
A.
Galactosemia
B.
Phenylketonuria
C.
G6PD
D.
Congenital Adrenal Hyperplasia
Correct Answer
B. pHenylketonuria
Explanation Phenylketonuria is a rare condition where the baby is unable to properly use phenylalanine, one of the building blocks of protein. This condition is caused by a deficiency of the enzyme phenylalanine hydroxylase, which leads to the accumulation of phenylalanine in the body. If left untreated, this can cause intellectual disabilities and other health problems. Galactosemia is a different condition where the baby cannot properly process galactose, G6PD is a genetic disorder affecting red blood cells, and Congenital Adrenal Hyperplasia is a group of genetic disorders affecting the adrenal glands.
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20.
Bebang a mother in community ask a nurse how many percent a Lactational Amenorrhea Method is effective. Your answer is?
A.
Sorry it’s not effective
B.
According to study its 50% effective so better other method should use
C.
It can be used for 6 months, and it’s effective by 99.5%
D.
You can’t use it since it’s a natural family method, it’s not effective
Correct Answer
C. It can be used for 6 months, and it’s effective by 99.5%
Explanation The correct answer is that the Lactational Amenorrhea Method can be used for 6 months and is effective by 99.5%. This means that for the first 6 months after giving birth, breastfeeding can be used as a form of contraception with a high level of effectiveness. It is important for Bebang to understand this information so that she can make informed decisions about family planning.
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21.
Enumerate the 10 Herbal Medicines approved by DOH ________________________________________________________________________________
Explanation The given list of herbal medicines includes Sambong, Akapulko, Niyog Niyugan, Tsaang Gubat, Ampalaya, Lagundi, Ulasimang Bato, Bawang, Bayabas, and Yerba Buena. These herbal medicines have been approved by the Department of Health (DOH).
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