NCAS Maternal and Child Health 3

Question 1

A community nurse is providing anticipatory guidance to parents of a 6-month-old. Which solid food introduction guidance aligns with current AAP recommendations?

Accepted Answer

Introduce iron-rich pureed foods around 6 months while continuing breastfeeding

Answer

Start solid foods at 4 months to prevent allergies

Answer

Replace breast milk entirely with solid foods at 6 months

Answer

Avoid all allergenic foods until 12 months

Question 2

Which childhood vaccine-preventable disease has resurged in US communities due to vaccine hesitancy and is characterized by a severe cough with inspiratory 'whoop'?

Accepted Answer

Pertussis (whooping cough)

Answer

Measles

Answer

Polio

Answer

Diphtheria

Question 3

In the US, the childhood immunization schedule is jointly recommended by which organizations?

Accepted Answer

CDC, AAP, and AAFP

Answer

WHO and UNICEF only

Answer

CMS and the FDA

Answer

State health departments independently

Question 4

A community health nurse notes that children in a low-income neighborhood have blood lead levels above 3.5 mcg/dL. The MOST likely primary source of lead exposure in older US housing is:

Accepted Answer

Lead-based paint and dust

Answer

Community water chlorination

Answer

Childhood vaccines

Answer

School cafeteria food

Question 5

Which maternal risk factor is most strongly associated with preterm birth in the US?

Accepted Answer

Previous preterm birth

Answer

Maternal age over 35

Answer

Single parenthood

Answer

Non-Hispanic White race

Question 6

What does the term 'interconception care' refer to in maternal-child health programs?

Accepted Answer

Health care provided to women between pregnancies to improve outcomes for future pregnancies

Answer

Neonatal intensive care for premature infants

Answer

Health services for women who choose not to have children

Answer

Prenatal care during the first trimester