A family plans to dig a pit latrine near their drinking-water well. To prevent faecal contamination of the well, the latrine should be placed at least:

15 metres away and downhill of the well

15 metres away and uphill of the well

5 metres away and on the same level

3 metres away and downhill of the well

A health inspector uses Horrock's apparatus at a village well. This test is done to find:

The dose of bleaching powder needed

The free residual chlorine in the well

The coliform count of the well water

Under the ICDS supplementary nutrition norms, a pregnant or lactating woman should receive each day about:

600 kcal and 18-20 g of protein

800 kcal and 20-25 g of protein

500 kcal and 12-15 g of protein

A woman asks about Centchroman (Chhaya), the non-steroidal weekly pill in the family planning programme. The correct way to take it is:

One tablet twice a week for three months, then once a week

One tablet within 72 hours after unprotected intercourse

One tablet daily for 21 days, then a seven-day break

One tablet once a week from the start, without a loading phase

Health care delivery, family welfare and nutrition

16 AIIMS NORCET (Nursing Officer) practice questions on Health care delivery, family welfare and nutrition, part of Community Health Nursing. The first 16 are below; the first 5 with answers and explanations (tap Show answer after you have chosen), the rest in Learn with a free account.

Question 1 · Medium
An 18-month-old child is brought to the sub-centre for the vitamin A dose given with the DPT booster. The first dose was given at 9 months. The ANM should give:
1. A2,00,000 IU by injection
2. B50,000 IU orally
3. C1,00,000 IU orally
4. D2,00,000 IU orally
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Answer: D · 2,00,000 IU orally
Vitamin A prophylaxis starts with 1,00,000 IU at 9 months along with measles-rubella vaccine. From 16-18 months, 2,00,000 IU is given every six months until five years of age, nine doses in all. The solution is given orally with the marked spoon. It prevents night blindness and lowers deaths from measles and diarrhoea.
- A: Vitamin A prophylaxis is given by mouth, not by injection.
- B: 50,000 IU is used for infants under six months in treatment schedules, not this booster.
- C: 1,00,000 IU is the infant dose given at 9 months only.
Question 2 · Medium
A family plans to dig a pit latrine near their drinking-water well. To prevent faecal contamination of the well, the latrine should be placed at least:
1. A15 metres away and uphill of the well
2. B5 metres away and on the same level
3. C15 metres away and downhill of the well
4. D3 metres away and downhill of the well
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Answer: C · 15 metres away and downhill of the well
A pit latrine should be at least 15 metres (about 50 feet) from a drinking-water source and, where possible, downhill of it. Bacteria travel only a limited distance through soil, but they move with ground water, which flows downhill. Placing the latrine uphill lets seepage flow towards the well even at 15 metres. Distances may need to be greater in sandy or fissured soil.
- A: Uphill placement lets ground-water seepage carry faeces towards the well.
- B: 5 metres is too close; 15 metres is the minimum.
- D: 3 metres is too close for safe filtration through the soil.
Question 3 · Medium
A health inspector uses Horrock's apparatus at a village well. This test is done to find:
1. AThe free residual chlorine in the well
2. BThe hardness of the well water
3. CThe coliform count of the well water
4. DThe dose of bleaching powder needed
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Answer: D · The dose of bleaching powder needed
Horrock's apparatus estimates the chlorine demand of a water sample, and so the amount of bleaching powder needed to disinfect it. Graded amounts of bleaching powder are added to six cups of the water, and starch-iodide indicator is added after 30 minutes. The first cup showing a blue colour shows the dose that leaves a free residual. The answer is then scaled up to the volume of the well.
- A: Free residual chlorine is measured afterwards with the orthotolidine test.
- B: Hardness is estimated by titration, not with Horrock's apparatus.
- C: Coliforms are counted by the multiple tube or membrane filter method in a laboratory.
Question 4 · Medium
Under the ICDS supplementary nutrition norms, a pregnant or lactating woman should receive each day about:
1. A800 kcal and 20-25 g of protein
2. B600 kcal and 18-20 g of protein
3. C500 kcal and 12-15 g of protein
4. D450 kcal and 12 g of protein
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Answer: B · 600 kcal and 18-20 g of protein
Under the revised ICDS norms, pregnant and lactating women receive about 600 kcal and 18-20 g of protein a day as supplementary nutrition. Children aged 6-72 months receive 500 kcal and 12-15 g protein, and severely underweight children receive 800 kcal and 20-25 g protein. The supplement fills the gap between need and the usual home diet; it does not replace meals. It is usually given as take-home rations for women.
- A: 800 kcal and 20-25 g is the norm for a severely underweight child.
- C: 500 kcal and 12-15 g is the norm for a child aged 6-72 months.
- D: 450 kcal and 12 g is the mid-day meal norm for primary school children.
Question 5 · Medium
A woman asks about Centchroman (Chhaya), the non-steroidal weekly pill in the family planning programme. The correct way to take it is:
1. AOne tablet within 72 hours after unprotected intercourse
2. BOne tablet daily for 21 days, then a seven-day break
3. COne tablet twice a week for three months, then once a week
4. DOne tablet once a week from the start, without a loading phase
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Answer: C · One tablet twice a week for three months, then once a week
Centchroman (ormeloxifene) 30 mg is taken twice a week for the first three months and then once a week for as long as contraception is needed. It is a selective oestrogen receptor modulator, not a hormone, so it is suitable during breastfeeding. It can delay periods, so users are told that a late period alone is not a sign of failure. The first tablet is taken on the first day of the period.
- A: A single dose within 72 hours describes levonorgestrel emergency contraception.
- B: The 21 days on and seven days off schedule is for the combined oral pill (Mala-N).
- D: Starting once weekly without the twice-weekly loading phase gives poor early protection.
Question 6 · Hard
A circular well has a diameter of 2 m and holds water 4 m deep. Horrock's test shows a chlorine dose of 2 mg/L is needed, and the bleaching powder has 33% available chlorine. About how much bleaching powder is needed?
1. A76 g
2. B25 g
3. C38 g
4. D304 g
Answer and explanation in LearnFree account
Question 7 · Easy
The Copper T 380A supplied in the Indian family welfare programme is effective for:
1. A1 year
2. B3 years
3. C5 years
4. D10 years
Answer and explanation in LearnFree account
Question 8 · Easy
After chlorination of a piped water supply, the free residual chlorine that should remain at the end of one hour of contact is:
1. A0.5 mg/L
2. B5 mg/L
3. C0.05 mg/L
4. D2 mg/L
Answer and explanation in LearnFree account
Question 9 · Hard
A tribal block has a population of 1,20,000. Using the hilly and tribal area norms, how many Primary Health Centres does the block need?
1. A40
2. B4
3. C6
4. D24
Answer and explanation in LearnFree account
Question 10 · Easy
In hilly, tribal and difficult areas, one Primary Health Centre is planned for a population of about:
1. A80,000
2. B20,000
3. C3,000
4. D30,000
Answer and explanation in LearnFree account
Question 11 · Medium
Chlorine added to water first reacts with ammonia and organic matter, and only then does free chlorine start to build up. The point where this happens is called:
1. ASuperchlorination
2. BOrthotolidine point
3. CBreakpoint chlorination
4. DDechlorination
Answer and explanation in LearnFree account
Question 12 · Hard
In a study of a contraceptive, 500 women used it for 2 years each and 30 accidental pregnancies occurred. What is the Pearl index?
1. A6 per 100 woman-years
2. B0.25 per 100 woman-years
3. C0.03 per 100 woman-years
4. D3 per 100 woman-years
Answer and explanation in LearnFree account
Question 13 · Easy
The Schmutzdecke or 'vital layer' that forms on top of a slow sand filter purifies water mainly by:
1. ABackwashing that removes trapped silt
2. BAdding alum to coagulate the impurities
3. CKilling organisms with released chlorine
4. DBiological action of algae and bacteria
Answer and explanation in LearnFree account
Question 14 · Hard
At an anganwadi, a 2-year-old has a MUAC of 11.2 cm and no oedema. She is alert but refuses the ready-to-use food in the appetite test. What should the health worker do?
1. AGive vitamin A and deworm, then recheck in 3 months
2. BEnrol her for double supplementary nutrition
3. CRefer her to a Nutrition Rehabilitation Centre
4. DGive take-home rations and review in a month
Answer and explanation in LearnFree account
Question 15 · Medium
A CHC is to be upgraded as a First Referral Unit. Which service must it be able to provide 24 hours a day?
1. ARadiotherapy for cervical cancer
2. BCaesarean section with blood storage
3. CDialysis for acute renal failure
4. DCardiac catheterisation for heart attack
Answer and explanation in LearnFree account
Question 16 · Easy
Under the National Health Mission, how many people is one ASHA normally selected for in a rural plain area?
1. A1,000
2. B400
3. C5,000
4. D2,500
Answer and explanation in LearnFree account

Health care delivery, family welfare and nutrition

An 18-month-old child is brought to the sub-centre for the vitamin A dose given with the DPT booster. The first dose was given at 9 months. The ANM should give:

A family plans to dig a pit latrine near their drinking-water well. To prevent faecal contamination of the well, the latrine should be placed at least:

A health inspector uses Horrock's apparatus at a village well. This test is done to find:

Under the ICDS supplementary nutrition norms, a pregnant or lactating woman should receive each day about:

A woman asks about Centchroman (Chhaya), the non-steroidal weekly pill in the family planning programme. The correct way to take it is:

A circular well has a diameter of 2 m and holds water 4 m deep. Horrock's test shows a chlorine dose of 2 mg/L is needed, and the bleaching powder has 33% available chlorine. About how much bleaching powder is needed?

The Copper T 380A supplied in the Indian family welfare programme is effective for:

After chlorination of a piped water supply, the free residual chlorine that should remain at the end of one hour of contact is:

A tribal block has a population of 1,20,000. Using the hilly and tribal area norms, how many Primary Health Centres does the block need?

In hilly, tribal and difficult areas, one Primary Health Centre is planned for a population of about:

Chlorine added to water first reacts with ammonia and organic matter, and only then does free chlorine start to build up. The point where this happens is called:

In a study of a contraceptive, 500 women used it for 2 years each and 30 accidental pregnancies occurred. What is the Pearl index?

The Schmutzdecke or 'vital layer' that forms on top of a slow sand filter purifies water mainly by:

At an anganwadi, a 2-year-old has a MUAC of 11.2 cm and no oedema. She is alert but refuses the ready-to-use food in the appetite test. What should the health worker do?

A CHC is to be upgraded as a First Referral Unit. Which service must it be able to provide 24 hours a day?

Under the National Health Mission, how many people is one ASHA normally selected for in a rural plain area?