BHU NO-2019
Community Health Nursing
Easy

On April 25, 2019 WHO released new guidelines on:

Appeared in: BHU NO-2019

Explanation

  • In April 2019, the WHO published its first-ever guidelines on physical activity, sedentary behavior, and sleep for children under 5 years.
  • The primary goal of these guidelines is to promote healthy growth, prevent childhood obesity, and improve cognitive and psychosocial development in early childhood.
  • The recommendations provide specific, age-appropriate targets for daily activity, limits on screen time, and duration of sleep.
  • This initiative was a direct response to global data showing a rise in inactivity and its associated health risks in very young children.

Why Other Options Were Wrong

  • Option B: While WHO addresses hypertension, specific treatment protocols, especially those linked with renal disease, are more commonly updated by specialized nephrology and hypertension bodies like KDIGO (Kidney Disease: Improving Global Outcomes).
  • Option C: Guidelines for the investigation and management of stroke (CVA) are typically set by neurological organizations such as the American Heart Association/American Stroke Association (AHA/ASA), not as a general WHO release on this specific date.
  • Option D: The redefinition of sepsis using the SOFA score was a major update, but it occurred in 2016 with the publication of the 'Sepsis-3' guidelines by critical care societies (SCCM and ESICM), not by WHO in 2019.

Related Visual

Visual explanation — Related Visual
Clinical Relevance
  • Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Knowledge of recent World Health Organization (WHO) guidelines in public health as background academic context rather than a clinical decision trigger.
  • Nurses, especially in community health and pediatrics, play a crucial role in educating parents and caregivers about these guidelines during health check-ups and immunization visits.
  • These guidelines provide a clear, evidence-based framework for counseling families on establishing healthy habits from a very young age to prevent long-term non-communicable diseases.
  • What if? If a parent reports their 2-year-old watches 3 hours of videos daily, the nurse can use these specific WHO guidelines (which recommend less than 1 hour) to explain the risks and collaboratively create a plan to reduce screen time and increase active play.
How to Approach the Question
  • First, identify the key elements of the question: the organization (WHO), the action (released new guidelines), and the specific date (April 25, 2019).
  • This is a factual recall question. Your knowledge of major public health announcements is being tested.
  • Evaluate each option against the specific date. Consider if the topic is a likely subject for a major WHO guideline.
  • Eliminate options that are known to be from different timeframes or different organizations. For example, the Sepsis-3/SOFA score update was a well-known event from 2016.
  • Select the option that aligns with a known major public health initiative from WHO around the specified time.
Concept Tested & Keywords
  • Concept Tested: Knowledge of recent World Health Organization (WHO) guidelines in public health.
  • Stem keywords: WHO, guidelines, April 25, 2019
  • Lead-in keywords: released new guidelines on
  • Negative lead-in flag: false

Question ID

QyNyZUyyAvqkmXi6g5FjzG

Reference Book

E6 Parks TextBook of Preventive & Social Medicine part 1 — Subpart C (pp 404-604 of 604) p. 30-32

E6 Ghai Essential Pediatrics(pp 26-904 of 913) p. 794-796

Practise the full BHU NO-2019

Attempt every question from this paper in a timed mock, then review the full solution for each one.