RUHS, Jaipur, PB B.Sc Nursing Entrance-2020
Applied Nutrition & Dietetics
Easy
Under the National Nutritional Anemia prophylaxis program, the strength of iron and folic acid in a tablet is:
Appeared in: RUHS, Jaipur, PB B.Sc Nursing Entrance-2020
Explanation
- The correct answer reflects the current guidelines under the Anemia Mukt Bharat (AMB) strategy, which is the intensified and updated version of the older National Nutritional Anemia Prophylaxis Program (NNAPP).
- For prophylaxis in pregnant and lactating women, the recommended daily dose is one tablet containing 60 mg of elemental iron and 0.5 mg (500 mcg) of folic acid.
- This dose is intended for prevention of anemia throughout pregnancy (starting from the second trimester) and for 180 days postpartum.
- The shift from 100 mg to 60 mg for prophylaxis was made to improve compliance by potentially reducing gastrointestinal side effects, while still being effective for prevention.
Why Other Options Were Wrong
- Option B: This dose (100 mg iron + 0.5 mg folic acid) is no longer the standard for prophylaxis.
- Option C: The folic acid content (0.1 mg) is too low for pregnant women.
- Option D: This option combines the correct iron dose for adult prophylaxis with the incorrect folic acid dose for children.
Related Visual
Clinical Relevance
- Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Dosage of Iron and Folic Acid (IFA) under India's National Anemia Prophylaxis Program as background academic context rather than a clinical decision trigger.
- Nurses are central to implementing the Anemia Mukt Bharat program by distributing IFA tablets, educating beneficiaries, and monitoring for compliance and side effects.
- It is crucial to differentiate between prophylactic (preventive) and therapeutic (treatment) doses. Administering a therapeutic dose when only prophylaxis is needed can increase side effects and reduce compliance.
- Patient education is key. Nurses must inform beneficiaries that dark stools are a normal side effect and advise taking tablets with vitamin C-rich foods to enhance absorption and avoiding tea/coffee/milk around the time of ingestion.
How to Approach the Question
- First, identify the key terms in the question: 'National Nutritional Anemia prophylaxis program', 'strength', 'iron and folic acid', and 'prophylaxis'.
- Recognize that this question tests knowledge of a specific national health program in India.
- Recall that the original NNAPP has been updated by the Anemia Mukt Bharat (AMB) strategy. Current exam questions are more likely to test current guidelines.
- Differentiate between the dose for 'prophylaxis' (prevention) and 'treatment'. The question specifically asks for the prophylactic dose.
- Compare the options with the known current prophylactic dose for the primary target group (pregnant women), which is 60 mg elemental iron and 0.5 mg folic acid.
- Eliminate options with incorrect dosages or combinations, such as those with insufficient folic acid for adults or the outdated prophylactic dose.
Concept Tested & Keywords
- Concept Tested: Dosage of Iron and Folic Acid (IFA) under India's National Anemia Prophylaxis Program.
- Stem keywords: National Nutritional Anemia prophylaxis program, iron and folic acid, tablet
- Lead-in keywords: strength
Question ID
QUQY-Ug43u8kIO9jKUP40s
Reference Book
E6 Nutrition Monika Sharma 3e p. 317-319
E6 Parks TextBook of Preventive & Social Medicine part 2 — Subpart A (pp 1-232 of 464) p. 180-182
E6 Comprehensive Textbook of Community Health Nursing for BSc Nursing Students Part 2 — Subpart A (pp 1-275 of 550) p. 202-204
Practise the full RUHS, Jaipur, PB B.Sc Nursing Entrance-2020
Attempt every question from this paper in a timed mock, then review the full solution for each one.
More National Nutritional Program and Role Questions
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