ATI Community Health Proctored Exam 2019 Quizlet

ATI Community Health Proctored Exam 2019 Quizlet Related

Review ATI Community Health Proctored Exam 2019 Quizlet related questions and content

During prenatal consultation, a client asked you if she can have her delivery at home. After history taking and physical examination, you advised her against a home delivery. Which of the following findings disqualifies her for a home delivery?

  • A. Her OB score is G5P3
  • B. She has some palmar pallor
  • C. Her blood pressure is 130/80
  • D. Her baby is in cephalic presentation
Correct Answer: A

Rationale: The correct answer is A. The OB score G5P3 means the client has had 5 pregnancies with 3 live births. This indicates a history of multiple pregnancies and deliveries, suggesting a higher risk for complications during labor. This would disqualify her for a home delivery due to the increased potential for obstetric emergencies.

Explanation for why the other choices are incorrect:
- B: Palmar pallor may indicate anemia but can be managed in a hospital setting.
- C: Blood pressure of 130/80 is within normal range and does not necessarily disqualify her for a home delivery.
- D: Cephalic presentation means the baby's head is down, which is a favorable position for delivery and does not disqualify her for a home birth.

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In the conduct of a census, the method of population assignment based on the actual physical location of the people is termed:

  • A. De jure
  • B. De locus
  • C. De facto
  • D. De novo
Correct Answer: C

Rationale: The correct answer is C: De facto. This method assigns individuals to a specific location based on where they are physically located during the census. "De facto" means "in fact" or "in reality." This ensures accurate representation of the population in a specific area at the time of the census.

A: De jure refers to assignment based on legal residence, not necessarily physical location.
B: De locus is not a standard term in census methodology.
D: De novo means "from the beginning" and is not relevant to population assignment in a census.

You are in a client's home to attend to a delivery. Which of the following will you do first?

  • A. Set up a sterile area
  • B. Put on a clean gown and apron
  • C. Cleanse the client's vulva with soap and water
  • D. Note the interval, duration and intensity of labor and contractions
Correct Answer: D

Rationale: The correct answer is D because as a healthcare provider attending to a delivery, noting the interval, duration, and intensity of labor and contractions is crucial for assessing the progress of labor and ensuring the safety of both the mother and the baby. This information helps in determining if the delivery is progressing normally or if there are any complications that require immediate attention. Setting up a sterile area (choice A) and putting on a clean gown and apron (choice B) are important steps but should come after assessing the labor progress. Cleansing the client's vulva with soap and water (choice C) is not recommended during labor as it can introduce bacteria and increase the risk of infection.

Which of the following diseases is prevented by administration of the Hepatitis B vaccine?

  • A. Jaundice
  • B. Liver cancer
  • C. Pneumonia
  • D. Tuberculosis
Correct Answer: B

Rationale: The correct answer is B: Liver cancer. The Hepatitis B vaccine prevents Hepatitis B infection, which is a major cause of chronic liver disease and can lead to liver cancer. Jaundice (choice A) is a symptom of Hepatitis B infection, not a disease prevented by the vaccine. Pneumonia (choice C) and Tuberculosis (choice D) are both respiratory infections and are not prevented by the Hepatitis B vaccine. The key is to understand the specific disease targeted by the vaccine and its related health outcomes.

In a mother's class, you discuss proper breastfeeding technique. Which of these is a sign that the baby has latched on the breast properly?

  • 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

Rationale: The correct answer is B because if the mother does not feel nipple pain, it indicates that the baby has latched on properly. Nipple pain is a common sign of improper latch, which can lead to discomfort and ineffective breastfeeding. The other choices are incorrect: A indicates ineffective sucking, C suggests a shallow latch, and D signifies a shallow latch that only involves the nipple, not the areola, leading to potential issues with milk transfer and nipple pain.

Primary health care is a total approach to community development. Which of the following is an indicator of success in using the primary health care approach?

  • A. Health services are provided free of charge to individuals and families
  • B. Local officials are empowered as the major decision-makers in health matters
  • C. Health workers can provide care based on identified health needs of the people
  • D. Health programs are sustained according to the level of development of the community
Correct Answer: D

Rationale: The correct answer is D, as it highlights the sustainability aspect crucial in primary health care. Sustainable health programs align with the community's development level, ensuring long-term effectiveness.

A: Providing free health services is not an indicator of success as sustainability and community involvement are key.
B: While empowering local officials is important, it doesn't directly measure the success of the primary health care approach.
C: Providing care based on identified needs is a fundamental aspect but doesn't guarantee success without sustainability.

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