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The appropriate order of steps in active management of the third stage of labor include:
- A. Cord clamping and cutting, controlled cord traction, ergometrine administration, and inspection to be sure the placenta is intact.
- B. Intravenous oxytocin, cord clamping and cutting, and fundal massage
- C. Intramuscular injection oxytocin, controlled cord traction with counter traction to the uterus, uterine massage
- D. Controlled cord traction, fundal massage and oxytocin
Correct Answer: C
Rationale: The correct order of steps in active management of the third stage of labor includes: 1) Intramuscular injection of oxytocin to prevent postpartum hemorrhage, 2) Controlled cord traction with counter traction to the uterus to facilitate placental delivery, and 3) Uterine massage to aid in uterine contraction and reduce bleeding.
Rationale for Correct Answer (C):
- Intramuscular oxytocin is administered first to prevent excessive bleeding.
- Controlled cord traction with counter traction assists in the gentle delivery of the placenta.
- Uterine massage helps the uterus contract and reduce the risk of hemorrhage.
Summary of Incorrect Choices:
- A (Incorrect): Incorrect order of steps, ergometrine administration is not recommended.
- B (Incorrect): Incorrect order, fundal massage should be done after cord traction.
- D (Incorrect): Incorrect order, oxytocin should be administered before cord traction.
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The C/PHN reviews the process of how a bill becomes a federal law. They note that which of the following statements is true?
- A. The bill will go to the appropriate committee to be discussed, research, and expert testimony heard.
- B. The bill will first be reviewed by the President to see if it aligns with the country's goals.
- C. The bill must have a complete consensus in both houses of the legislature.
- D. A bill cannot be vetoed by the President if the Senate supports it 100%.
Correct Answer: A
Rationale: The correct answer is A because it accurately describes the process of how a bill becomes a federal law. Initially, a bill is sent to the appropriate committee where it is discussed, researched, and expert testimonies are heard. This step allows for thorough examination and evaluation of the bill's content and implications. This committee review is essential in shaping the bill before it moves to the full legislative body for further debate and voting.
Choices B, C, and D are incorrect:
B: The bill is not first reviewed by the President in the legislative process. The President's involvement typically occurs at a later stage, after the bill has been passed by both houses of the legislature.
C: Complete consensus in both houses of the legislature is not required for a bill to become a law. It needs a majority vote in each house.
D: The President has the power to veto a bill, regardless of the level of support it receives in the Senate. The veto can be overridden by a two-thirds majority vote in
The public health RN is engaging with a teen in his community who is concerned about how he will be able to stay part of his friend group when they are all vaping and your client does not want to take part but does not want to feel awkward. Using motivational interviewing techniques, the RN says to the client, 'I understand this concern. Please tell me more about this and how it feels awkward for you.' The RN's question is an example of:
- A. Moving the teen to find a new friend group.
- B. Addressing the problem of teen awkwardness.
- C. Agreeing that awkwardness is hard.
- D. Using open-ended questioning.
Correct Answer: D
Rationale: The correct answer is D: Using open-ended questioning. The RN's question is open-ended, allowing the teen to express thoughts and feelings freely. This technique helps the client explore their concerns and motivations, fostering self-reflection and problem-solving. This approach aligns with motivational interviewing principles, aiming to evoke the client's own reasons for change.
Choices A, B, and C are incorrect:
A: Moving the teen to find a new friend group - This option involves a directive approach, which is contrary to motivational interviewing's collaborative and client-centered nature.
B: Addressing the problem of teen awkwardness - While acknowledging the teen's feelings, this choice focuses on the issue rather than facilitating the client's exploration of their own perspective.
C: Agreeing that awkwardness is hard - This choice reflects empathy, but it does not encourage the client to elaborate on their feelings and thoughts, limiting the depth of the conversation.
What can be an equally effective medicinal alternative to relieve muscle and joint pains that is non-costly, especially in far-flung communities and provinces, apart from the muscle pain-relieving drug advertised by Manny Pacquiao in the Philippines market?
- A. Sambong
- B. Lagundi
- C. Akapulko
- D. Yerba Buena
Correct Answer: D
Rationale: Step 1: Yerba Buena is a traditional medicinal herb commonly used in the Philippines to relieve muscle and joint pains.
Step 2: Yerba Buena is easily accessible and can be grown in home gardens, making it a non-costly alternative.
Step 3: Unlike the muscle pain-relieving drug advertised by Manny Pacquiao, Yerba Buena is a natural remedy with minimal side effects.
Step 4: Sambong, Lagundi, and Akapulko are also traditional herbs, but they are more commonly used for other health conditions, not specifically for muscle and joint pains.
Summary: Yerba Buena is the correct choice as it is a readily available and cost-effective alternative for muscle and joint pain relief, while the other choices are not as suitable for this specific purpose.
Barriers to a patient's engagement in self-care include all of the following except:
- A. Mental health issues
- B. Lack of knowledge
- C. High health literacy
- D. Financial issues
Correct Answer: C
Rationale: The correct answer is C: High health literacy. High health literacy actually facilitates a patient's engagement in self-care by enabling them to understand health information and make informed decisions. Mental health issues, lack of knowledge, and financial issues are barriers as they can affect a patient's ability to effectively manage their own care. Mental health issues may result in poor motivation or cognitive impairment, lack of knowledge can lead to incorrect practices, and financial issues can limit access to necessary resources.
The public health nurse is working with a client who desires to move away from eating take-out and fatty foods to maintain a healthier lifestyle. The client mentions eliminating processed foods from her diet most days of the week but still struggles to consistently add fruits and vegetables to her meals. According to the Transtheoretical Model of health behavior change, this client is in which stage:
- A. Pre-contemplation
- B. Contemplation
- C. Preparation
- D. Action
Correct Answer: C
Rationale: The correct answer is C: Preparation. In the Transtheoretical Model of health behavior change, the Preparation stage signifies that the individual is actively preparing to make a change within the next month. In this case, the client has already taken steps to eliminate processed foods most days of the week, indicating a readiness to change. However, the struggle to consistently add fruits and vegetables shows that the change is not fully implemented yet, placing the client in the Preparation stage.
Choice A: Pre-contemplation is incorrect because the client is already taking action to change her eating habits.
Choice B: Contemplation is incorrect as the client has moved past just thinking about changing her behavior.
Choice D: Action is incorrect because the client has not fully implemented the desired change yet, but is actively preparing for it.