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ATI Community Health Proctored Exam 2019 Quizlet
1. 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. An OB score of G5P3 indicates that the client has had five pregnancies and three live births, making her ineligible for a home delivery. Typically, women with fewer pregnancies are considered better candidates for home deliveries due to lower risks. Additionally, primigravidas are usually advised to deliver at a medical facility for their first pregnancy.
2. Which numerator is used in computing the general fertility rate?
- A. Estimated midyear population
- B. Number of registered live births
- C. Number of pregnancies in the year
- D. Number of females of reproductive age
Correct answer: B
Rationale: The general fertility rate is calculated by dividing the number of registered live births by the number of females of reproductive age (usually 15-45 years) and then multiplying the result by 1,000. This rate helps in understanding the average number of live births a woman in a specific population is expected to have during her reproductive years.
3. Sputum examination is the major screening tool for pulmonary tuberculosis. Clients may sometimes receive false negative results in this exam. This means that the test is not perfect in terms of which characteristic of a diagnostic examination?
- A. Effectiveness
- B. Efficacy
- C. Specificity
- D. Sensitivity
Correct answer: D
Rationale: Sensitivity is the ability of a diagnostic test to correctly identify individuals with the disease. A test with high sensitivity will rarely give false negative results, as it will detect almost all positive cases. In the context of the given scenario, false negative results indicate that the test is lacking in sensitivity to pick up all cases of pulmonary tuberculosis, leading to some cases being missed.
4. 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: Assessment of the woman should be done first to determine whether she is having true labor and, if so, what stage of labor she is in.
5. What is the minimum interval between the administration of two doses of the MMR vaccine?
- A. 2 weeks
- B. 4 weeks
- C. 6 weeks
- D. 8 weeks
Correct answer: B
Rationale: The minimum interval between two doses of the MMR vaccine is 4 weeks. This interval is necessary to allow the immune system to respond to the first dose and develop a sufficient immune response before receiving the second dose. Administering the doses too close together may not provide optimal protection.
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