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ATI Proctored Community Health
1. Which of the following is a key component of the IMCI strategy?
- A. Promoting hospital-based care
- B. Providing routine immunizations
- C. Enhancing maternal nutrition
- D. Integrated case management of childhood illnesses
Correct answer: D
Rationale: Integrated Management of Childhood Illness (IMCI) is a strategy developed by WHO and UNICEF. The key components of IMCI include integrated case management of childhood illnesses, where healthcare providers are trained to assess, classify, and treat common childhood illnesses holistically. This approach aims to improve the quality of care for children under five years of age by focusing on overall health, nutrition, immunization, and family and community practices. Therefore, promoting hospital-based care, providing routine immunizations, and enhancing maternal nutrition, while important, are not the sole key components of the IMCI strategy.
2. What is the appropriate action to take if a child is found to have a fever on the day of immunization?
- A. Administer the vaccine as scheduled
- B. Delay the immunization until the fever subsides
- C. Give a lower dose of the vaccine
- D. Administer an antipyretic before the vaccine
Correct answer: B
Rationale: When a child is found to have a fever on the day of immunization, it is recommended to delay the immunization until the fever subsides. This is important to ensure the child's safety and the vaccine's effectiveness. Administering the vaccine with a fever can potentially worsen the child's condition and reduce the vaccine's ability to generate an appropriate immune response.
3. When educating a mother about the benefits of breastfeeding, what should be included?
- A. Breastfeeding reduces the risk of postpartum hemorrhage.
- B. Breastfeeding provides passive immunity to the infant.
- C. Breastfeeding increases the mother's risk of breast cancer.
- D. Breastfeeding delays the return of menstruation.
Correct answer: B
Rationale: Breastfeeding provides passive immunity to the infant by transferring antibodies from the mother to protect the infant from infections and illnesses. This is one of the key benefits of breastfeeding, as it helps boost the baby's immune system during the early stages of life.
4. What is the primary method of transmission for tuberculosis?
- A. Vector-borne
- B. Airborne
- C. Waterborne
- D. Fecal-oral
Correct answer: B
Rationale: The correct answer is 'Airborne.' Tuberculosis is mainly transmitted through the air via respiratory droplets when an infected person coughs or sneezes. This allows the bacteria to be inhaled by others and infect their lungs. It is important to implement infection control measures to prevent the spread of tuberculosis in healthcare settings and the community.
5. Which of the following is a contraindication for the administration of live vaccines?
- A. Mild upper respiratory infection
- B. Previous allergic reaction to the vaccine
- C. Current antibiotic therapy
- D. Family history of allergies
Correct answer: B
Rationale: A previous allergic reaction to the vaccine is a contraindication for the administration of live vaccines. This is because individuals who have had a previous allergic reaction to a vaccine are at higher risk of developing a severe allergic reaction with subsequent doses. It is crucial to identify and avoid administering live vaccines to individuals with a history of allergic reactions to prevent potential adverse events.
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