donna needs further teaching about the use of partograph if she said to her ci that

ATI RN

ATI Community Health Proctored Exam 2023

1. Donna needs further teaching about the use of partograph if she said to her CI that:

A. I will start using the partograph if the patient's cervix is already 4 cm dilated.
B. I can use the partograph in all pregnant women.
C. I will plot the cervical dilatation using 'x'.
D. I need to refer my patient to the hospital if the cervical dilatation reaches the action line.

Correct answer: B

Rationale: Donna needs further teaching because using a partograph in all pregnant women is incorrect. The partograph is specifically used when labor is established to monitor the progress of labor and identify deviations from normal patterns. It is not meant to be used indiscriminately in all pregnant women, but rather in those who are in labor to enhance safe delivery practices.

2. 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: Intramuscular injection of oxytocin, controlled cord traction with counter traction to the uterus, and uterine massage are the appropriate steps in active management of the third stage of labor.

3. In population health management, a nurse overseeing a panel of 1,500 patients will primarily engage in which of the following activities?

A. Proactively assessing the health needs of the entire panel and planning accordingly
B. Focusing on providing care to young and seemingly vulnerable patients
C. Spending most time with patients who regularly attend their visits
D. Prioritizing care by responding to the oldest patients first

Correct answer: A

Rationale: In population health management, a nurse overseeing a large panel of patients needs to proactively assess the health needs of the entire panel to plan and provide appropriate care effectively. This approach ensures that all patients receive necessary attention and interventions, contributing to better health outcomes for the population as a whole.

4. Which of the following are core functions of public health?

A. Assessment
B. Policy development
C. Assurance
D. All of the above

Correct answer: D

Rationale: All the options listed - Assessment, Policy development, and Assurance - are core functions of public health. Assessment involves collecting and analyzing data to identify health problems, Policy development focuses on creating and implementing policies to address those problems, and Assurance ensures that necessary health services are provided to the community.

5. What is the primary goal of public health?

A. To achieve health equity
B. To prevent disease and disability
C. To prolong life
D. To promote health

Correct answer: B

Rationale: The primary goal of public health is to prevent disease and disability by implementing measures to protect and improve the health of communities and populations. While achieving health equity, prolonging life, and promoting health are important aspects of public health, the central focus remains on preventing diseases and disabilities through various strategies such as vaccination programs, health education, and environmental regulations.