ATI LPN
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. What is the recommended duration of exclusive breastfeeding?
- A. 3 months
- B. 6 months
- C. 9 months
- D. 12 months
Correct answer: B
Rationale: The World Health Organization recommends exclusive breastfeeding for the first 6 months of a child's life. During this time, breast milk provides all the necessary nutrients for the baby's growth and development, offering protection against infections and supporting optimal health outcomes. After 6 months, complementary foods can be introduced while continuing breastfeeding up to 2 years of age or beyond.
3. Which of the following health professionals can sign the birth certificate?
- A. Public health nurse
- B. Rural health midwife
- C. Municipal health officer
- D. Any of these health professionals
Correct answer: D
Rationale: According to R.A. 3753, any birth attendant, including public health nurses, rural health midwives, and municipal health officers, may sign the certificate of live birth. This law allows a range of health professionals involved in childbirth to be authorized to sign birth certificates, ensuring accessibility and convenience for parents.
4. 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.
5. 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.
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