vaginal bleeding immediately after birth is most often due to

ATI RN

ATI Community Health Proctored Exam 2019

1. What is the MOST COMMON cause of vaginal bleeding immediately after birth?

A. Uterine atony
B. Genital lacerations
C. Abnormal clotting mechanisms
D. Endometritis

Correct answer: A

Rationale: Vaginal bleeding immediately after birth is most commonly due to uterine atony. Uterine atony is the failure of the uterine muscle to contract adequately after childbirth, leading to postpartum hemorrhage. This condition is more frequent than genital lacerations, abnormal clotting mechanisms, or endometritis as a cause of immediate postpartum bleeding.

2. James' illness can be classified as:

A. Pneumonia
B. Very severe illness
C. Severe pneumonia
D. No pneumonia

Correct answer: D

Rationale: James' illness can be classified as 'No pneumonia' because there are no general danger signs present, and his breathing rate is normal, indicating the absence of pneumonia.

3. While using technique of motivational interviewing with a college student engaged in binge drinking several times per week, the public health RN should begin with which intervention:

A. Discussing how the student is managing his overall academic studies since drinking has become a problem
B. Explaining to the student the full range of harmful impacts binge drinking has on the body and mind
C. Asking open-ended questions and actively listening to the student while trying to remove any judgement
D. Asking the student to make a validated survey that reveals attitudes and knowledge about binge drinking

Correct answer: C

Rationale: Asking open-ended questions and actively listening without judgement is a key technique in motivational interviewing.

4. What is a key objective of community health nursing?

A. Providing curative services to the community
B. Improving the quality of life for individuals and families
C. Promoting health and preventing disease
D. Conducting research to find new treatments

Correct answer: B

Rationale: A key objective of community health nursing is to improve the quality of life for individuals and families by promoting health and preventing disease. Community health nurses focus on preventive care, health promotion, and education to enhance the overall well-being of the community they serve.

5. When assessing a community to determine its health needs, which data would be most useful?

A. Demographic data
B. Health behavior data
C. Environmental data
D. Morbidity and mortality data

Correct answer: D

Rationale: Morbidity and mortality data are essential for assessing the health needs of a community as they provide critical insights into the prevalence of diseases, causes of death, and areas that require intervention. By analyzing morbidity and mortality data, healthcare professionals can identify health trends, prioritize resources, and implement targeted interventions to improve the overall health outcomes of the community.