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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. In the past year, Barangay A had an average population of 1655. There were 46 babies born in that year, 2 of whom died less than 4 weeks after birth, and 4 stillbirths were recorded. What is the neonatal mortality rate?
- A. 27.8/1000
- B. 43.5/1000
- C. 86.9/1000
- D. 130.4/1000
Correct answer: B
Rationale: Neonatal mortality rate is calculated by dividing the number of babies who died before reaching the age of 28 days by the total number of live births, then multiplying by 1,000. In this case, 2 babies died within 28 days out of 46 total live births. Therefore, the neonatal mortality rate is (2/46) * 1000 = 43.5/1000.
3. Why is iron supplementation given to pregnant women?
- A. To prevent anemia
- B. To promote fetal growth
- C. To prevent premature labor
- D. To prevent postpartum hemorrhage
Correct answer: A
Rationale: Iron supplementation is essential for pregnant women to prevent anemia, which can have adverse effects on both the mother and the developing fetus. Anemia in pregnancy can lead to fatigue, weakness, and even complications such as preterm birth or low birth weight. Therefore, ensuring an adequate supply of iron through supplementation is crucial to support the increased demands during pregnancy and prevent deficiencies that could negatively impact the health of both the mother and the baby.
4. What is an advantage of conducting a home visit?
- A. It enables the nurse to provide nursing care to a greater number of people
- B. It provides an opportunity to conduct a firsthand appraisal of the home situation
- C. It allows sharing of experiences among people with similar health problems
- D. It fosters the family’s initiative in providing for the health needs of its members
Correct answer: B
Rationale: Conducting a home visit provides an opportunity to conduct a firsthand appraisal of the home situation. This allows healthcare professionals to observe the living conditions, identify potential health hazards, and tailor care plans to the individual's environment. It helps in gaining a better understanding of the patient's lifestyle, social support, and resources available at home, leading to more personalized and effective care.
5. Which step in community organizing involves the training of potential leaders in the community?
- A. Integration
- B. Community organization
- C. Community study
- D. Core group formation
Correct answer: D
Rationale: In core group formation, potential or informal community leaders are trained in community organizing techniques to empower them to take on leadership roles within the community. This step is crucial in building capacity and sustainability within the community organizing process.
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