ATI LPN
ATI Proctored Community Health
1. Which of the following practices is part of the Baby-Friendly Hospital Initiative (BFHI)?
- A. Promoting the use of infant formula
- B. Encouraging skin-to-skin contact after birth
- C. Separating mother and baby after delivery
- D. Scheduling feedings at fixed intervals
Correct answer: B
Rationale: The correct answer is encouraging skin-to-skin contact after birth. The Baby-Friendly Hospital Initiative (BFHI) aims to promote breastfeeding and bonding by encouraging practices such as immediate skin-to-skin contact between mother and baby, rooming-in, and supporting exclusive breastfeeding. These practices have been shown to have numerous benefits for both the mother and the baby in terms of bonding, breastfeeding success, and overall health outcomes.
2. 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.
3. 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.
4. In the year 1980, the World Health Organization declared the Philippines, along with some other countries in the Western Pacific Region, 'free' of which disease?
- A. Pneumonic plague
- B. Poliomyelitis
- C. Smallpox
- D. Anthrax
Correct answer: C
Rationale: The correct answer is C, Smallpox. The World Health Organization declared the Philippines, along with other countries in the Western Pacific Region, 'free' of Smallpox in 1980. The last documented case of Smallpox worldwide was in 1977 in Somalia, leading to the global eradication of the disease.
5. 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.
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