if bleeding continues after delivery of the placenta using management the first thing you should do is call for help and

ATI RN

ATI Community Health Proctored Exam 2019

1. If bleeding continues after delivery of the placenta using management, the FIRST thing you should do is call for help and:

A. Massage the uterus
B. Insert a urinary catheter
C. Start an IV
D. Check the placenta to ensure completeness

Correct answer: A

Rationale: In postpartum hemorrhage, massaging the uterus is the initial step to promote uterine contractions, which can help control bleeding by compressing the blood vessels. This action can help prevent further blood loss and stabilize the patient's condition. Calling for help is essential to ensure timely assistance, but taking immediate action by massaging the uterus is crucial in managing postpartum bleeding.

2. The public health RN is engaging with a teen in his community who is concerned about how he will be able to stay part of his friend group when they are all vaping and your client does not want to take part but does not want to feel awkward. Using motivational interviewing techniques, the RN says to the client, 'I understand this concern. Please tell me more about this and how it feels awkward for you.' The RN's question is an example of:

A. Moving the teen to find a new friend group.
B. Addressing the problem of teen awkwardness.
C. Agreeing that awkwardness is hard.
D. Using open-ended questioning.

Correct answer: D

Rationale: The RN's question, 'Please tell me more about this and how it feels awkward for you,' is an example of using open-ended questioning. Open-ended questions encourage clients to share more about their feelings and thoughts, allowing for a deeper exploration of their concerns and experiences. It helps in building rapport, understanding the client's perspective, and facilitating a client-centered conversation.

3. What is a major barrier to accessing health care services?

A. Cultural differences
B. High cost of services
C. Lack of transportation
D. Long wait times

Correct answer: B

Rationale: The high cost of services can be a significant barrier that prevents individuals from accessing necessary health care. Financial constraints can deter people from seeking medical help, leading to negative health outcomes.

4. During secondary prevention activities, what action is a healthcare professional performing?

A. Conducting health screenings
B. Providing early treatment for disease
C. Administering medications
D. Referral to specialized care

Correct answer: B

Rationale: During secondary prevention, healthcare professionals focus on providing early treatment for disease to prevent its progression or complications. Health screenings fall under the realm of primary prevention by detecting diseases early or identifying risk factors before they lead to illness.

5. In evaluating the healthcare provided, which of the following vital statistics in the communities served will BEST indicate their health status?

A. 0 crude death rate for the year 2012
B. 50% (Swaroop's) index for the year 2011
C. 0 infant mortality rate for the year 2011
D. 0 crude birth rate for the year 2011

Correct answer: C

Rationale: The infant mortality rate is a critical indicator of a community's health status as it reflects the impact of economic and social conditions on the health of mothers and infants, as well as the effectiveness of healthcare systems. A low infant mortality rate signifies better overall health outcomes and healthcare access within a community.