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. What is a common barrier to accessing health care services?

A. Lack of transportation
B. High cost of services
C. Long wait times
D. Complexity of the health care system

Correct answer: A

Rationale: Lack of transportation is a significant barrier that can hinder individuals from accessing health care services. Without reliable transportation, individuals may struggle to reach healthcare facilities, leading to unmet health needs and potential health complications.

3. The RN working within the NFP model of care uses the Minnesota Health Wheel to describe what she does in her role to her own family. Which intervention is the RN likely to describe that is consistent with the public health nurse role of delegation:

A. I administered IV antibiotics every 6 hours when the physician or nurse practitioner prescribed them.
B. I conducted a full respiratory exam on a mother who might need asthma follow-up.
C. I collaborated with the social work services team when I noted that my patient was unhoused.
D. I taught the newly pregnant mom about necessary vaccinations to have at this time.

Correct answer: C

Rationale: Collaborating with social work services is a form of delegation, ensuring that clients receive comprehensive care.

4. When planning a health promotion program for a community, what information should be considered first?

A. The health needs of the population
B. The available resources for the program
C. The current health status of the population
D. The demographic characteristics of the population

Correct answer: A

Rationale: When planning a health promotion program for a community, the health needs of the population should be considered first. Understanding the specific health needs of the community helps in designing a program that addresses relevant health issues and is tailored to be effective. By identifying the prevalent health concerns, the program can be targeted towards making a meaningful impact on the community's well-being.

5. Which is an example of a secondary prevention strategy?

A. Administering immunizations to prevent disease
B. Conducting health screenings to detect early signs of disease
C. Providing rehabilitation services to prevent complications
D. Educating the public about healthy lifestyle choices

Correct answer: B

Rationale: Conducting health screenings to detect early signs of disease is an example of secondary prevention. This strategy focuses on early detection and intervention to prevent the progression of a disease or health issue. By identifying potential health problems at an early stage, individuals can receive timely treatment and management, thereby reducing the risk of complications and improving health outcomes.