what is the appropriate action to take if a child is found to have a fever on the day of immunization

ATI LPN

ATI Proctored Community Health

1. What is the appropriate action to take if a child is found to have a fever on the day of immunization?

A. Administer the vaccine as scheduled
B. Delay the immunization until the fever subsides
C. Give a lower dose of the vaccine
D. Administer an antipyretic before the vaccine

Correct answer: B

Rationale: When a child is found to have a fever on the day of immunization, it is recommended to delay the immunization until the fever subsides. This is important to ensure the child's safety and the vaccine's effectiveness. Administering the vaccine with a fever can potentially worsen the child's condition and reduce the vaccine's ability to generate an appropriate immune response.

2. 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.

3. Which principle is CONTRARY to planning a home visit?

A. A home visit should have a clear purpose or objective
B. The plan should be centered around the family's health needs
C. A home visit should strictly follow RHU guidelines
D. Involving a responsible family member in continuing care planning is essential

Correct answer: C

Rationale: When planning a home visit, it is crucial for the visit to be tailored to the specific needs of the family. While guidelines are important, they should not restrict the flexibility and practicality of the plan. The plan should adapt to the family's unique circumstances, resources available, and the nurse's assessment, rather than being rigidly bound by preset guidelines.

4. An indicator of success in community organizing is when people are able to:

A. Participate in community activities to address a community problem
B. Implement activities to address the community problem
C. Plan activities to address the community problem
D. Identify the community problem as a common concern

Correct answer: A

Rationale: Success in community organizing is indicated when individuals actively participate in community activities aimed at addressing a shared community issue. While planning and implementation are essential components, active participation by community members is crucial for achieving sustainable solutions and fostering community engagement and empowerment.

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.