ATI LPN
ATI Proctored Community Health
1. Which of the following is a component of the Safe Motherhood Initiative?
- A. Promoting exclusive breastfeeding
- B. Providing routine immunizations
- C. Ensuring skilled attendance at birth
- D. Offering genetic counseling
Correct answer: C
Rationale: Ensuring skilled attendance at birth is a crucial component of the Safe Motherhood Initiative aimed at reducing maternal and neonatal mortality rates. By having skilled professionals attend births, complications can be identified early and appropriate care provided promptly, contributing to improved maternal and neonatal health outcomes.
2. Which of the following is a benefit of antenatal care?
- A. Early detection of pregnancy complications
- B. Increased risk of preterm labor
- C. Decreased maternal weight gain
- D. Delayed fetal growth
Correct answer: A
Rationale: Antenatal care plays a crucial role in the early detection and management of pregnancy complications, allowing healthcare providers to intervene promptly and improve outcomes for both the mother and the baby. Monitoring for potential issues during antenatal care visits can help identify problems such as gestational hypertension, gestational diabetes, or fetal growth restrictions early on, enabling timely interventions to prevent complications.
3. When preparing a primigravida for breastfeeding, which of the following will you do?
- A. Explain that lactation usually begins 1 to 3 days after delivery
- B. Teach her nipple stretching exercises if her nipples are flat or inverted
- C. Advise against washing her nipples excessively before and after each breastfeeding
- D. Inform her that putting the baby to breast can help reduce post-delivery blood loss
Correct answer: D
Rationale: Putting the baby to breast can help reduce post-delivery blood loss as suckling stimulates the release of oxytocin, causing uterine contractions. Lactation typically starts 1 to 3 days after delivery, not immediately. Nipple stretching exercises are recommended for flat or inverted nipples, not everted ones. Excessive washing of the nipples can dry them out, increasing the risk of fissures.
4. To monitor clients registered in long-term regimens, such as Multi-Drug Therapy, which component will be most useful?
- A. Tally report
- B. Output report
- C. Target/client list
- D. Individual health record
Correct answer: C
Rationale: The Target/Client List is a record that specifically tracks clients enrolled in MDT and includes essential data like the dates when clients collected their monthly drug supplies. This list is crucial for monitoring and managing clients in long-term regimens, providing a comprehensive overview of client participation and treatment progress.
5. If the RHU needs additional midwife items, to whom should you submit the request for approval?
- A. Rural Health Unit
- B. District Health Office
- C. Provincial Health Office
- D. Municipal Health Board
Correct answer: D
Rationale: When the RHU requires additional midwife items, the request for approval should be submitted to the Municipal Health Board. According to R.A. 7160, basic health services have been decentralized from the national government to local government units, including municipalities. The Municipal Health Board plays a crucial role in overseeing health-related matters at the local level, making it the appropriate authority to seek approval for additional midwife items.
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