ATI RN
Community and Public Health Nursing Evidence for Practice Questions
Question 1 of 5
A woman, 6 months pregnant, came to the center for consultation. Which of the following substances is contraindicated?
Correct Answer: B
Rationale: The correct answer is B: Retinol 200,000 IU. Retinol, also known as vitamin A, in high doses can be teratogenic and harmful during pregnancy, especially in the first trimester. It can lead to birth defects. Tetanus toxoid (A) is safe and recommended during pregnancy. Ferrous sulfate (C) is commonly prescribed to prevent anemia in pregnant women. Potassium iodate (D) is used to prevent iodine deficiency.
Question 2 of 5
A primigravida is instructed to offer her breast to the baby for the first time within 30 minutes affer delivery. What is the purpose of offering the breast this early?
Correct Answer: C
Rationale: The correct answer is C: To make sure that the baby is able to get the colostrum. Rationale: 1. Colostrum is the early milk produced by the mammary glands after birth, rich in antibodies and vital nutrients. 2. Offering the breast within 30 minutes ensures that the baby receives this essential colostrum. 3. It kickstarts breastfeeding and provides the baby with important immune protection. 4. Options A and B are incorrect as milk letdown and production are not immediate after birth. 5. Option D is incorrect as the primary focus is on the baby receiving colostrum, not on practice or presence of a health worker.
Question 3 of 5
What is given to a woman within a month affer the delivery of a baby?
Correct Answer: B
Rationale: The correct answer is B: Ferrous sulfate 100mg. After giving birth, women often experience postpartum anemia due to blood loss during delivery. Ferrous sulfate is an iron supplement commonly prescribed to prevent or treat anemia by replenishing the iron stores in the body. Iron is essential for the production of red blood cells, which helps in maintaining healthy blood levels. Malunggay capsule (A) is not typically given post-delivery for anemia. Retinol (D) is not relevant for postpartum care and can be harmful in high doses. Choice C is incomplete, making it an invalid option. Therefore, choice B is the most appropriate and necessary supplement for a woman after giving birth.
Question 4 of 5
Unused BCG should be discarded how many hours affer reconstitution?
Correct Answer: C
Rationale: The correct answer is C (6 hours) because after reconstitution, the BCG vaccine loses its potency and effectiveness over time due to bacterial degradation. It is crucial to discard any unused BCG vaccine within 6 hours to ensure its efficacy. Choice A (2 hours) and B (4 hours) are too short of a time frame for the vaccine to remain stable and effective. Choice D (At the end of the day) is vague and does not provide a specific timeframe, which could lead to the vaccine being kept for too long, risking its efficacy.
Question 5 of 5
Which immunization produces a permanent scar?
Correct Answer: B
Rationale: The correct answer is B: BCG. Bacille Calmette-Guérin (BCG) vaccine for tuberculosis is administered through intradermal injection, which often results in a permanent scar due to the formation of a small blister and subsequent scabbing. DPT (A), Measles vaccination (C), and Hepatitis B vaccination (D) are typically administered intramuscularly or subcutaneously, which do not usually leave permanent scars. The scarring left by BCG vaccination is a distinctive feature that can help identify individuals who have received this specific immunization.