ATI RN
RN Evidence-Based Practice in Community and Public Health Assessment Questions
Question 1 of 5
In preparing a primigravida for breastfeeding, which of the following will you do?
Correct Answer: D
Rationale: The correct answer is D. Putting the baby to breast will help release oxytocin, which helps the uterus contract and reduce postpartum bleeding. This is important for the mother's recovery. A: Incorrect. Lactation typically begins a few days after delivery, not within a day. B: Incorrect. Nipple stretching exercises are not commonly recommended for breastfeeding preparation. C: Incorrect. Washing nipples before and after breastfeeding is unnecessary and may lead to dryness and irritation.
Question 2 of 5
Which biological used in EPI is stored in the freezer?
Correct Answer: D
Rationale: The correct answer is D: Hepatitis B vaccine. Hepatitis B vaccine is stored in the freezer to maintain its stability and efficacy. Freezing temperatures help prevent degradation of the vaccine components. Other choices, A (DPT), B (Tetanus toxoid), and C (Measles vaccine) are typically stored in the refrigerator, not the freezer, as they remain stable at higher temperatures. Storing these vaccines in the freezer could potentially damage their potency and effectiveness.
Question 3 of 5
In immunity school entrants with BCG, you not obliged to secure parental consent. This is because of which legal document?
Correct Answer: A
Rationale: The correct answer is A: PD 996. This legal document, specifically Presidential Decree (PD) 996, grants exemption from securing parental consent for BCG vaccination in immunity school entrants. PD 996 is a specific regulation that addresses this particular situation, making it the appropriate legal basis. Summary: - B: RA 7864 does not specifically address the exemption for parental consent in BCG vaccination for immunity school entrants. - C: Presidential Proclamation No. 6 and D: Presidential Proclamation No. 46 are not directly related to the issue of parental consent for BCG vaccination in immunity school entrants.
Question 4 of 5
A 4 week old baby was brought to the health center for his first immunization. Which can be given to him?
Correct Answer: B
Rationale: The correct answer is B: OPV1. At 4 weeks old, the baby can receive the oral polio vaccine (OPV1) as part of the routine immunization schedule. OPV1 helps protect against polio, a highly infectious viral disease. DPT1 (choice A) is usually given at 6 weeks, Infant BCG (choice C) is given at birth, and Hepatitis B Vaccine (choice D) is given within the first 24 hours of life. Therefore, OPV1 is the appropriate choice for a 4-week-old baby.
Question 5 of 5
A 2-month old infant was brought to the health center for immunization. During assessment,
Correct Answer: D
Rationale: The correct answer is D because at 2 months old, any fever or unusual symptoms should be taken seriously. Referring the infant to a physician for further assessment ensures proper evaluation and treatment if necessary, as infants are more vulnerable to serious illnesses. Choice A is too vague and does not provide specific actions. Choice B is risky as immunization may worsen the infant's condition if there is an underlying medical issue. Choice C is inappropriate as giving paracetamol without knowing the cause of the fever can mask symptoms and delay proper diagnosis and treatment.