ATI RN
Community and Public Health Nursing Evidence for Practice Questions
Question 1 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 2 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.
Question 3 of 5
You will not give DPT 2 if the mother says that the infant had?
Correct Answer: A
Rationale: The correct answer is A because seizures following DPT1 indicate a serious adverse reaction, making it unsafe to administer DPT 2. Seizures are a contraindication for further DPT vaccines due to the risk of exacerbating neurological complications. Choices B, C, and D do not pose as immediate contraindications for giving DPT 2, as fever, abscess formation, and local tenderness are common and less severe reactions to the vaccine. Therefore, A is the correct choice based on safety concerns and potential harm to the infant.
Question 4 of 5
A 4-month old infant was brought to the health center of cough. Her respiratory rate is
Correct Answer: A
Rationale: The correct answer is A because using the Integrated Management of Childhood Illness (IMCI) guidelines, the respiratory rate of a 4-month-old infant is crucial in determining the severity of illness. IMCI guidelines help classify respiratory rates as fast, normal, or slow based on age-specific ranges. By following these guidelines, healthcare providers can accurately assess the infant's respiratory status and provide appropriate interventions. Choice B is incorrect as simply stating "fast" does not provide a standardized assessment based on guidelines. Choice C is incorrect as labeling the respiratory rate as "slow" without reference to guidelines can lead to misinterpretation. Choice D is incorrect as it does not specify the assessment based on IMCI guidelines, which are essential for accurate evaluation in pediatric cases.
Question 5 of 5
A 5-month old infant was brought by his mother to the health center because of diarrhea occurring 4 to 5 times a day. His skin goes back slowly affer a skin pinch and his eyes are sunken. Using the IMCI guidelines, you will classify this infant in which category?
Correct Answer: C
Rationale: The correct classification for this infant based on the symptoms described is severe dehydration. According to the Integrated Management of Childhood Illness (IMCI) guidelines, severe dehydration is characterized by skin pinch returning slowly, sunken eyes, and frequent diarrhea. These signs indicate significant fluid loss and the need for immediate intervention. No signs of dehydration (choice A) would not be accurate given the symptoms presented. Some dehydration (choice B) may not fully capture the severity of the infant's condition. The data being insufficient (choice D) is incorrect as the symptoms provided clearly indicate severe dehydration.