Band 7 Midwifery Interview Questions and Answers -Nurselytic

Correct Answer: B

Rationale: The correct answer is B: Face presentation. Vaginal delivery is possible in face presentation as the fetus is in a position where the face is presenting first, allowing for delivery. In this presentation, the chin is usually tucked onto the chest, making it easier for the baby's head to pass through the birth canal.

A: Brow presentation is incorrect because it indicates the baby's head is extended slightly, making it more difficult for vaginal delivery.

C: Shoulder presentation is incorrect as it can lead to a shoulder dystocia, making vaginal delivery dangerous and difficult.

D: Unstable lie is incorrect because it refers to the baby being in a transverse position, making vaginal delivery impossible without intervention.

Correct Answer: D

Rationale: The correct answer is D: Portal hypertension. In myelodysplastic syndromes, splenectomy is indicated primarily for portal hypertension due to extramedullary hematopoiesjson in the spleen, leading to increased blood flow and pressure in the portal vein. This can alleviate symptoms such as ascites and variceal bleeding.

Choices A, B, and C are incorrect as major hemolysis, massive splenomegaly, and sustained leukocyte elevation are not primary indications for splenectomy in myelodysplastic syndromes.

Correct Answer: A

Rationale: The correct answer is A: Respiratory insufficiency. Chronic traumatic diaphragmatic hernias can lead to gradual compromise of respiratory function due to herniation of abdominal contents into the chest cavity, causing compression of the lungs and reduced lung capacity. This results in symptoms such as dyspnea, cough, and chest pain. Sepsis (
B) is more commonly associated with acute traumatic diaphragmatic hernias. Bowel obstruction (
C) is a possible complication but typically presents with acute symptoms like abdominal pain and distension. Anemia (
D) is not a common presentation of diaphragmatic hernias.

Correct Answer: A

Rationale:
Step-by-step rationale:
1. Precipitate labor is defined as unusually rapid labor.
2. Option A states that it is concluded in less than three hours, aligning with the definition.
3. Option B talks about cervical dilation, which is not a defining factor of precipitate labor.
4. Option C contradicts the definition as it mentions a duration longer than three hours.
5. Option D mentions poor uterine contractions, which are not characteristic of precipitate labor.

Summary:
Option A is correct because it aligns with the definition of precipitate labor being rapid, while the other options are incorrect as they do not accurately describe the characteristics of precipitate labor.

Correct Answer: C

Rationale: The correct answer is C: Diamorphine. Diamorphine is a non-pharmacological measure of pain relief in labor. It is a type of opioid analgesic that helps to reduce pain during labor. It works by binding to opioid receptors in the brain and spinal cord, altering the perception of pain.


Rationale:
1. Diamorphine is a medication that directly targets pain relief.
2. It is a commonly used non-pharmacological measure in labor settings.
3. Diamorphine does not involve the use of any gases or inhalants like Entonox (
A) or Cyclothane (
B).
4. Homeopathy (
D) is based on the principle of treating "like with like" using highly diluted substances and is not typically used for pain relief in labor.

Summary:
A: Entonox and B: Cyclothane are incorrect because they are pharmacological measures involving the use of gases or inhalants. D: Homeopathy is