Band 7 Midwifery Interview Questions and Answers -Nurselytic

Correct Answer: C

Rationale: The correct answer is C: A long history of alcohol use. In this case, T. S. is brain dead and has a donor notation. However, a long history of alcohol use can lead to liver damage, making her liver unsuitable for donation. Encephalopathy (
A) is a brain disorder but does not necessarily impact liver suitability. Hepatitis C infection (
B) can affect the liver, but it doesn't automatically disqualify someone from being a donor. Biliary cirrhosis (
D) refers to a specific liver condition, but it does not preclude someone from being a liver donor unless it has severely damaged the liver beyond use.

Correct Answer: D

Rationale: The correct answer is D because fetal indications for cesarean section typically involve situations where the baby cannot safely be delivered vaginally. Cephalo-pelvic disproportion means the baby's head is too large to pass through the mother's pelvis, necessitating a C-section. Impacted face presentation can result in difficulty during delivery, also requiring a C-section. Locked twins refer to a situation where the babies are unable to move past each other during delivery, further indicating the need for a C-section.

Choices A, B, and C include some relevant indications for a C-section, but they do not encompass the full range of fetal indications like choice D does.

Correct Answer: D

Rationale: The correct answer is D: Postpartum eclampsia. In amniotic fluid embolism, convulsions can mimic postpartum eclampsia due to similarities in symptoms such as seizures and hypertension. However, the key differentiator is the timing of onset - postpartum eclampsia occurs after delivery, while amniotic fluid embolism typically occurs during labor or immediately postpartum.

Choices A, B, and C are incorrect as they do not align with the timing and clinical presentation of amniotic fluid embolism. Antepartum eclampsia occurs before delivery, stroke presents with neurological deficits, and pre-existing epilepsy is a chronic condition unrelated to the immediate postpartum period.

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

Correct Answer: A

Rationale: The correct answer is A: Increased MCV. Following splenectomy, there is a compensatory increase in red blood cell production, leading to an increase in Mean Corpuscular Volume (MCV) due to the release of larger, younger red blood cells into circulation. This is known as stress erythropoiesis.

Summary:
B: Increased Hgb - Hgb levels may not necessarily increase post-splenectomy as it depends on factors such as bleeding or hydration status.
C: Increased platelets - Platelet count is not expected to increase immediately post-splenectomy.
D: Increased albumin - Albumin levels are not directly influenced by splenectomy for idiopathic thrombocytopenia purpura.