Midwifery Exam Practice Questions -Nurselytic

Correct Answer: C

Rationale: The correct answer is C: Extraplacental haemorrhage. Incidental antepartum haemorrhage refers to bleeding occurring outside the placenta, such as from the cervix or vaginal walls, before the onset of labor. This is not associated with the placenta itself (intraplacental - choice
A). Similarly, it does not occur during labor (intrapartum - choice
B) or specifically before term (preterm - choice
D). Extraplacental haemorrhage captures the essence of bleeding unrelated to the placenta during the antepartum period.

Correct Answer: A

Rationale: Neonatal injury to nerve roots C8 & T1 leads to Klumpke's palsy due to damage to the lower brachial plexus. This results in weakness of the hand and forearm muscles. Erb's palsy is from injury to C5-C6 roots causing upper brachial plexus damage. Phrenic injury affects the diaphragm due to C3-C5 roots. Radial palsy involves the radial nerve, typically from injury at the spiral groove of the humerus.
Therefore, the correct answer is A as it directly correlates with the specific nerve roots affected in Klumpke's palsy.

Correct Answer: C

Rationale:
Step 1: In normal labor, the cervix undergoes effacement and dilation.

Step 2: A short and thin cervical canal indicates progression towards labor.

Step 3: Long and thick cervical canal suggests a delay in labor progress.

Step 4:
Choice C, short and thin cervical canal, is indicative of abnormal labor.
Summary: A, B, and D do not reflect changes in the cervix seen in labor, making them incorrect choices.

Correct Answer: D

Rationale: The correct answer is D because skin-to-skin contact after birth offers multiple benefits. Firstly, it helps stabilize the baby's temperature by utilizing the parent's body heat. Secondly, it promotes bonding between the parent and baby through physical closeness and touch. Finally, it can regulate the baby's heartbeat by providing a calming and reassuring environment.
Therefore, all of the above choices are correct in highlighting the significance of skin-to-skin contact after birth.

Correct Answer: B

Rationale: The correct answer is B: Klumpke's palsy. Neonatal injury to nerve roots C8 & T1 leads to Klumpke's palsy, characterized by paralysis of the lower arm and hand muscles. This occurs due to damage to the lower trunk of the brachial plexus. Erb's palsy (choice
A) involves C5 & C6 nerve roots, causing weakness in the shoulder and upper arm. Phrenic injury (choice
C) affects the diaphragm, leading to breathing difficulties. Radial palsy (choice
D) results from damage to the radial nerve, causing wrist drop and weakness in forearm muscles. Klumpke's palsy specifically matches the description of injury to nerve roots C8 & T1.