ATI RN
Midwifery Exam Questions Questions
Question 1 of 5
T. O. is a 44-year-old female patient who presents for evaluation of sudden, severe upper abdominal pain. She is clear about the onset, which was profound and occurred approximately one hour ago. She denies that the onset had any relationship to food or eating, and she denies nausea or vomiting. On examination, she is lying on her right side with her hips and knees flexed to draw her knees to her chest. Vital signs are stable, but examination reveals involuntary guarding. The abdomen is painful and tympanic to percussion in all quadrants. CBC reveals a white blood cell count of 15,600L. The AGACNP suspects
Correct Answer: B
Rationale: The correct answer is B: Acute pancreatitis. The clinical presentation of sudden, severe upper abdominal pain not related to food intake, along with the patient's position (lying on right side with hips and knees flexed), and presence of involuntary guarding suggest acute pancreatitis. The elevated white blood cell count indicates an inflammatory process. Dissecting aortic aneurysm (
A) typically presents with abrupt, severe chest or back pain radiating to the abdomen, with signs of shock. Perforated peptic ulcer (
C) presents with sudden, severe abdominal pain often related to food intake, with signs of peritonitis. Mallory-Weiss tear (
D) presents with hematemesis after forceful or prolonged vomiting.
Question 2 of 5
The main clinical feature in hyperemesis gravidarum is
Correct Answer: A
Rationale: The correct answer is A: Persistent vomiting or nausea. Hyperemesis gravidarum is a severe form of morning sickness characterized by persistent vomiting and nausea during pregnancy. This is the main clinical feature due to hormonal changes and increased sensitivity to certain odors.
Choice B is incorrect as sight-related problems are not a typical feature of hyperemesis gravidarum.
Choice C is incorrect as persistent diarrhea is not a defining feature of this condition.
Choice D is incorrect as frequency or urgency of micturition is not a primary symptom of hyperemesis gravidarum.
Question 3 of 5
Secondary postpartum haemorrhage mostly occurs between the 8th-14th day postpartumly and can extend up to the first 46 days following delivery.
Correct Answer: A
Rationale: The correct answer is A because secondary postpartum hemorrhage typically occurs between the 8th-14th day postpartum and can extend up to 6 weeks after delivery. This timeframe aligns with the physiological changes and healing process after childbirth.
Choice B is incorrect because it contradicts the established timeframe for secondary postpartum hemorrhage.
Choice C is incorrect as secondary postpartum hemorrhage is not rare but rather a recognized complication that can occur after childbirth.
Choice D is incorrect as secondary postpartum hemorrhage does not happen sporadically, but rather follows a defined timeframe based on postpartum physiological changes.
Question 4 of 5
Aims of exchange transfusion procedure includes:
Correct Answer: D
Rationale: The correct answer is D because the main aims of an exchange transfusion procedure are to control haemolysis (process of breaking down red blood cells) and restore hemoglobin levels. This procedure involves removing the baby's blood and replacing it with donor blood to prevent complications from severe jaundice or other conditions.
Choice A is incorrect because exchange transfusion does not necessarily cure haemolysis, but it helps control it.
Choice B is incorrect as the procedure focuses on managing specific issues rather than removing all toxic materials.
Choice C is incorrect because it does not directly address the primary goals of an exchange transfusion.
Question 5 of 5
Incidental antepartum haemorrhage is also referred to as
Correct Answer: C
Rationale: The correct answer is C: Extraplacental haemorrhage. Incidental antepartum haemorrhage refers to bleeding from a source other than the placenta, such as the cervix or vagina, before delivery. Intraplacental haemorrhage (choice
A) refers to bleeding within the placenta itself, not outside it. Intrapartum haemorrhage (choice
B) occurs during labor and delivery, not before. Preterm haemorrhage (choice
D) is not a specific term used to describe antepartum bleeding.
Therefore, the correct term for antepartum bleeding from a non-placental source is extraplacental haemorrhage.