ATI RN
Midwifery Exam Questions Questions
Question 1 of 5
The AGACNP is covering an internal medicine service and is paged by staff to see a patient who has just pulled out his ET tube. After the situation has been assessed, it is clear that the patient will go into respiratory failure and likely die if he is not reintubated. The patient is awake and alert and is adamant that he does not want to be reintubated. The AGACNP is concerned that there is not enough time to establish a DNRthe patient needs to be reintubated immediately and already is becoming obtunded. Which ethical principles are in conflict here?
Correct Answer: C
Rationale: The correct answer is C: Autonomy and beneficence. Autonomy refers to the patient's right to make their own decisions regarding their healthcare. In this case, the patient is refusing reintubation, exercising his autonomy. However, beneficence, the duty to act in the patient's best interest, also comes into play as the patient's refusal could lead to respiratory failure and death. The conflict arises from balancing the patient's autonomy with the healthcare provider's duty to provide beneficial care.
Choices A, B, and D are incorrect because they do not accurately capture the ethical conflict present in the scenario. Veracity (
A) refers to truthfulness, which is not the primary issue here. Nonmalfeasance (
B) is the duty to do no harm, which is not directly relevant to the conflict between the patient's autonomy and the need for beneficial care. Justice (
D) relates to fairness in resource allocation and is not the primary issue in this case.
Question 2 of 5
Postdatism is pregnancy equal to or more than
Correct Answer: B
Rationale: Postdatism refers to a pregnancy that extends beyond the normal gestation period of 280 days. The correct answer is B (294 days) as it is more than the standard 280-day term.
Choice A (280 days) is the normal term, not postdatism.
Choices C (290 days) and D (287 days) are also below the 294-day mark, making them incorrect for defining postdatism.
Question 3 of 5
Why is it important to monitor blood pressure regularly in pregnant women?
Correct Answer: B
Rationale: It is important to monitor blood pressure in pregnant women to detect preeclampsia, a serious condition that can lead to complications for both the mother and the baby. Preeclampsia is characterized by high blood pressure and protein in the urine, and early detection is crucial for timely intervention. Regular monitoring allows healthcare providers to identify and manage preeclampsia promptly, reducing the risk of severe complications such as eclampsia and organ damage. Anemia, preterm labor, and gestational diabetes are important aspects of prenatal care but are not directly related to the need for regular blood pressure monitoring in pregnant women.
Question 4 of 5
Placenta praevia is also referred to as unavoidable haemorrhage because
Correct Answer: D
Rationale: The correct answer is D because placenta praevia can lead to severe bleeding during childbirth, posing high risks to both the mother and the baby. This condition occurs when the placenta partially or completely covers the cervix, leading to bleeding as the cervix dilates during labor.
Choice A is incorrect because bleeding in placenta praevia is not related to the segment preparing for labor.
Choice B is incorrect as bleeding is primarily due to the abnormal placement of the placenta, not from pathological processes.
Choice C is incorrect as bleeding can occur before 37 weeks in cases of placenta praevia.
Question 5 of 5
For questions 91 & 92, match the following with the statements in column A by indicating the correct number
Correct Answer: C
Rationale: The correct answer is C: Precipitate labor. Precipitate labor refers to a rapid labor and delivery process. It is matched with the statement in column A because it is associated with a sudden and quick progression of labor, leading to a rapid delivery of the baby. The other choices are incorrect because:
A: Colicky uterus - This term is not related to rapid labor but rather refers to uterine contractions that are painful and intermittent.
B: Constriction ring dystocia - This term describes a condition where there is a tight band around the uterus, causing difficulty in the delivery process, which is different from the rapid progression seen in precipitate labor.
D: Cervical dystocia - This term refers to a condition where there are issues with the dilation or effacement of the cervix, not directly related to the speed of labor as in precipitate labor.