Midwifery Exam Questions and Answers PDF -Nurselytic

Correct Answer: B

Rationale:
Correct
Answer: B (Managing as an outpatient case)


Rationale:
1. Moderate pre-eclampsia indicates stable condition.
2. Outpatient management allows close monitoring without hospitalization.
3. Early intervention can prevent progression to severe pre-eclampsia.
4. Hospital admission is reserved for severe cases or complications (not moderate).
5. Encouraging fluids is important, but not the specific management for pre-eclampsia.

Correct Answer: A

Rationale: The correct answer is A: Symptom are absent and abnormal specific laboratory results. Chemical diabetes mellitus refers to a condition where there are abnormal specific laboratory results indicating diabetes without the presence of any symptoms. This classification is based on objective data from laboratory tests rather than subjective symptoms.

Choices B, C, and D are incorrect as they do not align with the definition of chemical diabetes mellitus, which focuses on laboratory results rather than symptoms, congenital abnormalities, or pregnancy outcomes.

Correct Answer: C

Rationale: The correct answer is C: Homeopathy. Homeopathy involves using highly diluted substances to stimulate the body's natural healing processes. In labor, homeopathy can help manage pain and support relaxation. Entonox (
A) and Diamorphine (
D) are pharmacological measures, while Cyclothane (
B) is not a recognized pain relief option in labor. Homeopathy aligns with non-pharmacological approaches, making it the most suitable choice for pain relief in labor.

Correct Answer: D

Rationale:
Step-by-step rationale for why D is correct:
1. Hyperemesis gravidarum is severe nausea and vomiting during pregnancy.
2. Prolonged vomiting can lead to electrolyte imbalances and nutritional deficiencies.
3. Vitamin B deficiency, specifically thiamine, can result in Wernicke’s encephalopathy.
4. Mallory-Weiss syndrome can occur due to repeated retching and vomiting.
5.
Therefore, hyperemesis gravidarum can lead to both Wernicke’s encephalopathy and Mallory-Weiss syndrome.
Summary:
A: Placenta praevia is related to abnormal placental placement, not vomiting.
B: Hypertensive disorders are associated with high blood pressure, not vomiting-related complications.
C: Vitamin B deficiency can lead to Wernicke’s encephalopathy but is not directly caused by hyperemesis gravidarum.

Correct Answer: B

Rationale: The correct answer is B: Correct dehydration. Acute pyelonephritis can lead to dehydration due to fever, vomiting, and decreased fluid intake. High fluid intake helps correct dehydration by maintaining adequate fluid balance and preventing further complications. Increasing urine output (choice
D) is a consequence of correcting dehydration. Promoting enough rest (choice
A) is important but not the primary reason for advising high fluid intake. Relief of irritability (choice
C) is not directly related to the management of acute pyelonephritis.