ATI RN
Midwifery Exam Questions and Answers PDF Questions
Question 1 of 5
How can folic acid supplementation prevent neural tube defects?
Correct Answer: A
Rationale: The correct answer is A because folic acid supplementation plays a crucial role in promoting spinal cord closure during fetal development, preventing neural tube defects. Folic acid helps in the formation of neural tube structures, ensuring proper closure and preventing defects like spina bifida.
Choices B, C, and D are incorrect as preventing infections, enhancing fetal growth, and regulating blood sugar levels are not direct mechanisms through which folic acid prevents neural tube defects.
Question 2 of 5
A correct statement about an acute small for gestational age neonate is
Correct Answer: A
Rationale: The correct answer is A because an acute small for gestational age neonate will have all body parts proportionately reduced in size compared to a normal gestational age baby. This is due to intrauterine growth restriction.
Choice B is incorrect because the head is not disproportionately larger.
Choice C is incorrect as it states the body is larger than the head, which is not the case in SGA babies.
Choice D is incorrect as SGA babies typically appear thin with a scaphoid abdomen, not plumpy.
Question 3 of 5
Ms. Kweke’s specific management until delivery (obstructed labour):
Correct Answer: A
Rationale: The correct answer is A: Immediate caesarean section. In obstructed labor, prompt delivery is crucial to prevent harm to both the mother and the baby. A caesarean section is the most effective and timely intervention to safely deliver the baby and avoid complications such as fetal distress, maternal infection, and uterine rupture. Observation with pain relief (
B) may delay necessary intervention, and manual repositioning of the fetus (
C) is not sufficient in cases of obstructed labor.
Choice D is incorrect because not all options are appropriate in this specific scenario.
Question 4 of 5
R. S. is a 66-year-old female with Cushings syndrome due to an ACTH-producing pituitary tumor. The tumor is readily isolated by imaging, and the patient had an uneventful surgery. When seeing her in follow-up, the AGACNP anticipates
Correct Answer: B
Rationale: The correct answer is B: Transient rebound release of remaining pituitary hormones. After surgical removal of the ACTH-producing pituitary tumor in Cushing's syndrome, there may be a transient rebound release of remaining pituitary hormones due to relief of negative feedback from the tumor. This can lead to a temporary increase in pituitary hormone levels before normalization.
Rationale:
1. Rapid reversal of symptoms with good pituitary function (
Choice
A) is less likely as it takes time for the pituitary gland to recover and resume normal hormone production post-surgery.
2. Markedly improved dexamethasone suppression test (
Choice
C) is not expected immediately after surgery as it may take time for the hypothalamic-pituitary-adrenal axis to normalize.
3. Hyponatremia and compensatory SIADH (
Choice
D) are unlikely post-operatively in Cushing's syndrome as removal of the ACTH-producing tumor should lead to normalization of
Question 5 of 5
In True cephalopelvic disproportion
Correct Answer: D
Rationale: In True cephalopelvic disproportion, the baby's head is too large to pass through the mother's pelvis. This condition often requires operative delivery (C-section) as a vaginal birth is not possible.
Choice D is correct because operative delivery is indeed needed to safely deliver the baby.
Choice A is incorrect as not all patients with cephalopelvic disproportion will necessarily require operative delivery.
Choice B is also incorrect as the issue cannot generally be overcome during labor due to physical constraints.
Choice C is incorrect as operative delivery is usually necessary in cases of true cephalopelvic disproportion to prevent complications.