Midwifery Practice Questions -Nurselytic

Correct Answer: B

Rationale: The correct answer is B: Escherichia coli. Puerperal sepsis is often caused by endogenous bacteria from the mother's own flora. E. coli is a common endogenous bacteria found in the gastrointestinal tract and can cause infection during childbirth. Chlamydia trachomatis is a sexually transmitted infection, not typically associated with puerperal sepsis. Clostridium tetani causes tetanus, not puerperal sepsis. Pseudomonas aeruginosa is an environmental pathogen, not typically an endogenous cause of puerperal sepsis.

Correct Answer: B

Rationale: The correct answer is B: Gastroesophageal reflux disease (GER
D). Achalasia is a motility disorder characterized by impaired esophageal peristalsis and lower esophageal sphincter relaxation. This dysfunction can lead to stagnant food in the esophagus, causing regurgitation and increased intra-esophageal pressure, which can trigger GERD. Squamous cell carcinoma (choice
A) is not directly linked to achalasia. Esophageal atrophy (choice
C) is not a typical consequence of achalasia. Malabsorption syndromes (choice
D) are not directly associated with achalasia.

Correct Answer: A

Rationale: The correct answer is A (36 weeks gestation) because at this stage, the fetal lie should stabilize into a consistent position, typically longitudinal. Before 36 weeks, fetal movement and position can vary frequently.

Choices B, C, and D are incorrect as they are past the point where fetal lie should have stabilized. At 42 weeks gestation (
Choice
B), the baby is considered post-term, and fetal lie should have already been established. Similarly,

Choices C (38 weeks) and D (40 weeks) fall within the expected range for fetal lie stabilization.

Correct Answer: B

Rationale: The correct answer is B:
Tonic. During the tonic stage of eclampsia, the muscles go into a prolonged contraction leading to an arched back and tightly clenched teeth. This is due to sustained muscle rigidity. In contrast, the clonic stage involves rhythmic muscle contractions and relaxations, not sustained rigidity. The premonitory stage is characterized by warning signs like headaches and visual disturbances, not specific physical postures. Coma is a severe stage of unconsciousness, not associated with specific physical postures or muscle rigidity seen in the tonic stage of eclampsia.

Correct Answer: B

Rationale: The correct answer is B: CT urogram. This is the appropriate next step in the workup for Melanie's microscopic hematuria. A CT urogram can provide detailed imaging of the urinary tract to identify any structural abnormalities or causes of hematuria. A urology consultation (choice
A) may be necessary after the imaging results. Upper urinary imaging (choice
C) is not specific enough and may not provide a comprehensive evaluation. Cystoscopy (choice
D) is invasive and typically reserved for cases where lower urinary tract issues are suspected, which is not indicated in Melanie's case without further evaluation.