ATI RN
Midwifery Practice Questions Questions
Question 1 of 5
Melanie is a 31-year-old patient who is being evaluated following a routine urinalysis that revealed microscopic hematuria. She was between menses and has no other identifiable explanation for hematuria. She has no significant medical history and otherwise is without complaint. The AGACNP knows that workup for Melanie should include
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.
Question 2 of 5
A correct statement denoting the purpose of vitamin K administration to neonates is
Correct Answer: D
Rationale: The correct answer is D: All neonates need vitamin K for activation of thrombokinase. Vitamin K is essential for the synthesis of clotting factors in the liver, including thrombokinase, which plays a crucial role in blood clotting. In neonates, there is a deficiency of vitamin K due to limited transfer across the placenta and low levels in breast milk. Administering vitamin K at birth helps prevent hemorrhagic disease of the newborn.
Choices A, B, and C are incorrect because vitamin K does not directly impact immunity, prevent jaundice, or promote normal gut bacteria growth in neonates.
Question 3 of 5
Excessive bleeding from the genital tract after the first 24 hours, but within the puerperium period, is referred to as
Correct Answer: C
Rationale: The correct answer is C: Secondary postpartum haemorrhage. This term refers to excessive bleeding from the genital tract after the first 24 hours but within the puerperium period (6 weeks postpartum).
A: Primary postpartum haemorrhage occurs within the first 24 hours after delivery.
B: Tertiary postpartum haemorrhage occurs more than 6 weeks postpartum.
D: Incidental postpartum haemorrhage is not a recognized medical term for postpartum bleeding.
Question 4 of 5
The lie is defined as unstable when it keeps varying after
Correct Answer: A
Rationale: The correct answer is A (36 weeks gestation) because at this point in pregnancy, the fetus has reached a stable lie position. Before 36 weeks, fetal lie can vary due to the ample space in the uterus. After 36 weeks, the fetus tends to settle into a consistent head-down or breech position, making the lie stable.
Choices B, C, and D are incorrect as they are past the point where the lie typically stabilizes, leading to less variability in fetal positioning.
Question 5 of 5
Which of the following is a true statement with respect to the use of corticosteroids in posttransplant patients?
Correct Answer: A
Rationale: The correct answer is A. High-dose initial steroids are tapered off over a period of 4 to 6 weeks posttransplant. This is because corticosteroids are used initially to prevent rejection and then gradually tapered to minimize side effects.
Choice B is incorrect as it states a general interest but does not address the specific protocol for corticosteroid use.
Choice C is incorrect as there is no evidence suggesting better results in corticosteroid-free protocols for second-transplant recipients.
Choice D is incorrect as there is no strong evidence supporting corticosteroid-free rejection protocols in posttransplant patients.