ATI RN
Midwifery Test Questions Questions
Question 1 of 5
When a hand/foot lies alongside the presenting part, the presentation is said to be
Correct Answer: A
Rationale: The correct answer is A: Footling. When a hand/foot lies alongside the presenting part, it indicates a footling presentation where the foot is presenting first. This is a type of breech presentation, where the baby's buttocks or feet come out first. A transverse presentation would mean the baby is lying sideways, and an unstable lie refers to the baby's position not being fixed.
Therefore, the presence of a hand/foot alongside the presenting part specifically indicates a footling presentation, making choice A the correct answer.
Question 2 of 5
The Brain Trauma Foundation recommends intracranial pressure monitoring for all of the following patients except those with
Correct Answer: B
Rationale: The correct answer is B (GCS of 3 to 8 and hypotension) because hypotension is not a specific indication for intracranial pressure (ICP) monitoring according to the Brain Trauma Foundation guidelines. The rationale is that hypotension is a systemic issue affecting overall perfusion, whereas ICP monitoring is specifically for assessing intracranial dynamics.
A, C, and D are incorrect choices because they all involve conditions that could potentially indicate increased intracranial pressure and the need for monitoring.
A) Abnormal head CT indicates structural brain injury,
C) age > 40 is a risk factor for poor outcomes after traumatic brain injury, and
D) bradycardia can be a sign of increased ICP affecting brainstem function.
Therefore, these conditions warrant ICP monitoring according to guidelines.
Question 3 of 5
Surgical induction of labor refers to the use of
Correct Answer: B
Rationale: The correct answer is B: Sweeping of membranes and amniotomy.
1. Sweeping of membranes involves manually separating the amniotic sac from the lower part of the uterus, stimulating the release of prostaglandins to induce labor.
2. Amniotomy is the artificial rupture of membranes, which can accelerate labor by releasing amniotic fluid and initiating contractions.
3. These methods are commonly used for surgical induction of labor due to their effectiveness and minimal invasiveness compared to other options.
Incorrect choices:
A: Cytotec is a medication used for labor induction, but mechanical cervical dilatation is not a standard surgical method.
C: Buscopan is used for relaxation of smooth muscle and not commonly used for labor induction.
D: Syntocinon is a synthetic form of oxytocin used to induce or augment labor, but it is not typically used in surgical induction methods.
Question 4 of 5
Mrs. Jenner is a 41-year-old female who is being evaluated for persistent nausea. She had an abdominal CT scan that reported three hepatic hemangiomas ranging from 3 to 5 cm. The AGACNP knows that the appropriate response to this report is to
Correct Answer: B
Rationale: The correct answer is B. Ordering hepatic ultrasound annually to follow progression is the appropriate response for hepatic hemangiomas. Biopsy is not recommended due to the risk of bleeding. Surgery is usually not required unless there are complications. Documenting the finding is important but does not address the need for monitoring. Ultrasound allows for non-invasive monitoring of the hemangiomas over time to assess for growth or complications, guiding further management if needed.
Question 5 of 5
Which of the following is not a true statement with respect to decision making for a cognitively impaired patient?
Correct Answer: C
Rationale: The correct answer is C because living wills typically are not always honored for cognitively impaired patients.
Step-by-step rationale:
A) Incorrect - A court can declare a patient incompetent if they are unable to make decisions.
B) Incorrect - Impaired cognition can indeed make a person incompetent.
D) Incorrect - A patient must have the capacity to understand information and make decisions to give informed consent.