ATI RN
Midwifery Test Questions Questions
Question 1 of 5
A mother with a cord prolapse is given oxygen at a rate of 4 liters/minute in order to
Correct Answer: C
Rationale: The correct answer is C: Improve fetal oxygenation. Oxygen at 4 liters/minute is given to increase oxygen levels which can help improve oxygenation to the fetus during a cord prolapse scenario. This can be crucial in preventing fetal distress and hypoxia. Explanation for Incorrect Choices: A: Relieve maternal distress - Oxygen is primarily given in this scenario to benefit the fetus, not to relieve maternal distress. B: Promote her relative rest - Oxygen is not administered to promote rest, but to address the immediate concern of fetal oxygenation. D: Achieve the effect of tocolysis - Oxygen does not have a role in tocolysis, which is the inhibition of uterine contractions.
Question 2 of 5
Presence of a turtle’s sign is clearly indicative of
Correct Answer: C
Rationale: The presence of a turtle sign during delivery is indicative of shoulder dystocia. This occurs when the baby's shoulders get stuck behind the mother's pelvic bones during delivery, leading to difficulty in delivering the baby's shoulders. The turtle sign refers to the retraction of the baby's head back into the birth canal after delivery of the head, resembling a turtle retracting into its shell. This sign is a clear indicator of shoulder dystocia. Choices A, B, and D are incorrect because prolonged labor, occipito-posterior position, and shoulder presentation do not specifically involve the retraction of the baby's head like in shoulder dystocia.
Question 3 of 5
When a hand or foot lies alongside the presenting part, the presentation is said to be
Correct Answer: D
Rationale: The correct answer is D: Compound. In compound presentation, a hand or foot is alongside the presenting part, usually the head. This can complicate the delivery process. A: Footling presentation means the foot presents first. B: Transverse presentation is when the baby is lying sideways. C: Cephalic presentation is normal, with the head presenting first. In this scenario, D is the correct answer as it specifically describes the situation where a hand or foot is alongside the presenting part.
Question 4 of 5
A clinical feature that is indicative of transient tachypnea of the newborn is
Correct Answer: A
Rationale: Step 1: Transient tachypnea of the newborn is characterized by rapid respirations due to delayed reabsorption of fetal lung fluid. Step 2: Rapid respirations of up to 120/minute is a common clinical feature seen in newborns with transient tachypnea. Step 3: This rapid breathing pattern distinguishes it from other conditions. Step 4: Marked recession of the rib cage is more indicative of respiratory distress syndrome. Step 5: Transient tachypnea can occur in both normal and cesarean deliveries, so choice C is incorrect. Step 6: Diminished respirations of less than 40/minute would not be expected in transient tachypnea. Summary: Choice A is correct because rapid respirations are a key clinical feature of transient tachypnea, while the other choices do not align with its characteristic presentation.
Question 5 of 5
Inadequate levels of surfactant in a neonate leads to a condition referred to as
Correct Answer: C
Rationale: The correct answer is C: Respiratory distress syndrome. Surfactant is essential for reducing surface tension in the alveoli, preventing their collapse. Inadequate levels of surfactant in a neonate result in respiratory distress syndrome. Meconium aspiration syndrome (A) is due to inhalation of meconium by the neonate. Intranatal pneumonia (B) is an infection acquired during birth. Congenital pneumothorax (D) is the presence of air in the pleural space, not directly related to surfactant levels.