ATI RN
Midwifery Exam Questions Questions
Question 1 of 5
A neonate of a smear-negative mother just before birth receives BCG as usual.
Correct Answer: A
Rationale: The correct answer is A because BCG vaccination is recommended for newborns regardless of maternal smear status to prevent tuberculosis. The neonate is at risk of TB exposure postnatally and needs protection. Maternal smear status does not affect the indication for BCG in the newborn. Choice B is incorrect because withholding BCG in this case would leave the neonate vulnerable to TB. Choices C and D are not applicable as they do not provide any information.
Question 2 of 5
Which of the following is an indication for forceps delivery?
Correct Answer: B
Rationale: The correct answer is B: Occipito posterior position. Forceps delivery may be indicated in this situation to help rotate the baby's head and facilitate delivery. Occipito posterior position can lead to prolonged labor and fetal distress, making forceps delivery necessary for a safe delivery. Incorrect choices: A: Cephalopelvic disproportion is not an indication for forceps delivery as it refers to mismatch between the size of the baby's head and the mother's pelvis. C: Breech presentation typically requires a different approach such as cesarean section rather than forceps delivery. D: Placenta abruption, a medical emergency, would not be managed with forceps delivery but rather require immediate intervention to prevent harm to both the mother and baby.
Question 3 of 5
Postdatism is pregnancy equal to or more than
Correct Answer: B
Rationale: Postdatism refers to a pregnancy that extends beyond the normal gestation period of 280 days. The correct answer is B (294 days) as it is more than the standard 280-day term. Choice A (280 days) is the normal term, not postdatism. Choices C (290 days) and D (287 days) are also below the 294-day mark, making them incorrect for defining postdatism.
Question 4 of 5
Vaginal birth after caesarean section is known as
Correct Answer: B
Rationale: The correct answer is B: Trial of scar. This term specifically refers to the process of attempting a vaginal birth after a previous caesarean section. It involves monitoring the previous cesarean scar for any signs of complications during labor. A: Spontaneous vaginal delivery refers to giving birth vaginally without any previous cesarean section. C: Spontaneous vertex delivery simply describes the position of the baby's head during birth. D: Trial of birth is not a commonly used term in obstetrics and does not specifically relate to VBAC.
Question 5 of 5
Delivery of breech with an extended head is accomplished through
Correct Answer: C
Rationale: The correct answer is C: Mauriceau-Smellie-Veit maneuver for delivery of breech with an extended head. This maneuver involves flexing the head while still in the vagina to allow for easier delivery. The Burns Marshall maneuver (A) is for impacted fetal shoulders, Lovset maneuver (B) is for shoulder dystocia, and McRobert's maneuver (D) is for shoulder dystocia as well. The Mauriceau-Smellie-Veit maneuver is specifically designed for delivering a breech with an extended head, making it the correct choice in this scenario.