ATI RN
Varneys Midwifery Test Bank Questions
Question 1 of 5
Acute inflammatory mastitis can be prevented postnatally by encouraging breastfeeding mothers to
Correct Answer: D
Rationale: Emptying the breast completely when breastfeeding prevents mastitis by ensuring proper drainage of milk.
Question 2 of 5
Among the major predisposing factors of cardiac disease prenatally are
Correct Answer: C
Rationale: Uncontrolled hypertension and obesity are major predisposing factors for cardiac disease.
Question 3 of 5
The diagnostic factor of polyhydramnious, based on percussion, is
Correct Answer: D
Rationale: Fluid thrill is a key diagnostic sign of polyhydramnious.
Question 4 of 5
While reviewing the head CT scan of a patient following a motor vehicle accident, the AGACNP appreciates a crescent-shaped fluid collection. This most likely represents
Correct Answer: A
Rationale: A crescent-shaped fluid collection on a head CT scan typically represents an acute subdural hematoma. Acute subdural hematomas result from the tearing of bridging veins that lie between the dura mater and arachnoid mater layers of the meninges. This injury often occurs due to significant head trauma, such as a motor vehicle accident. As blood accumulates within the potential space between the dura and arachnoid layers, it forms a crescent-shaped collection that can compress the underlying brain tissue, leading to symptoms such as altered mental status, headache, focal neurological deficits, and signs of increased intracranial pressure. Treatment may involve surgical intervention to evacuate the hematoma and relieve the pressure on the brain.
Question 5 of 5
The AGACNP knows that which of the following must be evaluated as a cause of her abdominal pain?
Correct Answer: C
Rationale: Abdominal pain in pregnancy can be caused by various conditions, but spontaneous hepatic rupture is a rare but life-threatening cause that must be ruled out. Spontaneous hepatic rupture, also known as liver rupture, can occur in pregnancy, though it is extremely rare. It is associated with severe abdominal pain, hypovolemic shock, and can lead to significant maternal and fetal morbidity and mortality. Therefore, the AGACNP should evaluate this possibility when assessing a pregnant patient with abdominal pain to provide timely and appropriate management.HELLP syndrome, placental abruption, and preterm labor are important considerations in the differential diagnosis of abdominal pain in pregnancy but are not specific to the life-threatening nature of spontaneous hepatic rupture.