ATI RN
Varneys Midwifery 6th Edition Test Bank Questions
Question 1 of 9
How does maternal hypertension affect fetal development?
Correct Answer: D
Rationale: Maternal hypertension can restrict fetal growth, increase preterm birth risk, and lead to stillbirth.
Question 2 of 9
Mrs. Coates is a 65-year-old female who is on postoperative day 1 following a duodenal resection for a bleeding ulcer. She had an uneventful immediate postoperative course, but throughout the course of day 1 she has complained of a mild abdominal discomfort that has progressed throughout the day. This evening the AGACNP is called to the bedside to evaluate the patient for persistent and progressive discomfort. Likely causes of her symptoms include all of the following except
Correct Answer: D
Rationale: In the scenario described, Mrs. Coates is a 65-year-old female who is on the first day postoperatively following a duodenal resection for a bleeding ulcer. Given her surgical history and the progression of her abdominal discomfort, the likely causes to consider are complications related to the surgery. Options B, C, and D are all potential postoperative complications following a duodenal resection:
Question 3 of 9
The AGACNP is counseling a patient about various methods of tumor biopsy. Which of the following is not an accurate statement?
Correct Answer: C
Rationale: Typically, excisional biopsy is preferred over incisional biopsy whenever feasible because it provides a more accurate representation of the tumor since the entire mass is removed. This benefits both the patient (by potentially preventing the need for a second procedure) and the medical team (by ensuring a more comprehensive evaluation of the tumor). It is important to remove the entire lesion during excisional biopsy to make an accurate diagnosis. Incisional biopsy, on the other hand, involves taking only a portion of the tumor for examination, which may lead to potential sampling error and inadequate representation of the tumor.
Question 4 of 9
M. T. is a 71-year-old female who presents for evaluation of a lump on her chest. She denies any symptomsthere is no pain, erythema, edema, ecchymosis, or open areasit is just a lump. She has no idea how long it has been there and just noticed it a few weeks ago. Physical examination reveals a round, smooth, flesh-colored tumor. It is firm but not hard it has smooth borders. It measures 6 cm in diameter and is non-tender to palpation. The AGACNP suspects that this is a classic presentation of the most common chest wall tumor known as a
Correct Answer: D
Rationale: The described presentation of a round, smooth, flesh-colored tumor that is firm but not hard, with smooth borders, non-tender to palpation, and measuring 6 cm in diameter, fits the classic presentation of a lipoma. Lipomas are common noncancerous soft tissue tumors often found just beneath the skin, can occur anywhere on the body, including the chest wall. They are usually painless and slowly growing, with a characteristic appearance of being smooth, soft, and mobile under the skin. In this case, the absence of pain, redness, swelling, or other concerning signs, along with the appearance and characteristics of the lump, are highly suggestive of a lipoma.
Question 5 of 9
A Para 3+0 client who was scheduled for the fourth cesarean section comes in active labor. The MAIN complication of concern in this case is
Correct Answer: B
Rationale: The main concern for a woman with multiple previous cesarean sections is uterine rupture.
Question 6 of 9
Teratogenic causes of congenital malformations include
Correct Answer: B
Rationale: Radiation and substances of abuse are key teratogenic causes of congenital malformations.
Question 7 of 9
Which one of the following is a prerequisite for forceps delivery?
Correct Answer: B
Rationale: Ruptured membranes are a prerequisite for forceps delivery to avoid injury to the membranes.
Question 8 of 9
Postmaturity is pregnancy equal to or more than
Correct Answer: B
Rationale: Postmaturity refers to pregnancies that last beyond 42 weeks.
Question 9 of 9
Important components that mobilize brown fat in neonates to produce heat are
Correct Answer: D
Rationale: Oxygen and glucose are critical for brown fat mobilization and thermogenesis in neonates.