Questions 9

ATI RN

ATI RN Test Bank

Midwifery Exam Practice Questions Questions

Question 1 of 5

Inability to eat or retain feeds throughout the day prenatally is highly associated with

Correct Answer: B

Rationale: The correct answer is B: Hyperemesis gravidarum. This condition is characterized by severe nausea and vomiting during pregnancy, leading to inability to eat or retain feeds. It is associated with significant weight loss and dehydration. Other choices are incorrect because: A: Weight gain control is not the primary concern when hyperemesis gravidarum is present. C: Morning sickness typically does not cause severe inability to eat or retain feeds. D: Preeclampsia is a separate condition characterized by high blood pressure and organ damage, not directly related to feeding difficulties.

Question 2 of 5

Persistent nausea and vomiting related to pregnancy is indicative of

Correct Answer: C

Rationale: The correct answer is C: Hyperemesis gravidarum. This condition is characterized by severe nausea, vomiting, weight loss, dehydration in pregnancy. It is more severe than typical morning sickness (choice A) and is not specific to multiple gestation (choice B). Hypertensive disorders (choice D) typically present with high blood pressure, proteinuria, and edema, not just nausea and vomiting. Hyperemesis gravidarum requires medical intervention due to potential complications from dehydration and malnutrition.

Question 3 of 5

Neonatal injury to nerve roots C8 & T1 causes one of the following

Correct Answer: A

Rationale: Neonatal injury to nerve roots C8 & T1 leads to Klumpke's palsy due to damage to the lower brachial plexus. This results in weakness of the hand and forearm muscles. Erb's palsy is from injury to C5-C6 roots causing upper brachial plexus damage. Phrenic injury affects the diaphragm due to C3-C5 roots. Radial palsy involves the radial nerve, typically from injury at the spiral groove of the humerus. Therefore, the correct answer is A as it directly correlates with the specific nerve roots affected in Klumpke's palsy.

Question 4 of 5

A student AGACNP just beginning his clinical rotation is observing his preceptor perform a physical survey on a patient who is brought in following a serious motor vehicle accident. The student observes that the physical examination includes rectovaginal examination, inspection of the urethral meatus, and palpation of the pelvic landmarks. The student knows the patient is being assessed for

Correct Answer: A

Rationale: The correct answer is A: Peritoneal bleeding. In a patient with a serious motor vehicle accident, a physical examination that includes rectovaginal examination, inspection of the urethral meatus, and palpation of pelvic landmarks is aimed at assessing for signs of internal bleeding, particularly peritoneal bleeding. Rectovaginal examination can detect blood in the rectouterine pouch, inspection of the urethral meatus can reveal blood at the urethral opening, and palpation of pelvic landmarks can identify tenderness or instability associated with internal bleeding. These findings would be indicative of potential peritoneal bleeding requiring urgent evaluation and management. Summary of other choices: B: Retroperitoneal bleeding - While physical examination findings may include signs such as flank ecchymosis or tenderness, the specific examinations mentioned are not typically performed to assess retroperitoneal bleeding. C: Paresthesia - Paresthesia refers to abnormal sensations like tingling or numbness and

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 are typically not honored for terminally ill patients with impaired cognition. Firstly, living wills require the patient to be of sound mind to make decisions. Secondly, in the case of a cognitively impaired patient, their ability to express their wishes and understand the implications may be compromised. Therefore, healthcare providers may not be able to honor the living will accurately. Choices A, B, and D are incorrect because A) competency can be determined by healthcare professionals, B) impaired cognition can lead to incompetence, and D) informed consent requires the patient to understand the decision-making process.

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