ATI RN
Varneys Midwifery 6th Edition Test Bank Questions
Question 1 of 9
Match the conditions in column A with their correct description in column B
Correct Answer: A
Rationale: Torticollis is caused by damage to the sternomastoid muscles, while Erb’s palsy affects the upper brachial plexus.
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
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 4 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 5 of 9
The most common causative organism of acute pyelonephritis in pregnancy is
Correct Answer: B
Rationale: Escherichia coli is the primary causative agent of pyelonephritis in pregnant women.
Question 6 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 7 of 9
R. S. is a 66-year-old female with Cushings syndrome due to an ACTH-producing pituitary tumor. The tumor is readily isolated by imaging, and the patient had an uneventful surgery. When seeing her in follow-up, the AGACNP anticipates
Correct Answer: A
Rationale: In patients with Cushing's syndrome due to an ACTH-producing pituitary tumor, removal of the tumor can result in a transient rebound release of remaining pituitary hormones. This occurs because the suppressed pituitary gland begins to recover and overproduce hormones in response to the sudden decrease in negative feedback from the removed tumor. As a result, patients may experience transient hormonal fluctuations before the pituitary gland establishes a new equilibrium. Therefore, when seeing the patient in follow-up after surgery, the AGACNP should anticipate a transient rebound release of remaining pituitary hormones rather than immediate and rapid reversal of symptoms or markedly improved test results. Additionally, hyponatremia and compensatory SIADH are less likely in this scenario unless there are other underlying factors contributing to it.
Question 8 of 9
Arrested active phase of labor in a multiparous woman denotes an abnormal labor pattern as characterized by
Correct Answer: B
Rationale: Arrested active phase is characterized by cessation of cervical dilatation for more than 4 hours.
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.