ATI RN
Varneys Midwifery Test Bank Questions
Question 1 of 9
On postoperative day 7 following hepatic transplant, the patient evidences signs and symptoms of acute rejection, confirmed by histologic examination. The AGACNP knows that first-line treatment of acute rejection consists of
Correct Answer: D
Rationale: The first-line treatment for acute rejection following hepatic transplant is high-dose corticosteroids, such as methylprednisolone. This is because corticosteroids have potent anti-inflammatory and immunosuppressive effects that can help suppress the immune response causing rejection. Cyclosporine, azathioprine, and sirolimus are also commonly used immunosuppressive medications in transplant patients, but in this case of acute rejection, the immediate treatment of choice is methylprednisolone.
Question 2 of 9
Placental parasitation is associated with
Correct Answer: A
Rationale: Placental parasitation is associated with malaria during pregnancy.
Question 3 of 9
Puerperal pyrexia is characterized by any episode of fever during the entire puerperium.
Correct Answer: B
Rationale: Puerperal pyrexia is defined by persistent fever, not any episode during puerperium.
Question 4 of 9
Mrs. Maroldo is an 81-year-old female who presents for evaluation of pain in her left lower quadrant. She has had this pain before and says she usually takes antibiotics and it goes away. However, this time it seems worse, and she has had it for 4 days even though she says she started taking her leftover antibiotics from the last episode. She denies any nausea or vomiting but says she simply isnt hungry. She had a little diarrhea yesterday but no bowel movements today. She has a temperature of 100.9F and a pulse of 104 bpm, respirations of 20 breaths per minute, and a blood pressure of 9460 mm Hg. She has some discomfort to deep palpation in the left lower quadrant. The AGACNP suspects
Correct Answer: C
Rationale: Mrs. Maroldo's presentation with left lower quadrant pain, fever, elevated heart rate, history of previous episodes of similar pain that improved with antibiotics, and recent diarrhea are all concerning for diverticulitis. Diverticulitis is an infection or inflammation of small pouches that can form in the wall of the colon, known as diverticula. The symptoms typically include localized abdominal pain, fever, elevated heart rate, and changes in bowel habits such as diarrhea or constipation. The discomfort to deep palpation in the left lower quadrant indicates inflammation in that area. The presence of fever, elevated heart rate, and low blood pressure suggests an infectious process requiring urgent evaluation and treatment. Further diagnostic tests such as a CT scan may be ordered to confirm the diagnosis and assess the extent of the inflammation. Appendicitis can also present with abdominal pain, but the location of the pain in the left lower quadrant makes diverticul
Question 5 of 9
Complications of unrepaired cleft lip and palate include
Correct Answer: D
Rationale: Failure to thrive and impaired speech are common complications due to feeding and developmental issues with cleft lip and palate.
Question 6 of 9
Ms. Kweke, 17 years, Para 0+0, obstructed labour: a) Define obstructed labour
Correct Answer: C
Rationale: Obstructed labour is failure of the fetus to descend through the birth canal despite adequate uterine contractions.
Question 7 of 9
A circumscribed swelling on the newborn’s scalp is indicative of
Correct Answer: D
Rationale: Neonatal cephalhematoma is a circumscribed swelling on the newborn’s scalp due to pressure during delivery.
Question 8 of 9
A complication that is associated with breech delivery is
Correct Answer: A
Rationale: Breech delivery is often associated with cord compression, which can cause fetal distress.
Question 9 of 9
Congenital malformations are common in monozygotic twinning. Dichorionicity occurs only in dizygotic twinning.
Correct Answer: B
Rationale: Monozygotic twins typically have a single chorion, not two.