Postpartum haemorrhage is likely to lead to acute

Question 1 of 5

Post-partum haemorrhage is likely to lead to acute renal failure due to

A. Sheehan’s syndrome B. Disseminated intravascular coagulation C. Hypovolaemia leading to tubules necrosis D. Asherman’s syndrome

Correct Answer: C

Rationale: Hypovolaemia from excessive bleeding can lead to renal failure.

Question 2 of 5

An indication for forceps delivery is

A. Inadequate size of the pelvis B. Delay in second stage of labor C. Unsuccessful vacuum extraction D. Fetal distress in first stage of labor

Correct Answer: B

Rationale: Forceps delivery is typically used in the second stage of labor when there is delay.

Question 3 of 5

A patient presents with a 2-day history of abdominal pain, fever, vomiting, and diarrhea. A surgical abdomen is ruled out, and radiography demonstrates inflammation of the small bowel and colon. Microscopy supports a diagnosis of Campylobacter jejuni, and the patient is prepared for discharge from the emergency room. Important patient education includes advising her that

A. The bacteria may be spread for as long as she has diarrhea B. The disorder should resolve on its own; recurrence is rare but represents a much more serious condition C. She will need to take a 10-day course of antibiotics D. There is no readily identified food source of this bacteria

Correct Answer: B

Rationale: Campylobacter jejuni is a common bacterial cause of gastroenteritis, typically transmitted through contaminated food, water, or contact with infected animals. Patient education regarding Campylobacter jejuni infection should include advising the patient that the bacteria may be spread for as long as she has diarrhea. It is important for the patient to practice good hand hygiene and take precautions to prevent spreading the infection to others. While most cases of Campylobacter infection are self-limiting and resolve on their own without the need for antibiotics, proper hygiene practices help prevent the spread of the bacteria to others.

Question 4 of 5

Homeopathy, music therapy, and hydrotherapy are among the

A. Systemic methods of pain relief B. Regional analgesia methods of pain relief C. Inhalational analgesia methods of pain relief D. Non-pharmacological methods of pain relief

Correct Answer: D

Rationale: Homeopathy, music therapy, and hydrotherapy are non-pharmacological methods.

Question 5 of 5

R. R. is a 61-year-old male patient who presents with a chief complaint of fever and urinary symptoms. He was in his usual state of good health when for no apparent reason he developed pain in his back and perineal region, as well as fever and chills. He presents as septic. He had urinary hesitancy and decreased stream but now reports that he has not passed urine in more than 12 hours. Palpation of the lower abdomen is consistent with bladder distention. The AGACNP knows that which of the following is contraindicated in this circumstance?

A. Digital prostate examination B. Urinary catheterization C. Fluoroquinolone antibiotics D. Drainage of prostate abscess

Correct Answer: D

Rationale: In a patient with suspected prostatic abscess and urinary retention, urinary catheterization is contraindicated due to the risk of spreading infection and causing potential complications such as septicemia or worsening of the abscess. The introduction of a catheter can disrupt the abscess capsule, leading to dissemination of the infection. Therefore, other methods of decompression and treatment should be considered, such as drainage of the abscess or other appropriate interventions guided by a healthcare provider.