Postmaturity is pregnancy equal to or more than

Question 1 of 5

A. 38 completed weeks B. 42 completed weeks C. 40 completed weeks D. 36 completed weeks

Correct Answer: B

Rationale: Postmaturity refers to pregnancies that last beyond 42 weeks.

Question 2 of 5

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

A. Neurolemma B. Lipoma C. Hemangioma D. Lymphangioma

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 3 of 5

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

A. Placenta abruption B. Rupture of the uterus C. Prolonged labor D. Precipitate labor

Correct Answer: B

Rationale: The main concern for a woman with multiple previous cesarean sections is uterine rupture.

Question 4 of 5

Which one of the following is a prerequisite for forceps delivery?

A. Intact membranes B. Ruptured membranes C. Cephalic presentation D. Full urinary bladder

Correct Answer: B

Rationale: Ruptured membranes are a prerequisite for forceps delivery to avoid injury to the membranes.

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.