ATI RN
Midwifery Exam Questions and Answers PDF Questions
Question 1 of 5
The PRIORITY action to take when nursing a neonate on phototherapy is to
Correct Answer: D
Rationale: The correct answer is D: Check the neonate’s vital signs every 2-4 hourly. This is the priority action because neonates undergoing phototherapy are at risk for dehydration and temperature instability. Monitoring vital signs regularly helps to detect any signs of dehydration, such as decreased urine output or increased heart rate, and ensures timely intervention. Explanation for other choices: A: Turning the neonate every six hours routinely is important for preventing pressure ulcers but is not the priority when compared to monitoring vital signs for potential complications. B: Encouraging the mother to discontinue breastfeeding is incorrect as breastmilk provides essential nutrients and hydration, which are important for neonates, even during phototherapy. C: Notifying the physician if the skin turns bronze-colored is important to address a potential adverse reaction to phototherapy but does not take precedence over monitoring vital signs for immediate concerns.
Question 2 of 5
The type of cord prolapse characterized by presence of the fetal umbilical cord alongside the presenting part is
Correct Answer: C
Rationale: The correct answer is C: Funic cord prolapse. Funic cord prolapse is characterized by the fetal umbilical cord being alongside the presenting part. This type of cord prolapse is a more specific term used to describe the exact position of the cord in relation to the presenting part. The other choices are incorrect because: - A: Occult umbilical cord prolapse refers to a hidden or concealed cord prolapse, where the cord is not visible externally. - B: Overt umbilical cord prolapse is when the cord is visible externally before the presenting part. - D: Complete cord prolapse implies that the entire cord has descended through the cervix before the presenting part, not just alongside it. Therefore, the correct choice is C as it accurately describes the specific positioning of the umbilical cord in relation to the presenting part during cord prolapse.
Question 3 of 5
The main feature of Hyperemesis gravidarum is
Correct Answer: B
Rationale: Step 1: Hyperemesis gravidarum is characterized by severe nausea and vomiting during pregnancy. Step 2: Inability to eat or retain food all through is a hallmark feature due to excessive vomiting. Step 3: This leads to dehydration, electrolyte imbalances, and weight loss. Step 4: Pallor, cyanosis, weakness, and smaller fundal height are not specific to hyperemesis gravidarum. Summary: Choice B is correct as it directly relates to the primary symptom of excessive vomiting in hyperemesis gravidarum, while the other choices are not specific to this condition.
Question 4 of 5
Clinical diagnosis of polyhydramnios is based on an excessive amount of amniotic fluid exceeding
Correct Answer: D
Rationale: The correct answer is D: 3000 ml. Polyhydramnios is diagnosed when the amniotic fluid volume exceeds 2000 to 3000 ml. This is because amniotic fluid serves important functions in protecting the fetus and aiding in fetal movements. Having an excessively high volume can lead to complications such as preterm labor, fetal malpresentation, and placental abruption. Choices A, B, and C are incorrect as they do not fall within the range typically used to diagnose polyhydramnios. A: 1500 ml and C: 1900 ml are below the threshold, while B: 2500 ml is at the lower end but still not exceeding the diagnostic range for polyhydramnios.
Question 5 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
Correct Answer: D
Rationale: Step 1: Campylobacter jejuni is a bacteria commonly associated with foodborne illness, often found in undercooked poultry and unpasteurized milk. Step 2: The patient's symptoms and microbiological findings are consistent with Campylobacter infection. Step 3: Advising the patient that there is no readily identified food source of this bacteria is important for preventing future exposure and potential reinfection. Step 4: Choices A, B, and C are incorrect as they do not address the specific educational need related to food safety and prevention of Campylobacter infection.
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