ATI RN
Varneys Midwifery 6th Edition Test Bank Questions
Question 1 of 5
The relationship between abdominal pain and vomiting typically can be characterized by saying
Correct Answer: B
Rationale: When the vomiting precedes pain, the likelihood of surgical abdomen increases appreciably. This statement is based on how the timing of symptoms can indicate the severity of the underlying condition. In cases where vomiting occurs before the onset of abdominal pain, it can be a sign of a more serious issue requiring urgent medical attention, such as a surgical abdomen. This sequence of symptoms suggests that there may be an obstruction or other critical issue in the gastrointestinal tract that is leading to the symptoms of vomiting and pain. Therefore, recognizing the relationship between the timing of symptoms like abdominal pain and vomiting is crucial in determining the urgency of intervention and appropriate medical management.
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
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
Uterine apoplexy is associated with
Correct Answer: D
Rationale: Uterine apoplexy is associated with placental abruption, which causes uterine rupture.
Question 4 of 5
R. R. is a 71-year-old female who presents with left lower quadrant pain that started out as cramping but has become more constant over the last day. She reports constipation over the last few days but admits that for as long as she can remember she has had variable bowel habits. Her vital signs are normal, but physical examination reveals some tenderness in the left lower quadrant. Which diagnostic test is most likely to support the leading differential diagnosis?
Correct Answer: B
Rationale: In a 71-year-old female presenting with left lower quadrant pain and a history of constipation, the most likely differential diagnosis to consider is diverticulitis. A CT scan with IV, oral, and rectal contrast is the diagnostic test of choice for confirming suspected diverticulitis. It is considered the gold standard imaging modality for evaluating acute abdominal pain and can help identify diverticula, inflammation, abscesses, and complications such as perforation or obstruction.
Question 5 of 5
The relationship between abdominal pain and vomiting typically can be characterized by saying
Correct Answer: B
Rationale: When the vomiting precedes pain, the likelihood of surgical abdomen increases appreciably. This statement is based on how the timing of symptoms can indicate the severity of the underlying condition. In cases where vomiting occurs before the onset of abdominal pain, it can be a sign of a more serious issue requiring urgent medical attention, such as a surgical abdomen. This sequence of symptoms suggests that there may be an obstruction or other critical issue in the gastrointestinal tract that is leading to the symptoms of vomiting and pain. Therefore, recognizing the relationship between the timing of symptoms like abdominal pain and vomiting is crucial in determining the urgency of intervention and appropriate medical management.