ATI RN
Varneys Midwifery 6th Edition Test Bank Questions
Question 1 of 9
Total loss of polarity and fundal dominance leads to
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 2 of 9
Diabetes in pregnancy predisposes a mother to developing vulvo-vaginitis due to
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 3 of 9
He has had 1 L of NSS infused by emergency medical services. His vital signs reveal a pulse of 128 bpm and a blood pressure of 8860 mm Hg. With respect to his hypotension, the AGACNP recognizes that
Correct Answer: D
Rationale: In this scenario, the patient's low blood pressure is likely a physiologic response to traumatic head injury. Hypotension can occur as a compensatory mechanism in traumatic brain injury to maintain cerebral perfusion. The body may reduce blood pressure to decrease the risk of further brain injury or bleeding. It is important for the AGACNP to recognize that in traumatic brain injury, hypotension may not necessarily require immediate intervention with vasopressors, as it may be a protective response. Monitoring and managing the patient's condition closely, including neurologic status and trends in blood pressure, is crucial in this situation.
Question 4 of 9
Which one of the following statements is correct with regards to puerperal psychosis?
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 5 of 9
Prenatal tuberculosis always leads to neonatal tuberculosis. Clinical features of tuberculosis prenatally include anaemia, intrauterine fetal death, and glycosuria.
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 6 of 9
Lester R. is a 58-year-old male who is being evaluated for nocturia. He reports that he has to get up 2 to 3 times nightly to void. Additional assessment reveals urinary urgency and appreciable post-void dribbling. A digital rectal examination reveals a normal-sized prostate with no appreciable hypertrophy. The best approach to this patient includes
Correct Answer: C
Rationale: In this case, the best approach to the patient includes assessment of nonprostate causes of nocturia. Despite the lack of significant prostate hypertrophy on digital rectal examination, the patient is experiencing bothersome lower urinary tract symptoms such as nocturia, urinary urgency, and post-void dribbling. These symptoms suggest the need to consider alternative causes beyond prostate enlargement. Factors such as overactive bladder, urinary tract infections, diabetes, sleep apnea, medications, or other systemic conditions could be contributing to the patient's symptoms. Therefore, a comprehensive evaluation to identify potential nonprostate causes of the patient's nocturia is warranted before considering more invasive prostate-specific tests like PSA, ultrasound, or symptom scales.
Question 7 of 9
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: 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 8 of 9
Janice is a 32-year-old female who presents for evaluation of abdominal pain. She has no significant medical or surgical history and denies any history of ulcers, reflux, or gastritis. However, she is now in significant pain and is afraid something is really wrong. She describes what started out as a dull discomfort in the upper part of her stomach a few hours ago but has now become more profound and centered on the right side just under her ribcage. She has not vomited but says she feels nauseous. Physical exam reveals normal vital signs except for a pulse of 117 bpm. She is clearly uncomfortable, and palpation of the abdomen reveals tenderness with deep palpation of the right upper quadrant. The AGACNP orders which imaging study to investigate the likely cause?
Correct Answer: A
Rationale: Given Janice's presentation of significant abdominal pain localized to the right upper quadrant with tenderness on deep palpation, the most appropriate initial imaging study to investigate the likely cause is a right upper quadrant ultrasound. This imaging modality is commonly used to evaluate the liver, gallbladder, bile ducts, and adjacent structures. It can help identify common causes of right upper quadrant pain such as gallstones, cholecystitis, or biliary duct obstruction. The non-invasive nature of ultrasound and its ability to provide real-time imaging make it a valuable tool in the initial assessment of patients with abdominal pain. Depending on the findings of the ultrasound, further imaging studies or interventions may be pursued. Abdominal radiographs may not provide sufficient detail of the biliary system, while a CT scan with contrast or a HIDA scan may be reserved for further evaluation if needed based on the ultrasound findings.
Question 9 of 9
Precipitate labor is an unusually rapid labor
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.