Midwifery Exam Questions

Questions 64

ATI RN

ATI RN Test Bank

Midwifery Exam Questions Questions

Question 1 of 5

A neonate of a smear-negative mother just before birth receives BCG as usual.

Correct Answer: A

Rationale: The correct answer is A: TRUE. This is because BCG vaccination for newborns is recommended even if the mother is smear-negative for tuberculosis, as it helps protect the newborn from severe forms of TB. Smear status of the mother does not impact the need for BCG vaccination in the neonate. Choice B is incorrect as it falsely implies that BCG should not be given in this scenario. Choices C and D are not applicable as they do not provide any information.

Question 2 of 5

The AGACNP is evaluating a patient who reportedly fell down a flight of steps. Her history is significant for several emergency room visits, but she denies any significant medical conditions. Some documentation in her chart indicates that she may have been subjected to physical abuse. Today she presents with a periorbital ecchymosis of the left eye and swelling in the left side of the face. Her neurologic examination is within normal limits. Which head imaging study would be most useful in assessing for findings consistent with a history of abuse?

Correct Answer: B

Rationale: The correct answer is B: CT scan without contrast. A CT scan is the most useful imaging study in assessing for findings consistent with a history of abuse in this patient. CT scan is preferred for acute trauma to the head as it provides detailed images of the brain, skull, and facial bones. It can detect acute hemorrhages, fractures, or other signs of trauma. In this case, the patient's presentation with periorbital ecchymosis and facial swelling raises suspicion for traumatic injury, which can be assessed effectively with a CT scan. Radiographs (choice A) are not as sensitive as CT scans in detecting subtle fractures or soft tissue injuries in the head and face. MRI (choice C) is not typically used in acute trauma assessment and may not provide timely information needed in this case. PET scan (choice D) is not indicated for evaluating traumatic head injuries and is more commonly used for assessing metabolic and functional activity in the body.

Question 3 of 5

While participating in sports, it is not uncommon for people to be subjected to sudden rotational injuries that result in the abrupt rotation of the cerebral cortex around the more fixed midbrain structures. This can interrupt input and outflow from the reticular activating system and result in what clinical phenomenon?

Correct Answer: C

Rationale: Step 1: Sudden rotational injuries can disrupt brain function. Step 2: Abrupt rotation of the cerebral cortex can affect the reticular activating system. Step 3: Disruption of the reticular activating system can lead to altered consciousness. Step 4: Altered consciousness is a hallmark of a concussion. Therefore, the correct answer is C: Concussion. Other choices are incorrect because an epidural hematoma involves bleeding between the skull and dura (A), uncal herniation involves brain shifting through tentorium (B), and contrecoup injury occurs opposite the site of impact (D).

Question 4 of 5

In uterine inversion, the last part to be replaced is the

Correct Answer: B

Rationale: In uterine inversion, the fundus is the last part to be replaced due to its position being the deepest inside the vagina. The fundus is the upper portion of the uterus and is the last part to invert back into its normal position. The cervix, isthmus, and body are parts of the uterus that are more easily replaced during the process of uterine inversion. The fundus being the final part to be replaced ensures the uterus is fully restored to its correct orientation.

Question 5 of 5

A cause of shoulder presentation is

Correct Answer: C

Rationale: The correct answer is C: Oligohydramnios. Shoulder presentation occurs when the baby presents shoulder-first rather than head-first during birth. Oligohydramnios, a condition characterized by low levels of amniotic fluid, can lead to decreased uterine space, increasing the chances of abnormal fetal positioning. Macerated fetus (A) is associated with fetal decomposition, not shoulder presentation. Postdates pregnancy (B) is linked to increased risk of macrosomia but not shoulder presentation. Placenta abruption (D) is a separation of the placenta from the uterus, not a direct cause of shoulder presentation.

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