ATI RN
Midwifery Exam Questions Questions
Question 1 of 5
Pneumatosis, or gas cysts, may form in the wall anywhere along the gastrointestinal tract in some cases, they will produce symptoms such as abdominal discomfort, diarrhea with mucus, and excess flatulence. Treatment of pneumatosis most often involves
Correct Answer: B
Rationale: The correct answer is B: Hyperbaric oxygen. Hyperbaric oxygen therapy is the most effective treatment for pneumatosis as it helps to reduce gas cysts by increasing oxygen levels in the tissues. This promotes healing and resolution of the condition. A: Several days of oxygen by face mask - Regular oxygen therapy is not as effective as hyperbaric oxygen in treating pneumatosis. C: Surgical resection - Surgical resection is not typically the first-line treatment for pneumatosis and is usually reserved for severe cases or complications. D: Treatment of underlying disease - While treating the underlying disease is important, it may not directly address the gas cysts in the gastrointestinal tract. Hyperbaric oxygen therapy targets the gas cysts specifically.
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
In which form of hypospadias should circumcision be deferred in order to preserve the prepuce for later surgical repair?
Correct Answer: A
Rationale: In ventral displacement hypospadias, circumcision should be deferred to preserve prepuce for later surgical repair as the prepuce is needed for reconstruction. The prepuce can be used as a tissue graft to correct the hypospadias. In proximal displacement, the urethral opening is closer to the scrotum, making prepuce preservation less critical. Midscrotal hypospadias and meatus proximal to the corona do not typically involve prepuce preservation for surgical repair.
Question 4 of 5
Bruised and oedematous appearance of the uterus, associated with placenta abruption, is collectively referred to as
Correct Answer: C
Rationale: The correct answer is C, Couvelaire uterus. This condition is characterized by a bruised and edematous appearance of the uterus due to severe placental abruption. The rationale is that a Couvelaire uterus specifically refers to this presentation, while the other choices do not. A: Wernicke's encephalopathy is a neurological disorder caused by thiamine deficiency. B: Uterine prolapse is the descent or herniation of the uterus into or beyond the vagina. D: Asherman's syndrome involves intrauterine adhesions leading to menstrual irregularities.
Question 5 of 5
Diagnosis of obstructed labour (Abdominal examination):
Correct Answer: A
Rationale: The correct answer is A: Palpation of the abdomen. To diagnose obstructed labor, palpation of the abdomen is essential to assess the position and size of the fetus, as well as the presence of uterine contractions and fetal heart rate. Tenderness in the lower abdomen may indicate other conditions, not necessarily obstructed labor. Softening of the cervix is a sign of impending labor but not specific to obstructed labor. Therefore, palpation of the abdomen is the most appropriate choice for diagnosing obstructed labor.
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