Band 7 Midwifery Interview Questions and Answers

Questions 64

ATI RN

ATI RN Test Bank

Band 7 Midwifery Interview Questions and Answers Questions

Question 1 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: A

Rationale: The correct answer is A: Radiographs. Radiographs, specifically skull X-rays, are most useful in assessing for findings consistent with a history of abuse in this case. Radiographs can detect fractures, such as skull fractures or facial bone fractures, which are common in cases of physical abuse. These fractures may not always be clinically evident but can be identified on X-rays. Explanation of other choices: B: CT scan without contrast - While a CT scan can provide detailed imaging of the head, it may not be necessary in this case as the patient's neurologic examination is within normal limits. Also, radiographs are more cost-effective and can detect fractures effectively. C: MRI - MRI is not typically used as the first-line imaging modality for suspected head trauma due to its cost and time-consuming nature. Radiographs are more appropriate for initial evaluation. D: PET scan - PET scans are used to detect metabolic activity in tissues and are not typically indicated for assessing acute traumatic injuries like fractures associated with

Question 2 of 5

A characteristic of monozygotic twins is that

Correct Answer: A

Rationale: The correct answer is A because monozygotic twins, also known as identical twins, develop from a single fertilized egg and share the same genetic material. This results in them always being of the same sex. Choice B is incorrect because fingerprint patterns are not solely determined by genetics. Choice C is incorrect because monozygotic twins will have the same blood group since they share the same DNA. Choice D is incorrect because superfetation, the fertilization of multiple eggs at different times during the same pregnancy, is not common in monozygotic twins.

Question 3 of 5

A general principle in surgical oncology is that the best approach to curative surgery in a fixed tumor requires

Correct Answer: B

Rationale: The correct answer is B: Adjuvant therapies. Adjuvant therapies are additional treatments given after the primary treatment, usually surgery, to reduce the risk of cancer recurrence. In the context of fixed tumors, adjuvant therapies can help target any remaining cancer cells that may not have been completely removed during surgery, thus improving the chances of a successful outcome. En bloc resection (A) is important for complete tumor removal but may not always be feasible in fixed tumors. Neoadjuvant therapies (C) are given before surgery and are not typically used for fixed tumors. Elective lymph node dissection (D) may be necessary in some cases but is not the best approach for curative surgery in fixed tumors.

Question 4 of 5

Perception and reaction to labor pain is highly influenced by

Correct Answer: C

Rationale: The correct answer is C because culture and level of education can significantly impact how women perceive and react to labor pain. Culture shapes beliefs, norms, and attitudes towards pain, influencing coping mechanisms. Education can enhance understanding of pain management techniques. Option A lacks specificity on how preparedness and fatigue affect perception. Option B oversimplifies by only considering culture and age. Option D overlooks the influence of education and focuses solely on anxiety and number of deliveries.

Question 5 of 5

Complications of uterine rupture:

Correct Answer: A

Rationale: The correct answer is A because uterine rupture can lead to severe complications such as hemorrhage from blood vessels tearing, uterine atony causing failure of the uterus to contract, infection due to exposure of internal tissues, and peritonitis from inflammation of the abdominal lining. Choices B and C are incorrect as they list complications that are not directly associated with uterine rupture. Preterm labor, cord prolapse, uterine prolapse, fetal distress, placental abruption are potential consequences of other obstetric complications but not specifically uterine rupture. Therefore, choice A is the most appropriate answer given the context of uterine rupture.

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