Nokea
A client is declared fit for vaginal birth after cesarean section if
- A. Her previous C/S was due to cephalopelvic disproportion
- B. The current pregnancy is confirmed as a multiple pregnancy
- C. Previous delivery was via cesarean section
- D. Previous delivery was via spontaneous vertex delivery
Correct Answer: D
Rationale: Vaginal birth after cesarean section is possible if the previous delivery was via spontaneous vertex delivery
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The neonatal birth injury that results due to bleeding between the epicranial aponeurosis and the periosteum is
- A. Caput succedaneum
- B. Intracranial hemorrhage
- C. Subgaleal hemorrhage
- D. Aponeurotic hemorrhage
Correct Answer: A
Rationale: Caput succedaneum is caused by bleeding between the epicranial aponeurosis and the periosteum.
K. W. is a 50-year-old woman who presents for surgical resection of the liver for treatment of metastatic colon cancer. Preoperatively, the surgeon tells her that he is planning to remove 50 to 75 of her liver. The patient is concerned that she will not be able to recover normal liver function with that much removed. The AGACNP counsels her that
- A. Such a high-volume resection is utilized only in people with markedly compromised hepatic function
- B. Major regeneration occurs within 10 days, and the process is complete by 5 weeks
- C. Liver function will probably recover to 50% baseline, but that is enough for normal function
- D. Up to 95% of the liver can be removed without any apparent consequence to the patient
Correct Answer: B
Rationale: The liver is known for its remarkable ability to regenerate. Major regeneration can occur within 10 days after partial hepatectomy (liver resection) as a compensatory mechanism. The process is typically complete within 5 weeks. This regenerative capacity allows for safe removal of a significant portion of the liver for procedures such as liver resection for cancer. The remaining liver tissue is able to rapidly proliferate and restore normal liver function. The patient should be reassured that even with 50 to 75% of her liver being removed, she can expect a significant amount of liver function recovery postoperatively.
A definitive indication for elective caesarean section includes
- A. Cord prolapse denoted in first stage
- B. Failure of first stage to progress
- C. Major degree of placenta praevia
- D. Fetal compromise denoted in first stage
Correct Answer: C
Rationale: A major degree of placenta praevia is a definitive indication for elective cesarean section.
The diagnostic factor of polyhydramnious, based on percussion, is
- A. Muffled fetal heart sounds
- B. Presence of a dull sound
- C. Excessive fetal movements
- D. Presence of a fluid thrill
Correct Answer: D
Rationale: Fluid thrill is a key diagnostic sign of polyhydramnious.
Dwarfism is associated with
- A. Polydactylism
- B. Achondroplasia
- C. Syndactylism
- D. Talipes
Correct Answer: B
Rationale: Dwarfism is typically associated with achondroplasia, a genetic disorder affecting bone growth.