Nokea
Based on vaginal examination findings, indicators of abnormal labor are
- A. Bandl’s ring and oedematous vulva
- B. Oedematous cervix and fetal hypoxia
- C. Maternal distress and severe moulding
- D. Hot, dry vagina and arrest in descent
Correct Answer: D
Rationale: A hot, dry vagina and lack of descent suggest abnormal labor patterns.
You may also like to solve these questions
How does a water birth benefit labor?
- A. Reduces labor pain
- B. Lowers risk of tearing
- C. Enhances relaxation
- D. All of the above
Correct Answer: D
Rationale: Water birth can reduce pain, lower tearing risks, and improve relaxation during labor.
While reviewing the head CT scan of a patient following a motor vehicle accident, the AGACNP appreciates a crescent-shaped fluid collection. This most likely represents
- A. Acute subdural hematoma
- B. Acute epidural hematoma
- C. Acute uncal herniation
- D. Acute brainstem compression
Correct Answer: A
Rationale: A crescent-shaped fluid collection on a head CT scan typically represents an acute subdural hematoma. Acute subdural hematomas result from the tearing of bridging veins that lie between the dura mater and arachnoid mater layers of the meninges. This injury often occurs due to significant head trauma, such as a motor vehicle accident. As blood accumulates within the potential space between the dura and arachnoid layers, it forms a crescent-shaped collection that can compress the underlying brain tissue, leading to symptoms such as altered mental status, headache, focal neurological deficits, and signs of increased intracranial pressure. Treatment may involve surgical intervention to evacuate the hematoma and relieve the pressure on the brain.
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.
Uterus hypotonicity is likely to lead to prolonged labor due to
- A. Incoordination of the uterus muscle fibers during a contraction
- B. Maternal exhaustion because of improper preparation for labor
- C. Weak receptors thus not strong enough to signal enough contraction
- D. Inadequate pelvis thus not able to stimulate enough uterine contractions
Correct Answer: A
Rationale: Uterus hypotonicity results in poor coordination of muscle fibers, leading to ineffective contractions.
The AGACNP knows that when managing a patient with acute cardiogenic shock after myocardial infarction, all of the following pharmacologic agents may be used except
- A. Opioids
- B. Diuretics
- C. Beta-adrenergic antagonists
- D. Anticholinergics
Correct Answer: A
Rationale: Anticholinergics are not typically used in the management of acute cardiogenic shock after myocardial infarction. Anticholinergic medications may worsen tachycardia and exacerbate myocardial ischemia by increasing heart rate and myocardial oxygen demand. Therefore, the AGACNP should avoid using anticholinergics in this patient population.