Midwifery Exam Questions

Midwifery Exam Questions Related

Review Midwifery Exam Questions related questions and content

enna is a 41-year-old female who presents to the emergency room complaining of sudden hearing loss. She is generally very healthyshe denies any significant medical history, and her only daily medication is a combined oral contraceptive. She does admit that she is just getting over a head cold, but other than that she offers no relevant history. A comprehensive history and physical examination results in a diagnosis of sudden sensorineural hearing loss (SSHL) of unknown origin. The AGACNP knows that the next step in the patients management should include

  • A. Acyclovir
  • B. Furosemide
  • C. Warfarin
  • D. Hyperbaric oxygen
Correct Answer: A

Rationale: The correct answer is A: Acyclovir. The rationale is that sudden sensorineural hearing loss (SSHL) can sometimes be associated with viral infections, such as herpes simplex virus. Acyclovir is an antiviral medication that can potentially help treat the underlying viral infection causing SSHL. It is important to address the potential viral etiology before considering other treatments.

Summary of other choices:
B: Furosemide is a diuretic used to treat conditions like high blood pressure and edema, not SSHL.
C: Warfarin is an anticoagulant used to prevent blood clots, not indicated for SSHL.
D: Hyperbaric oxygen therapy is sometimes used for SSHL, but addressing any potential viral infection with Acyclovir would be a more appropriate initial step.

You may also like to solve these questions

Teratogenic causes of congenital abnormalities include

  • A. Medical conditions and pesticides
  • B. Prescription drugs and chromosomes
  • C. Radiation and substances of abuse
  • D. Disordered genes and medical conditions
Correct Answer: C

Rationale: The correct answer is C because radiation and substances of abuse are known teratogenic causes of congenital abnormalities. Radiation exposure can lead to genetic mutations and developmental issues in the fetus. Substances of abuse like alcohol, tobacco, and illicit drugs can also negatively impact fetal development.

A: Medical conditions and pesticides may have negative effects on pregnancy outcomes, but they are not typically classified as teratogenic causes of congenital abnormalities.

B: Prescription drugs can be teratogenic in some cases, but not all prescription drugs have harmful effects on fetal development. Chromosomes are not typically considered teratogenic causes.

D: Disordered genes can lead to congenital abnormalities, but they are not classified as teratogenic causes. Medical conditions are not universally teratogenic.

In obstructed labor, edema of the vulva presents early due to

  • A. Prolonged effort of the mother to push the baby
  • B. Pressure applied on cervix by the presenting part
  • C. An ill-fitting presenting part pressing on the cervix
  • D. Large presenting diameters stretching the vulva
Correct Answer: B

Rationale: The correct answer is B because pressure applied on the cervix by the presenting part in obstructed labor leads to edema of the vulva. This pressure causes obstruction of blood and lymphatic flow in the area, resulting in swelling and edema. Prolonged effort by the mother (choice A) would not directly cause vulvar edema. An ill-fitting presenting part (choice C) may contribute to obstruction but does not explain the mechanism of edema. Large presenting diameters (choice D) stretching the vulva would not directly cause edema without pressure on the cervix.

Diagnosis of obstructed labour (Abdominal examination):

  • A. Palpation of the abdomen
  • B. Tenderness in the lower abdomen
  • C. Softening of the cervix
  • D. All of the above
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.

Hypoplastic left heart syndrome is characterized by underdevelopment of

  • A. Pulmonary veins, ventricles and aortic valve
  • B. Left ventricle, atrium and pulmonary vessels
  • C. Aortic arch, venacava and right atrium
  • D. Left ventricle, aortic valve and arch
Correct Answer: D

Rationale: Rationale:
1. Hypoplastic left heart syndrome involves underdevelopment of the left ventricle, aortic valve, and aortic arch.
2. The left ventricle is essential for pumping oxygenated blood to the body.
3. Aortic valve controls blood flow from the left ventricle to the aorta.
4. Aortic arch connects the ascending and descending aorta.
Summary:
A - Incorrect, as it includes pulmonary veins not related to hypoplastic left heart syndrome.
B - Incorrect, as it includes structures not primarily affected in this condition.
C - Incorrect, as it does not involve structures related to the left side of the heart.

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

  • A. TRUE
  • B. FALSE
  • C. -
  • D. -
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.

Copyright © 2025 Nokea. All rights reserved.