Band 7 Midwifery Interview Questions and Answers

Band 7 Midwifery Interview Questions and Answers Related

Review Band 7 Midwifery Interview Questions and Answers 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: D

Rationale: The correct answer is D: Hyperbaric oxygen. SSHL is a medical emergency that requires prompt intervention. Hyperbaric oxygen therapy increases oxygen delivery to the inner ear, potentially reversing the hearing loss. Acyclovir (A) is used for viral infections, not SSHL. Furosemide (B) is a diuretic used for treating fluid retention, not SSHL. Warfarin (C) is an anticoagulant and is not indicated for SSHL. In summary, hyperbaric oxygen is the appropriate choice for managing SSHL due to its potential to improve oxygen delivery to the inner ear.

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Hepatic encephalopathy is a clinical syndrome seen in patients with chronic liver disease its presentation may range from mild personality changes, to psychosis, to coma. The primary chemical mediators of hepatic encephalopathy include all of the following except

  • A. Gamma-aminobutyric acid (GABA)
  • B. Ammonia
  • C. False neurotransmitters
  • D. Serotonin
Correct Answer: B

Rationale: The correct answer is B: Ammonia. Ammonia is a primary chemical mediator of hepatic encephalopathy. In patients with chronic liver disease, the liver's ability to detoxify ammonia is compromised, leading to its accumulation in the bloodstream and subsequent neurotoxic effects causing encephalopathy. Gamma-aminobutyric acid (GABA), false neurotransmitters, and serotonin are all implicated in the pathophysiology of hepatic encephalopathy. GABA is involved in neurotransmission, false neurotransmitters are substances that disrupt normal neurotransmission, and serotonin levels are altered in hepatic encephalopathy.

The birth weight of an extremely low birth weight baby ranges between

  • A. 1000-500 gm
  • B. 500-1500 gm
  • C. 1001-1500 gm
  • D. 1500-2000 gm
Correct Answer: A

Rationale: The correct answer is A (1000-500 gm) because extremely low birth weight babies are typically defined as those weighing less than 1000 grams (1kg) at birth. This range specifically includes weights below 1000 grams, making it the most accurate choice.

Choice B (500-1500 gm) is incorrect because it includes weights above the threshold for extremely low birth weight (1000 gm). Choice C (1001-1500 gm) is incorrect because it excludes babies weighing less than 1000 gm, which are considered extremely low birth weight. Choice D (1500-2000 gm) is also incorrect as it includes weights above the range for extremely low birth weight babies.

Precipitate labour is an unusually rapid labour

  • A. That is concluded in less than three hours
  • B. Where the external cervical os fails to dilate despite good uterine contractions
  • C. That is concluded in more than three hours
  • D. Where the external cervical os fails to dilate due to poor uterine contractions.
Correct Answer: A

Rationale: Step-by-step rationale:
1. Precipitate labor is defined as unusually rapid labor.
2. Option A states that it is concluded in less than three hours, aligning with the definition.
3. Option B talks about cervical dilation, which is not a defining factor of precipitate labor.
4. Option C contradicts the definition as it mentions a duration longer than three hours.
5. Option D mentions poor uterine contractions, which are not characteristic of precipitate labor.

Summary:
Option A is correct because it aligns with the definition of precipitate labor being rapid, while the other options are incorrect as they do not accurately describe the characteristics of precipitate labor.

A characteristic of monozygotic twins is that

  • A. They are always of the same sex
  • B. They share a similar fingerprint pattern
  • C. They have different blood groups
  • D. Superfetation is a common finding
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.

Precipitate labor is an unusually rapid labor

  • A. Where the external cervical os fails to dilate despite good uterine contractions
  • B. That is concluded in more than three hours
  • C. That is concluded in less than three hours
  • D. Where the external cervical os fails to dilate due to poor uterine contractions
Correct Answer: C

Rationale: The correct answer is C because precipitate labor is defined as labor that is concluded in less than three hours. This rapid progression can lead to complications such as increased risk of tearing and fetal distress. Choice A is incorrect because it describes a different condition where the cervix fails to dilate despite good contractions. Choice B is incorrect as it contradicts the definition of precipitate labor. Choice D is incorrect as it describes a scenario where the cervix fails to dilate due to poor uterine contractions, which is not characteristic of precipitate labor. Therefore, choice C is the correct answer based on the definition and characteristics of precipitate labor.

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