Nokea
Fetal position and occipito-posterior position: a) Define fetal position
- A. Orientation of the fetus in the uterus relative to the mother
- B. Orientation of the fetus' head and limbs
- C. Fetal movements during labor
- D. None of the above
Correct Answer: A
Rationale: Fetal position refers to the alignment of the fetus during pregnancy and labor.
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The diameter that presents in complete breech presentation is
- A. Bitrochanteric 9.5 cm
- B. Bitrochanteric 10 cm
- C. Bisacral 9.5 cm
- D. Bisacral 10cm
Correct Answer: D
Rationale: The presenting diameter in complete breech presentation is bisacral 10 cm.
What are the signs of uterine rupture during labor?
- A. Sudden abdominal pain
- B. Loss of fetal heart tones
- C. Vaginal bleeding
- D. All of the above
Correct Answer: D
Rationale: Uterine rupture is life-threatening and has multiple warning signs.
Acute inflammatory mastitis can be prevented postnatally by encouraging breastfeeding mothers to
- A. Use prophylactic antibiotics
- B. Use bras of the right size
- C. Wash the breasts thoroughly before breastfeeding
- D. Empty the breast completely when breastfeeding
Correct Answer: D
Rationale: Emptying the breast completely during breastfeeding helps prevent mastitis.
When counseling a patient about his surgical options for an ulcer that has been refractory to medical therapy, the AGACNP advises the patient that he will need
- A. Lifelong vitamin D replacement
- B. Excision of the ulcer, which produces an 80% cure rate
- C. To eat much smaller, more frequent meals
- D. Some form of vagotomy
Correct Answer: C
Rationale: When counseling a patient about surgical options for an ulcer that has been refractory to medical therapy, advising the patient that he will need some form of vagotomy is important. Vagotomy is a surgical procedure in which the vagus nerve is partially or completely severed. This procedure is commonly performed for patients with ulcers that have not responded to medical treatment. Vagotomy reduces the acid secretion in the stomach, which can help in the healing of the ulcer and prevent recurrence. It is an effective option for treating ulcers that have not responded to conservative medical management.
The maneuver used in management of shoulder dystocia whereby the midwife first identifies the posterior shoulder then tries to rotate it in the direction of the fetal chest is
- A. Wood’s maneuver
- B. Rubin’s maneuver
- C. Zavanelli maneuver
- D. Reverse Wood’s maneuver
Correct Answer: B
Rationale: Rubin’s maneuver involves rotating the posterior shoulder to relieve shoulder dystocia.