Midwifery Practice Questions

Midwifery Practice Questions Related

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Jake is a 32-year-old patient who is recovering from major abdominal surgery and organ resection following a catastrophic motor vehicle accident. Due to the nature of his injuries, a large portion of his jejunum had to be resected. In planning for his recovery and nutritional needs, the AGACNP considers that

  • A. He will probably be able to transition to oral nutrition but will have lifetime issues with diarrhea
  • B. His procedure has put him at significant risk for B12 absorption problems
  • C. Most jejunum absorption functions will be assumed by the ileum
  • D. Enteral nutrition will need to be delayed for 3 to 6 months to facilitate adaptation
Correct Answer: B

Rationale: The correct answer is B: His procedure has put him at significant risk for B12 absorption problems.

Rationale:
1. Jejunum is primarily responsible for nutrient absorption, including B12.
2. Resection of a large portion of the jejunum can lead to malabsorption of B12.
3. B12 is essential for neurological function and red blood cell production.
4. Patients with significant jejunum resection are at high risk for B12 deficiency.
5. Monitoring B12 levels and potentially requiring supplementation is crucial for patients like Jake.

Summary of other choices:
A: Incorrect. Lifetime issues with diarrhea are not necessarily expected following jejunum resection.
C: Incorrect. The ileum may assume some functions of the jejunum but cannot fully compensate.
D: Incorrect. Enteral nutrition should not be delayed for months as it is essential for Jake's recovery and nutritional needs.

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The birth weight of a very low birth weight baby ranges between

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

Rationale: The correct answer is B (500-1500 gm) because very low birth weight babies typically weigh less than 1500 grams at birth. This range encompasses the common weight range for these babies. Option A (1000-500 gm) is too narrow and excludes babies weighing below 500 grams. Option C (1001-1500 gm) is incorrect as it includes babies weighing over 1500 grams. Option D (1500-2000 gm) is incorrect as it includes babies above the typical weight range for very low birth weight babies.

How does iron supplementation benefit pregnancy?

  • A. Increases fetal blood flow
  • B. Reduces anemia
  • C. Prevents miscarriages
  • D. Enhances fetal bone growth
Correct Answer: B

Rationale: Iron supplementation benefits pregnancy by correcting or preventing iron deficiency anemia in the mother. Anemia can lead to various complications for the mother and baby. Iron is essential for the production of hemoglobin, which carries oxygen to tissues. Therefore, by reducing anemia, iron supplementation ensures optimal oxygen delivery to both the mother and the developing fetus. This ultimately supports healthy pregnancy outcomes.

Explanation for other choices:
A: Iron supplementation does not directly increase fetal blood flow.
C: While iron deficiency may increase the risk of miscarriage, iron supplementation alone does not prevent miscarriages.
D: Iron is not directly involved in fetal bone growth, so iron supplementation does not enhance this aspect of fetal development.

The correct statement about malaria prophylaxis during pregnancy is that

  • A. Sulfadoxine Pyrimethamine should be given to all pregnant women in malaria endemic zones
  • B. All pregnant women in malaria endemic zones are assumed free of the parasite until tested
  • C. Sulfadoxine Pyrimethamine should be administered with each alternate visit after quickening
  • D. All antenatal clients in Kenya should receive intermittent presumptive treatment at least 6 doses
Correct Answer: A

Rationale: Step 1: Sulfadoxine Pyrimethamine is recommended for pregnant women in malaria endemic areas due to its safety and efficacy in preventing malaria during pregnancy.
Step 2: Pregnant women are at higher risk of severe complications from malaria, making prophylaxis crucial.
Step 3: The World Health Organization recommends intermittent preventive treatment with Sulfadoxine Pyrimethamine for pregnant women in malaria-endemic areas.
Step 4: Option A aligns with these guidelines, making it the correct choice.
Summary: Option B is incorrect because pregnant women are considered at risk regardless of testing. Option C is incorrect as the timing of administration is not based on quickening. Option D is incorrect as the recommended number of doses may vary based on guidelines.

Homeopathy, music therapy, and hydrotherapy are among the

  • A. Systemic methods of pain relief
  • B. Regional analgesia methods of pain relief
  • C. Inhalational analgesia method of pain relief
  • D. Non-pharmacological methods of pain relief
Correct Answer: D

Rationale: The correct answer is D: Non-pharmacological methods of pain relief. Homeopathy, music therapy, and hydrotherapy are all non-pharmacological approaches that do not involve the use of medication to manage pain. They focus on alternative techniques to alleviate pain, such as using natural remedies, music, or water-based therapies. These methods aim to address pain through holistic approaches that do not rely on traditional pharmaceutical interventions.

A: Systemic methods of pain relief typically involve medications that affect the entire body, such as opioids.
B: Regional analgesia methods target specific areas for pain relief, like nerve blocks.
C: Inhalational analgesia involves administering pain relief medications through inhalation, such as nitrous oxide.

In summary, the other choices are incorrect because they do not accurately describe the non-pharmacological nature of homeopathy, music therapy, and hydrotherapy in managing pain.

What are the key signs of preeclampsia?

  • A. High blood pressure
  • B. Proteinuria
  • C. Severe headaches
  • D. All of the above
Correct Answer: D

Rationale: The correct answer is D (All of the above) because preeclampsia is characterized by high blood pressure, proteinuria, and symptoms like severe headaches. High blood pressure is a hallmark sign, proteinuria indicates kidney damage, and severe headaches can be a symptom of worsening preeclampsia. Therefore, all three signs are crucial for diagnosing preeclampsia. Choices A, B, and C are incorrect individually because they do not encompass all the key signs necessary for diagnosing preeclampsia.

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