Varneys Midwifery 6th Edition Test Bank

Varneys Midwifery 6th Edition Test Bank Related

Review Varneys Midwifery 6th Edition Test Bank related questions and content

Lester R. is a 58-year-old male who is being evaluated for nocturia. He reports that he has to get up 2 to 3 times nightly to void. Additional assessment reveals urinary urgency and appreciable post-void dribbling. A digital rectal examination reveals a normal-sized prostate with no appreciable hypertrophy. The best approach to this patient includes

  • A. Administration of the American Urological Association (AUA) Symptom Scale
  • B. Laboratory assessment to include a PSA
  • C. Ordering a prostate ultrasound
  • D. Assessment of nonprostate causes of nocturia
Correct Answer: C

Rationale: In this case, the best approach to the patient includes assessment of nonprostate causes of nocturia. Despite the lack of significant prostate hypertrophy on digital rectal examination, the patient is experiencing bothersome lower urinary tract symptoms such as nocturia, urinary urgency, and post-void dribbling. These symptoms suggest the need to consider alternative causes beyond prostate enlargement. Factors such as overactive bladder, urinary tract infections, diabetes, sleep apnea, medications, or other systemic conditions could be contributing to the patient's symptoms. Therefore, a comprehensive evaluation to identify potential nonprostate causes of the patient's nocturia is warranted before considering more invasive prostate-specific tests like PSA, ultrasound, or symptom scales.

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The AGACNP is counseling a patient about various methods of tumor biopsy. Which of the following is not an accurate statement?

  • A. Incisional biopsy is preferred to excisional biopsy when possible
  • B. Core needle biopsy has a higher rate of false positive than does fine needle aspiration
  • C. Fine needle aspiration does not allow grading of tumors
  • D. Core needle and incisional biopsies are virtually identical in terms of false results
Correct Answer: C

Rationale: Typically, excisional biopsy is preferred over incisional biopsy whenever feasible because it provides a more accurate representation of the tumor since the entire mass is removed. This benefits both the patient (by potentially preventing the need for a second procedure) and the medical team (by ensuring a more comprehensive evaluation of the tumor). It is important to remove the entire lesion during excisional biopsy to make an accurate diagnosis. Incisional biopsy, on the other hand, involves taking only a portion of the tumor for examination, which may lead to potential sampling error and inadequate representation of the tumor.

Arrested active phase of labor in a multiparous woman denotes an abnormal labor pattern as characterized by

  • A. Cessation of cervical dilatation for more than 2 hours
  • B. Cessation of cervical dilatation for more than 4 hours
  • C. Duration of latent phase of labor lasting more than 8 hours
  • D. Cessation of descent of the presenting part for more than 1 hour
Correct Answer: B

Rationale: Arrested active phase is characterized by cessation of cervical dilatation for more than 4 hours.

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.

A patient presents with a 2-day history of abdominal pain, fever, vomiting, and diarrhea. A surgical abdomen is ruled out, and radiography demonstrates inflammation of the small bowel and colon. Microscopy supports a diagnosis of Campylobacter jejuni, and the patient is prepared for discharge from the emergency room. Important patient education includes advising her that

  • A. The bacteria may be spread for as long as she has diarrhea
  • B. The disorder should resolve on its own; recurrence is rare but represents a much more serious condition
  • C. She will need to take a 10-day course of antibiotics
  • D. There is no readily identified food source of this bacteria
Correct Answer: B

Rationale: Campylobacter jejuni is a common bacterial cause of gastroenteritis, typically transmitted through contaminated food, water, or contact with infected animals. Patient education regarding Campylobacter jejuni infection should include advising the patient that the bacteria may be spread for as long as she has diarrhea. It is important for the patient to practice good hand hygiene and take precautions to prevent spreading the infection to others. While most cases of Campylobacter infection are self-limiting and resolve on their own without the need for antibiotics, proper hygiene practices help prevent the spread of the bacteria to others.

Vitamin K prevents hemorrhagic disease of the neonate by

  • A. Activating the white blood cells
  • B. Activating the dormant clotting factors
  • C. Adopting a fibrinogen sparing mechanism
  • D. Altering the red blood cells count
Correct Answer: B

Rationale: Vitamin K activates dormant clotting factors, preventing hemorrhagic disease in neonates.

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