Varneys Midwifery 6th Edition Test Bank

Varneys Midwifery 6th Edition Test Bank Related

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

M. T. is a 71-year-old female who presents for evaluation of a lump on her chest. She denies any symptomsthere is no pain, erythema, edema, ecchymosis, or open areasit is just a lump. She has no idea how long it has been there and just noticed it a few weeks ago. Physical examination reveals a round, smooth, flesh-colored tumor. It is firm but not hard it has smooth borders. It measures 6 cm in diameter and is non-tender to palpation. The AGACNP suspects that this is a classic presentation of the most common chest wall tumor known as a

  • A. Neurolemma
  • B. Lipoma
  • C. Hemangioma
  • D. Lymphangioma
Correct Answer: D

Rationale: The described presentation of a round, smooth, flesh-colored tumor that is firm but not hard, with smooth borders, non-tender to palpation, and measuring 6 cm in diameter, fits the classic presentation of a lipoma. Lipomas are common noncancerous soft tissue tumors often found just beneath the skin, can occur anywhere on the body, including the chest wall. They are usually painless and slowly growing, with a characteristic appearance of being smooth, soft, and mobile under the skin. In this case, the absence of pain, redness, swelling, or other concerning signs, along with the appearance and characteristics of the lump, are highly suggestive of a lipoma.

You may also like to solve these questions

The AGACNP is managing a patient in the ICU who is being treated for a pulmonary embolus. Initially the patient was stable, awake, alert, and oriented, but during the last several hours the patient has become increasingly lethargic. At change of shift, the oncoming staff nurse appreciates a profound change in the patients mental status from the day before. Vital signs and hemodynamic parameters are as follows BP 8854 mm Hg Pulse 110 bpm Respiratory rate 22 breaths per minute SaO2 93 on a 50 mask Systemic vascular resistance (SVR) 1600 dynes seccm5 Cardiac index 1.3 Lmin Pulmonary capillary wedge pressure (PCWP) 8 mm Hg This clinical picture is most consistent with which shock state?

  • A. Hypovolemic
  • B. Cardiogenic
  • C. Distributive
  • D. Obstructive
Correct Answer: B

Rationale: The patient's presentation with low blood pressure, tachycardia, tachypnea, decreased oxygen saturation, and altered mental status is most consistent with distributive shock. Distributive shock is characterized by systemic vasodilation and decreased systemic vascular resistance (SVR), leading to inadequate perfusion of tissues and organs despite normal or high cardiac output. In this case, the low SVR (1600 dynes ∙ sec/cm5) and low blood pressure indicate vasodilation. The patient's pulmonary capillary wedge pressure (PCWP) of 8 mm Hg is not consistent with cardiogenic shock, where elevated PCWP would be expected. Additionally, there are no signs of obstructive shock, such as a history of pulmonary embolism but rather clinical findings that suggest distributive shock. Hypovolemic shock would typically present with signs of volume depletion and would be less likely in this patient with stable mental status initially.

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.

There are no other abnormal findings. This suggests that Mr. Thornton

  • A. Is having anterior wall ischemia
  • B. Is having an anterior wall infarction
  • C. Has a history of anterior wall NSTEMI
  • D. Has a history of anterior wall STEMI
Correct Answer: D

Rationale: In the given scenario where there are no other abnormal findings, it suggests that Mr. Thornton is experiencing anterior wall ischemia. Ischemia occurs due to inadequate blood supply to the heart muscles, often caused by a partial blockage in the coronary arteries. The absence of abnormal findings, such as ST-segment elevation or specific changes on the electrocardiogram (ECG), indicates that the issue is more likely ischemia rather than infarction. Infarction, whether NSTEMI or STEMI, would typically be associated with specific ECG changes and significant abnormalities beyond just the absence of findings. In the absence of these features, the more likely diagnosis is anterior wall ischemia.

Priority nursing diagnoses for Mrs. Q (Breech presentation):

  • A. Risk of uterine rupture, risk of fetal distress, pain
  • B. Risk of infection, risk of fetal distress, risk of preterm birth
  • C. Risk of hemorrhage, risk of cord prolapse, pain
  • D. Risk of fetal malpresentation, impaired maternal coping
Correct Answer: A

Rationale: Nursing diagnoses include risks of uterine rupture, fetal distress, and pain management.

The type of D.V.T. that is characterized by formation of non-detachable clot(s) within an inflamed vein is known as

  • A. Phlebothrombosis
  • B. Coagulopathy
  • C. Pelviopathy
  • D. Thrombophlebitis
Correct Answer: D

Rationale: Thrombophlebitis involves the formation of non-detachable clots within inflamed veins.

Copyright © 2025 Nokea. All rights reserved.