Nokea
Occipito-posterior position: b) Define occipito-posterior position
- A. Fetus faces the mother's spine with head down
- B. Fetal head facing the mother's back
- C. Head facing the mother's pelvis, facing the back
- D. Both B and C
Correct Answer: B
Rationale: Occipito-posterior position occurs when the baby faces the mother's back with the head down.
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A client is declared fit for vaginal birth after cesarean section if
- A. Her previous C/S was due to cephalopelvic disproportion
- B. The current pregnancy is confirmed as a multiple pregnancy
- C. Previous delivery was via cesarean section
- D. Previous delivery was via spontaneous vertex delivery
Correct Answer: D
Rationale: Vaginal birth after cesarean section is possible if the previous delivery was via spontaneous vertex delivery
The AGACNP is going over preoperative information and instructions with a patient who is having a major transverse abdominal procedure tomorrow morning. The patient is very nervous and is asking a lot of questions. The AGACNP prescribes a sleeping agent because he knows that anxiety and sleeplessness may
- A. Lead to hypoxia due to hyperventilation
- B. Increase the physiologic stress response postoperatively
- C. Contribute to risk of delirium and prolonged length of stay
- D. Decreasep.o. intake and produce nutritional risk
Correct Answer: C
Rationale: Anxiety and sleeplessness can contribute to the risk of delirium and prolonged length of stay for the patient undergoing a major transverse abdominal procedure. Delirium is a common complication seen in patients who are anxious and sleep-deprived, especially postoperatively. It is important to address these issues preoperatively to help prevent delirium and ensure a smoother recovery process for the patient. By prescribing a sleeping agent, the AGACNP aims to reduce anxiety and promote a good night's sleep, which can ultimately decrease the risk of delirium and lead to better outcomes for the patient.
Based on vaginal examination findings, indicators of abnormal labor are
- A. Bandl’s ring and oedematous vulva
- B. Oedematous cervix and fetal hypoxia
- C. Hot, dry vagina and arrest in descent
- D. Maternal distress and severe moulding
Correct Answer: C
Rationale: A hot, dry vagina and lack of descent suggest abnormal labor patterns.
Ms. Kweke, 17 years, Para 0+0, obstructed labour: a) Define obstructed labour
- A. Uterine contractions without cervical dilation
- B. Any abnormal fetal presentation during labour
- C. Failure of the fetus to descend through the birth canal despite adequate uterine contractions
- D. Prolonged labour with normal fetal presentation
Correct Answer: C
Rationale: Obstructed labour is failure of the fetus to descend through the birth canal despite adequate uterine contractions.
The priority management of uncomplicated malaria during the second trimester includes administration of
- A. Oral quinine
- B. Parenteral quinine
- C. Artemether lumefantrine
- D. Sulphadoxine pyrimethamine
Correct Answer: C
Rationale: Artemether lumefantrine is recommended for uncomplicated malaria in pregnancy.