Nokea
Signs of obstructed labour per vaginally include
- A. Dry vagina, Oedema of the cervix, Caput succedaneum
- B. Plenty amniotic fluid, Hot/dry vagina, meconium stained liquor
- C. Meconium stained liquor, Hot/dry vagina, Diluted urine
- D. Caput succedaneum, Oedema of the cervix, plenty amniotic fluid
Correct Answer: A
Rationale: Signs of obstructed labor include a dry vagina, oedema of the cervix, and caput succedaneum.
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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 cell count
Correct Answer: B
Rationale: Vitamin K activates clotting factors, thus preventing hemorrhagic disease of the neonate.
The AGACNP knows that when managing a patient with acute cardiogenic shock after myocardial infarction, all of the following pharmacologic agents may be used except
- A. Opioids
- B. Diuretics
- C. Beta-adrenergic antagonists
- D. Anticholinergics
Correct Answer: A
Rationale: Anticholinergics are not typically used in the management of acute cardiogenic shock after myocardial infarction. Anticholinergic medications may worsen tachycardia and exacerbate myocardial ischemia by increasing heart rate and myocardial oxygen demand. Therefore, the AGACNP should avoid using anticholinergics in this patient population.
Complications of deep venous thrombosis include:
- A. Pulmonary embolism, varicosity
- B. Moist gangrene, secondary postpartum hemorrhage
- C. Hydronephrosis, hematoma formation
- D. Prolonged labor, disseminated intravascular coagulopathy
Correct Answer: A
Rationale: Pulmonary embolism and varicosity are common complications of deep venous thrombosis.
The appropriate time to perform external cephalic version in a breech presentation is at
- A. 36 gestational weeks
- B. 38 gestational weeks
- C. 40 gestational weeks
- D. 42 gestational weeks
Correct Answer: A
Rationale: External cephalic version is most successful when performed between 36 and 37 weeks.
How does a water birth benefit labor?
- A. Reduces labor pain
- B. Lowers risk of tearing
- C. Enhances relaxation
- D. All of the above
Correct Answer: D
Rationale: Water birth can reduce pain, lower tearing risks, and improve relaxation during labor.