Varneys Midwifery 6th Edition Test Bank

Varneys Midwifery 6th Edition Test Bank Related

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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.

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Mrs. Coates is a 65-year-old female who is on postoperative day 1 following a duodenal resection for a bleeding ulcer. She had an uneventful immediate postoperative course, but throughout the course of day 1 she has complained of a mild abdominal discomfort that has progressed throughout the day. This evening the AGACNP is called to the bedside to evaluate the patient for persistent and progressive discomfort. Likely causes of her symptoms include all of the following except

  • A. Colic due to return of peristalsis
  • B. Leakage from the duodenal stump
  • C. Gastric retention
  • D. Hemorrhage
Correct Answer: D

Rationale: In the scenario described, Mrs. Coates is a 65-year-old female who is on the first day postoperatively following a duodenal resection for a bleeding ulcer. Given her surgical history and the progression of her abdominal discomfort, the likely causes to consider are complications related to the surgery. Options B, C, and D are all potential postoperative complications following a duodenal resection:

Prenatal tuberculosis always leads to neonatal tuberculosis. Clinical features of tuberculosis prenatally include anaemia, intrauterine fetal death, and glycosuria.

  • A. TRUE
  • B. FALSE
  • C. Partially True
  • D. Uncertain
Correct Answer: B

Rationale: Not all prenatal tuberculosis cases lead to neonatal tuberculosis, and symptoms vary.

How can maternal nutrition affect fetal development?

  • A. Ensures proper growth
  • B. Prevents birth defects
  • C. Reduces the risk of preterm birth
  • D. All of the above
Correct Answer: D

Rationale: Maternal nutrition supports fetal growth, prevents birth defects, and reduces preterm birth risks.

The MOST common type of breech presentation is

  • A. Frank breech presentation
  • B. Complete breech presentation
  • C. Incomplete breech presentation
  • D. Footling breech presentation
Correct Answer: A

Rationale: Frank breech, where the buttocks are presenting with the legs extended, is the most common type of breech presentation.

Match the conditions in column A with their correct description in column B

  • A. Torticollis
  • B. Damage to the sternomastoid muscles
  • C. Erb’s palsy
  • D. Damage to the upper brachial plexus
Correct Answer: A

Rationale: Torticollis is caused by damage to the sternomastoid muscles, while Erb’s palsy affects the upper brachial plexus.

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