Varneys Midwifery Test Bank

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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.

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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.

What is the role of folic acid in pregnancy?

  • A. Prevents gestational hypertension
  • B. Supports placenta growth
  • C. Prevents neural tube defects
  • D. Reduces anemia
Correct Answer: C

Rationale: Folic acid is crucial for preventing neural tube defects.

Complications of deep venous thrombosis include:

  • A. Moist gangrene, secondary postpartum hemorrhage
  • B. Pulmonary embolism, varicosity
  • C. Hydronephrosis, hematoma formation
  • D. Prolonged labor, disseminated intravascular coagulopathy
Correct Answer: B

Rationale: Pulmonary embolism and varicosity are significant complications of deep venous thrombosis.

Vasa praevia occurs when there is a

  • A. Velamentous insertion of the cord
  • B. Succenturiate insertion of the cord
  • C. Tripartite cord
  • D. Bipartite cord
Correct Answer: A

Rationale: Vasa praevia occurs with a velamentous insertion of the umbilical cord.

The presenting diameter in face presentation is

  • A. Submento-vertical
  • B. Mento-vertical
  • C. Suboccipito-bregmatic
  • D. Submento-bregmatic
Correct Answer: A

Rationale: In face presentation, the presenting diameter is submento-vertical.

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