Nokea
Uterine apoplexy is associated with
- A. Postpartum haemorrhage
- B. Hyperemesis gravidarum
- C. Precipitate labor
- D. Placenta abruption
Correct Answer: D
Rationale: Uterine apoplexy is associated with placental abruption, which causes uterine rupture.
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Teratogenic causes of congenital malformations include
- A. Infective agents and chromosomes
- B. Radiation and substance of abuse
- C. Prematurity and prophylactic antibiotic
- D. Substance of abuse and postdatism
Correct Answer: B
Rationale: Radiation and substances of abuse are key teratogenic causes of congenital malformations.
What are the signs of uterine rupture during labor?
- A. Sudden abdominal pain
- B. Loss of fetal heart tones
- C. Vaginal bleeding
- D. All of the above
Correct Answer: D
Rationale: Uterine rupture is life-threatening and has multiple warning signs.
Important components that mobilize brown fat in neonates to produce heat are
- A. Respiration and activity
- B. Oxygen and protein
- C. Calcium and glucose
- D. Oxygen and glucose
Correct Answer: D
Rationale: Oxygen and glucose are critical for brown fat mobilization and thermogenesis in neonates.
R. R. is a 61-year-old male patient who presents with a chief complaint of fever and urinary symptoms. He was in his usual state of good health when for no apparent reason he developed pain in his back and perineal region, as well as fever and chills. He presents as septic. He had urinary hesitancy and decreased stream but now reports that he has not passed urine in more than 12 hours. Palpation of the lower abdomen is consistent with bladder distention. The AGACNP knows that which of the following is contraindicated in this circumstance?
- A. Digital prostate examination
- B. Urinary catheterization
- C. Fluoroquinolone antibiotics
- D. Drainage of prostate abscess
Correct Answer: D
Rationale: In a patient with suspected prostatic abscess and urinary retention, urinary catheterization is contraindicated due to the risk of spreading infection and causing potential complications such as septicemia or worsening of the abscess. The introduction of a catheter can disrupt the abscess capsule, leading to dissemination of the infection. Therefore, other methods of decompression and treatment should be considered, such as drainage of the abscess or other appropriate interventions guided by a healthcare provider.
Which one of the following statements is correct with regards to puerperal psychosis?
- A. Majority of the patients present with major depression
- B. Majority of the patients present with manic episodes
- C. Personal history of mental disorder is considered a direct cause
- D. Occurrence of post-partum blues is indicative of the condition
Correct Answer: B
Rationale: Puerperal psychosis often presents with manic episodes in the majority of cases.