Nokea
Uterus hypotonicity is likely to lead to prolonged labor due to
- A. Incoordination of the uterus muscle fibers during a contraction
- B. Maternal exhaustion because of improper preparation for labor
- C. Weak receptors thus not strong enough to signal enough contraction
- D. Inadequate pelvis thus not able to stimulate enough uterine contractions
Correct Answer: A
Rationale: Uterus hypotonicity results in poor coordination of muscle fibers, leading to ineffective contractions.
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Mrs. Maroldo is an 81-year-old female who presents for evaluation of pain in her left lower quadrant. She has had this pain before and says she usually takes antibiotics and it goes away. However, this time it seems worse, and she has had it for 4 days even though she says she started taking her leftover antibiotics from the last episode. She denies any nausea or vomiting but says she simply isnt hungry. She had a little diarrhea yesterday but no bowel movements today. She has a temperature of 100.9F and a pulse of 104 bpm, respirations of 20 breaths per minute, and a blood pressure of 9460 mm Hg. She has some discomfort to deep palpation in the left lower quadrant. The AGACNP suspects
- A. Irritable bowel syndrome
- B. Inflammatory bowel disease
- C. Diverticulitis
- D. Appendicitis
Correct Answer: C
Rationale: Mrs. Maroldo's presentation with left lower quadrant pain, fever, elevated heart rate, history of previous episodes of similar pain that improved with antibiotics, and recent diarrhea are all concerning for diverticulitis. Diverticulitis is an infection or inflammation of small pouches that can form in the wall of the colon, known as diverticula. The symptoms typically include localized abdominal pain, fever, elevated heart rate, and changes in bowel habits such as diarrhea or constipation. The discomfort to deep palpation in the left lower quadrant indicates inflammation in that area. The presence of fever, elevated heart rate, and low blood pressure suggests an infectious process requiring urgent evaluation and treatment. Further diagnostic tests such as a CT scan may be ordered to confirm the diagnosis and assess the extent of the inflammation. Appendicitis can also present with abdominal pain, but the location of the pain in the left lower quadrant makes diverticul
Acute inflammatory mastitis can be prevented postnatally by encouraging breastfeeding mothers to
- A. Use prophylactic antibiotics
- B. Use bras of the right size
- C. Wash the breasts thoroughly before breastfeeding
- D. Empty the breast completely after breastfeeding
Correct Answer: D
Rationale: Emptying the breast completely when breastfeeding prevents mastitis by ensuring proper drainage of milk.
Placental parasitation is associated with
- A. Malaria prenatally
- B. Candidiasis prenatally
- C. Tuberculosis prenatally
- D. Multiple gestation
Correct Answer: A
Rationale: Placental parasitation is associated with malaria during pregnancy.
Which of the following types of aortic aneurysms requires immediate surgical intervention?
- A. Type A
- B. Type B
- C. Descending
- D. Symptomatic
Correct Answer: C
Rationale: Type A aortic aneurysms require immediate surgical intervention. Type A aortic dissections involve the ascending aorta and are at high risk for complications such as aortic rupture or compromise of coronary artery blood flow. Prompt surgical repair is necessary to prevent potentially fatal outcomes. Types B, C, and symptomatic aneurysms may not require immediate surgical intervention depending on the specific patient presentation and associated risks.
The AGACNP recognizes that which of the following diagnostic studies is essential in all cases of acute abdomen?
- A. Abdominal radiograph
- B. Contrast radiography
- C. Chest radiography
- D. Ultrasonography
Correct Answer: C
Rationale: Ultrasonography is considered essential in all cases of acute abdomen because it is a valuable tool in evaluating various abdominal organs non-invasively. It can quickly identify common causes of acute abdomen such as cholecystitis, pancreatitis, appendicitis, and other intra-abdominal pathologies. Ultrasonography also has the advantage of being radiation-free and can be performed rapidly at the bedside, making it a preferred initial diagnostic modality in the evaluation of acute abdominal pain. Abdominal radiograph, contrast radiography, and chest radiography may have limited utility in the evaluation of acute abdomen compared to ultrasonography.