Nokea
What are the potential complications associated with a post-term pregnancy?
- A. Macrosomia
- B. Placental insufficiency
- C. Meconium aspiration
- D. All of the above
Correct Answer: D
Rationale: Post-term pregnancies carry risks like macrosomia, placental insufficiency, and meconium aspiration.
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The AGACNP knows that which of the following must be evaluated as a cause of her abdominal pain?
- A. HELLP syndrome
- B. Placental abruption
- C. Spontaneous hepatic rupture
- D. Preterm labor
Correct Answer: C
Rationale: Abdominal pain in pregnancy can be caused by various conditions, but spontaneous hepatic rupture is a rare but life-threatening cause that must be ruled out. Spontaneous hepatic rupture, also known as liver rupture, can occur in pregnancy, though it is extremely rare. It is associated with severe abdominal pain, hypovolemic shock, and can lead to significant maternal and fetal morbidity and mortality. Therefore, the AGACNP should evaluate this possibility when assessing a pregnant patient with abdominal pain to provide timely and appropriate management.HELLP syndrome, placental abruption, and preterm labor are important considerations in the differential diagnosis of abdominal pain in pregnancy but are not specific to the life-threatening nature of spontaneous hepatic rupture.
Based on vaginal examination findings, indicators of abnormal labor are
- A. Bandl’s ring and oedematous vulva
- B. Oedematous cervix and fetal hypoxia
- C. Maternal distress and severe moulding
- D. Hot, dry vagina and arrest in descent
Correct Answer: D
Rationale: A hot, dry vagina and lack of descent suggest abnormal labor patterns.
Persistent nausea and vomiting related to pregnancy is indicative of
- A. Morning sickness
- B. Multiple gestation
- C. Hyperemesis gravidarum
- D. Hypertensive disorders
Correct Answer: C
Rationale: Persistent nausea and vomiting is a hallmark of hyperemesis gravidarum.
A client is declared fit for vaginal birth after cesarean section if
- A. Her previous C/S was due to cephalopelvic disproportion
- B. The current pregnancy is confirmed as a multiple pregnancy
- C. Previous delivery was via cesarean section
- D. Previous delivery was via spontaneous vertex delivery
Correct Answer: D
Rationale: Vaginal birth after cesarean section is possible if the previous delivery was via spontaneous vertex delivery
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.