Nokea
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.
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The commonest causative agent for pyelonephritis is
- A. Proteus vulgaris
- B. Escherichia coli
- C. Neisseria gonococcal
- D. Streptococcus faecalis
Correct Answer: B
Rationale: Escherichia coli is the most common causative agent for pyelonephritis.
The appropriate time to perform external cephalic version in a breech presentation is at
- A. 36 gestational weeks
- B. 38 gestational weeks
- C. 40 gestational weeks
- D. 42 gestational weeks
Correct Answer: A
Rationale: External cephalic version is most successful when performed between 36 and 37 weeks.
The term persistent occipito-posterior position indicates that the occiput
- A. Escapes under the symphysis pubis
- B. Rotates forward always
- C. Reaches the pelvic floor first
- D. Fails to rotate forward
Correct Answer: D
Rationale: Persistent occipito-posterior position means the occiput fails to rotate forward.
The AGACNP is going over preoperative information and instructions with a patient who is having a major transverse abdominal procedure tomorrow morning. The patient is very nervous and is asking a lot of questions. The AGACNP prescribes a sleeping agent because he knows that anxiety and sleeplessness may
- A. Lead to hypoxia due to hyperventilation
- B. Increase the physiologic stress response postoperatively
- C. Contribute to risk of delirium and prolonged length of stay
- D. Decreasep.o. intake and produce nutritional risk
Correct Answer: C
Rationale: Anxiety and sleeplessness can contribute to the risk of delirium and prolonged length of stay for the patient undergoing a major transverse abdominal procedure. Delirium is a common complication seen in patients who are anxious and sleep-deprived, especially postoperatively. It is important to address these issues preoperatively to help prevent delirium and ensure a smoother recovery process for the patient. By prescribing a sleeping agent, the AGACNP aims to reduce anxiety and promote a good night's sleep, which can ultimately decrease the risk of delirium and lead to better outcomes for the patient.
The neonatal birth injury that results due to bleeding between the epicranial aponeurosis and the periosteum is
- A. Caput succedaneum
- B. Intracranial hemorrhage
- C. Subgaleal hemorrhage
- D. Aponeurotic hemorrhage
Correct Answer: A
Rationale: Caput succedaneum is caused by bleeding between the epicranial aponeurosis and the periosteum.