Varneys Midwifery 6th Edition Test Bank

Varneys Midwifery 6th Edition Test Bank Related

Review Varneys Midwifery 6th Edition Test Bank related questions and content

When counseling a patient about his surgical options for an ulcer that has been refractory to medical therapy, the AGACNP advises the patient that he will need

  • A. Lifelong vitamin D replacement
  • B. Excision of the ulcer, which produces an 80% cure rate
  • C. To eat much smaller, more frequent meals
  • D. Some form of vagotomy
Correct Answer: C

Rationale: When counseling a patient about surgical options for an ulcer that has been refractory to medical therapy, advising the patient that he will need some form of vagotomy is important. Vagotomy is a surgical procedure in which the vagus nerve is partially or completely severed. This procedure is commonly performed for patients with ulcers that have not responded to medical treatment. Vagotomy reduces the acid secretion in the stomach, which can help in the healing of the ulcer and prevent recurrence. It is an effective option for treating ulcers that have not responded to conservative medical management.

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Why is adequate prenatal care crucial for reducing maternal mortality?

  • A. Early detection of complications
  • B. Encourages healthy behaviors
  • C. Reduces the likelihood of preterm birth
  • D. All of the above
Correct Answer: D

Rationale: Prenatal care helps detect complications, promotes healthy behaviors, and reduces preterm birth risk.

A Para 3+0 client who was scheduled for the fourth cesarean section comes in active labor. The MAIN complication of concern in this case is

  • A. Placenta abruption
  • B. Rupture of the uterus
  • C. Prolonged labor
  • D. Precipitate labor
Correct Answer: B

Rationale: The main concern for a woman with multiple previous cesarean sections is uterine rupture.

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.

Which one of the following is a prerequisite for forceps delivery?

  • A. Intact membranes
  • B. Ruptured membranes
  • C. Cephalic presentation
  • D. Full urinary bladder
Correct Answer: B

Rationale: Ruptured membranes are a prerequisite for forceps delivery to avoid injury to the membranes.

Diabetes in pregnancy predisposes a mother to developing vulvo-vaginitis due to

  • A. High acidity levels which favor growth of Escherichia coli
  • B. Low acidity levels which favor growth of Candida albicans
  • C. Existing chronic hypertension
  • D. Lowered osmotic pressure
Correct Answer: B

Rationale: Diabetes in pregnancy alters vaginal pH, promoting Candida albicans growth.

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