ATI RN
Human Growth and Development Final Exam
1. During the third stage of labor, __________.
- A. the cervix thins to nothing
- B. uterine contractions begin
- C. the placenta is delivered
- D. the baby is born
Correct answer: C
Rationale: During the third stage of labor, the correct answer is C, the placenta is delivered. This stage occurs after the baby is born and involves the expulsion of the placenta from the uterus. Choice A is incorrect because the thinning of the cervix to nothing typically occurs during the first stage of labor. Choice B is incorrect as uterine contractions usually begin during the first stage of labor to help with the dilation of the cervix. Choice D is incorrect because the baby is typically born in the second stage of labor, not the third.
2. To follow a healthy diet, a person should be sure that:
- A. 20-35% of the total carbs eaten should be made up of fiber
- B. 45-65% of the total carbs eaten should be made up of fiber
- C. 45-65% of the total fiber eaten should be made up of soluble fiber
- D. 45-65% of the total calories eaten should be made up of carbs
Correct answer: D
Rationale: The Acceptable Macronutrient Distribution Range (AMDR) suggests that 45-65% of total daily calories should come from carbohydrates.
3. Kevin has a history of peptic ulcer disease and vomits coffee-ground emesis. What does this indicate?
- A. He has fresh, active upper GI bleeding.
- B. He needs immediate saline gastric lavage.
- C. His gastric bleeding occurred 2 hours earlier.
- D. He needs a transfusion of packed RBCs.
Correct answer: C
Rationale: Coffee-ground emesis is a sign of upper gastrointestinal bleeding that occurred approximately 2 hours earlier. It results from the breakdown of blood in the stomach due to digestive enzymes, giving it a coffee-ground appearance. Choice A is incorrect because coffee-ground emesis indicates older, partially digested blood, not fresh active bleeding. Choice B is incorrect as gastric lavage is not indicated for coffee-ground emesis. Choice D is incorrect because a transfusion of packed RBCs is not the immediate management for this presentation.
4. Is a cell the basic unit of structure and function of an organism?
- A. True
- B. False
- C. Not Sure
- D. None of the above
Correct answer: A
Rationale: The correct answer is A: True. A cell is indeed the basic unit of structure and function of an organism. Cells are the smallest independently functioning unit in the structure of an organism and carry out vital functions necessary for life. Choice B, False, is incorrect because cells are universally recognized as the fundamental unit of life. Choice C, Not Sure, is incorrect as the role of a cell as the basic unit of an organism's structure and function is a well-established scientific fact. Choice D, None of the above, is incorrect as the statement provided in the question is true.
5. A client who was admitted to the maternity unit at 38 weeks of gestation and who is experiencing polyhydramnios is found to have which of the following?
- A. The client is carrying more than one fetus
- B. There is an elevated level of alpha-fetoprotein (AFP) in the amniotic fluid
- C. An excessive amount of amniotic fluid is present
- D. The fetus is likely to have a congenital anomaly, be growth restricted, or demonstrate fetal distress during labor
Correct answer: C: An excessive amount of amniotic fluid is present
Rationale: Polyhydramnios refers to the presence of an excessive amount of amniotic fluid around the fetus. This condition can result from various causes, such as maternal diabetes, fetal anomalies, or genetic disorders. It can lead to complications during pregnancy and delivery, such as preterm labor, placental abruption, or fetal malpresentation. Understanding this diagnosis is crucial for providing appropriate care and monitoring to ensure the best outcomes for both the mother and the fetus.
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