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MIDWIFERY MCQ Practice Questions ”latest
solved questions & answers verified 100% graded
A+ (Latest Version) Well Revised
. A client with an increased WBC count related to infectious hepatitis would
most likely have an elevated level of:
a. basophils
b. eosinophils
c. lymphocytes
d. neutrophils
c. lymphocytes
The WBC count with differential provides information useful in evaluating an
individual with infection, neoplasm, allergy, or immunosuppression. Lymphocytes
and monocytes are increased with acute viral infections and chronic bacterial
infections.
Expected thyroid function test findings with primary hypothyroidism include:
a. decreased TSH and decreased FT4
b. decreased TSH and increased FT4
c. increased TSH and decreased FT4
d. increased TSH and increased FT4
c. increased TSH and decreased FT4
An increased TSH level is seen with primary hypothyroidism and thyroiditis. A
decreased FT4 level is seen with hypothyroidism.
A pregnant client presents with a recent-onset rash. Which of the following
laboratory results would be reassuring that this is not likely rubella?
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a. HAI titer of 1:10 at her initial visit 1 month earlier
b. HAI titer of 1:128 at the current visit
c. Increased IgG antibody levels at the current visit
d. Increased IgM antibody levels at the current visit
a. HAI titer of 1:10 at her initial visit 1 month earlier
The HAI test is used to detect immunity to rubella and to diagnose rubella infection.
Titers of 1:10 or greater indicated immunity to rubella. High titers (1:64 or greater)
may indicate current rubella infection.
A client who had HBV 6 months ago currently has no symptoms but has a
positive test for HbsAg. This most likely indicates that she:
a. has immunity to future infection
b. has persistent active infection
c. is a chronic carrier of HBV
d. is in the early stages of reinfection
c. is a chronic carrier of HBV
HBsAg rises before onset of clinical symptoms, peaks during the first week of
symptoms, and returns to normal by the time jaundice subsides. An individual is
considered to be a carrier (remains infectious) if HBsAg persists.
A false-negative TB PPD test may be the result of:
a. dormant infection
b. immunosuppression
c. intradermal injection
d. prior BCG vaccination
b. immunosuppression
False-negative TB PPD tests may result from incorrect administration (must be
intradermal) or immunosuppresion.
A client with cholecystitis would likely have a(n):
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a. decreased alkaline phosphatase
b. decreased indirect bilirubin
c. increased albumin level
d. increased direct bilirubin level
d. increased direct bilirubin level
An elevated direct (conjugated) bilirubin level occurs with gallstones and obstruction
of extrahepatic duct.
Measuring waist circumference is most appropriate when the client's BMI
places her in which of the following categories?
a. Underweight
b. Normal weight
c. Overweight
d. Extreme obesity
c. Overweight
Waist circumference provides measurement of abdominal fat as an independent
prediction of risk for type 2 diabetes, dyslipidemia, hypertension, and cardiovascular
disease in individuals with BMI between 25 and 39.9 (overweight and obesity). Waist
circumference has little added value in disease risk prediction in individuals with BMI
of 40 or greater (extreme obesity).
Which of the following lab values is not normally affected by pregnancy?
a. Cholesterol
b. MCV
c. T4
d. Triglycerides
b. MCV
Cholesterol and triglyceride levels may be elevated during pregnancy. T4 levels are
affected by the amount of TBG, which is increased during pregnancy. The. MCV is
the average volume or size of a single RBC. Although Hgb/Hct levels may be lower
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during pregnancy, the size of the RBCs should not change unless the woman has
iron deficiency anemia, thalassemia, vitamin B12 deficiency, or folic acid deficiency.
A 65-year-old female has bone densitometry test, with the results of T-score
being -2.0. This indicates she has:
a. bone density that is greater than that of most women her age
b. bone density that is equal to that of a young normal adult
c. bone loss that is at the level for a diagnosis of osteopenia
d. bone loss that is at the level for a diagnosis of osteoporosis
c. bone loss that is at the level for a diagnosis of osteopenia
Osteopenia is defined as BMD between 1 and 2 SD below that of a young normal
adult. This is a T-score between -1 and -2.5.
Appropriate management for a 45-year-old client who has no diabetes risk
factors and no symptoms of diabetes with a fasting glucose of 130 mg/dL
would include which of the following?
a. Inform client she has impaired glucose tolerance
b. Order HbA1c level
c. Repeat glucose testing on another day
d. Repeat glucose screening in 3 years
c. Repeat glucose testing on another day
A fasting glucose of 126 mg/dL or greater is diagnostic for diabetes. Repeat testing
should be done on a subsequent day to confirm diagnosis.
A client who either has acute active HBV infection or who is a carrier (chronic
active state) would have a positive test for:
a. HBsAg
b. HBsAb
c. HBeAg
d. HBeAb
MIDWIFERY MCQ Practice Questions ”latest
solved questions & answers verified 100% graded
A+ (Latest Version) Well Revised
. A client with an increased WBC count related to infectious hepatitis would
most likely have an elevated level of:
a. basophils
b. eosinophils
c. lymphocytes
d. neutrophils
c. lymphocytes
The WBC count with differential provides information useful in evaluating an
individual with infection, neoplasm, allergy, or immunosuppression. Lymphocytes
and monocytes are increased with acute viral infections and chronic bacterial
infections.
Expected thyroid function test findings with primary hypothyroidism include:
a. decreased TSH and decreased FT4
b. decreased TSH and increased FT4
c. increased TSH and decreased FT4
d. increased TSH and increased FT4
c. increased TSH and decreased FT4
An increased TSH level is seen with primary hypothyroidism and thyroiditis. A
decreased FT4 level is seen with hypothyroidism.
A pregnant client presents with a recent-onset rash. Which of the following
laboratory results would be reassuring that this is not likely rubella?
, Page 2 of 72
a. HAI titer of 1:10 at her initial visit 1 month earlier
b. HAI titer of 1:128 at the current visit
c. Increased IgG antibody levels at the current visit
d. Increased IgM antibody levels at the current visit
a. HAI titer of 1:10 at her initial visit 1 month earlier
The HAI test is used to detect immunity to rubella and to diagnose rubella infection.
Titers of 1:10 or greater indicated immunity to rubella. High titers (1:64 or greater)
may indicate current rubella infection.
A client who had HBV 6 months ago currently has no symptoms but has a
positive test for HbsAg. This most likely indicates that she:
a. has immunity to future infection
b. has persistent active infection
c. is a chronic carrier of HBV
d. is in the early stages of reinfection
c. is a chronic carrier of HBV
HBsAg rises before onset of clinical symptoms, peaks during the first week of
symptoms, and returns to normal by the time jaundice subsides. An individual is
considered to be a carrier (remains infectious) if HBsAg persists.
A false-negative TB PPD test may be the result of:
a. dormant infection
b. immunosuppression
c. intradermal injection
d. prior BCG vaccination
b. immunosuppression
False-negative TB PPD tests may result from incorrect administration (must be
intradermal) or immunosuppresion.
A client with cholecystitis would likely have a(n):
, Page 3 of 72
a. decreased alkaline phosphatase
b. decreased indirect bilirubin
c. increased albumin level
d. increased direct bilirubin level
d. increased direct bilirubin level
An elevated direct (conjugated) bilirubin level occurs with gallstones and obstruction
of extrahepatic duct.
Measuring waist circumference is most appropriate when the client's BMI
places her in which of the following categories?
a. Underweight
b. Normal weight
c. Overweight
d. Extreme obesity
c. Overweight
Waist circumference provides measurement of abdominal fat as an independent
prediction of risk for type 2 diabetes, dyslipidemia, hypertension, and cardiovascular
disease in individuals with BMI between 25 and 39.9 (overweight and obesity). Waist
circumference has little added value in disease risk prediction in individuals with BMI
of 40 or greater (extreme obesity).
Which of the following lab values is not normally affected by pregnancy?
a. Cholesterol
b. MCV
c. T4
d. Triglycerides
b. MCV
Cholesterol and triglyceride levels may be elevated during pregnancy. T4 levels are
affected by the amount of TBG, which is increased during pregnancy. The. MCV is
the average volume or size of a single RBC. Although Hgb/Hct levels may be lower
, Page 4 of 72
during pregnancy, the size of the RBCs should not change unless the woman has
iron deficiency anemia, thalassemia, vitamin B12 deficiency, or folic acid deficiency.
A 65-year-old female has bone densitometry test, with the results of T-score
being -2.0. This indicates she has:
a. bone density that is greater than that of most women her age
b. bone density that is equal to that of a young normal adult
c. bone loss that is at the level for a diagnosis of osteopenia
d. bone loss that is at the level for a diagnosis of osteoporosis
c. bone loss that is at the level for a diagnosis of osteopenia
Osteopenia is defined as BMD between 1 and 2 SD below that of a young normal
adult. This is a T-score between -1 and -2.5.
Appropriate management for a 45-year-old client who has no diabetes risk
factors and no symptoms of diabetes with a fasting glucose of 130 mg/dL
would include which of the following?
a. Inform client she has impaired glucose tolerance
b. Order HbA1c level
c. Repeat glucose testing on another day
d. Repeat glucose screening in 3 years
c. Repeat glucose testing on another day
A fasting glucose of 126 mg/dL or greater is diagnostic for diabetes. Repeat testing
should be done on a subsequent day to confirm diagnosis.
A client who either has acute active HBV infection or who is a carrier (chronic
active state) would have a positive test for:
a. HBsAg
b. HBsAb
c. HBeAg
d. HBeAb
