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Midwifery Exam Practice
Hypothyroidism - correct answer A condition of a deficient thyroid Tachypnea - correct answer Fast breathing Apnea - correct answer not breathing Antepartum - correct answer before birth Postpartum - correct answer after birth Intrapartum - correct answer between birth Dystocia - correct answer Condition of a difficult/abnormal childbirth Lymphoma - correct answer lymphatic tumor Bradycardia - correct answer slow heart Primigravida - correct answer a women who is pregnant for the first time Appendectomy - correct answer surgical removal of the appendix Hysterectomy - correct answer surgical removal of the uterus Anesthesia - correct answer without feeling
Multipara - correct answer a woman that has had more than one offspring Hypothermia - correct answer low temperature Perianal - correct answer around the rectum Sublingual - correct answer pertaining to under the tongue Dysuria - correct answer condition of painful urination Suprapubic - correct answer above the pubis Pelvimetry - correct answer measurement of the pelvis A fast heart rate - correct answer tachycardia A condition of decreased urine - correct answer cystitis Bladder inflammation - correct answer Uritis An inflamed vein caused by a clot - correct answer thrombophlebitis condition of having high blood sugar - correct answer hyperglycemia Destruction of blood - correct answer hemolysis An abnormal condition of appearing blue - correct answer cyanosis excessive vomiting - correct answer peremesis
A hemangioma means - correct answer A tumor of blood vessels Meningitis refers to - correct answer inflammation of the membranes around the brain A baby is born without a brain. The diagnosis would be - correct answer anencephalic Surgical removal of an inflamed gallbladder containing stones is termed - correct answer cholecystectomy A gravid woman is having genetic testing done. The physician will puncture the uterus to withdraw amniotic fluid to be used for testing. This procedure is called - correct answer amniocentesis A newborn with meconium aspiration pneumonia often finds it difficult or painful to breath. The term for this is - correct answer dyspnea Pregnant women frequently complain of the need to urinate frequently during the night. The term for this is - correct answer nocturia A lab report comes back to documenting numerous erythrocytes in the urine specimen. The term for this is - correct answer hematuria Oligomenorrhea refers to - correct answer scanty, less than normal menstrual flow Total arrest and cessation of breathing is termed - correct answer apnea Orchiditis is the term for inflammation of a/an - correct answer testis Which term defines painful joints? - correct answer Arthritis
Surgical suturing of a uterine tube is termed - correct answer salpingorrhaphy Glossitis defines inflammation of the - correct answer tongue The definition of a midwife as adopted by the International Confederation of Midwives (ICM) includes - correct answer 1. Has completed a midwifery program recognized in the country in which it is located 2.That the midwifery education is based on the ICM Essential Competencies for Basic Midwifery Practice and Global Standards for Midwifery Education 3. Has met requirements to be legally licensed to practice midwifery What were the prevailing attitudes towards midwives in the colonial period of the US? - correct answer Midwives were valued and respected members of the community. Midwives were women to be treated with dignity and supported by the community English midwives of the seventeenth century were licensed by - correct answer The Church of England What were some factors in the decline of midwifery between the 16th and 20th centuries - correct answer 1. Religious attitudes that viewed midwives as a threat and/or as being witches 2. Midwives lack of access to education 3. Campaign by physicians to discredit midwives 4. Midwives' lack of organization 5. The general low status of women in society 6. Replacement of midwives with physicians Delivering babies was historically viewed as "women's work". What factors led men to become interested in attending women in birth? - correct answer Medicine became more competitive, and birth was viewed as a lucrative business and attending a woman during birth ensured an ongoing patient population consisting of the whole family What was on way that pregnant women contributed to the decline of midwifery in the 18th and 19th centuries? - correct answer By following the fashionable trend to have male midwives attend them What factor could have sustained the practice of midwifery? - correct answer Allowing women access to medical education
The Midwives Alliance of North America (MANA) was established (select all that apply) A. in 1982 B. as an organization supporting all midwives C. as a school for direct-entry (non-nurse) midwives D. and identified core competencies and standards for midwives E. and began certifying direct-entry midwives - correct answer A, B, C, D, E MANA helped from which organization? - correct answer NARM What organizations offer certification for non-nurse midwives? - correct answer ACNM and MEAC National accreditation of midwifery education programs leading to the Certified Professional Midwife credential is through the? - correct answer Midwifery Education and Accreditation Council True or False? Direct-entry midwifery is illegal in some states - correct answer True Lay midwifery was first legalized in Texas in: - correct answer Midwifery has always been legal in Texas What was the name of the book published in 1975 that had a major impact on both natural childbirth and midwives/midwifery? - correct answer Spiritual Midwifery Who authored the book "Spiritual Midwifery"? - correct answer Ina May Gaskin Define "Core Competencies" - correct answer delineate the fundamental knowledge, skills and behaviors expected of members of the profession
What are the following are the four broad principles that define the ethics of working with or caring for human beings? - correct answer Autonomy, Beneficence, Justice and Nonmaleficence Credit for the perseverance of midwifery as a profession in the US should be given to - correct answer Women's insistence on midwifery care Competency-based certification by the North American Registry of Midwives includes all of the following except: A. Verification of character B. Verification of minimum clinical requirements C. Demonstration of required knowledge and skills D. A psychological evaluation to ensure an applicant is mentally sound E. A choice of various educational pathways - correct answer D A laboring woman's body will function the best when - correct answer She feels relaxed and at ease Who is the only direct care provider for the fetus during pregnancy - correct answer The mother According to Elizabeth Davis, the midwife's most basic task is to - correct answer Promote a mother's relaxation and peace of mind, help promote bonding between mother and baby, guarantee a safe birth with a good outcome and ensure that the mother's wishes are always heeded By careful and on-going prenatal assessments the midwife can - correct answer Anticipate potential situations during labor and identify normal values, such as blood pressure and baseline fetal heart rate What is a pre-existing health condition that would make a woman at high risk for problems and require hospital birth? - correct answer Diabetes What skill is a lost midwifery art? - correct answer Pelvimetry
C. Pre-eclampsia D. Oligohydramnios E. Neonatal hypoglycemia - correct answer A Your Gravida 3, Para 1 client at 16 weeks gestation complains of occasional nausea, fatigue, mild "crampy" feelings. She denies any bleeding or other vaginal discharge and has no other complaints. Vitals signs are all normal, she has gained 2 lbs since her last visit, and her fundus is approximately midway between the pubic bone and her umbilicus. Her urine check shows the following: Protein= trace, Glucose=negative, Blood = negative, Nitrates= positive, Ketones= trace, Leukocytes= trace, You suspect: - correct answer Morning sickness with poor appetite Carol, your Gravida 1, Para 0 client is in early labor. She should be encouraged to - correct answer rest and conserve her energy A Gravida 2, Para 0 client is at 41 4/7 weeks gestation. She calls to report that she hasn't felt the baby move for several hours. You see her and find the FHT consistently 140, even with vigorous palpation. Fundal height measures 37 cm, a drop of 1cm from her exam 5 days ago. - correct answer The birth is imminent. Advise rest The midwife visits a postpartum multipara client on day 3. She complains of abdominal pain when nursing. All of the following are appropriate remedies except: A. Frequent urination B. Motrin C. Cramp bark tincture D. Aspirin - correct answer D The two essentials in stabilization of the newborn in the first few minutes after birth are: - correct answer Ensure a clear airway and warmth Barrier precautions should be used in all of the following situations except: A. Examining a mother's teeth and mouth B. Cleaning up blood from a bathroom floor
C. Performing a breast exam on a lactating mother D. Palpating a mother's abdomen who's skin is extremely sweaty E. Handling the newborn following birth - correct answer D You are assisting a client in labor. Her membranes rupture suddenly and splash your face and eyes. You should - correct answer Flush your eyes with water and wash your face as soon as possible Which of the following statements concerning cleanliness and universal precautions is not correct? A. You should always wash your hands prior to handling the newborn at a postpartum visit B. When washing hands you should remove any rings or jewelry with rough edges and clean beneath your nails C. Always wear clean clothes to a birth D. Gloves should be worn when drawing blood and collecting vaginal cultures E. Wearing gloves is an acceptable alternative to hand washing - correct answer E Assessments made during labor should be charted - correct answer As soon as they are completed All of the following are true about medical charts except: A They are legal documents B. Skip one line before the beginning of each new entry C. All entries should be dated, timed and initialed D. Draw one straight line through any mistake made and write "error" above it - correct answer B Which of the following should not be included in your client's chart? A. A complete record of all her prenatal exams, including refusal or agreement to recommended procedures B. Notes concerning any consultation with another healthcare provider
What is part of the information that should always be included in an "informed consent" or choice statement when interviewing prospective clients? - correct answer Your training Probably the best way of dealing with a complex issue such as GBS screening or VBAC is to - correct answer Provide the mother with a written document that clearly spells out her options, any risks, benefits, and alternatives, and for the mother to indicate her choice(s) and sign When giving an injection, all of the following should be done except A. Press the plunger to remove any air from the syringe B. Draw back on the plunger after inserting into tissue to make sure you are not in a vein before injecting the medication C. Inject the medication slowly D. Draw the needle out quickly E. Recap the needle F. Dispose of needle and syringe in a "sharps" box - correct answer E Your 37 week client's membranes have been ruptured for 24 hours with no sign of labor. Her GBS test was positive. When determining the best course of action you must take several important things into consideration. Which of the following is the least important item to consider? A. Your assessment of the current health status of the mother B. How your actions may possibly affect the other midwives in your community C. Parent's choice in whether or not ot transfer care to a hospital for induction D. Your assessment of the current health status or condition of the baby - correct answer B Define body temperature. - correct answer Body temperature is the balance between heat gain and heat loss. Compare core temperature and peripheral temperature. - correct answer Core temperatures refers tot he temperature within the brain, the abdominal and chest organs while the peripheral temperature is generated by skin and skeletal muscle.
Explain how to convert Fahrenheit to Celsius. - correct answer Take the degree in Fahrenheit and subtract thirty-two. Multiply the difference by 5/9. The answer is the degree in Celsius. A normal range for an adult oral temperature is: - correct answer 96.4-100. True or False: A normal axillary temperature is approximately .5-1 degree F lower than an oral temperature. - correct answer True All of the following are a normal axillary temperature in a newborn except: A. 98. B. 97. C. 98. D. 97.0 - correct answer A What is a normal range for a tympanic membrane temperature? - correct answer 98.2 F -100F A normal range for a temporal temperature reading is: - correct answer 98.7 F - 100.5 F True or False: A temporal artery temperature is normally about a degree higher than an oral temperature. - correct answer True What are six factors that cause hypothermia or fever. - correct answer hypothyroidism, dehydration, hyperthyroidism, infection, starvation and hard exercise Which of the following is NOT a cause of hypothermia? A. Hypothyroidism B. Hypoglycemia C. Starvation
True or False: The presence of amniotic fluid and vernix in a newly born infant rules out the use of the tympanic membrane location for temperature measurement - correct answer True Which of the following can cause an inaccurate reading when using a temporal thermometer? Select all that apply A. Moving the thermometer too quickly B. Breaking contact with the skin C. Presence of sweat D. Wearing a hat or wig - correct answer C and D True or False: One of the main advantages of using a temporal artery thermometer is the many reliable studies demonstrating the accuracy of this method. - correct answer False Define Pulse - correct answer Contraction of the heart causes blood flow forward, which creates a pressure known as a pulse What is a normal, average pulse rate in a healthy non-pregnant adult woman? - correct answer 65-85 beats What is a normal pulse range in a healthy non-pregnant adult woman? - correct answer 60- 100 bpm What is the normal pulse range for a newborn? - correct answer between 110 and 160 bpm What is the normal average pulse rate for a newborn? - correct answer approximately 130 bpm You are counting the pulse of your new client who is at 12 weeks gestation. You note each pulse occurs with a varies interval between beats. You describe the rhythm of her pulse as: - correct answer Irregular
While listening to Carla's apical pulse you note that her heart rate varies with respiration, speeding up during inhalation and slowing during expiration. This is called - correct answer Sinus arrhythmia The term used to describe the strength of the pulse, or volume of blood flowing through the blood vessel is: - correct answer Amplitude What effect does pregnancy have on the maternal heart rate? - correct answer The pulse will raise peaking at 32 weeks then declines during the third trimester By about what week of gestation does the effect on the heart rate begin? - correct answer 7 weeks When does the effect of the heart rate peek? What happens following the peak? - correct answer 32 weeks; the heart rate will slightly decline after the peak What are the causes of the effect on the heart rate during pregnancy? - correct answer Changes in cardiac output, stroke volume and total blood volume Define a Apical-Radial pulse - correct answer When two midwives count the apical and radial pulse at the same time Which two of the following are potential risks associated with obtaining a pulse measurement? A. Macular bleeding when using the temporal artery B. Obstruction of blood flow to the brain if both carotid arteries are palpated simultaneously C. Vagal (parasympathetic) stimulation causing bradycardia if carotid sinus is palpated D. Clot formation if the popliteal artery is used - correct answer B and C Define respiration - correct answer The act of breathing, which supplies oxygen to the body and vital organs and eliminates carbon dioxide
What is an abnormal variation in blood pressure from one arm to the other arm? - correct answer 20 mmHg systolic pressure difference and 10 mmHg diastolic pressure difference. Hypotension and Hypertension What 5 factors contribute to the blood pressure? - correct answer Cardiac output, peripheral vascular resistance, circulating blood volume, viscosity, and elasticity of vessel walls Discuss the normal changes in blood pressure during pregnancy as outlined in Skills for Midwifery Practice - correct answer There will be a slight decrease during the first semester. Blood pressure continues to rise returning to prepregnancy levels by term How is pulse pressure measured? - correct answer You measure the pulse pressure by getting the difference between the systolic blood pressure and diastolic blood pressure. According to Skills for Midwifery, what is considered to be a normal pulse pressure? - correct answer 20 mmHg According to Nursing Health Assessment, what is considered to be a normal pulse pressure? - correct answer 40 mmHg What are Korotcuff sounds? - correct answer The Korotcuff sounds are the blood- pressure phases. Define and describe the auscultatory gap. - correct answer The auscultatory gap comes in 5% of hypertensive patients during Phase II. It is a short period of silence during this phase At about what rate should the cuff be deflated? - correct answer 2-3 mmHg per secon Average energy intake recommended for energy balance and weight maintenance in adults - correct answer EER
Average intake level that meets the need of half of all healthy individuals - correct answer EAR Recommended range of caloric intakes for the energy-yielding nutrients - correct answer AMDR An updated set of nutritional reference values that apply to healthy people - correct answer DRI When an RDA has yet to be established, this value serves as the recommended adequate intake level - correct answer AI Highest intake level of a nutrient thought to be safe - correct answer UL Average intake level that meets or exceeds the needs of 97-98% of healthy individuals - correct answer RDA Which dietary tool requires both training of the client as well as explicit take-home instructions to the client? - correct answer Diet records Dr. Sullivan is conducting a clinical trial to determine if vitamin Z can improve test performance of students in an introductory college nutrition course. Dr. Sullivan puts all the students' names in a hat and draws names to determine if they will be placed in the control or the experimental group. The experimental group receives a capsule of vitamin Z and the control group a "Sugar pill" that tastes and looks identical to the vitamin Z capsule. Neither Dr. Sullivan nor the participants know who is receiving which treatment. This experiment is best described as: - correct answer Double-blind, random selection, placebo controlled Assuming each has the same number of calories, which has the greatest nutrient density? A. 1 medium fresh orange B. 3/4 cup orange juice C. 2 whole wheat crackers D. 1 slice of white enriched bread - correct answer A
