Download NARM 2026 FINAL ASSESSMENT TESTED CONTENT WITH ACCURATE SOLUTIONS and more Exams Nursing in PDF only on Docsity!
NARM 2026 FINAL ASSESSMENT TESTED
CONTENT WITH ACCURATE SOLUTIONS
◉ The lithotomy position is when the birthing person. Answer: is flat on her back with legs in stirrups ◉ The period during labor between complete dilation and the onset of active effective pushing is called. Answer: The resting phase ◉ Late decelerations are thought to be cause by. Answer: uteroplacental insufficiency ◉ Early decelerations are thought to be caused by. Answer: Head compression ◉ variable decelerations are thought to be cause by. Answer: cord compression ◉ A fetal heart rate that consistently stays the same with no variations is considered. Answer: silent
◉ When examining the placenta and cord the midwife is mainly checking for:. Answer: abnormalities ◉ When performing an emergency episiotomy the midwife must cut:. Answer: during a contraction as the head crowns ◉ The episiotomy cut said to heal the fastest is. Answer: midline ◉ Immediately after the delivery of the placenta it is important to:. Answer: massage the uterus ◉ Something that may keep the uterus from contracting is:. Answer: a full bladder ◉ Respiratory distress in the newborn is evinced by:. Answer: 1) tachypnea
- grunting
- insuction ◉ Preterm labor is defined as:. Answer: labor starting prior to 37 weeks ◉ At a client's one week postpartum check, when the mother is asked about feeding behaviors she tells the midwife, "My baby is
◉ The following is not true about the character of an infant's cry. Answer: a persistent inconsolable cry is common in infants before the milk comes in ◉ If the client continues to hemorrhage in third stage, the most important thing is to. Answer: get the placenta out ◉ If a baby is delivering in face presentation, he must rotate to. Answer: mentum anterior position ◉ The midwife has been at Mary's house for one hour. Upon arrival, she was 2 cm, BP 130/84, and FHT was 152. She is experiencing contractions as very painful and flinches noticeably when her abdomen is touched. The midwife has just taken FHT again one hour later and find them to be 100. BP is 90/60. She would most suspect. Answer: placental abruption ◉ Veronica is a G5P4 who is in hard labor at home. She was 9 cm an hour ago, and now she has involuntary grunting with the last contraction and asks the midwife if she can push. The midwife tells her:. Answer: "If it feels good, go ahead and push, if it does not feel good, don't push yet" ◉ When delivering a breech, as the body begins to deliver, the midwife should:. Answer: Keep hands off the breech until the birth of the umbilicus
◉ After a shoulder dystocia, once the baby is out, which of the following are most likely to occur?. Answer: hemorrhage and need for full newborn resuscitation ◉ What is the most important nutrient of the pregnant and lactating woman by helping to build strong muscles, adequate blood volume, and healthy skin?. Answer: Protein ◉ Which of the following is essential in building blood volume levels of hemoglobin and assists in metabolism of protein?. Answer: Iron ◉ What is essential in the intrauterine development of the bones, brain and nervous system, teeth and gums, as well as proper blood circulation?. Answer: calcium ◉ The fetal stage is defined as. Answer: 9-40 weeks ◉ The function of the placenta is. Answer: 1) provide somewhat of a barrier against certain infections
- provide nutrients and hormones needed by the fetus
- act as an organ of exchange and transfer ◉ A probable sign of pregnancy. Answer: Goodell's Sign
◉ normal adult blood pressure for a pregnant person is. Answer: 90/50-140/ ◉ in pregnancy blood volume expands by:. Answer: 40%-45% ◉ Purpose of Leopold's Maneuvers. Answer: Determine what is in the pelvis ◉ Marked tachycardia in a fetus is defined as. Answer: heart rate above 180 ◉ The three classic signs of pre E are:. Answer: 1) Elevated blood pressure
- Generalied edema
- proteinuria ◉ a woman suffering from eclampsia may experience:. Answer: oliguria ◉ oliguria is. Answer: low urine output ◉ According to the Brewer Diet and Anne Frye, pregnant women should ideally consume how many grams of protein a day?. Answer: 80 - 100 grams
◉ softening of the cervix is a sign of pregnancy called. Answer: Goodell's sign ◉ ___________ is not associated with SGA babies.. Answer: hydrocephalus ◉ The chorion layer of the amniotic sac:. Answer: directly encircles the amnion layer of the amniotic sac ◉ A typical human gestation from LMP is how many days?. Answer: 280 ◉ The vaginal portion of the cervix that dilates during labor is called:. Answer: external os ◉ Profuse bleeding from the uterus, especially between periods, is called. Answer: metrorrhagia ◉ The relation of the occiput (in a vertex presentation) to the 8 areas of the pelvic brim is called the fetal:. Answer: position ◉ A rubella titer of <1:10 indicates:. Answer: non-immunity
◉ Using the 5 digit Para system, what does 2 2 0 3 1 signify?. Answer: 2 term, 2 preterm, 0 abortions, 3 living children, 1 multiple birth ◉ The uterine endometrium during pregnancy is called the:. Answer: decidua ◉ A rubella titer of >1:64 indicates:. Answer: infection ◉ early ambulation following birth may cause. Answer: hypotensive episodes ◉ Risk of Respiratory Distress Syndrome (RDS) is slight whenever the concentration of lecithin in amniotic fluid is at least how many times greater than sphingomyelin?. Answer: two times ◉ The most ominous fetal heart tone finding would be:. Answer: repeated late deceleration with loss of short-term fetal heart variability ◉ The first stage of labor is defined as. Answer: onset of true contractions to full dilation
◉ In clinical pelvimetry, if the pelvis is adequate, the angle of the pubic arch should be at least:. Answer: 90 degrees ◉ The basic shape of the anthropoid pelvis is:. Answer: anterior/posterior oval ◉ The basic shape of an android pelvis is:. Answer: heart ◉ The ischial spines of the pelvis are. Answer: prominent ◉ the pubic arch of the platypelloid pelvis is. Answer: >90 degrees ◉ The gynecoid pelvis is. Answer: most conductive to a vaginal birth ◉ Eutocia is defined as. Answer: a normal labor ◉ A 1st degree laceration involves. Answer: perineal skin ◉ How long after birth does complete regeneration of the endometrium at the placental site take?. Answer: 6 weeks ◉ The curve of carus is. Answer: the curve formed by the sacrum, coccyx, and pubic bone
◉ The organ responsible for fetal respiration prior to delivery is the. Answer: placenta ◉ Effacement is defined as the progressive. Answer: thinning of the cervix ◉ During the second stage, heart tones should be taken every. Answer: 5 minutes ◉ A normal placenta weighs approximately. Answer: 1/5 the weight of the baby ◉ respiratory distress of the newborn is evidenced by. Answer: induction and grunting ◉ one placenta divided into three parts, either completely separated, or joined in part, but held together by one set of membranes is called a. Answer: triplex ◉ tachycardia during the first stage of labor is a sign of?. Answer: maternal distress
◉ hemorrhage is said to take place when blood loss exceeds:. Answer: 500 cc ◉ Enlarement of the external cervical os to 10cm in diameter is called. Answer: dilation ◉ A condition caused by failure of the uterine muscle to stay contracted after delivery:. Answer: uterine atony ◉ Transmission of the herpes virus can occur to the newborn:. Answer: during the birth process ◉ When performing the fourth maneuver of Leopold's on a fetus in a cephalic presentation, what will the examiner's fingers strike first?. Answer: cephalic prominence ◉ Description of the placenta when the blood vessels in the umbilical cord separate and leave the cord prior to insertion into the surface of the placenta:. Answer: velamentous ◉ The sagittal suture of the fetal head is felt midway between the symphysis pubis and the sacral promontory. This would indicate:. Answer: synclitism
