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MIDWIFERY NZCOM PRACTICE EXAM QUESTIONS AND ANSWERS
- Hypothyroidism: A condition of a deficient thyroid
- Tachypnea: Fast breathing
- Apnea: not breathing
- Antepartum: before birth
- Postpartum: after birth
- Intrapartum: between birth
- Dystocia: Condition of a diflcult/abnormal childbirth
- Lymphoma: lymphatic tumor
- Bradycardia: slow heart
- Primigravida: a women who is pregnant for the first time
- Appendectomy: surgical removal of the appendix
- Hysterectomy: surgical removal of the uterus
- Anesthesia: without feeling
- Multipara: a woman that has had more than one ottspring
- Hypothermia: low temperature
- Perianal: around the rectum
- Sublingual: pertaining to under the tongue
- Dysuria: condition of painful urination
- Suprapubic: above the pubis
- Pelvimetry: measurement of the pelvis
- A fast heart rate: tachycardia
- A condition of decreased urine: cystitis
- Bladder inflammation: Uritis
- An inflamed vein caused by a clot: thrombophlebitis
- condition of having high blood sugar: hyperglycemia
- Destruction of blood: hemolysis
- An abnormal condition of appearing blue: cyanosis
- excessive vomiting: peremesis
- Disease of the nerves: neuropathy
- Difficulty breathing: dyspnea
- A woman who has never given birth: nulliparous
- A woman who has given birth once: primiparous
- A newborn with meconium aspiration pneumonia often finds it difficult or painful to breath. The term for this is: dyspnea
- Pregnant women frequently complain of the need to urinate frequently during the night. The term for this is: nocturia
- A lab report comes back to documenting numerous erythrocytes in the urine specimen. The term for this is: hematuria
- Oligomenorrhea refers to: scanty, less than normal menstrual flow
- Total arrest and cessation of breathing is termed: apnea
- Orchiditis is the term for inflammation of a/an: testis
- Which term defines painful joints?: Arthritis
- Surgical suturing of a uterine tube is termed: salpingorrhaphy
- Glossitis defines inflammation of the: tongue
- The definition of a midwife as adopted by the International Confederation of Midwives (ICM) includes: 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?: 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: The Church of England
- What were some factors in the decline of midwifery between the 16th and 20th centuries: 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?: 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?: By following the fashionable trend to have male midwives attend them
- What factor could have sustained the practice of midwifery?: Allowing women
E. Claims that trying to improve the practices of midwives was impossible: A, C, D, E
- What was the goal of the "midwife problem" campaign? Select all that apply. A. To prevent midwives from practicing
B. To prevent midwives from overcharging
C. To determine and set fair fees for midwifery services
D. To improve obstetric care practices
E. To raise the status of physicians: A
- The first nurse-midwifery service in the US (Select all that apply)
A. was staffed by British trained midwives brought to the US by Mary Breckin- ridge B. provided care to families in remote, mostly primitive areas of the Kentucky mountains C. had, over the first 25 years of service, a maternal mortality rate of 12 per 10,000, compared to the national rate of 34 per 10,000 for the same period D. established the first school for midwives in the US: A, B, C
- Which of the following statements are true about midwifery and childbirth, up until the mid-1900s (select all that apply) A. "traditional" midwives continued to pass on their knowledge via appren- ticeship B. birth moved from taking place primarily in the home to primarily in the hospital C. some health departments provided training of midwives by public health nurses D. Fewer physicians and the higher birth rate (1950s "baby boom") led to
acceptance of midwives and hospital privileges for CNMs.: B, C
- 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
E. A choice of various educational pathways: D
- A laboring woman's body will function the best when: She feels relaxed and at ease
- Who is the only direct care provider for the fetus during pregnancy: The mother
- According to Elizabeth Davis, the midwife's most basic task is to: 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: 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?: Diabetes
- What skill is a lost midwifery art?: Pelvimetry
- Is Nausea a CD or DS?: CD
- Is heartburn a CD or DS?: CD
- Is vaginal bleeding CD or DS?: DS
- Are sores/blisters in the perineal area CD or DS?: CD
- Is a gush of fluid from the vagina a CD or DS: CD
- Are swollen feet and ankles a CD or DS?: CD
- Is cessation of fetal movement CD or DS?: DS
- Is server pelvic or abdominal pain CD or DS?: DS
- Is groin pain while walking CD or DS?: CD
- Is constipation CD or DS?: CD
- What abortion technique can interfere with placental implantation due to scarring?: Dilation and curettage, suction and medically-induced.
- Your gravida 2, para 1 client calls you at 26 weeks to report light bleeding. The first thing you should do is:: Order an ultrasound immediately
- True diabetes is related to all of the following complications except
A. Postpartum hemorrhage
B. Neonatal respiratory distress
C. Pre-eclampsia
D. Oligohydramnios
E. Neonatal hypoglycemia: A
- Carol, your Gravida 1, Para 0 client is in early labor. She should be encour- aged to: 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.: 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: D
- The two essentials in stabilization of the newborn in the first few minutes after birth are:: Ensure a clear airway and warmth
- Barrier precautions should be used in all of the following situations ex- cept: 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: D
- You are assisting a client in labor. Her membranes rupture suddenly and splash your face and eyes. You should: 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
- Are headaches subjective or objective?: Subjective
- Is protein in the urine subjective or objective?: objective
- Is abdominal pain subjective or objective?: subjective
- Is weight gain subjective or objective?: Objective
- Is blood pressure subjective or objective?: objective
- Is fetal activity subjective or objective?: Subjective
- Is a "wince" while palpating subjective or objective?: Objective
- What is part of the information that should always be included in an "in- formed consent" or choice statement when interviewing prospective clients?- : Your training
- Probably the best way of dealing with a complex issue such as GBS screen-ing or VBAC is to: 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: 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 commu- nity 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: B
- Define body temperature.: Body temperature is the balance between heat gain and heat loss.
- True or False: A normal axillary temperature is approximately .5-1 degree F lower than an oral temperature.: True
- All of the following are a normal axillary temperature in a newborn except:
A. 98.
B. 97.
C. 98.
D. 97.0: A
- What is a normal range for a tympanic membrane temperature?: 98.2 F -100F
- A normal range for a temporal temperature reading is:: 98.7 F - 100.5 F
- True or False: A temporal artery temperature is normally about a degree higher than an oral temperature.: True
- What are six factors that cause hypothermia or fever.: hypothyroidism, dehydration, hyperthyroidism, infection, starvation and hard exercise
- Which of the following is NOT a cause of hypothermia?
A. Hypothyroidism
B. Hypoglycemia
C. Starvation
D. Stress: D
- What affect does pregnancy have on body temperature?: increase by .5 C
- What are two risks or contraindication to taking a rectal temperature?: Low white cell count and Constipation
- In which of the following situations would a temperature measurement using a thermometer inserted into the sublingual pocket be inappropriate A. A newborn baby being held by his mother
B. A woman you are examining at her initial prenatal exam
C. A coherent woman in labor who has not eaten or drank anything within the past 30 minutes: A
- Which of the following is not a contraindication for obtaining an oral temperature? A. A person who just smoked a cigarette
B. A person experiencing nausea or vomiting
