Midwifery Exam Questions and Answers PDF

Midwifery Exam Questions and Answers PDF Related

Review Midwifery Exam Questions and Answers PDF related questions and content

Mrs. Carpenter is a 59-year-old female who presents with an acute myocardial infarction. She is acutely short of breath and has coarse rales on auscultation. Physical examination reveals a grade VVI systolic murmur, loudest at the point of maximal impulse with radiation to the midaxillary line. The AGACP recognizes

  • A. Acute mitral valve regurgitation
  • B. Acute aortic valve regurgitation
  • C. Acute cardiac tamponade
  • D. Acute pulmonary embolus
Correct Answer: A

Rationale: The correct answer is A: Acute mitral valve regurgitation. The presence of a grade VVI systolic murmur that radiates to the midaxillary line suggests mitral valve involvement. Mitral regurgitation leads to acute onset of symptoms such as dyspnea and pulmonary congestion, indicated by coarse rales on auscultation. The murmur is loudest at the point of maximal impulse due to eccentric regurgitation jet. Acute aortic valve regurgitation (B) typically presents with a diastolic murmur. Acute cardiac tamponade (C) would present with Beck's triad and pulsus paradoxus. Acute pulmonary embolus (D) would present with sudden onset dyspnea and pleuritic chest pain.

You may also like to solve these questions

Complications of occipito-posterior position:

  • A. Prolonged labor, fetal distress, back pain
  • B. Postpartum hemorrhage, uterine rupture, fetal death
  • C. Cesarean delivery, low birth weight, infection
  • D. All of the above
Correct Answer: A

Rationale: The correct answer is A because occipito-posterior position can lead to prolonged labor due to poor fetal positioning, causing maternal back pain. This can result in fetal distress as the baby may have difficulty descending through the birth canal. Postpartum hemorrhage, uterine rupture, fetal death (choices B and C) are not typically associated with occipito-posterior position. Therefore, choice A is the most appropriate answer.

The presenting diameters in face presentation are

  • A. Submentovertival, bitemporal
  • B. Submentobregmatic, bitemporal
  • C. Submentobregmatic, biparietal
  • D. Mentovertical, bitemporal
Correct Answer: A

Rationale: The correct answer is A: Submentovertival, bitemporal. In a face presentation, the presenting diameters are submentovertival (chin to vertex) and bitemporal (temple to temple). This is because the fetus is in a face-first position with the chin presenting first. Option B is incorrect because submentobregmatic is not a recognized presenting diameter in face presentation. Option C is incorrect as biparietal refers to the widest transverse diameter of the fetal head, not relevant in face presentation. Option D is incorrect as mentovertical is not a valid presenting diameter in face presentation.

How can healthcare providers support women after stillbirth?

  • A. Offer emotional counseling
  • B. Explain causes clearly
  • C. Support in planning future pregnancies
  • D. All of the above
Correct Answer: D

Rationale: 1. Emotional counseling helps women cope with grief.
2. Explaining causes provides closure and understanding.
3. Supporting future pregnancies ensures better outcomes.
4. All options address different aspects of support needed after stillbirth.
5. Therefore, providing emotional counseling, explaining causes, and supporting future pregnancies collectively offer comprehensive care.

There are no other abnormal findings. This suggests that Mr. Thornton

  • A. Is having anterior wall ischemia
  • B. Is having an anterior wall infarction
  • C. Has a history of anterior wall NSTEMI
  • D. Has a history of anterior wall STEMI
Correct Answer: B

Rationale: The correct answer is B because the absence of any other abnormal findings suggests that Mr. Thornton is currently experiencing an anterior wall infarction. This is indicated by the localized area of myocardial necrosis due to prolonged ischemia. Option A is incorrect because ischemia would typically present with reversible changes rather than necrosis. Option C is incorrect as NSTEMI would show some abnormal findings. Option D is incorrect as STEMI would show more significant ECG changes and enzyme elevation. In summary, the absence of other abnormalities points towards an acute event like an anterior wall infarction.

Which one of the following statements is correct with regards to face presentation?

  • A. Majority are classified as primary face presentation
  • B. The presenting transverse diameter is the bi-parietal diameter
  • C. Majority are classified as secondary face presentation
  • D. Locating the anterior fontanelle is diagnostic of the presentation
Correct Answer: C

Rationale: The correct answer is C: Majority are classified as secondary face presentation. In face presentation, the fetal head is hyperextended, presenting the face to the birth canal. Primary face presentation is rare. The bi-parietal diameter is not the presenting diameter in face presentation, as it is in vertex presentation. Locating the anterior fontanelle is not diagnostic of face presentation, as the fontanelles can be difficult to palpate during labor. Therefore, the correct statement is that the majority of face presentations are classified as secondary face presentation.

Copyright © 2025 Nokea. All rights reserved.