Midwifery Exam Practice Questions

Midwifery Exam Practice Questions Related

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Justin F. is seen in the emergency department with an 8-cm jagged laceration on the dorsal surface of his right forearm. He says he was working with his brother-in-law yesterday morning building a deck on the back of his home. A pile of wooden planks fell on top of him, and he sustained a variety of cuts and superficial injuries. He cleaned the wound with soap and water but didnt want to go to the emergency room because he didnt want to risk being in the waiting room for hours. He wrapped up his arm and went back to work, and then took a normal shower and went to bed last night. This morning the cut on his arm was still flapping open, and he realized he needed sutures. The appropriate management of this patient includes

  • A. Proper cleansing and covering of the laceration, along with antibiotic therapy
  • B. Local anesthesia, cleansing, and wound exploration for foreign bodies
  • C. Local anesthesia, cleansing, and suture repair
  • D. Cleansing, covering, antibiotic therapy, and tetanus prophylaxis
Correct Answer: C

Rationale: The correct answer is C: Local anesthesia, cleansing, and suture repair.
1. Local anesthesia is needed to numb the area before suturing.
2. Cleansing is necessary to prevent infection and remove debris.
3. Suture repair is required for a jagged laceration to promote proper wound healing and minimize scarring.
Other choices are incorrect:
A: Antibiotic therapy is not indicated for clean, non-infected wounds like this laceration.
B: Wound exploration for foreign bodies is not necessary in this case as the mechanism of injury is known and there is no indication of foreign bodies.
D: Tetanus prophylaxis is important but not directly related to the immediate management of the laceration.

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Productive cough, dyspnoea at rest, and generalized oedema are among the features of:

  • A. Folate deficiency
  • B. Very severe anaemia
  • C. Mild iron deficiency
  • D. Severe anaemia
Correct Answer: B

Rationale: The correct answer is B: Very severe anaemia. Productive cough, dyspnoea at rest, and generalized oedema are classic symptoms of very severe anaemia due to decreased oxygen-carrying capacity of the blood. Anemia leads to tissue hypoxia, causing shortness of breath and fluid retention. Folate deficiency (A) typically presents with megaloblastic anemia, not generalized edema. Mild iron deficiency (C) may lead to fatigue and weakness but not the severe symptoms described. Severe anemia (D) is too broad; very severe anemia specifically refers to the severity of the condition.

Mother-to-child transmission of TB organisms never occurs during labor.

  • A. TRUE
  • B. FALSE
  • C. -
  • D. -
Correct Answer: B

Rationale: Step 1: TB can be transmitted through respiratory droplets, not just during labor.
Step 2: Mother with active TB can transmit the bacteria to the child during childbirth.
Step 3: Therefore, the statement that mother-to-child transmission never occurs during labor is false.
Summary: Choice B is correct because TB transmission can occur during labor, making Choice A incorrect. Choices C and D are irrelevant.

Mrs. Jenner is a 41-year-old female who is being evaluated for persistent nausea. She had an abdominal CT scan that reported three hepatic hemangiomas ranging from 3 to 5 cm. The AGACNP knows that the appropriate response to this report is to

  • A. Arrange for large-bore needle biopsy
  • B. Order hepatic ultrasound annually to follow progression
  • C. Consult surgery for resection
  • D. Document the finding in the patient’s chart
Correct Answer: A

Rationale: Rationale:
A needle biopsy is appropriate for definitive diagnosis of hepatic hemangiomas, ruling out other liver lesions. It helps determine if they are benign or malignant. This will guide further management decisions.

Summary:
B: Annual ultrasound is unnecessary for benign hemangiomas.
C: Surgery is not indicated for asymptomatic hepatic hemangiomas.
D: Documenting the finding is important but not the appropriate next step in management.

Incidental antepartum haemorrhage is also referred to as

  • A. Intraplacental haemorrhage
  • B. Intrapartum haemorrhage
  • C. Extraplacental haemorrhage
  • D. Preterm haemorrhage
Correct Answer: C

Rationale: The correct answer is C: Extraplacental haemorrhage. Incidental antepartum haemorrhage refers to bleeding occurring outside the placenta, such as from the cervix or vaginal walls, before the onset of labor. This is not associated with the placenta itself (intraplacental - choice A). Similarly, it does not occur during labor (intrapartum - choice B) or specifically before term (preterm - choice D). Extraplacental haemorrhage captures the essence of bleeding unrelated to the placenta during the antepartum period.

Deep transverse arrest is

  • A. Where flexion is always well maintained.
  • B. Caused by strong uterine contractions throughout labor.
  • C. Caused by a sacrum that is well curved.
  • D. Where the level of the occiput and the sinciput is the same.
Correct Answer: D

Rationale: The correct answer is D because deep transverse arrest occurs when the level of the occiput and the sinciput is the same, leading to a failure of descent of the fetal head through the pelvis. This alignment issue hinders the progress of labor despite adequate contractions.

A: Incorrect. Flexion being well maintained is not a defining characteristic of deep transverse arrest.
B: Incorrect. While strong uterine contractions can contribute to labor challenges, deep transverse arrest is specifically related to the alignment of the fetal head.
C: Incorrect. The curvature of the sacrum is not directly related to deep transverse arrest.

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