Midwifery Exam Practice Questions

Midwifery Exam Practice Questions Related

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Prior to taking a patient for an emergency cesarean section, it is MOST important to assess that:

  • A. A signed informed consent has been given
  • B. A Foley’s catheter has been inserted
  • C. An intravenous line has been started
  • D. The perineal area has been shaved adequately
Correct Answer: C

Rationale: The correct answer is C because establishing an intravenous line is essential for immediate access to administer fluids, medications, and blood products during the emergency cesarean section. This step ensures that the patient's vital signs can be supported, and any emergent interventions can be readily delivered.

A: While informed consent is important, in an emergency situation, the priority is to ensure the patient's immediate medical needs are met.
B: Inserting a Foley's catheter may be necessary during the procedure, but it is not the most critical assessment prior to the cesarean section.
D: Shaving the perineal area is not a priority in an emergency situation and may be done during the preparation for surgery.

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Persistent nausea and vomiting related to pregnancy is indicative of

  • A. Morning sickness
  • B. Multiple gestation
  • C. Hyperemesis gravidarum
  • D. Hypertensive disorders
Correct Answer: C

Rationale: The correct answer is C: Hyperemesis gravidarum. This condition is characterized by severe nausea, vomiting, weight loss, dehydration in pregnancy. It is more severe than typical morning sickness (choice A) and is not specific to multiple gestation (choice B). Hypertensive disorders (choice D) typically present with high blood pressure, proteinuria, and edema, not just nausea and vomiting. Hyperemesis gravidarum requires medical intervention due to potential complications from dehydration and malnutrition.

Which of the following is NOT a source of pain in labour?

  • A. Uterine contractions
  • B. Socio-cultural norms
  • C. Cervical dilatation
  • D. Pelvic floor stretching
Correct Answer: B

Rationale: Step 1: Uterine contractions are a physiological process in labor causing pain due to muscle contractions.
Step 2: Cervical dilatation involves the opening of the cervix, which can cause pain and discomfort.
Step 3: Pelvic floor stretching occurs as the baby moves through the birth canal, leading to pain.
Step 4: Socio-cultural norms do not directly cause physical pain in labor, making choice B the correct answer. Other choices directly relate to physical processes causing pain.

Congenital retraction of the prepuce, so that the glans is permanently exposed, is known as

  • A. Phimosis
  • B. Paraphimosis
  • C. Hypospadias
  • D. Hermaphroditism
Correct Answer: B

Rationale: Congenital retraction of the prepuce, leading to permanent glans exposure, describes paraphimosis. This condition occurs when the foreskin is pulled back and cannot return to its normal position, causing pain and swelling. Phimosis (A) is the inability to retract the foreskin over the glans. Hypospadias (C) is a urethral opening on the underside of the penis. Hermaphroditism (D) is a rare condition of having both male and female reproductive organs. Paraphimosis (B) is the specific term for the given scenario.

The fetal head retracting against the perineum is a

  • A. Gaskin sign
  • B. Turtle sign
  • C. Klumpke sign
  • D. Chignon sign
Correct Answer: B

Rationale: The correct answer is B: Turtle sign. This occurs when the fetal head retracts against the perineum during delivery, resembling a turtle retracting into its shell. This indicates fetal shoulder dystocia, a serious complication. Gaskin sign (A) refers to the position of the mother during labor. Klumpke sign (C) is related to brachial plexus injuries during delivery. Chignon sign (D) is not a recognized term in obstetrics.

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.

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