Midwifery Exam Practice Questions

Midwifery Exam Practice Questions Related

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The recommended number of chest compressions for neonatal resuscitation is

  • A. 60 compressions coordinated with 30 breaths per minute
  • B. 3 compressions coordinated with 1 breath per minute
  • C. 1 compression coordinated with 3 breaths per minute
  • D. 90 compressions coordinated with 30 breaths per minute
Correct Answer: A

Rationale: The correct answer is A: 60 compressions coordinated with 30 breaths per minute. In neonatal resuscitation, the recommended compression-to-ventilation ratio is 3:1. This means 3 compressions are given followed by 1 breath. With a target compression rate of 120 per minute, this translates to 60 compressions coordinated with 30 breaths per minute. Each compression should be at a depth of about one-third the anterior-posterior diameter of the chest. This ratio and rate are crucial for maintaining adequate circulation and oxygenation during neonatal resuscitation.

Choice B: 3 compressions coordinated with 1 breath per minute is too slow and would not provide enough support for the neonate's circulation.

Choice C: 1 compression coordinated with 3 breaths per minute would not provide sufficient compressions to maintain circulation.

Choice D: 90 compressions coordinated with 30 breaths per minute would result in an incorrect compression-to-vent

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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 sign refers to the fetal head retracting against the perineum during delivery. It indicates shoulder dystocia, a complication where the baby's shoulders get stuck after the head is delivered. This can lead to serious complications for both the baby and the mother if not managed promptly.

A: Gaskin sign is incorrect as it refers to a position where the mother is on her hands and knees during labor.
C: Klumpke sign is incorrect as it is a neurological condition affecting the lower arm and hand.
D: Chignon sign is incorrect as it is not a recognized medical term related to childbirth.

In the majority of cases, the first clinical manifestation of physiologic stress ulcer is

  • A. Epigastric pain
  • B. Change in mental status
  • C. Fever
  • D. Hemorrhage
Correct Answer: C

Rationale: The correct answer is C: Fever. The first clinical manifestation of physiologic stress ulcer is often a fever due to the body's response to stress. This is because stress can trigger an inflammatory response, leading to an increase in body temperature. Epigastric pain (choice A) is more commonly associated with peptic ulcers. Change in mental status (choice B) is not a typical early symptom of physiologic stress ulcer. Hemorrhage (choice D) is a severe complication that can occur later in the course of the disease, but it is not typically the first clinical manifestation.

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 PRIORITY health message to share with a client in the recovery room immediately following cesarean section includes

  • A. Frequent coughing & deep breathing
  • B. Importance of perineal self-care
  • C. Importance of early ambulation
  • D. Signs of puerperal infections
Correct Answer: C

Rationale: The correct answer is C: Importance of early ambulation. After a cesarean section, early ambulation is crucial to prevent complications like blood clots and promote circulation. It helps prevent post-operative complications. Choice A is important for respiratory health but not the priority right after surgery. Choice B focuses on perineal care which is important but not the immediate priority. Choice D is important, but recognizing signs of infection can wait until the client is more stable. Early ambulation is key to preventing complications and aiding in recovery.

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