NARM EVALUATION TEST QUESTIONS AND
ANSWERS SET A+
"
✔✔What describes contractions with a frequency of 3 minutes? - ✔✔contractions that
last for 30 seconds with a 2 1/2 minute rest in between
✔✔The midwife takes fetal heart tones and finds they are 158 bpm. What action is
appropriate? - ✔✔inform the mother that the rate is normal
✔✔While performing a vaginal exam, the midwife determines that the fetus is in a
cephalic presentation and that the occiput has reached the level of the ischial spines.
The station is: - ✔✔0 (zero station)
✔✔A laboring woman's membranes rupture at the end of a contraction. The midwife's
first action would be to: - ✔✔Assess FHT
✔✔What is descriptive of a cephalohematoma: - ✔✔blood vessels between the cranial
bone and the periosteal layer rupture, leading to bleeding in the subperiosteal space
✔✔Signs and symptoms of a patient with precipitous labor may include - ✔✔contraction
every 2 minutes, lasting 90 seconds, rapid progressive cervical dilation, discomfort that
seems out of proportion to the dilation
✔✔During pelvimetry, a primigravida is found to have a diagonal conjugate of 10 cm.
Based on this information, the midwife would expect her labor to be: - ✔✔prolonged,
with failure of the head to engage
✔✔A woman with a partial placenta previa delivers following a three hour labor. The
complication she is most likely to develop in the early postpartal period is: -
✔✔hemorrhage
,✔✔The midwife notes a cord protruding from a laboring woman's vagina. The first
action would be to: - ✔✔apply manual pressure to the presenting part and have the
mother assume a knee-chest position
✔✔The normal breathing pattern for a full-term baby is predominately - ✔✔abdominal
with synchronous chest movements
✔✔The average heart beat range for a full-term, quiet and awake newborn is - ✔✔120-
140 BPM
✔✔Vitamin K is administered in the immediate neonate period because: - ✔✔newborns
lack the intestinal bacteria with which to synthesize vitamin K
✔✔The midwife sees a two hour old newborn gagging and turning blue. The first thing
the midwife should do is: - ✔✔aspirate the oral and nasal pharynx with a bulb syringe
✔✔The blue coloration of a newborn's hands and feet is called: - ✔✔acrocyanosis
✔✔Infants of diabetic mothers are at risk for which of the following problems? -
✔✔respiratory distress syndrome
✔✔Congenital syphilis may be contracted by the baby: - ✔✔during the 5th month of
pregnancy
✔✔Which of the following signs indicate hypoglycemia in the newborn? - ✔✔jitteriness
✔✔Hemolytic disease of the neonate may be produced by the union of: - ✔✔rh+ mother
with Rh- Father
✔✔A positive direct Coombs test done on the cord blood indicates the presence of: -
✔✔antibodies coating the baby's red blood cells
✔✔On the first day postpartum, the fundus should be - ✔✔at the umbilicus
✔✔Uterine involution occurs as a result of: - ✔✔autolysis of protein material within the
uterine wall
✔✔Twelve hours postpartum, the midwife checks the mother's fundus and finds it
enlarged and boggy. What would the midwife do first? - ✔✔massage the uterus firmly
with one hand while supporting it with other hand
, ✔✔Which of the instructions should be given to a postpartal mother about perineal
care? - ✔✔area should be cleansed from front to back, ice and witch hazel for
discomfort,
✔✔Difficulty in voiding after childbirth may be due to all the following factors - ✔✔1)
decreased sensitivity of the bladder
2) lack of fluid intake during labor
3) relaxation of the abdominal wall
✔✔A postpartum patient reports she feels very uncomfortable sitting and has a "full
feeling down there". The midwife would suspect: - ✔✔vulvarhematoma
✔✔The clinical manifestations of mastitis include: - ✔✔hard, warm nodular areas in the
outer quadrant of the breast
✔✔A woman who has given birth to three children is a - ✔✔multipara
✔✔The first indication of puerperal infection is usually: - ✔✔chills with an elevated
temperature
✔✔The types of pelvis may be classified into any of the following - ✔✔gynecoid,
Android, anthropoid, platypelloid
✔✔The laceration which includes the anal sphincter but does not completely split the
sphincter is called a: - ✔✔3rd Degree
✔✔A male child is the result of the union of: - ✔✔a y-chromosome from the sperm and
an x-chromosome from the ovum
✔✔When is the first time fetal heart tones are heard by the doppler? - ✔✔10-12 weeks
✔✔If a pregnant woman has cats or eats undercooked meat, she could be at risk for -
✔✔toxoplasmosis
✔✔Leukorrhea is defined as - ✔✔a profuse, thin or thick vaginal secretion that begins in
the first trimester
✔✔A mother confides in her midwife that she is nervous about her partner's ability to
support her in labor. What would be an appropriate response from the midwife? -
✔✔invite her to talk in further detail about these concerns
✔✔The lactation amenorrhea method of birth control is typically reliable as long as: -
✔✔The baby is under 6 months old and nursing at a minimum every 4 hours
ANSWERS SET A+
"
✔✔What describes contractions with a frequency of 3 minutes? - ✔✔contractions that
last for 30 seconds with a 2 1/2 minute rest in between
✔✔The midwife takes fetal heart tones and finds they are 158 bpm. What action is
appropriate? - ✔✔inform the mother that the rate is normal
✔✔While performing a vaginal exam, the midwife determines that the fetus is in a
cephalic presentation and that the occiput has reached the level of the ischial spines.
The station is: - ✔✔0 (zero station)
✔✔A laboring woman's membranes rupture at the end of a contraction. The midwife's
first action would be to: - ✔✔Assess FHT
✔✔What is descriptive of a cephalohematoma: - ✔✔blood vessels between the cranial
bone and the periosteal layer rupture, leading to bleeding in the subperiosteal space
✔✔Signs and symptoms of a patient with precipitous labor may include - ✔✔contraction
every 2 minutes, lasting 90 seconds, rapid progressive cervical dilation, discomfort that
seems out of proportion to the dilation
✔✔During pelvimetry, a primigravida is found to have a diagonal conjugate of 10 cm.
Based on this information, the midwife would expect her labor to be: - ✔✔prolonged,
with failure of the head to engage
✔✔A woman with a partial placenta previa delivers following a three hour labor. The
complication she is most likely to develop in the early postpartal period is: -
✔✔hemorrhage
,✔✔The midwife notes a cord protruding from a laboring woman's vagina. The first
action would be to: - ✔✔apply manual pressure to the presenting part and have the
mother assume a knee-chest position
✔✔The normal breathing pattern for a full-term baby is predominately - ✔✔abdominal
with synchronous chest movements
✔✔The average heart beat range for a full-term, quiet and awake newborn is - ✔✔120-
140 BPM
✔✔Vitamin K is administered in the immediate neonate period because: - ✔✔newborns
lack the intestinal bacteria with which to synthesize vitamin K
✔✔The midwife sees a two hour old newborn gagging and turning blue. The first thing
the midwife should do is: - ✔✔aspirate the oral and nasal pharynx with a bulb syringe
✔✔The blue coloration of a newborn's hands and feet is called: - ✔✔acrocyanosis
✔✔Infants of diabetic mothers are at risk for which of the following problems? -
✔✔respiratory distress syndrome
✔✔Congenital syphilis may be contracted by the baby: - ✔✔during the 5th month of
pregnancy
✔✔Which of the following signs indicate hypoglycemia in the newborn? - ✔✔jitteriness
✔✔Hemolytic disease of the neonate may be produced by the union of: - ✔✔rh+ mother
with Rh- Father
✔✔A positive direct Coombs test done on the cord blood indicates the presence of: -
✔✔antibodies coating the baby's red blood cells
✔✔On the first day postpartum, the fundus should be - ✔✔at the umbilicus
✔✔Uterine involution occurs as a result of: - ✔✔autolysis of protein material within the
uterine wall
✔✔Twelve hours postpartum, the midwife checks the mother's fundus and finds it
enlarged and boggy. What would the midwife do first? - ✔✔massage the uterus firmly
with one hand while supporting it with other hand
, ✔✔Which of the instructions should be given to a postpartal mother about perineal
care? - ✔✔area should be cleansed from front to back, ice and witch hazel for
discomfort,
✔✔Difficulty in voiding after childbirth may be due to all the following factors - ✔✔1)
decreased sensitivity of the bladder
2) lack of fluid intake during labor
3) relaxation of the abdominal wall
✔✔A postpartum patient reports she feels very uncomfortable sitting and has a "full
feeling down there". The midwife would suspect: - ✔✔vulvarhematoma
✔✔The clinical manifestations of mastitis include: - ✔✔hard, warm nodular areas in the
outer quadrant of the breast
✔✔A woman who has given birth to three children is a - ✔✔multipara
✔✔The first indication of puerperal infection is usually: - ✔✔chills with an elevated
temperature
✔✔The types of pelvis may be classified into any of the following - ✔✔gynecoid,
Android, anthropoid, platypelloid
✔✔The laceration which includes the anal sphincter but does not completely split the
sphincter is called a: - ✔✔3rd Degree
✔✔A male child is the result of the union of: - ✔✔a y-chromosome from the sperm and
an x-chromosome from the ovum
✔✔When is the first time fetal heart tones are heard by the doppler? - ✔✔10-12 weeks
✔✔If a pregnant woman has cats or eats undercooked meat, she could be at risk for -
✔✔toxoplasmosis
✔✔Leukorrhea is defined as - ✔✔a profuse, thin or thick vaginal secretion that begins in
the first trimester
✔✔A mother confides in her midwife that she is nervous about her partner's ability to
support her in labor. What would be an appropriate response from the midwife? -
✔✔invite her to talk in further detail about these concerns
✔✔The lactation amenorrhea method of birth control is typically reliable as long as: -
✔✔The baby is under 6 months old and nursing at a minimum every 4 hours
