NARM ACTUAL FINALS QUESTIONS AND
ANSWERS SET A+
✔✔Frequency of contractions is timed from: - ✔✔Beginning of one contraction to
beginning of the next
✔✔Contractions that are a sign of active labor will: - ✔✔Increase when walking
✔✔Irregular contractions with no dilation are a sign of: - ✔✔laten/false labor
✔✔The following are true about the fetal skull - ✔✔2) the sagittal suture is the antero-
posterior division between the parietal bones
3) the biparietal diameter is the largest transverse diameter of the head
4) the bitemporal is the greatest distance between the two temporal structures
✔✔A woman is in labor. The midwife does Leopold's maneuvers and finds a ballotable
prominence in the mother's right lower quadrant, a firm narrow prominence in the pelvis,
barely palpable back to the mother's left, firm prominence in the mother's upper left
quadrant, and FHT midline below the maternal umbilicus. Which of the following is true?
- ✔✔The baby is presenting shoulder
✔✔At what age do breastfed infants need to start receiving iron supplementation
through food or iron drops? - ✔✔6 months
✔✔What is associated with the android pelvis? - ✔✔Narrow pubic arch
✔✔The innominate bone of the pelvis are - ✔✔ischium, illiim, pubic
✔✔The relationship of the fetal head to it's trunk is - ✔✔attitude
✔✔The part of the fetus which lies at the pelvic brim or in the lower pole of the uterus
tells the - ✔✔presentation
, ✔✔What is the most acceptable form of charting - ✔✔SOAP notes
✔✔_______ is not recommended as a component of self-care in pregnancy? - ✔✔freely
indulge in favorite foods
✔✔Bleeding in the second/third trimester would most often indicate: - ✔✔placenta
previa
✔✔Which diagnostic screening test carries the highest risk of spontaneous pregnancy
loss? - ✔✔amniocentisis
✔✔A fetus that is head down in the uterus and is completely extended is: - ✔✔face
presentation
✔✔In this type of breech, the bottom comes first, with the legs flexed at the hip and
extended at the knees (with feet near the ears): - ✔✔Frank
✔✔A chlamydia infection is often tested at the same time as - ✔✔Gonorrhea
✔✔Station refers to what in relation to the ischial spines? - ✔✔The degree os descent
of the presenting part
✔✔In a face presentation, the higher cephalic prominence will be on the - ✔✔same side
as the fetal back
✔✔Tachycardia in a fetus is defined as a heart rate - ✔✔above 160
✔✔Bradycardia in a fetus is often caused by - ✔✔head compression
✔✔The second stage of labor is defined as - ✔✔full dilation to the birth of the baby
✔✔What is a sign of placental separation? - ✔✔cord does not retract when pressing
above the pubic bone
✔✔Upon palpating the ovaries during a pelvic exam the midwife would expect ovaries
to be: - ✔✔almond sized and somewhat tender
✔✔The Sims position is when the birthing person: - ✔✔left side laying
✔✔The lithotomy position is when the birthing person - ✔✔is flat on her back with legs
in stirrups
ANSWERS SET A+
✔✔Frequency of contractions is timed from: - ✔✔Beginning of one contraction to
beginning of the next
✔✔Contractions that are a sign of active labor will: - ✔✔Increase when walking
✔✔Irregular contractions with no dilation are a sign of: - ✔✔laten/false labor
✔✔The following are true about the fetal skull - ✔✔2) the sagittal suture is the antero-
posterior division between the parietal bones
3) the biparietal diameter is the largest transverse diameter of the head
4) the bitemporal is the greatest distance between the two temporal structures
✔✔A woman is in labor. The midwife does Leopold's maneuvers and finds a ballotable
prominence in the mother's right lower quadrant, a firm narrow prominence in the pelvis,
barely palpable back to the mother's left, firm prominence in the mother's upper left
quadrant, and FHT midline below the maternal umbilicus. Which of the following is true?
- ✔✔The baby is presenting shoulder
✔✔At what age do breastfed infants need to start receiving iron supplementation
through food or iron drops? - ✔✔6 months
✔✔What is associated with the android pelvis? - ✔✔Narrow pubic arch
✔✔The innominate bone of the pelvis are - ✔✔ischium, illiim, pubic
✔✔The relationship of the fetal head to it's trunk is - ✔✔attitude
✔✔The part of the fetus which lies at the pelvic brim or in the lower pole of the uterus
tells the - ✔✔presentation
, ✔✔What is the most acceptable form of charting - ✔✔SOAP notes
✔✔_______ is not recommended as a component of self-care in pregnancy? - ✔✔freely
indulge in favorite foods
✔✔Bleeding in the second/third trimester would most often indicate: - ✔✔placenta
previa
✔✔Which diagnostic screening test carries the highest risk of spontaneous pregnancy
loss? - ✔✔amniocentisis
✔✔A fetus that is head down in the uterus and is completely extended is: - ✔✔face
presentation
✔✔In this type of breech, the bottom comes first, with the legs flexed at the hip and
extended at the knees (with feet near the ears): - ✔✔Frank
✔✔A chlamydia infection is often tested at the same time as - ✔✔Gonorrhea
✔✔Station refers to what in relation to the ischial spines? - ✔✔The degree os descent
of the presenting part
✔✔In a face presentation, the higher cephalic prominence will be on the - ✔✔same side
as the fetal back
✔✔Tachycardia in a fetus is defined as a heart rate - ✔✔above 160
✔✔Bradycardia in a fetus is often caused by - ✔✔head compression
✔✔The second stage of labor is defined as - ✔✔full dilation to the birth of the baby
✔✔What is a sign of placental separation? - ✔✔cord does not retract when pressing
above the pubic bone
✔✔Upon palpating the ovaries during a pelvic exam the midwife would expect ovaries
to be: - ✔✔almond sized and somewhat tender
✔✔The Sims position is when the birthing person: - ✔✔left side laying
✔✔The lithotomy position is when the birthing person - ✔✔is flat on her back with legs
in stirrups
