Comprehensive Midwifery Practice Exam: Key Topics and Scenarios
Study online at https://quizlet.com/_jtssvi
1. What should you do for Abril's hus- Arrange to have a bilingual assistant at the birth who
band who only speaks Spanish? can communicate with him directly.
2. What can you conclude about This is anecdotal evidence; it is an interesting obser-
COVID-19 and placental abnormali- vation, worthy of further study, but it is not conclu-
ties? sive.
3. What should you do if state law re- The state laws supersede your Practice Guidelines
quires transferring care at 42 weeks and must be followed. You should update your
but your guidelines allow care until guidelines to reflect the laws in this state.
42.6 weeks?
4. What should you do if a client refuses Explain the situations when you might feel the need
a vaginal exam during labor? to perform a vaginal exam and that not being able
to do so might require transferring care.
5. What should you do if a client makes Discuss risks and benefits of the treatment she's
a treatment decision you disagree chosen and of alternatives, and follow her decision
with? unless it risks her out of your care.
6. What did you do wrong when dis- You should have obtained your client's permission
cussing a repeat client with a stu- before disclosing details of her previous care with
dent? your student.
7. What is the best response to a re- Recommend that the OB explain he is unwilling to
quest for female circumcision based perform the surgery due to severe complications,
on cultural heritage? without shaming the parents.
8. What did you do wrong when cover- You should have already had the contact details for
ing a homebirth and calling for an the nearest hospital, as a midwife must be prepared
ambulance? for emergencies.
9.
, Comprehensive Midwifery Practice Exam: Key Topics and Scenarios
Study online at https://quizlet.com/_jtssvi
What should you do if a nurse dis- Quietly but firmly request that the nurse stop dis-
cusses a transferred client inappro- cussing this, as it is unprofessional and a breach of
priately at a party? patient confidentiality.
10. What should you tell the nurse about Tell the nurse to stop talking about your client in
discussing clients? such a way: it's unprofessional and unkind. If she
wants to continue telling others about the patient,
she should say only positive things about her.
11. What is the best response to Caroline You understand what she's saying to you, and re-
regarding her religious beliefs? spect her beliefs. You will arrange to meet her hus-
band in another room postpartum to discuss any
concerns he may have.
12. What should you do if you suspect a Contact the editor of the journal and tell them of
flaw in a published study? your own data and your suspicions that there may
be an error in the published work.
13. What should you ensure during Explain to Christa that it's very important that the
Christa's home visit? birth room be warm when the baby arrives, and
ensure she has a heater there by 37 weeks.
14. How should you approach concerns Domestic partner violence is perpetuated against all
of domestic partner violence? genders by all genders. You need to think carefully
about how to approach this issue to ensure the
safety of all.
15. What is the best response to a mid- As midwives, our job is to care for pregnant people,
wife concerned about a transgender not condemn them. Suggest that she look into CEUs
client? on being inclusive.
16. How should you categorize causes of Direct: PPH, eclampsia, sepsis from infection of
maternal mortality? cesarean wound, pulmonary embolism. Indirect:
, Comprehensive Midwifery Practice Exam: Key Topics and Scenarios
Study online at https://quizlet.com/_jtssvi
Seizure following cessation during pregnancy of
epileptic medications, asthma, COVID-19, car-
diomyopathy.
17. What should you do if a client strug- Give her contact details for local IBCLCs, La Leche
gles with breastfeeding? League and the local community's online breast-
feeding support group.
18. What should you tell a client consid- Tell the client about your philosophy of care, expe-
ering a midwife with a recent nega- rience and training, and encourage them to meet
tive outcome? with her, emphasizing her commitment to improv-
ing her skills.
19. What is the classification of neonatal The midwives discuss whether this was a case of
morbidity in a case of shoulder dys- direct or indirect neonatal morbidity, considering
tocia? the circumstances of the birth.
20. What is direct morbidity? Direct morbidity refers to health complications that
arise directly from a medical condition or treatment,
such as an injury caused by a specific obstetric com-
plication.
21. What is indirect morbidity? Indirect morbidity refers to health complications
that occur as a consequence of other underlying
conditions or factors, rather than directly from a
specific medical event.
22. What should you do if you have tense Attempt to clear the air by discussing recent hostili-
relations with a colleague? ties before making a report, and if that doesn't work,
remain calm and professional during the report.
23. What is a HIPAA-compliant way to
send confidential records?
Study online at https://quizlet.com/_jtssvi
1. What should you do for Abril's hus- Arrange to have a bilingual assistant at the birth who
band who only speaks Spanish? can communicate with him directly.
2. What can you conclude about This is anecdotal evidence; it is an interesting obser-
COVID-19 and placental abnormali- vation, worthy of further study, but it is not conclu-
ties? sive.
3. What should you do if state law re- The state laws supersede your Practice Guidelines
quires transferring care at 42 weeks and must be followed. You should update your
but your guidelines allow care until guidelines to reflect the laws in this state.
42.6 weeks?
4. What should you do if a client refuses Explain the situations when you might feel the need
a vaginal exam during labor? to perform a vaginal exam and that not being able
to do so might require transferring care.
5. What should you do if a client makes Discuss risks and benefits of the treatment she's
a treatment decision you disagree chosen and of alternatives, and follow her decision
with? unless it risks her out of your care.
6. What did you do wrong when dis- You should have obtained your client's permission
cussing a repeat client with a stu- before disclosing details of her previous care with
dent? your student.
7. What is the best response to a re- Recommend that the OB explain he is unwilling to
quest for female circumcision based perform the surgery due to severe complications,
on cultural heritage? without shaming the parents.
8. What did you do wrong when cover- You should have already had the contact details for
ing a homebirth and calling for an the nearest hospital, as a midwife must be prepared
ambulance? for emergencies.
9.
, Comprehensive Midwifery Practice Exam: Key Topics and Scenarios
Study online at https://quizlet.com/_jtssvi
What should you do if a nurse dis- Quietly but firmly request that the nurse stop dis-
cusses a transferred client inappro- cussing this, as it is unprofessional and a breach of
priately at a party? patient confidentiality.
10. What should you tell the nurse about Tell the nurse to stop talking about your client in
discussing clients? such a way: it's unprofessional and unkind. If she
wants to continue telling others about the patient,
she should say only positive things about her.
11. What is the best response to Caroline You understand what she's saying to you, and re-
regarding her religious beliefs? spect her beliefs. You will arrange to meet her hus-
band in another room postpartum to discuss any
concerns he may have.
12. What should you do if you suspect a Contact the editor of the journal and tell them of
flaw in a published study? your own data and your suspicions that there may
be an error in the published work.
13. What should you ensure during Explain to Christa that it's very important that the
Christa's home visit? birth room be warm when the baby arrives, and
ensure she has a heater there by 37 weeks.
14. How should you approach concerns Domestic partner violence is perpetuated against all
of domestic partner violence? genders by all genders. You need to think carefully
about how to approach this issue to ensure the
safety of all.
15. What is the best response to a mid- As midwives, our job is to care for pregnant people,
wife concerned about a transgender not condemn them. Suggest that she look into CEUs
client? on being inclusive.
16. How should you categorize causes of Direct: PPH, eclampsia, sepsis from infection of
maternal mortality? cesarean wound, pulmonary embolism. Indirect:
, Comprehensive Midwifery Practice Exam: Key Topics and Scenarios
Study online at https://quizlet.com/_jtssvi
Seizure following cessation during pregnancy of
epileptic medications, asthma, COVID-19, car-
diomyopathy.
17. What should you do if a client strug- Give her contact details for local IBCLCs, La Leche
gles with breastfeeding? League and the local community's online breast-
feeding support group.
18. What should you tell a client consid- Tell the client about your philosophy of care, expe-
ering a midwife with a recent nega- rience and training, and encourage them to meet
tive outcome? with her, emphasizing her commitment to improv-
ing her skills.
19. What is the classification of neonatal The midwives discuss whether this was a case of
morbidity in a case of shoulder dys- direct or indirect neonatal morbidity, considering
tocia? the circumstances of the birth.
20. What is direct morbidity? Direct morbidity refers to health complications that
arise directly from a medical condition or treatment,
such as an injury caused by a specific obstetric com-
plication.
21. What is indirect morbidity? Indirect morbidity refers to health complications
that occur as a consequence of other underlying
conditions or factors, rather than directly from a
specific medical event.
22. What should you do if you have tense Attempt to clear the air by discussing recent hostili-
relations with a colleague? ties before making a report, and if that doesn't work,
remain calm and professional during the report.
23. What is a HIPAA-compliant way to
send confidential records?
