Midwifery Comprehensive Exam fully solved 2023

Midwifery Comprehensive ExamTwo products of impaired blood flow to the legs are thought to be linked to cramps? - correct answer Pyruvic acid Lactic acid Name two prevention techniques for nocturnal leg cramps - correct answer Hydration, stretching, avoid long periods of sitting or standing, warm baths, exercise What is the most important differential diagnosis to rule out when a pregnant patient comes in with complaints of leg cramping? - correct answer Deep Vein Thrombosis: Look for warm red tender swollen leg. Conflicting evidence supports taking which supplement for leg cramps ? - correct answer Magnesium True or false. Women with NVP have lower rates of preterm births, low birth weight babies, congenital anomalies, and stillbirths. - correct answer True How does progesterone contribute to NVP? - correct answer Slows peristalsis and gastric emptying If dietary measures, lifestyle changes, and OTC remedies do not help with NVP, what medicine has shown to be effective with NVP? - correct answer Antiemetics such Zofran (Ondansetron). Note: Not mentioned in Varney's True of False. Effective therapy for NVP will always remain the same for a woman throughout her pregnancy and subsequent pregnancies. - correct answer False. Effectiveness of therapy may fluctuate over the course of pregnancy and varies greatly from pregnancy to pregnancy. True or False. To combat nausea during pregnancy, one should brush their teeth immediately after they eat. - correct answer False. Brushing your teeth can stimulate the gag reflex, aggravating nausea and vomiting.