MIDWIFERY NZCOM PRACTICE EXAM QUESTIONS
AND ANSWERS
Hyperemesis gravidarum, excessive nausea and vomiting, is influenced by all of the
following except:
A Increased hormones
B Metabolic Disturbances
C Psyche Disturbances
D Excessive eating - Answers - D Excessive eating
Hyperemesis gravidarum usually resolves spontaneously at:
A 20 weeks
B 14 weeks
C 12 weeks
D 24 weeks - Answers - B 14 weeks
The cause of hyperemesis gravidarum is:
A Failure of the placenta to implant effectively
B Unknown
C Low blood sugar levels
D Polyhydramnios - Answers - B Unknown
Antepartum haemorrhage is defined as bleeding from the genital tract occurring:
A In late pregnancy
B After the 20th week of gestation
C Before the onset of labour
D All of the above - Answers - D All of the above
Suzie asks about the likelihood of having dizygotic twins. The incidence:
A Remains unchanged throughout the reproductive life
B Increases with age
C Decreased with age
D Is not affected by age - Answers - B Increases with age
Monozygotic twins:
A Usually result from clomiphene treatment
B Develop from one ovum and two spermatozoa
C Share one placenta and one chorion
D May be of different sexes - Answers - C Share one placenta and one chorion
A monozygotic twin pregnancy is associated with:
A Increased risk of foetal abnormalities
B Increased maternal age
C Family history of twins
, D Use of fertility drugs - Answers - A Increased risk of foetal abnormalities
Following delivery of the twins Suzie is at increased risk of:
A Postpartum haemorrhage
B Postpartum infection
C Inversion of the uterus
D Retained placental products - Answers - A Postpartum haemorrhage
Jane is admitted at 26 weeks with low backache and mild uterine tightenings. Preterm
labour is suspected before:
A 34 weeks gestation
B 30 weeks gestation
C 37 weeks gestation
D 35 weeks gestation - Answers - C 37 weeks gestation
In the first few days of life in which of the following do premature infants MOST often
experience difficulty:
A Poor sucking reflex
B Overdeveloped Moro reflex
C Reduced renal funtion
D Delay is passing meconium - Answers - A Poor sucking reflex
When assessing the fetal condition during labour which of the following will you as the
midwife be MOST interested in observing about the FH:
A The rate
B The rhythm
C The location
D All of the above - Answers - D All of the above
Which of the following represents a normal fetal heart rate:
A 120-140 BPM
B 130-160 BPM
C 110-160 BPM
D 110-170 BPM - Answers - C 110-160 BPM
When assessing a woman who has had a severe APH the IMMEDIATE care will be:
A To replace blood volume
B To complete an ultrasound scan
C To assess the foetal condition
D To complete a vaginal speculum examination - Answers - A To replace blood volume
In the event of an antepartum haemorrhage vaginal bleeding may be described as:
A Revealed bleeding
B Concealed bleeding
C Revealed and concealed (mixed) bleeding
D All of the above - Answers - D All of the above
AND ANSWERS
Hyperemesis gravidarum, excessive nausea and vomiting, is influenced by all of the
following except:
A Increased hormones
B Metabolic Disturbances
C Psyche Disturbances
D Excessive eating - Answers - D Excessive eating
Hyperemesis gravidarum usually resolves spontaneously at:
A 20 weeks
B 14 weeks
C 12 weeks
D 24 weeks - Answers - B 14 weeks
The cause of hyperemesis gravidarum is:
A Failure of the placenta to implant effectively
B Unknown
C Low blood sugar levels
D Polyhydramnios - Answers - B Unknown
Antepartum haemorrhage is defined as bleeding from the genital tract occurring:
A In late pregnancy
B After the 20th week of gestation
C Before the onset of labour
D All of the above - Answers - D All of the above
Suzie asks about the likelihood of having dizygotic twins. The incidence:
A Remains unchanged throughout the reproductive life
B Increases with age
C Decreased with age
D Is not affected by age - Answers - B Increases with age
Monozygotic twins:
A Usually result from clomiphene treatment
B Develop from one ovum and two spermatozoa
C Share one placenta and one chorion
D May be of different sexes - Answers - C Share one placenta and one chorion
A monozygotic twin pregnancy is associated with:
A Increased risk of foetal abnormalities
B Increased maternal age
C Family history of twins
, D Use of fertility drugs - Answers - A Increased risk of foetal abnormalities
Following delivery of the twins Suzie is at increased risk of:
A Postpartum haemorrhage
B Postpartum infection
C Inversion of the uterus
D Retained placental products - Answers - A Postpartum haemorrhage
Jane is admitted at 26 weeks with low backache and mild uterine tightenings. Preterm
labour is suspected before:
A 34 weeks gestation
B 30 weeks gestation
C 37 weeks gestation
D 35 weeks gestation - Answers - C 37 weeks gestation
In the first few days of life in which of the following do premature infants MOST often
experience difficulty:
A Poor sucking reflex
B Overdeveloped Moro reflex
C Reduced renal funtion
D Delay is passing meconium - Answers - A Poor sucking reflex
When assessing the fetal condition during labour which of the following will you as the
midwife be MOST interested in observing about the FH:
A The rate
B The rhythm
C The location
D All of the above - Answers - D All of the above
Which of the following represents a normal fetal heart rate:
A 120-140 BPM
B 130-160 BPM
C 110-160 BPM
D 110-170 BPM - Answers - C 110-160 BPM
When assessing a woman who has had a severe APH the IMMEDIATE care will be:
A To replace blood volume
B To complete an ultrasound scan
C To assess the foetal condition
D To complete a vaginal speculum examination - Answers - A To replace blood volume
In the event of an antepartum haemorrhage vaginal bleeding may be described as:
A Revealed bleeding
B Concealed bleeding
C Revealed and concealed (mixed) bleeding
D All of the above - Answers - D All of the above
