Midwifery Revision Exam Questions and
Answers 100% Solved | Graded A+
What is the valsalva maneuver in childbirth? - ✔✔The Valsalva pushing
technique is used during second stage of labour. When this technique is
used, a woman is instructed to take a deep breath at the beginning of the
contraction, to hold her breath and push as long and hard as she can in
synchrony with her contractions
What is haematocrit? - ✔✔The hematocrit is the volume percentage of red
blood cells in blood. Low haematocrit with low RBC's indicates anemia. A
high haematocrit can indicate dehydration, low oxygenation, heart
disorders, erythrocytosis (the overproduction of RBC's)
What does a high creatinine level suggest? What tests are used to
measure levels. - ✔✔Elevated creatinine level signifies impaired kidney
function or kidney disease. As the kidneys become impaired for any
reason, the creatinine level in the blood will rise due to poor clearance of
creatinine by the kidneys. CBP,Kidney function test and urine sample.
What are the aims of perineal repair - ✔✔Correct alignment of tissues
1
©NINJANERD 2025/2026. YEAR PUBLISHED 2025.
, Haemostasis
Minimal use of suture material
Reduction of dead space
The overall aim is to maintain the integrity of the woman's pelvic floor
Define best practice for perineal repair - ✔✔Discuss & obtain consent
Ensure privacy & safety
Suture ASAP
Minimize bacterial contamination
Provide adequate analgesia
Position for the comfort of the woman & midwife
Adequate lighting to enhance visualization
Check equipment, count pads & tampons
Describe the care after the repair of the perineum - ✔✔Analgesia
General hygiene - keep clean and dry
Inspection of the area to exclude infection, haematoma, wound breakdown
Adequate hydration
Determine that any dysuria is not due to UTI
Avoid constipation
Ice packs - first 48-72 hours
Pelvic floor exercises 1-2 days postnatal (once IDC is removed)
2
©NINJANERD 2025/2026. YEAR PUBLISHED 2025.
Answers 100% Solved | Graded A+
What is the valsalva maneuver in childbirth? - ✔✔The Valsalva pushing
technique is used during second stage of labour. When this technique is
used, a woman is instructed to take a deep breath at the beginning of the
contraction, to hold her breath and push as long and hard as she can in
synchrony with her contractions
What is haematocrit? - ✔✔The hematocrit is the volume percentage of red
blood cells in blood. Low haematocrit with low RBC's indicates anemia. A
high haematocrit can indicate dehydration, low oxygenation, heart
disorders, erythrocytosis (the overproduction of RBC's)
What does a high creatinine level suggest? What tests are used to
measure levels. - ✔✔Elevated creatinine level signifies impaired kidney
function or kidney disease. As the kidneys become impaired for any
reason, the creatinine level in the blood will rise due to poor clearance of
creatinine by the kidneys. CBP,Kidney function test and urine sample.
What are the aims of perineal repair - ✔✔Correct alignment of tissues
1
©NINJANERD 2025/2026. YEAR PUBLISHED 2025.
, Haemostasis
Minimal use of suture material
Reduction of dead space
The overall aim is to maintain the integrity of the woman's pelvic floor
Define best practice for perineal repair - ✔✔Discuss & obtain consent
Ensure privacy & safety
Suture ASAP
Minimize bacterial contamination
Provide adequate analgesia
Position for the comfort of the woman & midwife
Adequate lighting to enhance visualization
Check equipment, count pads & tampons
Describe the care after the repair of the perineum - ✔✔Analgesia
General hygiene - keep clean and dry
Inspection of the area to exclude infection, haematoma, wound breakdown
Adequate hydration
Determine that any dysuria is not due to UTI
Avoid constipation
Ice packs - first 48-72 hours
Pelvic floor exercises 1-2 days postnatal (once IDC is removed)
2
©NINJANERD 2025/2026. YEAR PUBLISHED 2025.
