NARM Study Exam Questions and
Complete Solutions Graded A+
"Midwives believe that every woman has a right to a safe, satisfying birth in the setting of her own
choice, with respect for human dignity, cultural sensitivity, and informed choice." The quote is an
example of a: - Answer: Philosophy of Care
In which portion of the fallopian tubes does fertilization normally occur? - Answer: the ampulla
A prenatal factor that may cause a hemorrhage is - Answer: grand multipara
During an abdominal examination of a woman at term, the midwife feels the cephalic prominence on
the same side as the fetal parts. This is indicative of which of the following - Answer: vertex (occipital)
presentation
The increased activity of the endometrial glands during the luteal phase of the female reproductive cycle
is stimulated by: - Answer: progesterone
Shelley is a 25 year old gravida 3 para 2 who has missed two menstrual periods and is making her initial
visit to the midwife. The midwife gave her a pregnancy test and it was positive. Shelley reports nausea
and occasional vomiting in the mornings. Which physiologic change of pregnancy is probably causing
Shelley's nausea and vomiting? - Answer: high levels of human chorionic gonadotropin
Janine had a baby 10 days ago and during a routine check up, she mentions to her midwife that the baby
is requiring more frequent breast feeding. This change is probably associated with: - Answer: Newborn's
first growth spurt
Fetal heart rate variability is not affected by - Answer: Maternal Sleep
A woman is laboring at a birth center, and is acting irritable and cranky with her husband and mother-in-
law, who have been with her almost constantly all night. She also has two sisters and a female cousin
present, and a doula. The most appropriate action for the midwife to take would be to - Answer: ask for
some time alone with her and inquire whether the crowd is bothering her
,Which neonatal assessment finding should the midwife report to a physician if she finds this while
conducting a newborn exam at one hour after birth? - Answer: a positive Ortolani's sign
What is the largest diameter of the fetal head? - Answer: occipitomental
During the first 10-12 weeks of pregnancy, the corpus luteum: - Answer: secretes progesterone to
maintain the pregnancy
Constipation during pregnancy is usually the result of: - Answer: prolonged stomach emptying time and
decreased intestinal motility
What is a positive sign of pregnancy: - Answer: ultrasound
A child born to a woman over the age of 35 has an increased risk of: - Answer: Trisomy 21
What is the best recommendation for a woman with morning sickness? - Answer: eat a dry
carbohydrate, such as crackers, before getting out of bed
The definition of pica is - Answer: the craving for non-food, non-nutritive substances such as ice, clay,
dirt, starch or plaster
Which of the common discomforts of pregnancy generally have their initial onset during the first
trimester of pregnancy? - Answer: fatigue
A woman reports she is having some slight vaginal bleeding and occasional mild cramps at 10 weeks
from LMP. She is best characterized as having: - Answer: Threatened Abortion
Dangerous complication of pregnancy would be characterized by shoulder pain? - Answer: ruptured
tubal pregnancy, or ruptured uterus
Women with a diagnosis of severe preeclampsia have an increased risk of: - Answer: placental abruption
, Thrush in the newborn is directly related to contact in the birth canal with which of the following
organisms? - Answer: candida albicans
To protect her unborn child from toxoplasmosis, a pregnant woman should: - Answer: avoid eating
under cooked meets, and handling cat feces
An example of a sex chromosome abnormality is: - Answer: Turner Syndrome
A typical gynecoid pelvis has which of the following characteristics? - Answer: rounded inlet,
nonprominenant ischial spines and wide, round pubic arch
A cephalic presentation includes all of the following, except: - Answer: Brow, Face, Vertex
The midwife has been helping answer the questions of a woman who has just given birth for the first
time. Which behavior shows that the new mother understands correct teaching on breastfeeding? -
Answer: breastfeeding every 2-3 hours or on demand, whichever comes first
In counseling a woman interested in natural family planning, the midwife would inform her that the
most effective method is: - Answer: Symptoms-thermal method
The midwife is performing Leopold's maneuvers and determines that the fetus is ROA. Which of the
following did she find? - Answer: round, firm object low in the pelvis, small parts on the mother's left
side, and a soft rounded shape in the fundus
What describes contractions with a frequency of 3 minutes? - Answer: contractions that last for 30
seconds with a 2 1/2 minute rest in between
The midwife takes fetal heart tones and finds they are 158 bpm. What action is appropriate? - Answer:
inform the mother that the rate is normal
While performing a vaginal exam, the midwife determines that the fetus is in a cephalic presentation
and that the occiput has reached the level of the ischial spines. The station is: - Answer: 0 (zero station)
Complete Solutions Graded A+
"Midwives believe that every woman has a right to a safe, satisfying birth in the setting of her own
choice, with respect for human dignity, cultural sensitivity, and informed choice." The quote is an
example of a: - Answer: Philosophy of Care
In which portion of the fallopian tubes does fertilization normally occur? - Answer: the ampulla
A prenatal factor that may cause a hemorrhage is - Answer: grand multipara
During an abdominal examination of a woman at term, the midwife feels the cephalic prominence on
the same side as the fetal parts. This is indicative of which of the following - Answer: vertex (occipital)
presentation
The increased activity of the endometrial glands during the luteal phase of the female reproductive cycle
is stimulated by: - Answer: progesterone
Shelley is a 25 year old gravida 3 para 2 who has missed two menstrual periods and is making her initial
visit to the midwife. The midwife gave her a pregnancy test and it was positive. Shelley reports nausea
and occasional vomiting in the mornings. Which physiologic change of pregnancy is probably causing
Shelley's nausea and vomiting? - Answer: high levels of human chorionic gonadotropin
Janine had a baby 10 days ago and during a routine check up, she mentions to her midwife that the baby
is requiring more frequent breast feeding. This change is probably associated with: - Answer: Newborn's
first growth spurt
Fetal heart rate variability is not affected by - Answer: Maternal Sleep
A woman is laboring at a birth center, and is acting irritable and cranky with her husband and mother-in-
law, who have been with her almost constantly all night. She also has two sisters and a female cousin
present, and a doula. The most appropriate action for the midwife to take would be to - Answer: ask for
some time alone with her and inquire whether the crowd is bothering her
,Which neonatal assessment finding should the midwife report to a physician if she finds this while
conducting a newborn exam at one hour after birth? - Answer: a positive Ortolani's sign
What is the largest diameter of the fetal head? - Answer: occipitomental
During the first 10-12 weeks of pregnancy, the corpus luteum: - Answer: secretes progesterone to
maintain the pregnancy
Constipation during pregnancy is usually the result of: - Answer: prolonged stomach emptying time and
decreased intestinal motility
What is a positive sign of pregnancy: - Answer: ultrasound
A child born to a woman over the age of 35 has an increased risk of: - Answer: Trisomy 21
What is the best recommendation for a woman with morning sickness? - Answer: eat a dry
carbohydrate, such as crackers, before getting out of bed
The definition of pica is - Answer: the craving for non-food, non-nutritive substances such as ice, clay,
dirt, starch or plaster
Which of the common discomforts of pregnancy generally have their initial onset during the first
trimester of pregnancy? - Answer: fatigue
A woman reports she is having some slight vaginal bleeding and occasional mild cramps at 10 weeks
from LMP. She is best characterized as having: - Answer: Threatened Abortion
Dangerous complication of pregnancy would be characterized by shoulder pain? - Answer: ruptured
tubal pregnancy, or ruptured uterus
Women with a diagnosis of severe preeclampsia have an increased risk of: - Answer: placental abruption
, Thrush in the newborn is directly related to contact in the birth canal with which of the following
organisms? - Answer: candida albicans
To protect her unborn child from toxoplasmosis, a pregnant woman should: - Answer: avoid eating
under cooked meets, and handling cat feces
An example of a sex chromosome abnormality is: - Answer: Turner Syndrome
A typical gynecoid pelvis has which of the following characteristics? - Answer: rounded inlet,
nonprominenant ischial spines and wide, round pubic arch
A cephalic presentation includes all of the following, except: - Answer: Brow, Face, Vertex
The midwife has been helping answer the questions of a woman who has just given birth for the first
time. Which behavior shows that the new mother understands correct teaching on breastfeeding? -
Answer: breastfeeding every 2-3 hours or on demand, whichever comes first
In counseling a woman interested in natural family planning, the midwife would inform her that the
most effective method is: - Answer: Symptoms-thermal method
The midwife is performing Leopold's maneuvers and determines that the fetus is ROA. Which of the
following did she find? - Answer: round, firm object low in the pelvis, small parts on the mother's left
side, and a soft rounded shape in the fundus
What describes contractions with a frequency of 3 minutes? - Answer: contractions that last for 30
seconds with a 2 1/2 minute rest in between
The midwife takes fetal heart tones and finds they are 158 bpm. What action is appropriate? - Answer:
inform the mother that the rate is normal
While performing a vaginal exam, the midwife determines that the fetus is in a cephalic presentation
and that the occiput has reached the level of the ischial spines. The station is: - Answer: 0 (zero station)
