Midwifery State Exam study test guide
When would you bath a baby that has been born vaginally with high HIV viral load
A - before the first 24 hours
B - Immediately after birth
C - After the first 24 hours - ANS After the first 24 hours due to ability to
thermoregulate or before if risks for transmission from mother (eg HIV or Hep B)
When should you auscultate the FHR during the second stage of labour?
A - Every 5 minutes & after every contraction
B - Every 10 minutes and after every contraction
C - Every 15 minutes and after every contraction
D - Every 20 minutes and after every contraction - ANS Every 5 minutes & after
every contraction
Sandy has a Frank Breech presentation and is involuntary pushing, the student midwife
asks if its appropriate to perform a VE, as a registered midwife, what is your response?
A - No, her body will know what to do
B - Yes, a vaginal examination will ensure that the cervix is completely dilated
C - Only if there is a suspected cord or compound presentation
D - Only if the woman requests one - ANS Yes, a vaginal examination will ensure
that the cervix is completely dilated
In a breech birth, why must the head be born slowly and without traction?
A - The baby's head should be birthed slowly, because rapid birth of the head can cause
sudden decompression of the head and tearing of tentorium cerebelli with intracranial
haemorrhage and perinatal death
B - Because it could risk damaging the perineum
C - Because a rapid birth could activate the Moro reflex, gasping and possibly inhalation
of meconium - ANS The baby's head should be birthed slowly, because rapid birth of
the head can cause sudden decompression of the head and tearing of tentorium
cerebelli with intracranial haemorrhage and perinatal death
,A woman who is 16 weeks contacts you, her LMC to say that she has been in contact
with a child with rubella and has not had her MMR vaccine, what would you as the LMC
recommend she do?
A - Not worry, as it is usually a mild self-limiting disease with few complications
B - Recommend she go and get an MMR vaccine right away
C - Make a GP appointment immediately
D - Advise that If infection occurs after 16 weeks of pregnancy, the risk of fetal damage
is negligible but make a GP appointment if worried - ANS Advise that If infection
occurs after 16 weeks of pregnancy, the risk of fetal damage is negligible but make a
GP appointment if worried
At a booking, Mary currently taking sodium valproate for epilepsy, what are your
midwifery actions?
A - Advise to continue taking medication as risk to the benefits outweigh the risks,
discuss the teratogenic effect. Referral to be made to a multidisciplinary team, prescribe
5mg folic acid
B - Advise that she stop taking her medication due to the risk of antiepileptic
medications on the fetus, prescribe 5mg folic acid
C - Advise her to book in with her GP as this is out of your scope. - ANS Advise to
continue taking medication as risk to the benefits outweigh the risks, discuss the
teratogenic effect. Referral to be made to a multidisciplinary team, prescribe 5mg folic
acid
A woman calls you for the second night in a row saying that her baby wont stop crying
and cant sleep. You visit her the next day and she seems agitated, what are your
midwifery actions?
A - prescribe a sleeping pill
B - prescribe anti-depressants
C - with consent, you readmit her to postnatal so she can have help and a good nights
sleep
,D - with consent, you call her GP and book a same day apt - ANS with consent, you
call her GP and book a same day apt
What is the definition for 'hypertonus'
A - contractions that last longer than 60 seconds
B - contractions that come every minute
C - minimal uterine activity
D - contractions that only last 30 seconds but come every minute - ANS contractions
that last longer than 60 seconds
What is the definition for 'Tachysystole?'
A - contractions that last longer than 60 seconds
B - more than 5 contractions in 10 minutes ONLY when oxytocin is used
C - more than five contractions in 10 minutes
D - contractions that are regular (every 2-3 minutes) but only last 45 seconds - ANS
more than five contractions in 10 minutes
What is the prescription for thrush treatment?
A - Oral capsule
Adult 150 mg as a single dose
C - clotrimazole 1% vaginal cream 3 day dose
D - clotrimazole 1% vaginal cream, 6 day dose - ANS clotrimazole 1% vaginal
cream, 6 day dose
What is the prescription for chlamydia treatment?
A - Azithromycin, Oral, Adult 1 g as a single dose
, B - Erythromycin, Oral, Adults 800 mg 4 times daily for 14 days
C - Amoxicillin Oral, Adult 0.5-1 g every 8 hours for 7 days
D - Doxycyline, Oral, Adult 100 mg twice daily for 7 days - ANS Azithromycin, Oral,
Adult 1 g as a single dose
What is the folic acid dose?
A - 500 µg of folic acid/day, ideally from 1 month before conception and throughout the
first 3 months of pregnancy
B - 800 µg (or 5 mg if risk factors) of folic acid/day beginning 1 month prior to
conception until 12 weeks gestation
C - 250 µg of folic acid/day, ideally from 1 month before conception and throughout the
first 3 months of pregnancy
D - 300µg of folic acid/day, ideally from 1 month before conception and throughout
pregnancy and breastfeeding - ANS 800 µg (or 5 mg if risk factors) of folic acid/day
beginning 1 month prior to conception until 12 weeks gestation
What are the iodine dose?
A - 253 microgram potassium iodate tablet (contains 150 micrograms elemental iodine)
1 tablet daily during pregnancy and breast-feeding
B - 150 microgram potassium iodate tablet, 1 tablet daily during pregnancy and
breast-feeding
C - 253 microgram potassium iodate tablet (contains 150 micrograms elemental iodine)
ideally one month before conception and up to 12 weeks - ANS 150 microgram
potassium iodate tablet, 1 tablet daily during pregnancy and breast-feeding
What is the definition for 'locked twins'?
A - leading breech then another breech presentation
B - leading cephalic then breech presentation
C - leading breech and then cephalic presentation
When would you bath a baby that has been born vaginally with high HIV viral load
A - before the first 24 hours
B - Immediately after birth
C - After the first 24 hours - ANS After the first 24 hours due to ability to
thermoregulate or before if risks for transmission from mother (eg HIV or Hep B)
When should you auscultate the FHR during the second stage of labour?
A - Every 5 minutes & after every contraction
B - Every 10 minutes and after every contraction
C - Every 15 minutes and after every contraction
D - Every 20 minutes and after every contraction - ANS Every 5 minutes & after
every contraction
Sandy has a Frank Breech presentation and is involuntary pushing, the student midwife
asks if its appropriate to perform a VE, as a registered midwife, what is your response?
A - No, her body will know what to do
B - Yes, a vaginal examination will ensure that the cervix is completely dilated
C - Only if there is a suspected cord or compound presentation
D - Only if the woman requests one - ANS Yes, a vaginal examination will ensure
that the cervix is completely dilated
In a breech birth, why must the head be born slowly and without traction?
A - The baby's head should be birthed slowly, because rapid birth of the head can cause
sudden decompression of the head and tearing of tentorium cerebelli with intracranial
haemorrhage and perinatal death
B - Because it could risk damaging the perineum
C - Because a rapid birth could activate the Moro reflex, gasping and possibly inhalation
of meconium - ANS The baby's head should be birthed slowly, because rapid birth of
the head can cause sudden decompression of the head and tearing of tentorium
cerebelli with intracranial haemorrhage and perinatal death
,A woman who is 16 weeks contacts you, her LMC to say that she has been in contact
with a child with rubella and has not had her MMR vaccine, what would you as the LMC
recommend she do?
A - Not worry, as it is usually a mild self-limiting disease with few complications
B - Recommend she go and get an MMR vaccine right away
C - Make a GP appointment immediately
D - Advise that If infection occurs after 16 weeks of pregnancy, the risk of fetal damage
is negligible but make a GP appointment if worried - ANS Advise that If infection
occurs after 16 weeks of pregnancy, the risk of fetal damage is negligible but make a
GP appointment if worried
At a booking, Mary currently taking sodium valproate for epilepsy, what are your
midwifery actions?
A - Advise to continue taking medication as risk to the benefits outweigh the risks,
discuss the teratogenic effect. Referral to be made to a multidisciplinary team, prescribe
5mg folic acid
B - Advise that she stop taking her medication due to the risk of antiepileptic
medications on the fetus, prescribe 5mg folic acid
C - Advise her to book in with her GP as this is out of your scope. - ANS Advise to
continue taking medication as risk to the benefits outweigh the risks, discuss the
teratogenic effect. Referral to be made to a multidisciplinary team, prescribe 5mg folic
acid
A woman calls you for the second night in a row saying that her baby wont stop crying
and cant sleep. You visit her the next day and she seems agitated, what are your
midwifery actions?
A - prescribe a sleeping pill
B - prescribe anti-depressants
C - with consent, you readmit her to postnatal so she can have help and a good nights
sleep
,D - with consent, you call her GP and book a same day apt - ANS with consent, you
call her GP and book a same day apt
What is the definition for 'hypertonus'
A - contractions that last longer than 60 seconds
B - contractions that come every minute
C - minimal uterine activity
D - contractions that only last 30 seconds but come every minute - ANS contractions
that last longer than 60 seconds
What is the definition for 'Tachysystole?'
A - contractions that last longer than 60 seconds
B - more than 5 contractions in 10 minutes ONLY when oxytocin is used
C - more than five contractions in 10 minutes
D - contractions that are regular (every 2-3 minutes) but only last 45 seconds - ANS
more than five contractions in 10 minutes
What is the prescription for thrush treatment?
A - Oral capsule
Adult 150 mg as a single dose
C - clotrimazole 1% vaginal cream 3 day dose
D - clotrimazole 1% vaginal cream, 6 day dose - ANS clotrimazole 1% vaginal
cream, 6 day dose
What is the prescription for chlamydia treatment?
A - Azithromycin, Oral, Adult 1 g as a single dose
, B - Erythromycin, Oral, Adults 800 mg 4 times daily for 14 days
C - Amoxicillin Oral, Adult 0.5-1 g every 8 hours for 7 days
D - Doxycyline, Oral, Adult 100 mg twice daily for 7 days - ANS Azithromycin, Oral,
Adult 1 g as a single dose
What is the folic acid dose?
A - 500 µg of folic acid/day, ideally from 1 month before conception and throughout the
first 3 months of pregnancy
B - 800 µg (or 5 mg if risk factors) of folic acid/day beginning 1 month prior to
conception until 12 weeks gestation
C - 250 µg of folic acid/day, ideally from 1 month before conception and throughout the
first 3 months of pregnancy
D - 300µg of folic acid/day, ideally from 1 month before conception and throughout
pregnancy and breastfeeding - ANS 800 µg (or 5 mg if risk factors) of folic acid/day
beginning 1 month prior to conception until 12 weeks gestation
What are the iodine dose?
A - 253 microgram potassium iodate tablet (contains 150 micrograms elemental iodine)
1 tablet daily during pregnancy and breast-feeding
B - 150 microgram potassium iodate tablet, 1 tablet daily during pregnancy and
breast-feeding
C - 253 microgram potassium iodate tablet (contains 150 micrograms elemental iodine)
ideally one month before conception and up to 12 weeks - ANS 150 microgram
potassium iodate tablet, 1 tablet daily during pregnancy and breast-feeding
What is the definition for 'locked twins'?
A - leading breech then another breech presentation
B - leading cephalic then breech presentation
C - leading breech and then cephalic presentation
