Midwifery | Verified Exam Toolkit: Tested Questions
with Authenticated Solutions 2024/2025
True/false: although it often appears during the first trimester, pregnancy
rhinitis can occur at any point during pregnancy. - correct answer true.
What is the believed etiology of pregnancy rhinitis? - correct answer
increased hormone levels.
Increased blood flow.
True/false: caffeinated fluids help relieve the symptoms of pregnancy
rhinitis. - correct answer false.
When does pregnancy rhinitis typically resolve? - correct answer after
delivery- typically disappears within 2 weeks after delivery.
What common discomfort occurs in about 30% of pregnancies and involves
the swelling of the nasal mucosa? - correct answer pregnancy rhinitis
True/false patients have found great long term success with using
intranasal decongestants for pregnancy rhinitis. - correct answer false
Which aspect of health is most affected by the breathing issues of
pregnancy rhinitis? - correct answer sleep
Which two differential diagnoses must be carefully assessed with
pregnancy rhinitis? - correct answer allergic rhinitis and sinusitis
,True/false: moderate levels of exercise worsen the swelling of the nasal
mucosa during pregnancy rhinitis. - correct answer false
At how many weeks does the nvp tend to disappear? - correct answer 20
weeks
True or false. Sucking on hard candy in-between meals can improve
nausea and vomiting? - correct answer true
True or false. Eating a high protein meal before bed can decrease nvp? -
correct answer true
True or false. Acupressure is a cam treatment for nvp that has been helpful
for some women. - correct answer true
Is it better for women with nvp to eat 3 large meals a day or several smaller
meals? - correct answer several smaller meals
What is an important differential that a woman with nvp could experience
that would require hospitalization? How would you differentiate between the
two? - correct answer hyperemesis gravidarum; make sure the woman is
not dehydrated and not losing excessive amounts of weight. Check lab
values such as cmp, cbc, ast & alt, ua. Monitor fetal wellbeing as well.
What is constipation? - correct answer relaxation of the smooth muscle of
the large bowel: decreased peristalsis/motility
Classified: <1 bowel movement in 3 days, and straining with painful
defecation
,What hormone is causes constipation by slowing down muscle
contractions, intestinal muscles, and bowel activity in pregnancy? - correct
answer progesterone
What are three risk factors for constipation in pregnancy? - correct answer
low fiber diet, lack of physical activity, and decreased intake of water.
What helps the the absorption of iron to decrease constipation? - correct
answer taking iron with orange juice.
When does round ligament pain usually occur? - correct answer second
trimester
What is the etiology of round ligament pain? - correct answer round
ligament pain probably results from this stretching and possibly from the
pressure of the increasingly heavy uterus on the ligaments
Where is round ligament pain felt? - correct answer hips and groin
What are some relief measures for round ligament pain? - correct answer
-acetaminophen 325-650 q4-6 or paracetamol.
-pelvic tilt exercises, re-positioning into positions that place less stress on
the ligaments, and wearing a maternity support or girdle.
-slow position changes.
-walk daily - 30 min.
-stretching- downward dog, bring knees to chest.
-lie on side - one pillow under belly for support, one pillow between legs
-heat, warm bath
, What are some differential diagnoses for round ligament pain? - correct
answer -appendicitis
-constipation
-muscle strain or pain
-symphysis pubis diathesis
-ectopic pregnancy
-kidney / uti infection
-placental abruption
-chorioamnionitis
-preterm labor
What causes heartburn in pregnancy? - correct answer the relaxation of
the lower esophageal sphincter (s/t high levels of estrogen/progesterone),
and the upward pressure of the uterus on stomach/intestines. Digested
food is pushed from the stomach into the lower esophagus, causing an
uncomfortable burning
Approximately what percentage of women are affected by heartburn in the
third trimester of pregnancy? - correct answer 72%
Approximately what percentage of women are affected by heartburn in the
second trimester of pregnancy? - correct answer 39%
Approximately what percentage of women are affected by heartburn in the
first trimester of pregnancy? - correct answer 22%
with Authenticated Solutions 2024/2025
True/false: although it often appears during the first trimester, pregnancy
rhinitis can occur at any point during pregnancy. - correct answer true.
What is the believed etiology of pregnancy rhinitis? - correct answer
increased hormone levels.
Increased blood flow.
True/false: caffeinated fluids help relieve the symptoms of pregnancy
rhinitis. - correct answer false.
When does pregnancy rhinitis typically resolve? - correct answer after
delivery- typically disappears within 2 weeks after delivery.
What common discomfort occurs in about 30% of pregnancies and involves
the swelling of the nasal mucosa? - correct answer pregnancy rhinitis
True/false patients have found great long term success with using
intranasal decongestants for pregnancy rhinitis. - correct answer false
Which aspect of health is most affected by the breathing issues of
pregnancy rhinitis? - correct answer sleep
Which two differential diagnoses must be carefully assessed with
pregnancy rhinitis? - correct answer allergic rhinitis and sinusitis
,True/false: moderate levels of exercise worsen the swelling of the nasal
mucosa during pregnancy rhinitis. - correct answer false
At how many weeks does the nvp tend to disappear? - correct answer 20
weeks
True or false. Sucking on hard candy in-between meals can improve
nausea and vomiting? - correct answer true
True or false. Eating a high protein meal before bed can decrease nvp? -
correct answer true
True or false. Acupressure is a cam treatment for nvp that has been helpful
for some women. - correct answer true
Is it better for women with nvp to eat 3 large meals a day or several smaller
meals? - correct answer several smaller meals
What is an important differential that a woman with nvp could experience
that would require hospitalization? How would you differentiate between the
two? - correct answer hyperemesis gravidarum; make sure the woman is
not dehydrated and not losing excessive amounts of weight. Check lab
values such as cmp, cbc, ast & alt, ua. Monitor fetal wellbeing as well.
What is constipation? - correct answer relaxation of the smooth muscle of
the large bowel: decreased peristalsis/motility
Classified: <1 bowel movement in 3 days, and straining with painful
defecation
,What hormone is causes constipation by slowing down muscle
contractions, intestinal muscles, and bowel activity in pregnancy? - correct
answer progesterone
What are three risk factors for constipation in pregnancy? - correct answer
low fiber diet, lack of physical activity, and decreased intake of water.
What helps the the absorption of iron to decrease constipation? - correct
answer taking iron with orange juice.
When does round ligament pain usually occur? - correct answer second
trimester
What is the etiology of round ligament pain? - correct answer round
ligament pain probably results from this stretching and possibly from the
pressure of the increasingly heavy uterus on the ligaments
Where is round ligament pain felt? - correct answer hips and groin
What are some relief measures for round ligament pain? - correct answer
-acetaminophen 325-650 q4-6 or paracetamol.
-pelvic tilt exercises, re-positioning into positions that place less stress on
the ligaments, and wearing a maternity support or girdle.
-slow position changes.
-walk daily - 30 min.
-stretching- downward dog, bring knees to chest.
-lie on side - one pillow under belly for support, one pillow between legs
-heat, warm bath
, What are some differential diagnoses for round ligament pain? - correct
answer -appendicitis
-constipation
-muscle strain or pain
-symphysis pubis diathesis
-ectopic pregnancy
-kidney / uti infection
-placental abruption
-chorioamnionitis
-preterm labor
What causes heartburn in pregnancy? - correct answer the relaxation of
the lower esophageal sphincter (s/t high levels of estrogen/progesterone),
and the upward pressure of the uterus on stomach/intestines. Digested
food is pushed from the stomach into the lower esophagus, causing an
uncomfortable burning
Approximately what percentage of women are affected by heartburn in the
third trimester of pregnancy? - correct answer 72%
Approximately what percentage of women are affected by heartburn in the
second trimester of pregnancy? - correct answer 39%
Approximately what percentage of women are affected by heartburn in the
first trimester of pregnancy? - correct answer 22%
