NARM STUDY QUESTIONS AND DETAILED
ANSWERS|ALREADY 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:
Correct Ans- Philosophy of Care
In which portion of the fallopian tubes does fertilization normally occur?
Correct Ans- the ampulla
A prenatal factor that may cause a hemorrhage is Correct Ans- 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 Correct Ans- vertex (occipital)
presentation
The increased activity of the endometrial glands during the luteal phase
of the female reproductive cycle is stimulated by: Correct Ans-
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? Correct
Ans- 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: Correct Ans-
Newborn's first growth spurt
Fetal heart rate variability is not affected by Correct Ans- 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 Correct Ans- 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? Correct Ans- a positive Ortolani's sign
What is the largest diameter of the fetal head? Correct Ans-
occipitomental
During the first 10-12 weeks of pregnancy, the corpus luteum: Correct
Ans- secretes progesterone to maintain the pregnancy
,Constipation during pregnancy is usually the result of: Correct Ans-
prolonged stomach emptying time and decreased intestinal motility
What is a positive sign of pregnancy: Correct Ans- ultrasound
A child born to a woman over the age of 35 has an increased risk of:
Correct Ans- Trisomy 21
What is the best recommendation for a woman with morning sickness?
Correct Ans- eat a dry carbohydrate, such as crackers, before getting out
of bed
The definition of pica is Correct Ans- 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? Correct Ans- 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: Correct Ans- Threatened Abortion
Dangerous complication of pregnancy would be characterized by
shoulder pain? Correct Ans- ruptured tubal pregnancy, or ruptured
uterus
, Women with a diagnosis of severe preeclampsia have an increased risk
of: Correct Ans- placental abruption
Thrush in the newborn is directly related to contact in the birth canal
with which of the following organisms? Correct Ans- candida albicans
To protect her unborn child from toxoplasmosis, a pregnant woman
should: Correct Ans- avoid eating under cooked meets, and handling cat
feces
An example of a sex chromosome abnormality is: Correct Ans- Turner
Syndrome
A typical gynecoid pelvis has which of the following characteristics?
Correct Ans- rounded inlet, nonprominenant ischial spines and wide,
round pubic arch
A cephalic presentation includes all of the following, except: Correct
Ans- 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? Correct Ans-
breastfeeding every 2-3 hours or on demand, whichever comes first
ANSWERS|ALREADY 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:
Correct Ans- Philosophy of Care
In which portion of the fallopian tubes does fertilization normally occur?
Correct Ans- the ampulla
A prenatal factor that may cause a hemorrhage is Correct Ans- 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 Correct Ans- vertex (occipital)
presentation
The increased activity of the endometrial glands during the luteal phase
of the female reproductive cycle is stimulated by: Correct Ans-
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? Correct
Ans- 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: Correct Ans-
Newborn's first growth spurt
Fetal heart rate variability is not affected by Correct Ans- 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 Correct Ans- 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? Correct Ans- a positive Ortolani's sign
What is the largest diameter of the fetal head? Correct Ans-
occipitomental
During the first 10-12 weeks of pregnancy, the corpus luteum: Correct
Ans- secretes progesterone to maintain the pregnancy
,Constipation during pregnancy is usually the result of: Correct Ans-
prolonged stomach emptying time and decreased intestinal motility
What is a positive sign of pregnancy: Correct Ans- ultrasound
A child born to a woman over the age of 35 has an increased risk of:
Correct Ans- Trisomy 21
What is the best recommendation for a woman with morning sickness?
Correct Ans- eat a dry carbohydrate, such as crackers, before getting out
of bed
The definition of pica is Correct Ans- 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? Correct Ans- 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: Correct Ans- Threatened Abortion
Dangerous complication of pregnancy would be characterized by
shoulder pain? Correct Ans- ruptured tubal pregnancy, or ruptured
uterus
, Women with a diagnosis of severe preeclampsia have an increased risk
of: Correct Ans- placental abruption
Thrush in the newborn is directly related to contact in the birth canal
with which of the following organisms? Correct Ans- candida albicans
To protect her unborn child from toxoplasmosis, a pregnant woman
should: Correct Ans- avoid eating under cooked meets, and handling cat
feces
An example of a sex chromosome abnormality is: Correct Ans- Turner
Syndrome
A typical gynecoid pelvis has which of the following characteristics?
Correct Ans- rounded inlet, nonprominenant ischial spines and wide,
round pubic arch
A cephalic presentation includes all of the following, except: Correct
Ans- 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? Correct Ans-
breastfeeding every 2-3 hours or on demand, whichever comes first
