NARM Study Questions With Correct
Answers
"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 |ANSWER✔✔-Philosophy |of |Care
In |which |portion |of |the |fallopian |tubes |does |fertilization |normally |occur? |- |CORRECT |
ANSWER✔✔-the |ampulla
A |prenatal |factor |that |may |cause |a |hemorrhage |is |- |CORRECT |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 |- |
CORRECT |ANSWER✔✔-vertex |(occipital) |presentation
The |increased |activity |of |the |endometrial |glands |during |the |luteal |phase |of |the |female |
reproductive |cycle |is |stimulated |by: |- |CORRECT |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? |- |CORRECT |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: |- |CORRECT |ANSWER✔✔-Newborn's |first |growth |spurt
Fetal |heart |rate |variability |is |not |affected |by |- |CORRECT |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 |- |CORRECT |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? |- |CORRECT |ANSWER✔✔-a |positive |
Ortolani's |sign
What |is |the |largest |diameter |of |the |fetal |head? |- |CORRECT |ANSWER✔✔-occipitomental
During |the |first |10-12 |weeks |of |pregnancy, |the |corpus |luteum: |- |CORRECT |ANSWER✔✔-
secretes |progesterone |to |maintain |the |pregnancy
Constipation |during |pregnancy |is |usually |the |result |of: |- |CORRECT |ANSWER✔✔-prolonged |
stomach |emptying |time |and |decreased |intestinal |motility
What |is |a |positive |sign |of |pregnancy: |- |CORRECT |ANSWER✔✔-ultrasound
A |child |born |to |a |woman |over |the |age |of |35 |has |an |increased |risk |of: |- |CORRECT |ANSWER✔✔-
Trisomy |21
,What |is |the |best |recommendation |for |a |woman |with |morning |sickness? |- |CORRECT |
ANSWER✔✔-eat |a |dry |carbohydrate, |such |as |crackers, |before |getting |out |of |bed
The |definition |of |pica |is |- |CORRECT |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? |- |CORRECT |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: |- |CORRECT |ANSWER✔✔-Threatened |
Abortion
Dangerous |complication |of |pregnancy |would |be |characterized |by |shoulder |pain? |- |CORRECT |
ANSWER✔✔-ruptured |tubal |pregnancy, |or |ruptured |uterus
Women |with |a |diagnosis |of |severe |preeclampsia |have |an |increased |risk |of: |- |CORRECT |
ANSWER✔✔-placental |abruption
Thrush |in |the |newborn |is |directly |related |to |contact |in |the |birth |canal |with |which |of |the |
following |organisms? |- |CORRECT |ANSWER✔✔-candida |albicans
To |protect |her |unborn |child |from |toxoplasmosis, |a |pregnant |woman |should: |- |CORRECT |
ANSWER✔✔-avoid |eating |under |cooked |meets, |and |handling |cat |feces
An |example |of |a |sex |chromosome |abnormality |is: |- |CORRECT |ANSWER✔✔-Turner |Syndrome
A |typical |gynecoid |pelvis |has |which |of |the |following |characteristics? |- |CORRECT |ANSWER✔✔-
rounded |inlet, |nonprominenant |ischial |spines |and |wide, |round |pubic |arch
, A |cephalic |presentation |includes |all |of |the |following, |except: |- |CORRECT |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? |- |CORRECT |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: |- |CORRECT |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? |- |CORRECT |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? |- |CORRECT |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? |-
|CORRECT |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: |- |
CORRECT |ANSWER✔✔-0 |(zero |station)
A |laboring |woman's |membranes |rupture |at |the |end |of |a |contraction. |The |midwife's |first |action
|would |be |to: |- |CORRECT |ANSWER✔✔-Assess |FHT
Answers
"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 |ANSWER✔✔-Philosophy |of |Care
In |which |portion |of |the |fallopian |tubes |does |fertilization |normally |occur? |- |CORRECT |
ANSWER✔✔-the |ampulla
A |prenatal |factor |that |may |cause |a |hemorrhage |is |- |CORRECT |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 |- |
CORRECT |ANSWER✔✔-vertex |(occipital) |presentation
The |increased |activity |of |the |endometrial |glands |during |the |luteal |phase |of |the |female |
reproductive |cycle |is |stimulated |by: |- |CORRECT |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? |- |CORRECT |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: |- |CORRECT |ANSWER✔✔-Newborn's |first |growth |spurt
Fetal |heart |rate |variability |is |not |affected |by |- |CORRECT |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 |- |CORRECT |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? |- |CORRECT |ANSWER✔✔-a |positive |
Ortolani's |sign
What |is |the |largest |diameter |of |the |fetal |head? |- |CORRECT |ANSWER✔✔-occipitomental
During |the |first |10-12 |weeks |of |pregnancy, |the |corpus |luteum: |- |CORRECT |ANSWER✔✔-
secretes |progesterone |to |maintain |the |pregnancy
Constipation |during |pregnancy |is |usually |the |result |of: |- |CORRECT |ANSWER✔✔-prolonged |
stomach |emptying |time |and |decreased |intestinal |motility
What |is |a |positive |sign |of |pregnancy: |- |CORRECT |ANSWER✔✔-ultrasound
A |child |born |to |a |woman |over |the |age |of |35 |has |an |increased |risk |of: |- |CORRECT |ANSWER✔✔-
Trisomy |21
,What |is |the |best |recommendation |for |a |woman |with |morning |sickness? |- |CORRECT |
ANSWER✔✔-eat |a |dry |carbohydrate, |such |as |crackers, |before |getting |out |of |bed
The |definition |of |pica |is |- |CORRECT |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? |- |CORRECT |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: |- |CORRECT |ANSWER✔✔-Threatened |
Abortion
Dangerous |complication |of |pregnancy |would |be |characterized |by |shoulder |pain? |- |CORRECT |
ANSWER✔✔-ruptured |tubal |pregnancy, |or |ruptured |uterus
Women |with |a |diagnosis |of |severe |preeclampsia |have |an |increased |risk |of: |- |CORRECT |
ANSWER✔✔-placental |abruption
Thrush |in |the |newborn |is |directly |related |to |contact |in |the |birth |canal |with |which |of |the |
following |organisms? |- |CORRECT |ANSWER✔✔-candida |albicans
To |protect |her |unborn |child |from |toxoplasmosis, |a |pregnant |woman |should: |- |CORRECT |
ANSWER✔✔-avoid |eating |under |cooked |meets, |and |handling |cat |feces
An |example |of |a |sex |chromosome |abnormality |is: |- |CORRECT |ANSWER✔✔-Turner |Syndrome
A |typical |gynecoid |pelvis |has |which |of |the |following |characteristics? |- |CORRECT |ANSWER✔✔-
rounded |inlet, |nonprominenant |ischial |spines |and |wide, |round |pubic |arch
, A |cephalic |presentation |includes |all |of |the |following, |except: |- |CORRECT |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? |- |CORRECT |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: |- |CORRECT |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? |- |CORRECT |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? |- |CORRECT |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? |-
|CORRECT |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: |- |
CORRECT |ANSWER✔✔-0 |(zero |station)
A |laboring |woman's |membranes |rupture |at |the |end |of |a |contraction. |The |midwife's |first |action
|would |be |to: |- |CORRECT |ANSWER✔✔-Assess |FHT
