Mercy in Action NARM AM Test
Developing follicles and the graafian follicle are found in the:
a. medulla of the ovaries
b. cortex of the ovaries
c. infundibulum
d. mesovarium ligament - answerb. cortex of the ovaries
The non-pregnant uterus is lined by the:
a. endometrium
b. myometrium
c. decidua vera
d. decidua capsularis - answera. endometrium
Which principle factors cause the vaginal pH to be acidic?
a. cervical mucus changes
b. secretions from the Skene's gland
c. action of Doderlein's bacillus
d. secretions from Bartholin's gland - answerc. action of Doderlein's bacillus
When doing a physical exam on a woman, it does not include:
a. a relevant history along with a physical and pelvic examination
b. laboratory tests related to womens' health care
c. counseling women about their sexual choices and preferences
d. addressing concerns about domestic violence, HIV, and substance abuse - answerc.
counseling women about their sexual choices and preferences
The fetus receives oxygenated blood through the:
a. ductus arteriosus
b. foramen ovale
c. mother's arteries
d. umbilical vein - answerd. umbilical vein
Ovulation occurs:
,a. at the time of menstruation
b. approximately 14 days after the onset of menstruation
c. approximately 14 days before the onset of menstruation
d. somewhere around 28 days after the last menstruation - answerc. approximately 14
days before the onset of menstruation
Urinary frequency in early pregnancy is most often a result of:
a. increased thirst leading to increased fluid intake
b. a urinary tract infection
c. pressure from the enlarging uterus on the bladder
d. hormone changes - answerd. hormone changes
The signs that constitute positive signs of pregnancy are:
a. enlarging uterus, Braxton-Hicks contractions, fetal movement
b. ultrasound image of the baby, hearing fetal heart tones
c. Hegar's sign, Chadwick's sign, hCG positive
d. nausea, breast tenderness, urinary frequency - answerb. ultrasound image of the
baby, hearing fetal heart tones
Which of the following best describes the need for good nutrition in pregnancy?
a. it allows blood pressure to contract appropriately due to the increased stress on the
body in pregnancy
b. it gives the midwife a chance to discuss the best diet for all pregnant women and to
discuss the changes required of her client
c. optimal nutrition is directly linked to optimal health and perinatal outcomes for mother
and baby
d. it is understood that the typical American diet is adequate for providing all necessary
nutrients in pregnancy - answerc. optimal nutrition is directly linked to optimal health and
perinatal outcomes for mother and baby
,Protein is an essential component in the diet and provides which of the following?
a. provides energy, serves as a carrier for fat-soluble vitamins, necessary for
carbohydrate metabolism
b. the building blocks for growth and development; formation of hormones, enzymes,
and antibodies; source of heat and energy
c. essential components of energy for the body's functions, assists in the digestion and
assimilation of food
d. essential for the growth and repair of body tissues, and for health of eyes, promotes
germ killing enzymes, destroys carcinogens - answerb. the building blocks for growth
and development; formation of hormones, enzymes, and antibodies; source of heat and
energy
Individualized nutritional evaluation for each client should include which of the
following?
a. evaluation of correct dietary practices that can be applied to every pregnant woman
so that she will fit into a prescribed definition of what constitutes good nutrition
b. critical investigation that will give credence to the midwife's knowledge of what is best
for each person
c. evaluation of RDA's according to body type, activity level, age, gestational age, and
specific individual needs based on increased demand
d. the prevention of excessive weight gain that can lead to gestational diabetes and
hyperemesis gravidarium - answerc. evaluation of RDA's according to body type,
activity level, age, gestational age, and specific individual needs based on increased
demand
The government program which provides food to pregnant and nursing women and their
children in the USA is called:
a. FDA
b. HIPPA
c. HUD
d. WIC - answerd. WIC
Maternal malnutrition can lead to all of the following conditions, except:
a. hypertrophic and hyperplastic brain growth
b. inadequate uteroplacental function
, c. treponema pallidum
d. IUGR and SGA - answerc. treponema pallidum
The most diagnostic feature of eclampsia is:
a. hypertension
b. edema
c. visual disturbances
d. convulsions - answerd. convulsions
How many chromosomes are there in the human cell?
a. 4
b. 12
c. 23
d. 46 - answerd. 46
The most appropriate nutritional recommendation when confronted with a woman at risk
for pre-eclampsia is:
a. to decrease protein and calories to prevent excessive weight gain, which can lead to
LGA and cesarean section
b. to restrict sodium and treat with diuretics
c. to ensure adequate protein and caloric intake in order to establish good
uteroplacental exchange
d. to discourage excessive sugar and fat intake in order to decrease stress on the liver -
answerc. to ensure adequate protein and caloric intake in order to establish good
uteroplacental exchange
Implantation usually occurs:
a. on the anterior or posterior surface of the fundus
b. in the fallopian tubes
c. in the lower uterine segment
d. in the abdominal cavity - answera. on the anterior or posterior surface of the fundus
Megaloblastic anemia is primarily due to which of the following:
a. a lack of vitamin C and D in the diet
b. blood loss or fluid loss from the cells
Developing follicles and the graafian follicle are found in the:
a. medulla of the ovaries
b. cortex of the ovaries
c. infundibulum
d. mesovarium ligament - answerb. cortex of the ovaries
The non-pregnant uterus is lined by the:
a. endometrium
b. myometrium
c. decidua vera
d. decidua capsularis - answera. endometrium
Which principle factors cause the vaginal pH to be acidic?
a. cervical mucus changes
b. secretions from the Skene's gland
c. action of Doderlein's bacillus
d. secretions from Bartholin's gland - answerc. action of Doderlein's bacillus
When doing a physical exam on a woman, it does not include:
a. a relevant history along with a physical and pelvic examination
b. laboratory tests related to womens' health care
c. counseling women about their sexual choices and preferences
d. addressing concerns about domestic violence, HIV, and substance abuse - answerc.
counseling women about their sexual choices and preferences
The fetus receives oxygenated blood through the:
a. ductus arteriosus
b. foramen ovale
c. mother's arteries
d. umbilical vein - answerd. umbilical vein
Ovulation occurs:
,a. at the time of menstruation
b. approximately 14 days after the onset of menstruation
c. approximately 14 days before the onset of menstruation
d. somewhere around 28 days after the last menstruation - answerc. approximately 14
days before the onset of menstruation
Urinary frequency in early pregnancy is most often a result of:
a. increased thirst leading to increased fluid intake
b. a urinary tract infection
c. pressure from the enlarging uterus on the bladder
d. hormone changes - answerd. hormone changes
The signs that constitute positive signs of pregnancy are:
a. enlarging uterus, Braxton-Hicks contractions, fetal movement
b. ultrasound image of the baby, hearing fetal heart tones
c. Hegar's sign, Chadwick's sign, hCG positive
d. nausea, breast tenderness, urinary frequency - answerb. ultrasound image of the
baby, hearing fetal heart tones
Which of the following best describes the need for good nutrition in pregnancy?
a. it allows blood pressure to contract appropriately due to the increased stress on the
body in pregnancy
b. it gives the midwife a chance to discuss the best diet for all pregnant women and to
discuss the changes required of her client
c. optimal nutrition is directly linked to optimal health and perinatal outcomes for mother
and baby
d. it is understood that the typical American diet is adequate for providing all necessary
nutrients in pregnancy - answerc. optimal nutrition is directly linked to optimal health and
perinatal outcomes for mother and baby
,Protein is an essential component in the diet and provides which of the following?
a. provides energy, serves as a carrier for fat-soluble vitamins, necessary for
carbohydrate metabolism
b. the building blocks for growth and development; formation of hormones, enzymes,
and antibodies; source of heat and energy
c. essential components of energy for the body's functions, assists in the digestion and
assimilation of food
d. essential for the growth and repair of body tissues, and for health of eyes, promotes
germ killing enzymes, destroys carcinogens - answerb. the building blocks for growth
and development; formation of hormones, enzymes, and antibodies; source of heat and
energy
Individualized nutritional evaluation for each client should include which of the
following?
a. evaluation of correct dietary practices that can be applied to every pregnant woman
so that she will fit into a prescribed definition of what constitutes good nutrition
b. critical investigation that will give credence to the midwife's knowledge of what is best
for each person
c. evaluation of RDA's according to body type, activity level, age, gestational age, and
specific individual needs based on increased demand
d. the prevention of excessive weight gain that can lead to gestational diabetes and
hyperemesis gravidarium - answerc. evaluation of RDA's according to body type,
activity level, age, gestational age, and specific individual needs based on increased
demand
The government program which provides food to pregnant and nursing women and their
children in the USA is called:
a. FDA
b. HIPPA
c. HUD
d. WIC - answerd. WIC
Maternal malnutrition can lead to all of the following conditions, except:
a. hypertrophic and hyperplastic brain growth
b. inadequate uteroplacental function
, c. treponema pallidum
d. IUGR and SGA - answerc. treponema pallidum
The most diagnostic feature of eclampsia is:
a. hypertension
b. edema
c. visual disturbances
d. convulsions - answerd. convulsions
How many chromosomes are there in the human cell?
a. 4
b. 12
c. 23
d. 46 - answerd. 46
The most appropriate nutritional recommendation when confronted with a woman at risk
for pre-eclampsia is:
a. to decrease protein and calories to prevent excessive weight gain, which can lead to
LGA and cesarean section
b. to restrict sodium and treat with diuretics
c. to ensure adequate protein and caloric intake in order to establish good
uteroplacental exchange
d. to discourage excessive sugar and fat intake in order to decrease stress on the liver -
answerc. to ensure adequate protein and caloric intake in order to establish good
uteroplacental exchange
Implantation usually occurs:
a. on the anterior or posterior surface of the fundus
b. in the fallopian tubes
c. in the lower uterine segment
d. in the abdominal cavity - answera. on the anterior or posterior surface of the fundus
Megaloblastic anemia is primarily due to which of the following:
a. a lack of vitamin C and D in the diet
b. blood loss or fluid loss from the cells
