Midwifery Comprehensive Exam Questions with 100% Correct Answers

Midwifery Comprehensive Exam
Questions with 100% Correct
Answers
TwoMproductsMofMimpairedMbloodMflowMtoMtheMlegsMareMthoughtMtoMbeMlinkedMtoMc
ramps?M-MAnswerMPyruvicMacidM

LacticMacid



NameMtwoMpreventionMtechniquesMforMnocturnalMlegMcrampsM-
MAnswerMHydration,Mstretching,MavoidMlongMperiodsMofMsittingMorMstanding,MwarmMbat
hs,Mexercise



WhatMisMtheMmostMimportantMdifferentialMdiagnosisMtoMruleMoutMwhenMaMpregnantMp
atientMcomesMinMwithMcomplaintsMofMlegMcramping?M-MAnswerMDeepMVeinMThrombosis:

LookMforMwarmMredMtenderMswollenMleg.



ConflictingMevidenceMsupportsMtakingMwhichMsupplementMforMlegMcrampsM?M-
MAnswerMMagnesium



TrueMorMfalse.MWomenMwithMNVPMhaveMlowerMratesMofMpretermMbirths,MlowMbirthMw
eightMbabies,McongenitalManomalies,MandMstillbirths.M-MAnswerMTrue



HowMdoesMprogesteroneMcontributeMtoMNVP?M-
MAnswerMSlowsMperistalsisMandMgastricMemptying



IfMdietaryMmeasures,MlifestyleMchanges,MandMOTCMremediesMdoMnotMhelpMwithMNVP,M
whatMmedicineMhasMshownMtoMbeMeffectiveMwithMNVP?M-
MAnswerMAntiemeticsMsuchMZofranM(Ondansetron).MNote:MNotMmentionedMinMVarney's



TrueMofMFalse.MEffectiveMtherapyMforMNVPMwillMalwaysMremainMtheMsameMforMaMwom
anMthroughoutMherMpregnancyMandMsubsequentMpregnancies.M-
MAnswerMFalse.MEffectivenessMofMtherapyMmayMfluctuateMoverMtheMcourseMofMpregnanc
yMandMvariesMgreatlyMfromMpregnancyMtoMpregnancy.



TrueMorMFalse.MToMcombatMnauseaMduringMpregnancy,MoneMshouldMbrushMtheirMteethM
immediatelyMafterMtheyMeat.M-

,MAnswerMFalse.MBrushingMyourMteethMcanMstimulateMtheMgagMreflex,MaggravatingMnause
aMandMvomiting.



WhatMpre-existingMconditionsMcanMcontributeMtoMNVP?M-MAnswerMH.MpyloriMandMGERD



WhatMisMtheMmostMimportantMdifferentialMdiagnosisMtoMruleMoutMwithMlegMcrampsMdur
ingMpregnancy?M-MAnswerMDeepMveinMthrombosis



True/false:MLegMcrampsMduringMpregnancyMareMnotMnormalMandMshouldMbeMreportedMi
mmediatelyMtoMprovider.M-
MAnswerMFalse.MLegMcrampsMareMcompletelyMnormalMduringMpregnancyMandMoccurMmo
reMfrequentlyMduringMtheM2ndMandM3rdMtrimesters.



HowMcanMyourMpregnantMpatientMpreventMlegMcrampsM(selectMallMthatMapply)?



a.MWalkingMorMotherMexercise

b.MDrinkMplentyMofMwater

c.MStretchMbeforeMbed

d.MTakingMaMwarmMbath

e.MSittingMforMlongMperiodsMofMtimeM-MAnswerMA,MB,MC,MD



True/false:MDorsiflexionMofMtheMaffectedMfootMwhenMaMcrampMbeginsMhelpsMtoMalleviat
eMtheMpain.M-MAnswerMTrue



True/false:MMagnesiumMsupplementsMhaveMbeenMfoundMtoMhelpMwithMlegMcramps.M-
MAnswerMFalse.MResearchMisMmixedMandMtakingMmagnesiumMsupplementsMseemMtoMhav
eMlittleMeffectMonMpreventingMlegMcrampsMinMpregnantMwomen.



TrueMorMFalse:MBackMpainMmayMbeMaMsignMofMpretermMlaborMonlyMifMcrampingMisMp
resent.M-MAnswerMFalse:MCrampingMmayMorMmayMnotMaccompanyMpretermMlabor.



WhatMareMsomeMofMtheMcontributingMfactorsMcausingMbackMpainMduringMpregnancy?

A.MTheMweightMofMaMgrowingMuterus

B.MAMshiftMinMherMcenterMofMgravity

,C.MRelaxationMofMsacroiliacMligaments

D.MAllMofMtheMaboveM-MAnswerMD



TrueMorMFalse:MAcupunctureMisMaMholisticMmethodMthatMhasMnotMbeenMcorrelatedMwit
hMeffectiveMpainMrelief.M-
MAnswerMFalse:MOneMstudyMfoundMthatM60%MofMwomenMreportedMaMdecreaseMinMbac
kMpainMafterMreceivingMacupuncture.



TrueMorMFalse:MItMisMsafeMtoMreceiveMchiropracticMmanipulationMduringMpregnancy.M-
MAnswerMTrue:MAsMlongMasMaMpatientMseesMaMlicensedMchiropractor,MstudiesMhaveMsh
ownMmanualMmanipulationMtoMbeMeffective.



WhyMdoesMRoundMLigamentMpainMoccur?M-
MAnswerMAsMtheMuterusMgrowsMduringMpregnancyMtheMligamentsMstretchMandMthicken
MtoMaccommodateMandMsupportMit.MTheseMchangesMcanMoccasionallyMcauseMpains.



WhereMareMRoundMLigamentMpainsMfelt?M-
MAnswerMRoundMLigamentMpainMisMaMsharpMpainMorMjabbingMfeelingMoftenMfeltMinMth
eMlowerMbellyMorMgroinMareaMonMoneMorMbothMsides.



WhatMareMsomeMofMtheMtriggersMofMRoundMLigamentMpains?M-
MAnswerMRoundMLigamentMpainsMcanMoccurMwithMpositionMchanges,MgettingMupMfromM
aMsitting,MlyingMdown,Mcoughing,Msneezing,MandMlaughing.



WhatMnon-
pharmacologicalMmethodsMcanMbeMusedMtoMalleviateMRoundMLigamentMpains?M-
MAnswerMAvoidMsuddenMmovements

SideMlyingMrelaxationMpositions

FlexMhips:MBendMandMflexMbeforeMcoughing,Msneezing,MorMlaughing.

ApplyMwarmth:MHeatMorMwarmMbath.

Exercise:MWalking



True/False:

RoundMLigamentMpainsMlastingMforMmoreMthanM1MminuteMisMnormal.M-
MAnswerMFalse:MRoundMLigamentMpainMshouldMonlyMlastMforMaMfewMseconds.MSeeMyo
urMhealthMcareMproviderMforMpainsMlastingMlongerMorMnotMalleviateMafterMaMshortMres
t.

, WhatMareM"dermatosesMofMpregnancy"?M-
MAnswerMDermatosesMofMpregnancyMareMrareMsevereMpruriticMinflammatoryMskinMdiseas
esMthatMareMspecificMtoMwomenMduringMpregnantMorMpostpartumMperiod.



MATCHMtheMdermatosesMofMpregnancyMwithMitsMclinicalMpresentation.

1.MPruriticMUrticarialMpapulesMandMplaquesMofMpreganancyM

2.MPemphigiodMgastationis

3.MIntrahepaticMcholestasisMofMpregnancy

4.MAtopicMeruptionMofMpregnancyM



A.MRedMpainfulMitchyMrashMthatMbeginsMasMerythematousMpapulesMwithinMtheMstriae

B.MEczematousMtypeMonMface,MneckMandMflexureMsurfaces

C.MPapulesMthatMbeginsMaroundMtheMumbilicusMandMspreadsMcentrifugally.M

D.MIntenseMpruritusMonMpalmsMofMhandsMandMsolesMofMfeet,MbutMwithManMabsenceM
ofMlesions.M-MAnswerM1.MPruriticMUrticarialMpapulesMandMplaquesMofMpreganancy=MA

2.MPemphigiodMgastationis=C

3.MIntrahepaticMcholestasisMofMpregnancy=D

4.MAtopicMeruptionMofMpregnancy=B



PemphigoidMgestationis,MwhichMbeginsMasMplaquesMorMpapulesMaroundMtheMwomans'sMu
mbilicusMandMspreadsMcentrifugally.MTRUEMorMFALSE.MTheMplaquesMandMpapulesMusually
MspreadsMtoMtheMface,MscalpMandMmucusMmembraneMalso.M-
MAnswerMFALSE.MInMpemphigoidMgestationis,MtheMface,MscalpMandMmucusMmembraneMa
reMUNAFFECTED.



YourMpatientMMsMGMisMinMherMthirdMtrimesterMandMisMcomplainingMofMintenseMitching
,MdarkMcoloredMurineMandMclayMcoloredMstools.MYouMsuspectMwhichMdermatosesMofMpr
egnancy?

A.MPruriticMUrticarialMpapulesMandMplaquesMofMpreganancy

B.MPemphigiodMgastationis

C.MIntrahepaticMcholestasisMofMpregnancy

D.MAtopicMeruptionMofMpregnancyM-MAnswerMC.MIntrahepaticMcholestasisMofMpregnancy