LOUISIANA MIDWIFE EXAM QUESTIONS AND
CORRECT ANSWERS (VERIFIED ANSWERS) Q&A
2027 |INSTANT DOWNLOAD PDF
1. Which hormone is primarily responsible for maintaining the
endometrial lining during early pregnancy?
A. Estrogen
B. Progesterone
C. Oxytocin
D. Prolactin
Correct answer: B. Progesterone
Rationale: Progesterone maintains the endometrium and
supports implantation and early pregnancy.
2. What is the normal duration of a term pregnancy calculated
from the first day of the last menstrual period?
A. 28 weeks
B. 32 weeks
C. 37–42 weeks
D. 44–46 weeks
Correct answer: C. 37–42 weeks
,Rationale: A pregnancy is considered term beginning at 37
weeks, with 40 weeks being the conventional estimated due
date.
3. Which structure is the primary site of exchange of oxygen
and nutrients between mother and fetus?
A. Amnion
B. Placenta
C. Cervix
D. Umbilical cord
Correct answer: B. Placenta
Rationale: The placenta facilitates maternal-fetal exchange of
oxygen, nutrients, and metabolic waste.
4. Which fetal heart rate range is generally considered
reassuring at baseline during labor?
A. 60–90 beats/min
B. 90–110 beats/min
C. 110–160 beats/min
D. 170–210 beats/min
Correct answer: C. 110–160 beats/min
Rationale: A baseline fetal heart rate of 110–160 beats/min is
generally considered normal.
,5. Which hormone is primarily responsible for stimulating
uterine contractions during labor?
A. Oxytocin
B. Insulin
C. Thyroxine
D. Cortisol
Correct answer: A. Oxytocin
Rationale: Oxytocin stimulates rhythmic uterine contractions
and contributes to postpartum uterine involution.
6. What is the first stage of labor characterized primarily by?
A. Delivery of the placenta
B. Cervical dilation and effacement
C. Delivery of the fetus
D. Uterine involution
Correct answer: B. Cervical dilation and effacement
Rationale: The first stage extends from the onset of true labor
until complete cervical dilation.
7. Which finding is most characteristic of true labor?
A. Contractions that disappear with rest
B. Irregular contractions without cervical change
C. Progressive cervical dilation with regular contractions
D. Contractions occurring only after walking
, Correct answer: C. Progressive cervical dilation with regular
contractions
Rationale: True labor produces regular contractions
accompanied by progressive cervical change.
8. Which presentation is generally considered the most
favorable for vaginal birth?
A. Breech
B. Transverse lie
C. Cephalic/vertex
D. Shoulder presentation
Correct answer: C. Cephalic/vertex
Rationale: A vertex presentation places the fetal head toward
the birth canal and is the most common presentation for
vaginal birth.
9. What does effacement refer to?
A. Opening of the vaginal canal
B. Thinning and shortening of the cervix
C. Descent of the fetal head
D. Separation of the placenta
Correct answer: B. Thinning and shortening of the cervix
Rationale: Effacement describes cervical thinning and
shortening during labor.
CORRECT ANSWERS (VERIFIED ANSWERS) Q&A
2027 |INSTANT DOWNLOAD PDF
1. Which hormone is primarily responsible for maintaining the
endometrial lining during early pregnancy?
A. Estrogen
B. Progesterone
C. Oxytocin
D. Prolactin
Correct answer: B. Progesterone
Rationale: Progesterone maintains the endometrium and
supports implantation and early pregnancy.
2. What is the normal duration of a term pregnancy calculated
from the first day of the last menstrual period?
A. 28 weeks
B. 32 weeks
C. 37–42 weeks
D. 44–46 weeks
Correct answer: C. 37–42 weeks
,Rationale: A pregnancy is considered term beginning at 37
weeks, with 40 weeks being the conventional estimated due
date.
3. Which structure is the primary site of exchange of oxygen
and nutrients between mother and fetus?
A. Amnion
B. Placenta
C. Cervix
D. Umbilical cord
Correct answer: B. Placenta
Rationale: The placenta facilitates maternal-fetal exchange of
oxygen, nutrients, and metabolic waste.
4. Which fetal heart rate range is generally considered
reassuring at baseline during labor?
A. 60–90 beats/min
B. 90–110 beats/min
C. 110–160 beats/min
D. 170–210 beats/min
Correct answer: C. 110–160 beats/min
Rationale: A baseline fetal heart rate of 110–160 beats/min is
generally considered normal.
,5. Which hormone is primarily responsible for stimulating
uterine contractions during labor?
A. Oxytocin
B. Insulin
C. Thyroxine
D. Cortisol
Correct answer: A. Oxytocin
Rationale: Oxytocin stimulates rhythmic uterine contractions
and contributes to postpartum uterine involution.
6. What is the first stage of labor characterized primarily by?
A. Delivery of the placenta
B. Cervical dilation and effacement
C. Delivery of the fetus
D. Uterine involution
Correct answer: B. Cervical dilation and effacement
Rationale: The first stage extends from the onset of true labor
until complete cervical dilation.
7. Which finding is most characteristic of true labor?
A. Contractions that disappear with rest
B. Irregular contractions without cervical change
C. Progressive cervical dilation with regular contractions
D. Contractions occurring only after walking
, Correct answer: C. Progressive cervical dilation with regular
contractions
Rationale: True labor produces regular contractions
accompanied by progressive cervical change.
8. Which presentation is generally considered the most
favorable for vaginal birth?
A. Breech
B. Transverse lie
C. Cephalic/vertex
D. Shoulder presentation
Correct answer: C. Cephalic/vertex
Rationale: A vertex presentation places the fetal head toward
the birth canal and is the most common presentation for
vaginal birth.
9. What does effacement refer to?
A. Opening of the vaginal canal
B. Thinning and shortening of the cervix
C. Descent of the fetal head
D. Separation of the placenta
Correct answer: B. Thinning and shortening of the cervix
Rationale: Effacement describes cervical thinning and
shortening during labor.
