Midwifery UPDATED Exam Questions and
CORRECT Answers
When would you bath a baby that has been born vaginally with high HIV viral load
A - before the first 24 hours
B - Immediately after birth
C - After the first 24 hours - Correct Answer- After the first 24 hours due to ability to
thermoregulate or before if risks for transmission from mother (eg HIV or Hep B)
When should you auscultate the FHR during the second stage of labour?
A - Every 5 minutes & after every contraction
B - Every 10 minutes and after every contraction
C - Every 15 minutes and after every contraction
D - Every 20 minutes and after every contraction - Correct Answer- Every 5 minutes & after
every contraction
Sandy has a Frank Breech presentation and is involuntary pushing, the student midwife asks
if its appropriate to perform a VE, as a registered midwife, what is your response?
A - No, her body will know what to do
B - Yes, a vaginal examination will ensure that the cervix is completely dilated
C - Only if there is a suspected cord or compound presentation
D - Only if the woman requests one - Correct Answer- Yes, a vaginal examination will ensure
that the cervix is completely dilated
In a breech birth, why must the head be born slowly and without traction?
A - The baby's head should be birthed slowly, because rapid birth of the head can cause
sudden decompression of the head and tearing of tentorium cerebelli with intracranial
haemorrhage and perinatal death
,B - Because it could risk damaging the perineum
C - Because a rapid birth could activate the Moro reflex, gasping and possibly inhalation of
meconium - Correct Answer- The baby's head should be birthed slowly, because rapid birth of
the head can cause sudden decompression of the head and tearing of tentorium cerebelli with
intracranial haemorrhage and perinatal death
A woman who is 16 weeks contacts you, her LMC to say that she has been in contact with a
child with rubella and has not had her MMR vaccine, what would you as the LMC
recommend she do?
A - Not worry, as it is usually a mild self-limiting disease with few complications
B - Recommend she go and get an MMR vaccine right away
C - Make a GP appointment immediately
D - Advise that If infection occurs after 16 weeks of pregnancy, the risk of fetal damage is
negligible but make a GP appointment if worried - Correct Answer- Advise that If infection
occurs after 16 weeks of pregnancy, the risk of fetal damage is negligible but make a GP
appointment if worried
At a booking, Mary currently taking sodium valproate for epilepsy, what are your midwifery
actions?
A - Advise to continue taking medication as risk to the benefits outweigh the risks, discuss
the teratogenic effect. Referral to be made to a multidisciplinary team, prescribe 5mg folic
acid
B - Advise that she stop taking her medication due to the risk of antiepileptic medications on
the fetus, prescribe 5mg folic acid
C - Advise her to book in with her GP as this is out of your scope. - Correct Answer- Advise
to continue taking medication as risk to the benefits outweigh the risks, discuss the
teratogenic effect. Referral to be made to a multidisciplinary team, prescribe 5mg folic acid
,A woman calls you for the second night in a row saying that her baby wont stop crying and
cant sleep. You visit her the next day and she seems agitated, what are your midwifery
actions?
A - prescribe a sleeping pill
B - prescribe anti-depressants
C - with consent, you readmit her to postnatal so she can have help and a good nights sleep
D - with consent, you call her GP and book a same day apt - Correct Answer- with consent,
you call her GP and book a same day apt
What is the definition for 'hypertonus'
A - contractions that last longer than 60 seconds
B - contractions that come every minute
C - minimal uterine activity
D - contractions that only last 30 seconds but come every minute - Correct Answer-
contractions that last longer than 60 seconds
What is the definition for 'Tachysystole?'
A - contractions that last longer than 60 seconds
B - more than 5 contractions in 10 minutes ONLY when oxytocin is used
C - more than five contractions in 10 minutes
, D - contractions that are regular (every 2-3 minutes) but only last 45 seconds - Correct
Answer- more than five contractions in 10 minutes
What is the prescription for thrush treatment?
A - Oral capsule
Adult 150 mg as a single dose
C - clotrimazole 1% vaginal cream 3 day dose
D - clotrimazole 1% vaginal cream, 6 day dose - Correct Answer- clotrimazole 1% vaginal
cream, 6 day dose
What is the prescription for chlamydia treatment?
A - Azithromycin, Oral, Adult 1 g as a single dose
B - Erythromycin, Oral, Adults 800 mg 4 times daily for 14 days
C - Amoxicillin Oral, Adult 0.5-1 g every 8 hours for 7 days
D - Doxycyline, Oral, Adult 100 mg twice daily for 7 days - Correct Answer- Azithromycin,
Oral, Adult 1 g as a single dose
What is the folic acid dose?
A - 500 µg of folic acid/day, ideally from 1 month before conception and throughout the first
3 months of pregnancy
B - 800 µg (or 5 mg if risk factors) of folic acid/day beginning 1 month prior to conception
until 12 weeks gestation
CORRECT Answers
When would you bath a baby that has been born vaginally with high HIV viral load
A - before the first 24 hours
B - Immediately after birth
C - After the first 24 hours - Correct Answer- After the first 24 hours due to ability to
thermoregulate or before if risks for transmission from mother (eg HIV or Hep B)
When should you auscultate the FHR during the second stage of labour?
A - Every 5 minutes & after every contraction
B - Every 10 minutes and after every contraction
C - Every 15 minutes and after every contraction
D - Every 20 minutes and after every contraction - Correct Answer- Every 5 minutes & after
every contraction
Sandy has a Frank Breech presentation and is involuntary pushing, the student midwife asks
if its appropriate to perform a VE, as a registered midwife, what is your response?
A - No, her body will know what to do
B - Yes, a vaginal examination will ensure that the cervix is completely dilated
C - Only if there is a suspected cord or compound presentation
D - Only if the woman requests one - Correct Answer- Yes, a vaginal examination will ensure
that the cervix is completely dilated
In a breech birth, why must the head be born slowly and without traction?
A - The baby's head should be birthed slowly, because rapid birth of the head can cause
sudden decompression of the head and tearing of tentorium cerebelli with intracranial
haemorrhage and perinatal death
,B - Because it could risk damaging the perineum
C - Because a rapid birth could activate the Moro reflex, gasping and possibly inhalation of
meconium - Correct Answer- The baby's head should be birthed slowly, because rapid birth of
the head can cause sudden decompression of the head and tearing of tentorium cerebelli with
intracranial haemorrhage and perinatal death
A woman who is 16 weeks contacts you, her LMC to say that she has been in contact with a
child with rubella and has not had her MMR vaccine, what would you as the LMC
recommend she do?
A - Not worry, as it is usually a mild self-limiting disease with few complications
B - Recommend she go and get an MMR vaccine right away
C - Make a GP appointment immediately
D - Advise that If infection occurs after 16 weeks of pregnancy, the risk of fetal damage is
negligible but make a GP appointment if worried - Correct Answer- Advise that If infection
occurs after 16 weeks of pregnancy, the risk of fetal damage is negligible but make a GP
appointment if worried
At a booking, Mary currently taking sodium valproate for epilepsy, what are your midwifery
actions?
A - Advise to continue taking medication as risk to the benefits outweigh the risks, discuss
the teratogenic effect. Referral to be made to a multidisciplinary team, prescribe 5mg folic
acid
B - Advise that she stop taking her medication due to the risk of antiepileptic medications on
the fetus, prescribe 5mg folic acid
C - Advise her to book in with her GP as this is out of your scope. - Correct Answer- Advise
to continue taking medication as risk to the benefits outweigh the risks, discuss the
teratogenic effect. Referral to be made to a multidisciplinary team, prescribe 5mg folic acid
,A woman calls you for the second night in a row saying that her baby wont stop crying and
cant sleep. You visit her the next day and she seems agitated, what are your midwifery
actions?
A - prescribe a sleeping pill
B - prescribe anti-depressants
C - with consent, you readmit her to postnatal so she can have help and a good nights sleep
D - with consent, you call her GP and book a same day apt - Correct Answer- with consent,
you call her GP and book a same day apt
What is the definition for 'hypertonus'
A - contractions that last longer than 60 seconds
B - contractions that come every minute
C - minimal uterine activity
D - contractions that only last 30 seconds but come every minute - Correct Answer-
contractions that last longer than 60 seconds
What is the definition for 'Tachysystole?'
A - contractions that last longer than 60 seconds
B - more than 5 contractions in 10 minutes ONLY when oxytocin is used
C - more than five contractions in 10 minutes
, D - contractions that are regular (every 2-3 minutes) but only last 45 seconds - Correct
Answer- more than five contractions in 10 minutes
What is the prescription for thrush treatment?
A - Oral capsule
Adult 150 mg as a single dose
C - clotrimazole 1% vaginal cream 3 day dose
D - clotrimazole 1% vaginal cream, 6 day dose - Correct Answer- clotrimazole 1% vaginal
cream, 6 day dose
What is the prescription for chlamydia treatment?
A - Azithromycin, Oral, Adult 1 g as a single dose
B - Erythromycin, Oral, Adults 800 mg 4 times daily for 14 days
C - Amoxicillin Oral, Adult 0.5-1 g every 8 hours for 7 days
D - Doxycyline, Oral, Adult 100 mg twice daily for 7 days - Correct Answer- Azithromycin,
Oral, Adult 1 g as a single dose
What is the folic acid dose?
A - 500 µg of folic acid/day, ideally from 1 month before conception and throughout the first
3 months of pregnancy
B - 800 µg (or 5 mg if risk factors) of folic acid/day beginning 1 month prior to conception
until 12 weeks gestation
