HEART AND HANDS MIDWIFERY PREP
PART 1 EXAM Q&A 100% SOLVED
What is the cornerstone of safe, sustainable midwifery practice? -
✔✔careful prenatal assesment
When is prenatal care crucial? - ✔✔During the last six weeks of pregnancy
What are the components of prenatal care? - ✔✔Nutrition\nExercise\nNon-
allopathic healing\n herbology\n homeopathy\nMind body integration\n
yoga\n meditation\nTests and screening\nRoutine
Urinalysis\nVitals\nPalpation\n fetal heart monitoring\n fundal height \n fetal
growth
What information should be discussed during the initial phone call? -
✔✔Why home birth?\nWhat are you looking for in a midwife?\nRule out
risk\nCurrent health, partner, and pregnancy history\npersonal philosophy
of care and back up plan
What is the most important task of the initial interview? - ✔✔to determine
compatability
Social insincts - ✔✔Lead us to make socially recognized choices
1
©NINJANERD 2025/2026. YEAR PUBLISHED 2025.
,Biological instincts - ✔✔survival and self realization: deeply rooted
When may HIPAA be broken? - ✔✔1. If it is believed that the care
provider's life is in danger or someone else's life, safety or property are in
danger\n2. Evidence or suspicion of child, disabled or elderly person abuse
or neglect\n \n3. court order
What are you required to disclose in the initial visit? - ✔✔insurance and
legal status
What two serious complications should be discussed early in care? -
✔✔PP hemorrhage and possible need for resuscitation (procedure and
indications)
What preexisting conditions are contraindicated for home birth? -
✔✔Diabetes\nHypertension\nHyperthyroid disorder\nChronic lung
disease\nSevere asthma\nClotting disorder\nEpilepsy\nCongenital heart
disease\nKidney disease\nExtreme obesity
What conditions that may arise during pregnancy are contraindicated for
home birth? - ✔✔Rh-/ with antibodies\nSevere anemia\nCancer\nAcute
viral infections: Rubella, CMV, Toxoplasmosis, Chicken pox, Herpes\nor
any of the preexisting conditions listed
2
©NINJANERD 2025/2026. YEAR PUBLISHED 2025.
,What lifestyle factors and conditions may be contraindicated for home
birth? - ✔✔Unresolved STI\nChronic malnutrition\nDrug
addiction\nModerate/Frequent alcohol use\nSmoking
What abortion method is least traumatic to the uterine lining? - ✔✔Suction
What two abortion-related factors may effect placental implantation? -
✔✔D&C, post abortion sepsis
What is the rate of uterine rupture for VBAC with low transverse scar and
stimulant induction? - ✔✔<1%
What labor stimulant is associated with uterine rupture? -
✔✔Misoprostol/Cytotec (6% rate)
What are the risks of Cesarean section? - ✔✔Sepsis\nperforation of
organs\nScarring of the uterine lining\n increased risk of future abnormal
placental implantation\nHemorrhage\nIncreased risk for adhesions\n3.6X
greater chance of death
What factors decrease risk of rupture and increase chances for successful
VBAC? - ✔✔Double layer suturing\nLow transverse incision (uterine
layer)\nNo other uterine surgeries\nAt least 18 months since cesarean\nUS
of placenta is favorable \nClient lives less than 20 min from hospital
3
©NINJANERD 2025/2026. YEAR PUBLISHED 2025.
, What therapeutic options may be effective for healing emotional VBAC
scars? - ✔✔Hypnotherapy\nEye movement desensitization and
reprocessing (EMDR)\nSupport groups and Organizations (ICAN)
List the main symptom of fibroids - ✔✔Painless bleeding with intercourse
What are fibroids? How can they effect pregnancy? - ✔✔Fibroids are
benign uterine masses. Fibroids experience considerable growth during
pregnancy. If inside the uterus, may cause IUGR by restricting space, or
cause abnormal placental implanation
What is one treatment option for fibroids? - ✔✔Green tea
How can cervical scarring be softened near term? - ✔✔Evening primrose
oil massaged into the tissue
List the gynecoligical surgeries that may effect pregnancy - ✔✔Cervical
cone biopsy\nCervical cauterization or cryosurgery\nLEEP (correlation w/
incompetent cervix and preterm labor)
Concerns to consider for client with a history of IUD use -
✔✔Anemia\nScarring (Predisposes for ectopic pregnancy or irregular
implantation or the placenta, and hemorrhage
PID and IUD use have two similar effects on pregnancy -
✔✔Anemia\nUterine scarring
4
©NINJANERD 2025/2026. YEAR PUBLISHED 2025.
PART 1 EXAM Q&A 100% SOLVED
What is the cornerstone of safe, sustainable midwifery practice? -
✔✔careful prenatal assesment
When is prenatal care crucial? - ✔✔During the last six weeks of pregnancy
What are the components of prenatal care? - ✔✔Nutrition\nExercise\nNon-
allopathic healing\n herbology\n homeopathy\nMind body integration\n
yoga\n meditation\nTests and screening\nRoutine
Urinalysis\nVitals\nPalpation\n fetal heart monitoring\n fundal height \n fetal
growth
What information should be discussed during the initial phone call? -
✔✔Why home birth?\nWhat are you looking for in a midwife?\nRule out
risk\nCurrent health, partner, and pregnancy history\npersonal philosophy
of care and back up plan
What is the most important task of the initial interview? - ✔✔to determine
compatability
Social insincts - ✔✔Lead us to make socially recognized choices
1
©NINJANERD 2025/2026. YEAR PUBLISHED 2025.
,Biological instincts - ✔✔survival and self realization: deeply rooted
When may HIPAA be broken? - ✔✔1. If it is believed that the care
provider's life is in danger or someone else's life, safety or property are in
danger\n2. Evidence or suspicion of child, disabled or elderly person abuse
or neglect\n \n3. court order
What are you required to disclose in the initial visit? - ✔✔insurance and
legal status
What two serious complications should be discussed early in care? -
✔✔PP hemorrhage and possible need for resuscitation (procedure and
indications)
What preexisting conditions are contraindicated for home birth? -
✔✔Diabetes\nHypertension\nHyperthyroid disorder\nChronic lung
disease\nSevere asthma\nClotting disorder\nEpilepsy\nCongenital heart
disease\nKidney disease\nExtreme obesity
What conditions that may arise during pregnancy are contraindicated for
home birth? - ✔✔Rh-/ with antibodies\nSevere anemia\nCancer\nAcute
viral infections: Rubella, CMV, Toxoplasmosis, Chicken pox, Herpes\nor
any of the preexisting conditions listed
2
©NINJANERD 2025/2026. YEAR PUBLISHED 2025.
,What lifestyle factors and conditions may be contraindicated for home
birth? - ✔✔Unresolved STI\nChronic malnutrition\nDrug
addiction\nModerate/Frequent alcohol use\nSmoking
What abortion method is least traumatic to the uterine lining? - ✔✔Suction
What two abortion-related factors may effect placental implantation? -
✔✔D&C, post abortion sepsis
What is the rate of uterine rupture for VBAC with low transverse scar and
stimulant induction? - ✔✔<1%
What labor stimulant is associated with uterine rupture? -
✔✔Misoprostol/Cytotec (6% rate)
What are the risks of Cesarean section? - ✔✔Sepsis\nperforation of
organs\nScarring of the uterine lining\n increased risk of future abnormal
placental implantation\nHemorrhage\nIncreased risk for adhesions\n3.6X
greater chance of death
What factors decrease risk of rupture and increase chances for successful
VBAC? - ✔✔Double layer suturing\nLow transverse incision (uterine
layer)\nNo other uterine surgeries\nAt least 18 months since cesarean\nUS
of placenta is favorable \nClient lives less than 20 min from hospital
3
©NINJANERD 2025/2026. YEAR PUBLISHED 2025.
, What therapeutic options may be effective for healing emotional VBAC
scars? - ✔✔Hypnotherapy\nEye movement desensitization and
reprocessing (EMDR)\nSupport groups and Organizations (ICAN)
List the main symptom of fibroids - ✔✔Painless bleeding with intercourse
What are fibroids? How can they effect pregnancy? - ✔✔Fibroids are
benign uterine masses. Fibroids experience considerable growth during
pregnancy. If inside the uterus, may cause IUGR by restricting space, or
cause abnormal placental implanation
What is one treatment option for fibroids? - ✔✔Green tea
How can cervical scarring be softened near term? - ✔✔Evening primrose
oil massaged into the tissue
List the gynecoligical surgeries that may effect pregnancy - ✔✔Cervical
cone biopsy\nCervical cauterization or cryosurgery\nLEEP (correlation w/
incompetent cervix and preterm labor)
Concerns to consider for client with a history of IUD use -
✔✔Anemia\nScarring (Predisposes for ectopic pregnancy or irregular
implantation or the placenta, and hemorrhage
PID and IUD use have two similar effects on pregnancy -
✔✔Anemia\nUterine scarring
4
©NINJANERD 2025/2026. YEAR PUBLISHED 2025.
