Midwifery Care 3- Midterm Exam
UPDATED Questions with CORRECT
Answers
Which of the following scenarios carries the highest transmission risk of HSV to the baby?
-The gestation parent didn't take acyclovir toward the end of pregnancy to prevent outbreaks
-The gestational parent contracted the virus late in pregnancy
-The gestational parent has a long history of HSV 1 & 2
-The gestational parent had unprotected sex with a partner with a history of of HSV-2 -
CORRECT ANSWER - The gestational parent contracted the virus late in pregnancy
A non-primary first episode of HSV refers to:
-A situation in which a person has antibodies to one strain of HSV and has their first outbreak
from the other strain
-An outbreak after the virus has been dormant for at least 10 years
-The most severe outbreak a person has experienced.
-The second outbreak from a prior infection - CORRECT ANSWER - A situation in which
a person has antibodies to one strain of HSV and has their outbreak from the other strain.
How does the midwife diagnose a true primary HSV infection?
-Client's report of the existence or absence of prior outbreaks
-History of exposure to HSV
-Examination of the lesion
-Positive PCR or culture of the lesion with negative antibodies - CORRECT ANSWER -
Positive PCR or culture of a lesion with negative antibodies
Which of the following scenarios poses the biggest risk in pregnancy?
-Both the client and their partner are HSV- negative
-The client has HSV-1 positive and their partner is HSV-2 positive
,-The client is HSV-negative and their partner is positive
-Both the client and their partner are positive for both HSV-1 and HSV-2 antibodies - CORRECT
ANSWER - The client is HSV-negative and their partner is positive
A client having prodromal symptoms of a vaginal HSV outbreak at the onset of labor
-can safely deliver their baby vaginally if they have been taking acyclovir since 36 weeks
-should be induced before lesions appear
-can safely deliver their baby vaginally if the lesion is covered
-should be recommended to have a cesarean delivery to reduce the risk of transmission to the
baby - CORRECT ANSWER - Should be recommended to have a cesarean delivery to
reduce the risk of transmission of the baby.
The best way to minimize the risk of parent-to-child transmission of HIV during pregnancy and
birth is to:
-schedule induction of labor for 38 weeks
-use all resources to keep the gestational parent's viral load as low as possible
-schedule a cesarean delivery prior to labor
-augment labor to ensure that it progresses as quickly as possible. - CORRECT
ANSWER - Use all resources to keep the gestational parent's viral load as low as possible.
If a client's HBsAg test comes back positive, what test would help the midwife to know whether
the client was experiencing an acute or chronic infection?
-Western blot
-WBC
-IgM anti-HB antibodies
-HBIG - CORRECT ANSWER - IgM anti-HB antibodies
The best way to minimize parent-to-child transmission of Hep B is to:
-Vaccinate the gestational parent (and all family members) during pregnancy
-Administer HBIG and Hep B vaccine to the baby at birth
, -Schedule a cesarean delivery prior to labor
-Offer HBIG to the gestational parent at 36 weeks - CORRECT ANSWER - Administer
HBIG and Hep B vaccine to the baby at birth
A client who was recently exposed to Hep C would typically experience which of the following
symptoms?
-Fatigue
-Low-grade ever
-Asymptomatic
-Poor appetite - CORRECT ANSWER - Asymptomatic
The best way to minimize parent-to-child transmission of Hep C is:
-Schedule induction of labor at 38 weeks
-There is no known way to prevent parent-to-child transmission of HCV
-Vaccinate the gestational parent (and all family members) during pregnancy.
-Schedule a cesarean delivery prior to labor. - CORRECT ANSWER - There is no known
way to prevent parent-to-child transmission of HCV.
The recommended method in the U.S. and Canada for identifying clients who should be tested
for GBS is to:
-test clients with intrapartum risk factors
-test clients with antepartum risk factors
-test clients with a history of early-onset GBS infection in a previous infant.
-test all pregnant clients - CORRECT ANSWER - Test all pregnant clients.
Which of the following clients is NOT a candidate for antibiotic prophylaxis for GBS in labor,
according to the CDC?
-Client is GBS-positive and now planning an elective cesarean prior to the onset of labor
-Client was treated for GBS bacteriuria at 14 weeks in the current pregnancy
-Client had a previous baby with early-onset GBS disease
UPDATED Questions with CORRECT
Answers
Which of the following scenarios carries the highest transmission risk of HSV to the baby?
-The gestation parent didn't take acyclovir toward the end of pregnancy to prevent outbreaks
-The gestational parent contracted the virus late in pregnancy
-The gestational parent has a long history of HSV 1 & 2
-The gestational parent had unprotected sex with a partner with a history of of HSV-2 -
CORRECT ANSWER - The gestational parent contracted the virus late in pregnancy
A non-primary first episode of HSV refers to:
-A situation in which a person has antibodies to one strain of HSV and has their first outbreak
from the other strain
-An outbreak after the virus has been dormant for at least 10 years
-The most severe outbreak a person has experienced.
-The second outbreak from a prior infection - CORRECT ANSWER - A situation in which
a person has antibodies to one strain of HSV and has their outbreak from the other strain.
How does the midwife diagnose a true primary HSV infection?
-Client's report of the existence or absence of prior outbreaks
-History of exposure to HSV
-Examination of the lesion
-Positive PCR or culture of the lesion with negative antibodies - CORRECT ANSWER -
Positive PCR or culture of a lesion with negative antibodies
Which of the following scenarios poses the biggest risk in pregnancy?
-Both the client and their partner are HSV- negative
-The client has HSV-1 positive and their partner is HSV-2 positive
,-The client is HSV-negative and their partner is positive
-Both the client and their partner are positive for both HSV-1 and HSV-2 antibodies - CORRECT
ANSWER - The client is HSV-negative and their partner is positive
A client having prodromal symptoms of a vaginal HSV outbreak at the onset of labor
-can safely deliver their baby vaginally if they have been taking acyclovir since 36 weeks
-should be induced before lesions appear
-can safely deliver their baby vaginally if the lesion is covered
-should be recommended to have a cesarean delivery to reduce the risk of transmission to the
baby - CORRECT ANSWER - Should be recommended to have a cesarean delivery to
reduce the risk of transmission of the baby.
The best way to minimize the risk of parent-to-child transmission of HIV during pregnancy and
birth is to:
-schedule induction of labor for 38 weeks
-use all resources to keep the gestational parent's viral load as low as possible
-schedule a cesarean delivery prior to labor
-augment labor to ensure that it progresses as quickly as possible. - CORRECT
ANSWER - Use all resources to keep the gestational parent's viral load as low as possible.
If a client's HBsAg test comes back positive, what test would help the midwife to know whether
the client was experiencing an acute or chronic infection?
-Western blot
-WBC
-IgM anti-HB antibodies
-HBIG - CORRECT ANSWER - IgM anti-HB antibodies
The best way to minimize parent-to-child transmission of Hep B is to:
-Vaccinate the gestational parent (and all family members) during pregnancy
-Administer HBIG and Hep B vaccine to the baby at birth
, -Schedule a cesarean delivery prior to labor
-Offer HBIG to the gestational parent at 36 weeks - CORRECT ANSWER - Administer
HBIG and Hep B vaccine to the baby at birth
A client who was recently exposed to Hep C would typically experience which of the following
symptoms?
-Fatigue
-Low-grade ever
-Asymptomatic
-Poor appetite - CORRECT ANSWER - Asymptomatic
The best way to minimize parent-to-child transmission of Hep C is:
-Schedule induction of labor at 38 weeks
-There is no known way to prevent parent-to-child transmission of HCV
-Vaccinate the gestational parent (and all family members) during pregnancy.
-Schedule a cesarean delivery prior to labor. - CORRECT ANSWER - There is no known
way to prevent parent-to-child transmission of HCV.
The recommended method in the U.S. and Canada for identifying clients who should be tested
for GBS is to:
-test clients with intrapartum risk factors
-test clients with antepartum risk factors
-test clients with a history of early-onset GBS infection in a previous infant.
-test all pregnant clients - CORRECT ANSWER - Test all pregnant clients.
Which of the following clients is NOT a candidate for antibiotic prophylaxis for GBS in labor,
according to the CDC?
-Client is GBS-positive and now planning an elective cesarean prior to the onset of labor
-Client was treated for GBS bacteriuria at 14 weeks in the current pregnancy
-Client had a previous baby with early-onset GBS disease
