HEART AND HANDS MIDWIFERY
PREP PART 1 EXAM QUESTIONS
AND ANSWERS 100% PASS,
GRADED A+
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
Disclaimer: Original Content, No Copyright Infringement, All Rights Reserved © 2025 1
,What is the most important task of the initial interview? - ✔✔to determine
compatability
Social insincts - ✔✔Lead us to make socially recognized choices
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
Disclaimer: Original Content, No Copyright Infringement, All Rights Reserved © 2025 2
,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
Disclaimer: Original Content, No Copyright Infringement, All Rights Reserved © 2025 3
, 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
Disclaimer: Original Content, No Copyright Infringement, All Rights Reserved © 2025 4
PREP PART 1 EXAM QUESTIONS
AND ANSWERS 100% PASS,
GRADED A+
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
Disclaimer: Original Content, No Copyright Infringement, All Rights Reserved © 2025 1
,What is the most important task of the initial interview? - ✔✔to determine
compatability
Social insincts - ✔✔Lead us to make socially recognized choices
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
Disclaimer: Original Content, No Copyright Infringement, All Rights Reserved © 2025 2
,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
Disclaimer: Original Content, No Copyright Infringement, All Rights Reserved © 2025 3
, 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
Disclaimer: Original Content, No Copyright Infringement, All Rights Reserved © 2025 4
