MAUD NARM PREP – MIDWIFE QUESTIONS AND
ANSWERS
A mother calls you and says she thinks she is in preterm labor. Contractions are the
only presenting symptom. What do you suggest? - Answer -Have her get off her feet,
correct dehydration, stop breast and sexual stimulation.
{"Anne Frye: Holistic Midwifery Vol. I", p. 848-849}
The female pelvis consists of_______ bones and ____joints? - Answer -It is 4 bones
and 4 joints. {Oxorn-Foote, p. 1}
What is the typical length of the vagina? - Answer -It is approximately 7-9 cm in length.
In the early stages, the amnion covers? - Answer -It covers the embryo.
All of the following are associated risk factors for PROM EXCEPT: Twins, breech,
vaginal infection, LGA, history of PROM, incompetent cervix, polyhydramnios? -
Answer -LGA
What is considered the fourth trimester? - Answer -The first three months following birth
What is the most common cause of bleeding in the third trimester? - Answer -It is
probably cervical change.
{"Anne Frye: Holistic Midwifery Vol. I", p. 851}
What are fetal heart tones, fetal movement felt by examiner, and ultrasound showing
IUP of the positive signs of pregnancy? - Answer -Some positive signs of pregnancy
What is Piskacek's sign? - Answer -It is slight enlargement of one part of the uterus at
the implantation site.
{Manual of Obstetrics- Holland and Brews 4th Edition Section II p 50}
Once the rupture of membranes have occurred the primary risk to the mom and fetus is:
- Answer -Intrauterine infection with or without general sepsis.
{"Anne Frye: Holistic Midwifery Volume I", p. 858}
What is known to kill e. coli and other bacterias and is active against inflammation? -
Answer -Lysozymes
What are the presentations of contractions? - Answer -They start at the fundus and
move downward toward the cervix.
{Varney's 3rd Edition p 384}
What is the most common fetal anomaly? - Answer -Heart defects.
,{"Heart and Hands", p. 180}
What is the weight of a non-pregnant uterus? - Answer -It is about 60 grams.
How do you assess contractions? - Answer -The firmness of the uterus through
palpation, frequency, duration and intensity are all correct.
{Varney's 3rd Edition p 383-384}
What are maternal factors that can effect the fetal position? - Answer -It is poor uterine
tone, placenta previa, tense uterine or abdominal muscles.
{"Anne Frye: Holistic Midwifery Vol. I", p. 803}
The uterus is comprised of how many layers? - Answer -It has three layers.
("Heart and Hands")
When visiting a mother at her 24 hour postpartum visit you should check which of the
following? - Answer -Nipples for soreness/cracking, uterus for involution, lochia for
color and amount, perineum for healing are all correct.
{"Heart and Hands", p. 192}
Asynclitism occurs when ____________? - Answer -The sagittal sutures are closer to
the symphysis pubis or the sagittal sutures are closer to the scaral prominotry. This
often occurs when the head enters the pelvis in either LOT or ROT
{Anne Frye: Holistic Midwifery Vol. II p. 64}
________________ can cause the uterus to be more active, blood volume to contract
and amniotic fluid to be reduced. - Answer -Dehydration
{"Anne Frye: Holistic Midwifery Vol. I", p. 785}
The cervix is approximately ______ prior to effacement. 50% is measured at
__________ and 75% is measured at ______________. - Answer -2 inches, 1 inch,
and ½ inch
{Anne Frye: Holistic Midwifery Vol. II p. 385}
A woman presents in your office and states that this pregnancy feels different from her
previous pregnancies, she has no pelvic pressure even at 38 weeks, the presenting
parts are high and the fundal heights does not coordinate with gestation. What should
you consider? - Answer -It could be a breech baby.
{"Anne Frye: Holistic Midwifery Vol. I", p. 802}
In midwifery, what are considered the two most serious and common emergencies? -
Answer -PPH and fetal distress are correct. ("Heart and Hands")
Which of the following are NOT considered teratogens? - Answer -Ringworm, caffeine,
and corn syrup are not considered teratogens.
, If a woman has elevated temperature, elevated pulse and ketones in her urine during
labor, what is occurring? - Answer -Maternal exhaustion is correct.
{"Varney's Midwifery 3rd Edition", p. 487-488}
A mother has chosen to have a water birth. The water should be maintained at which
temperature? - Answer -It should be 86-95 degrees Fahrenheit.
("Heart and Hands")
How many bones in the pelvis? - Answer -4 main bones!!
- hip bones x 2
- sacrum
- coccyx
How many part have the hips bones? - Answer -The hip bone has three parts: the ilium,
pubis and ischium.
How many joint has the pelvis? - Answer -4
- 2 sacroiliac joints btw the ilium and the sacrum
- 1 sacrococcygeal symphysis - between the sacrum and the coccyx
- 1 pubic symphysis - between the pubis bodies of the two hip bones
When giving an IM injection you must always ________ the syringe? - Answer -
Aspirate.
(Practical Skills Guide for Midwifery, p. VI-5)
When using the oven method for sterilization of instruments you should maintain ____
degrees for ______ . - Answer -It is 250 degrees for 2 hours.
(Practical Skills Guide for Midwifery, p. I-7)
When looking at physiologic changes during pregnancy, maternal red blood cell volume:
- Answer -It increases up to 30% of normal.
{Birthsong Midwifery Workbook, p. 123}
When using the boiling method to sterilize you should boil the instruments for _______?
- Answer -It is 20 minutes
(Practical Skills Guide for Midwifery, p. I-8)
When talking about true labor, which of the following statements is correct? - Answer -
Change in station occurs.
{Birthsong Midwifery Workbook, p. 268}
When drawing medications from an ampule what is the first thing you should do? -
Answer -Check for appearance and expiration
(Practical Skills Guide for Midwifery, p. V-13)
ANSWERS
A mother calls you and says she thinks she is in preterm labor. Contractions are the
only presenting symptom. What do you suggest? - Answer -Have her get off her feet,
correct dehydration, stop breast and sexual stimulation.
{"Anne Frye: Holistic Midwifery Vol. I", p. 848-849}
The female pelvis consists of_______ bones and ____joints? - Answer -It is 4 bones
and 4 joints. {Oxorn-Foote, p. 1}
What is the typical length of the vagina? - Answer -It is approximately 7-9 cm in length.
In the early stages, the amnion covers? - Answer -It covers the embryo.
All of the following are associated risk factors for PROM EXCEPT: Twins, breech,
vaginal infection, LGA, history of PROM, incompetent cervix, polyhydramnios? -
Answer -LGA
What is considered the fourth trimester? - Answer -The first three months following birth
What is the most common cause of bleeding in the third trimester? - Answer -It is
probably cervical change.
{"Anne Frye: Holistic Midwifery Vol. I", p. 851}
What are fetal heart tones, fetal movement felt by examiner, and ultrasound showing
IUP of the positive signs of pregnancy? - Answer -Some positive signs of pregnancy
What is Piskacek's sign? - Answer -It is slight enlargement of one part of the uterus at
the implantation site.
{Manual of Obstetrics- Holland and Brews 4th Edition Section II p 50}
Once the rupture of membranes have occurred the primary risk to the mom and fetus is:
- Answer -Intrauterine infection with or without general sepsis.
{"Anne Frye: Holistic Midwifery Volume I", p. 858}
What is known to kill e. coli and other bacterias and is active against inflammation? -
Answer -Lysozymes
What are the presentations of contractions? - Answer -They start at the fundus and
move downward toward the cervix.
{Varney's 3rd Edition p 384}
What is the most common fetal anomaly? - Answer -Heart defects.
,{"Heart and Hands", p. 180}
What is the weight of a non-pregnant uterus? - Answer -It is about 60 grams.
How do you assess contractions? - Answer -The firmness of the uterus through
palpation, frequency, duration and intensity are all correct.
{Varney's 3rd Edition p 383-384}
What are maternal factors that can effect the fetal position? - Answer -It is poor uterine
tone, placenta previa, tense uterine or abdominal muscles.
{"Anne Frye: Holistic Midwifery Vol. I", p. 803}
The uterus is comprised of how many layers? - Answer -It has three layers.
("Heart and Hands")
When visiting a mother at her 24 hour postpartum visit you should check which of the
following? - Answer -Nipples for soreness/cracking, uterus for involution, lochia for
color and amount, perineum for healing are all correct.
{"Heart and Hands", p. 192}
Asynclitism occurs when ____________? - Answer -The sagittal sutures are closer to
the symphysis pubis or the sagittal sutures are closer to the scaral prominotry. This
often occurs when the head enters the pelvis in either LOT or ROT
{Anne Frye: Holistic Midwifery Vol. II p. 64}
________________ can cause the uterus to be more active, blood volume to contract
and amniotic fluid to be reduced. - Answer -Dehydration
{"Anne Frye: Holistic Midwifery Vol. I", p. 785}
The cervix is approximately ______ prior to effacement. 50% is measured at
__________ and 75% is measured at ______________. - Answer -2 inches, 1 inch,
and ½ inch
{Anne Frye: Holistic Midwifery Vol. II p. 385}
A woman presents in your office and states that this pregnancy feels different from her
previous pregnancies, she has no pelvic pressure even at 38 weeks, the presenting
parts are high and the fundal heights does not coordinate with gestation. What should
you consider? - Answer -It could be a breech baby.
{"Anne Frye: Holistic Midwifery Vol. I", p. 802}
In midwifery, what are considered the two most serious and common emergencies? -
Answer -PPH and fetal distress are correct. ("Heart and Hands")
Which of the following are NOT considered teratogens? - Answer -Ringworm, caffeine,
and corn syrup are not considered teratogens.
, If a woman has elevated temperature, elevated pulse and ketones in her urine during
labor, what is occurring? - Answer -Maternal exhaustion is correct.
{"Varney's Midwifery 3rd Edition", p. 487-488}
A mother has chosen to have a water birth. The water should be maintained at which
temperature? - Answer -It should be 86-95 degrees Fahrenheit.
("Heart and Hands")
How many bones in the pelvis? - Answer -4 main bones!!
- hip bones x 2
- sacrum
- coccyx
How many part have the hips bones? - Answer -The hip bone has three parts: the ilium,
pubis and ischium.
How many joint has the pelvis? - Answer -4
- 2 sacroiliac joints btw the ilium and the sacrum
- 1 sacrococcygeal symphysis - between the sacrum and the coccyx
- 1 pubic symphysis - between the pubis bodies of the two hip bones
When giving an IM injection you must always ________ the syringe? - Answer -
Aspirate.
(Practical Skills Guide for Midwifery, p. VI-5)
When using the oven method for sterilization of instruments you should maintain ____
degrees for ______ . - Answer -It is 250 degrees for 2 hours.
(Practical Skills Guide for Midwifery, p. I-7)
When looking at physiologic changes during pregnancy, maternal red blood cell volume:
- Answer -It increases up to 30% of normal.
{Birthsong Midwifery Workbook, p. 123}
When using the boiling method to sterilize you should boil the instruments for _______?
- Answer -It is 20 minutes
(Practical Skills Guide for Midwifery, p. I-8)
When talking about true labor, which of the following statements is correct? - Answer -
Change in station occurs.
{Birthsong Midwifery Workbook, p. 268}
When drawing medications from an ampule what is the first thing you should do? -
Answer -Check for appearance and expiration
(Practical Skills Guide for Midwifery, p. V-13)
