NARM Study Questions and answers 2024 best solutions

NARM Study Questions and answers 2024 best solutions "Midwives believe that every woman has a right to a safe, satisfying birth in the setting of her own choice, with respect for human dignity, cultural sensitivity, and informed choice." The quote is an example of a: - ANSWERS Philosophy of Care In which portion of the fallopian tubes does fertilization normally occur? - ANSWERS the ampulla A prenatal factor that may cause a hemorrhage is - ANSWERS grand multipara During an abdominal examination of a woman at term, the midwife feels the cephalic prominence on the same side as the fetal parts. This is indicative of which of the following - ANSWERS vertex (occipital) presentation The increased activity of the endometrial glands during the luteal phase of the female reproductive cycle is stimulated by: - ANSWERS progesterone Shelley is a 25 year old gravida 3 para 2 who has missed two menstrual periods and is making her initial visit to the midwife. The midwife gave her a pregnancy test and it was positive. Shelley reports nausea and occasional vomiting in the mornings. Which physiologic change of pregnancy is probably causing Shelley's nausea and vomiting? - ANSWERS high levels of human chorionic gonadotropin Janine had a baby 10 days ago and during a routine check up, she mentions to her midwife that the baby is requiring more frequent breast feeding. This change is probably associated with: - ANSWERS Newborn's first growth spurt Fetal heart rate variability is not affected by - ANSWERS Maternal Sleep A woman is laboring at a birth center, and is acting irritable and cranky with her husband and mother-in-law, who have been with her almost constantly all night. She also has two sisters and a female cousin present, and a doula. The most appropriate action for the midwife to take would be to - ANSWERS ask for some time alone with her and inquire whether the crowd is bothering her Which neonatal assessment finding should the midwife report to a physician if she finds this while conducting a newborn exam at one hour after birth? - ANSWERS a positive Ortolani's sign What is the largest diameter of the fetal head? - ANSWERS occipitomental During the first 10-12 weeks of pregnancy, the corpus luteum: - ANSWERS secretes progesterone to maintain the pregnancy Constipation during pregnancy is usually the result of: - ANSWERS prolonged stomach emptying time and decreased intestinal motility What is a positive sign of pregnancy: - ANSWERS ultrasound A child born to a woman over the age of 35 has an increased risk of: - ANSWERS Trisomy 21 What is the best recommendation for a woman with morning sickness? - ANSWERS eat a dry carbohydrate, such as crackers, before getting out of bed The definition of pica is - ANSWERS the craving for non-food, non-nutritive substances such as ice, clay, dirt, starch or plaster Which of the common discomforts of pregnancy generally have their initial onset during the first trimester of pregnancy? - ANSWERS fatigue A woman reports she is having some slight vaginal bleeding and occasional mild cramps at 10 weeks from LMP. She is best characterized as having: - ANSWERS Threatened Abortion Dangerous complication of pregnancy would be characterized by shoulder pain? - ANSWERS ruptured tubal pregnancy, or ruptured uterus Women with a diagnosis of severe preeclampsia have an increased risk of: - ANSWERS placental abruption Thrush in the newborn is directly related to contact in the birth canal with which of the following organisms? - ANSWERS candida albicans To protect her unborn child from toxoplasmosis, a pregnant woman should: - ANSWERS avoid eating under cooked meets, and handling cat feces An example of a sex chromosome abnormality is: - ANSWERS Turner Syndrome A typical gynecoid pelvis has which of the following characteristics? - ANSWERS rounded inlet, nonprominenant ischial spines and wide, round pubic arch A cephalic presentation includes all of the following, except: - ANSWERS Brow, Face, Vertex The midwife has been helping answer the questions of a woman who has just given birth for the first time. Which behavior shows that the new mother understands correct teaching on breastfeeding? - ANSWERS breastfeeding every 2-3 hours or on demand, whichever comes first In counseling a woman interested in natural family planning, the midwife would inform her that the most effective method is: - ANSWERS Symptoms-thermal method The midwife is performing Leopold's maneuvers and determines that the fetus is ROA. Which of the following did she find? - ANSWERS round, firm object low in the pelvis, small parts on the mother's left side, and a soft rounded shape in the fundus What describes contractions with a frequency of 3 minutes? - ANSWERS contractions that last for 30 seconds with a 2 1/2 minute rest in between The midwife takes fetal heart tones and finds they are 158 bpm. What action is appropriate? - ANSWERS inform the mother that the rate is normal While performing