NARM CPM Board exam Study Questions With Complete
Solutions
- it provides precursors to facilitate production of steroid
hormones Correct Answers which of the following is not true
regarding the cortex of the ovary
- it contains follicles that each contains an oocyte and follicular
cells
- the follicular cells protect and nourish the oocyte
- it provides precursors to facilitate production of steroid
hormones
- the follicular cells produce estrogen and progesterone
-- GYNECOID Correct Answers Case Study: The following
are the findings of clinical pelvimetry performed on Diana, a 30
year old G1P0:Inlet - anterior, lateral, and posterior segment are
well rounded; transverse diameter about the same as the
anterioposterior diameterSacrum - parallel with the symphysis
pubisSacrosciatic notch - well roundedSidewalls - straightIschial
Spines - blunt, non-encroachingPubic Arch - approximately 90
degrees
Based on this information, which of the following best describes
Diana's type of pelvis:
Answer
android
anthropoid
gynecoid
platypelloid
,----- breech presentation Correct Answers Esther is in labor
with cervical dilation of 4 cm, 100% effacement, 0 station,
contractions moderately intense and occurring every 5 to 6
minutes and lasting 45-60 seconds, membranes intact, FHT are
loudest in the upper left quadrant, FHT is 140-150 bpm with
normal variability. Maternal vital signs include blood pressure
of 124/70, pulse rate of 84 bpm, respiratory rate of 20, and
temperature of 99. When performing Leopold's maneuvers the
midwife detects a hard, round object at the level of the fundus.
Assessment findings for Esther indicate that the fetus is in a:
Answer
breech presentation
cephalic presentation
posterior position
transverse lie
----estrogen Correct Answers In response to anterior pituitary
stimulation, the graafian follicle secretes:
Answer
progesterone
estrogen
prolactin
glycogen
----head compression Correct Answers Maddy is fully dilated
and when she begins to push during contractions, the FHT drops
to 90 BPM and then quickly returns to baseline when she stops
pushing. This sudden change is probably the result of:
,Answer
maternal drug use
maternal position
abruptio placenta
head compression
----uterine involution Correct Answers Continued Case Study:
Rhonda is a gravida 2, para 2002 who has just had a homebirth
and plans to breastfeed this baby though she bottle fed her first
child.
Rhonda complains of painful cramping each time she
breastfeeds. The midwife knows such cramping is commonly
caused by:
Answer
wrong positioning of the baby to the breast
uterine sub-involution
uterine involution
bladder distention
---face presentation Correct Answers During an abdominal
examination of a woman at term, the midwife feels the cephalic
prominence on the same side as the fetal back. This is indicative
of which of the following:
Answer
-face presentation
-vertex (occipital) presentation
-brow presentation
-sinciput (military) presentation
, ---progesterone Correct Answers The increased activity of the
endometrial glands during the luteal phase of the female
reproductive cycle is stimulated by:
Answer
progesterone
estrogen
glycogen
prolactin
--Cephalahematoma Correct Answers If the mother passed a
sexually transmitted disease to her baby, the baby may suffer
from any of the following, except:
Answer
pneumonia
blindness
rashes and tender bumps on the body
cephalohematoma
--cephalic prominence Correct Answers When performing the
fourth maneuver of Leopold's on a fetus in a cephalic
presentation, what will the examiner's fingers strike first?
Answer
occiput
sinciput
cephalic prominence
mentum
Solutions
- it provides precursors to facilitate production of steroid
hormones Correct Answers which of the following is not true
regarding the cortex of the ovary
- it contains follicles that each contains an oocyte and follicular
cells
- the follicular cells protect and nourish the oocyte
- it provides precursors to facilitate production of steroid
hormones
- the follicular cells produce estrogen and progesterone
-- GYNECOID Correct Answers Case Study: The following
are the findings of clinical pelvimetry performed on Diana, a 30
year old G1P0:Inlet - anterior, lateral, and posterior segment are
well rounded; transverse diameter about the same as the
anterioposterior diameterSacrum - parallel with the symphysis
pubisSacrosciatic notch - well roundedSidewalls - straightIschial
Spines - blunt, non-encroachingPubic Arch - approximately 90
degrees
Based on this information, which of the following best describes
Diana's type of pelvis:
Answer
android
anthropoid
gynecoid
platypelloid
,----- breech presentation Correct Answers Esther is in labor
with cervical dilation of 4 cm, 100% effacement, 0 station,
contractions moderately intense and occurring every 5 to 6
minutes and lasting 45-60 seconds, membranes intact, FHT are
loudest in the upper left quadrant, FHT is 140-150 bpm with
normal variability. Maternal vital signs include blood pressure
of 124/70, pulse rate of 84 bpm, respiratory rate of 20, and
temperature of 99. When performing Leopold's maneuvers the
midwife detects a hard, round object at the level of the fundus.
Assessment findings for Esther indicate that the fetus is in a:
Answer
breech presentation
cephalic presentation
posterior position
transverse lie
----estrogen Correct Answers In response to anterior pituitary
stimulation, the graafian follicle secretes:
Answer
progesterone
estrogen
prolactin
glycogen
----head compression Correct Answers Maddy is fully dilated
and when she begins to push during contractions, the FHT drops
to 90 BPM and then quickly returns to baseline when she stops
pushing. This sudden change is probably the result of:
,Answer
maternal drug use
maternal position
abruptio placenta
head compression
----uterine involution Correct Answers Continued Case Study:
Rhonda is a gravida 2, para 2002 who has just had a homebirth
and plans to breastfeed this baby though she bottle fed her first
child.
Rhonda complains of painful cramping each time she
breastfeeds. The midwife knows such cramping is commonly
caused by:
Answer
wrong positioning of the baby to the breast
uterine sub-involution
uterine involution
bladder distention
---face presentation Correct Answers During an abdominal
examination of a woman at term, the midwife feels the cephalic
prominence on the same side as the fetal back. This is indicative
of which of the following:
Answer
-face presentation
-vertex (occipital) presentation
-brow presentation
-sinciput (military) presentation
, ---progesterone Correct Answers The increased activity of the
endometrial glands during the luteal phase of the female
reproductive cycle is stimulated by:
Answer
progesterone
estrogen
glycogen
prolactin
--Cephalahematoma Correct Answers If the mother passed a
sexually transmitted disease to her baby, the baby may suffer
from any of the following, except:
Answer
pneumonia
blindness
rashes and tender bumps on the body
cephalohematoma
--cephalic prominence Correct Answers When performing the
fourth maneuver of Leopold's on a fetus in a cephalic
presentation, what will the examiner's fingers strike first?
Answer
occiput
sinciput
cephalic prominence
mentum
