NARM MULTIPLE CHOICE QUESTIONS & ANSWERS
267. The "C" in the TORCH group of diseases refers to:
1) calcium pyrophosphate arthropathy
2) cytomegalovirus
3) carbon pneumoconiosis
4) congenital diaphragmatic hernia - Answer -cytomegalovirus
268. After a shoulder dystocia, which is the most likely complication in the baby?
1) hemorrhage in the eyes
2) need for resuscitation
3) sepsis
4) cephalohematoma - Answer -need for resuscitation
269. Which of the following women is most likely to suffer from mastitis?
1) a breastfeeding woman in the first 7 days postpartum
2) a breastfeeding woman more than a week postpartum
3) a non-breastfeeding woman in the first 7 days postpartum
4) a non-breastfeeding woman more than a week postpartum - Answer -a
breastfeeding woman more than a week postpartum
270. Which of these signs would NOT be indicative of a ruptured tubal pregnancy?
1) marked lower abdominal pain
2) vaginal bleeding
3) urinary frequency
4) shoulder pain - Answer -urinary frequency
271. Low birth weight is defined as a baby born at term weighing less than 5 1/2
pounds, or 2500 grams. Which of the following is true about low birth weight babies?
1) they always have immature lungs
2) they have healthier hearts because they do not have too much fat
3) they may have cognitive disabilities
4) they may become hyperglycemic - Answer -they may have cognitive disabilities
272. During neonatal CPR, the midwife should place her fingers:
1) in between the clavicles
2) in between the nipples
3) just under the xiphoid process
4) over the rib cage - Answer -in between the nipples
273. The femoral pulse is located:
1) on the wrist
2) in the axilla
3) in the groin
4) on the neck - Answer -in the groin
,274. When performing a pelvic exam, one of the bony elements the midwife will identify
is located at the end of the sacral curve, and should be slightly moveable. This is the:
1) ischial spine
2) symphysis pubis
3) sacrum
4) coccyx - Answer -coccyx
275. When performing a pelvic exam, the midwife will feel this on both sides of the
pelvis; it could be any of the following: protruding, sharp, non-prominent, or blunt. This is
the:
1) ilium
2) ischium
3) sacrum
4) ischial spine - Answer -ischial spine
276. During well woman care, the midwife performs a pelvic exam and finds that a
woman's uterus is easily palpable and somewhat irregular above the pubic bone,
indicating possible enlargement. The most appropriate response to this finding would
be:
1) trust her insistence that there is "no way" she could be pregnant, decide it must be
normal for her, and move on with the exam
2) draw blood for a pregnancy test and run a prenatal panel with CBC and give her all
the handouts for early pregnancy
3) investigate further with recent history questions, and discuss with her such things as
failure of contraception and the possibility of uterine fibroids
4) send her immediately for an ultrasound to rule out cancer of the uterus - Answer -
investigate further with recent history questions, and discuss with her such things as
failure of contraception and the possibility of uterine fibroids
277. During the midwife's initial vaginal exam on a woman in labor, she will be checking
for all of the following, except:
1) location of the cervix
2) station of the fetal head
3) condition of the external genitalia
4) strength of the uterine contractions - Answer -strength of the uterine contractions
278. The best way to describe the difference between hemoglobin and hematocrit is:
1) hemoglobin measures the oxygen carrying capacity of the red blood cell; hematocrit
measures the volume of red blood cells in a packed volume of blood
2) there is no difference; they both measure the risk for anemia
3) hematocrit measures the oxygen carrying capacity of the blood; hemoglobin is the
percentage of red blood cells in a given volume of plasma
4) the hemoglobin represents the same value as the hematocrit, with the hematocrit
expressed as three times the value of the hemoglobin - Answer -hemoglobin measures
, the oxygen carrying capacity of the red blood cell; hematocrit measures the volume of
red blood cells in a packed volume of blood
279. The midwife is listening during a contraction and hears the fetal heart rate drop
following the acme of the contraction. What kind of decelerations are occurring?
1) early
2) variable
3) late
4) unknown - Answer -late
280. The essential female hormone responsible for reproduction is:
1) testosterone
2) estrogen
3) prolactin
4) prostaglandin - Answer -estrogen
281. Which of the following is the largest diameter of the fetal head?
1) biparietal
2) occipitofrontal
3) suboccipitobregmatic
4) occipitomental - Answer -occipitomental
282. At 15 weeks gestation, the fetus:
1) could survive outside the womb
2) is just beginning to grow arm and leg buds
3) has a full set of fingerprints
4) has indistinguishable sex organs - Answer -has a full set of fingerprints
283. Mothers usually feel their baby kick for the first time around the:
1) 10th week
2) 20th week
3) 28th week
4) 30th week - Answer -20th week
284. A mother may be at risk for a complicated pregnancy and delivery if she has which
of the following conditions:
1) more than four years between pregnancies
2) less than 18 months between pregnancies
3) has had three previous children
4) has a singleton pregnancy - Answer -less than 18 months between pregnancies
285. The risks to a fetus of a woman who is not immune to rubella include:
1) gastrointestinal malformations
2) reproductive abnormalities, hypoglycemia, and learning disabilities
3) deafness, heart defects, cataracts, and cognitive disabilities
267. The "C" in the TORCH group of diseases refers to:
1) calcium pyrophosphate arthropathy
2) cytomegalovirus
3) carbon pneumoconiosis
4) congenital diaphragmatic hernia - Answer -cytomegalovirus
268. After a shoulder dystocia, which is the most likely complication in the baby?
1) hemorrhage in the eyes
2) need for resuscitation
3) sepsis
4) cephalohematoma - Answer -need for resuscitation
269. Which of the following women is most likely to suffer from mastitis?
1) a breastfeeding woman in the first 7 days postpartum
2) a breastfeeding woman more than a week postpartum
3) a non-breastfeeding woman in the first 7 days postpartum
4) a non-breastfeeding woman more than a week postpartum - Answer -a
breastfeeding woman more than a week postpartum
270. Which of these signs would NOT be indicative of a ruptured tubal pregnancy?
1) marked lower abdominal pain
2) vaginal bleeding
3) urinary frequency
4) shoulder pain - Answer -urinary frequency
271. Low birth weight is defined as a baby born at term weighing less than 5 1/2
pounds, or 2500 grams. Which of the following is true about low birth weight babies?
1) they always have immature lungs
2) they have healthier hearts because they do not have too much fat
3) they may have cognitive disabilities
4) they may become hyperglycemic - Answer -they may have cognitive disabilities
272. During neonatal CPR, the midwife should place her fingers:
1) in between the clavicles
2) in between the nipples
3) just under the xiphoid process
4) over the rib cage - Answer -in between the nipples
273. The femoral pulse is located:
1) on the wrist
2) in the axilla
3) in the groin
4) on the neck - Answer -in the groin
,274. When performing a pelvic exam, one of the bony elements the midwife will identify
is located at the end of the sacral curve, and should be slightly moveable. This is the:
1) ischial spine
2) symphysis pubis
3) sacrum
4) coccyx - Answer -coccyx
275. When performing a pelvic exam, the midwife will feel this on both sides of the
pelvis; it could be any of the following: protruding, sharp, non-prominent, or blunt. This is
the:
1) ilium
2) ischium
3) sacrum
4) ischial spine - Answer -ischial spine
276. During well woman care, the midwife performs a pelvic exam and finds that a
woman's uterus is easily palpable and somewhat irregular above the pubic bone,
indicating possible enlargement. The most appropriate response to this finding would
be:
1) trust her insistence that there is "no way" she could be pregnant, decide it must be
normal for her, and move on with the exam
2) draw blood for a pregnancy test and run a prenatal panel with CBC and give her all
the handouts for early pregnancy
3) investigate further with recent history questions, and discuss with her such things as
failure of contraception and the possibility of uterine fibroids
4) send her immediately for an ultrasound to rule out cancer of the uterus - Answer -
investigate further with recent history questions, and discuss with her such things as
failure of contraception and the possibility of uterine fibroids
277. During the midwife's initial vaginal exam on a woman in labor, she will be checking
for all of the following, except:
1) location of the cervix
2) station of the fetal head
3) condition of the external genitalia
4) strength of the uterine contractions - Answer -strength of the uterine contractions
278. The best way to describe the difference between hemoglobin and hematocrit is:
1) hemoglobin measures the oxygen carrying capacity of the red blood cell; hematocrit
measures the volume of red blood cells in a packed volume of blood
2) there is no difference; they both measure the risk for anemia
3) hematocrit measures the oxygen carrying capacity of the blood; hemoglobin is the
percentage of red blood cells in a given volume of plasma
4) the hemoglobin represents the same value as the hematocrit, with the hematocrit
expressed as three times the value of the hemoglobin - Answer -hemoglobin measures
, the oxygen carrying capacity of the red blood cell; hematocrit measures the volume of
red blood cells in a packed volume of blood
279. The midwife is listening during a contraction and hears the fetal heart rate drop
following the acme of the contraction. What kind of decelerations are occurring?
1) early
2) variable
3) late
4) unknown - Answer -late
280. The essential female hormone responsible for reproduction is:
1) testosterone
2) estrogen
3) prolactin
4) prostaglandin - Answer -estrogen
281. Which of the following is the largest diameter of the fetal head?
1) biparietal
2) occipitofrontal
3) suboccipitobregmatic
4) occipitomental - Answer -occipitomental
282. At 15 weeks gestation, the fetus:
1) could survive outside the womb
2) is just beginning to grow arm and leg buds
3) has a full set of fingerprints
4) has indistinguishable sex organs - Answer -has a full set of fingerprints
283. Mothers usually feel their baby kick for the first time around the:
1) 10th week
2) 20th week
3) 28th week
4) 30th week - Answer -20th week
284. A mother may be at risk for a complicated pregnancy and delivery if she has which
of the following conditions:
1) more than four years between pregnancies
2) less than 18 months between pregnancies
3) has had three previous children
4) has a singleton pregnancy - Answer -less than 18 months between pregnancies
285. The risks to a fetus of a woman who is not immune to rubella include:
1) gastrointestinal malformations
2) reproductive abnormalities, hypoglycemia, and learning disabilities
3) deafness, heart defects, cataracts, and cognitive disabilities
