NARM Study Questions
Study online at https://quizlet.com/_husigk
1. "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:: Philosophy of Care
2. In which portion of the fallopian tubes does fertilization normally occur?: the
ampulla
3. A prenatal factor that may cause a hemorrhage is: grand multipara
4. 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: vertex (occipital) presentation
5. The increased activity of the endometrial glands during the luteal phase of
the female reproductive cycle is stimulated by:: progesterone
6. 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?: high levels of human chorionic gonadotropin
7. 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:: Newborn's first growth spurt
8. Fetal heart rate variability is not affected by: Maternal Sleep
9. 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: ask for some time alone
with her and inquire whether the crowd is bothering her
10. 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?: a
positive Ortolani's sign
11. What is the largest diameter of the fetal head?: occipitomental
12. During the first 10-12 weeks of pregnancy, the corpus luteum:: secretes proges-
terone to maintain the pregnancy
, NARM Study Questions
Study online at https://quizlet.com/_husigk
13. Constipation during pregnancy is usually the result of:: prolonged stomach emptying
time and decreased intestinal motility
14. What is a positive sign of pregnancy:: ultrasound
15. A child born to a woman over the age of 35 has an increased risk of:: Trisomy 21
16. What is the best recommendation for a woman with morning sickness?: eat a
dry carbohydrate, such as crackers, before getting out of bed
17. The definition of pica is: the craving for non-food, non-nutritive substances such as ice, clay, dirt, starch
or plaster
18. Which of the common discomforts of pregnancy generally have their initial
onset during the first trimester of pregnancy?: fatigue
19. 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:: Threatened
Abortion
20. Dangerous complication of pregnancy would be characterized by shoulder
pain?: ruptured tubal pregnancy, or ruptured uterus
21. Women with a diagnosis of severe preeclampsia have an increased risk
of:: placental abruption
22. Thrush in the newborn is directly related to contact in the birth canal with
which of the following organisms?: candida albicans
23. To protect her unborn child from toxoplasmosis, a pregnant woman should:-
: avoid eating under cooked meets, and handling cat feces
24. An example of a sex chromosome abnormality is:: Turner Syndrome
25. A typical gynecoid pelvis has which of the following characteristics?: rounded
inlet, nonprominenant ischial spines and wide, round pubic arch
26. A cephalic presentation includes all of the following, except:: Brow, Face, Vertex
27. 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?: breastfeeding every 2-3 hours or on de-
mand, whichever comes first
28. In counseling a woman interested in natural family planning, the midwife
would inform her that the most effective method is:: Symptoms-thermal method
, NARM Study Questions
Study online at https://quizlet.com/_husigk
29. The midwife is performing Leopold's maneuvers and determines that the
fetus is ROA. Which of the following did she find?: round, firm object low in the pelvis, small
parts on the mother's left side, and a soft rounded shape in the fundus
30. What describes contractions with a frequency of 3 minutes?: contractions that last
for 30 seconds with a 2 1/2 minute rest in between
31. The midwife takes fetal heart tones and finds they are 158 bpm. What action
is appropriate?: inform the mother that the rate is normal
32. While performing a vaginal exam, the midwife determines that the fetus is in
a cephalic presentation and that the occiput has reached the level of the ischial
spines. The station is:: 0 (zero station)
33. A laboring woman's membranes rupture at the end of a contraction. The
midwife's first action would be to:: Assess FHT
34. What is descriptive of a cephalohematoma:: blood vessels between the cranial bone and the
periosteal layer rupture, leading to bleeding in the subperiosteal space
35. Signs and symptoms of a patient with precipitous labor may include: contraction
every 2 minutes, lasting 90 seconds, rapid progressive cervical dilation, discomfort that seems out of proportion to the
dilation
36. During pelvimetry, a primigravida is found to have a diagonal conjugate
of 10 cm. Based on this information, the midwife would expect her labor to
be:: prolonged, with failure of the head to engage
37. A woman with a partial placenta previa delivers following a three hour labor.
The complication she is most likely to develop in the early postpartal period
is:: hemorrhage
38. The midwife notes a cord protruding from a laboring woman's vagina. The
first action would be to:: apply manual pressure to the presenting part and have the mother assume a
knee-chest position
39. The normal breathing pattern for a full-term baby is predominately: abdomina
with synchronous chest movements
40. The average heart beat range for a full-term, quiet and awake newborn
is: 120-140 BPM
41. Vitamin K is administered in the immediate neonate period because:: newborns
lack the intestinal bacteria with which to synthesize vitamin K
Study online at https://quizlet.com/_husigk
1. "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:: Philosophy of Care
2. In which portion of the fallopian tubes does fertilization normally occur?: the
ampulla
3. A prenatal factor that may cause a hemorrhage is: grand multipara
4. 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: vertex (occipital) presentation
5. The increased activity of the endometrial glands during the luteal phase of
the female reproductive cycle is stimulated by:: progesterone
6. 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?: high levels of human chorionic gonadotropin
7. 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:: Newborn's first growth spurt
8. Fetal heart rate variability is not affected by: Maternal Sleep
9. 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: ask for some time alone
with her and inquire whether the crowd is bothering her
10. 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?: a
positive Ortolani's sign
11. What is the largest diameter of the fetal head?: occipitomental
12. During the first 10-12 weeks of pregnancy, the corpus luteum:: secretes proges-
terone to maintain the pregnancy
, NARM Study Questions
Study online at https://quizlet.com/_husigk
13. Constipation during pregnancy is usually the result of:: prolonged stomach emptying
time and decreased intestinal motility
14. What is a positive sign of pregnancy:: ultrasound
15. A child born to a woman over the age of 35 has an increased risk of:: Trisomy 21
16. What is the best recommendation for a woman with morning sickness?: eat a
dry carbohydrate, such as crackers, before getting out of bed
17. The definition of pica is: the craving for non-food, non-nutritive substances such as ice, clay, dirt, starch
or plaster
18. Which of the common discomforts of pregnancy generally have their initial
onset during the first trimester of pregnancy?: fatigue
19. 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:: Threatened
Abortion
20. Dangerous complication of pregnancy would be characterized by shoulder
pain?: ruptured tubal pregnancy, or ruptured uterus
21. Women with a diagnosis of severe preeclampsia have an increased risk
of:: placental abruption
22. Thrush in the newborn is directly related to contact in the birth canal with
which of the following organisms?: candida albicans
23. To protect her unborn child from toxoplasmosis, a pregnant woman should:-
: avoid eating under cooked meets, and handling cat feces
24. An example of a sex chromosome abnormality is:: Turner Syndrome
25. A typical gynecoid pelvis has which of the following characteristics?: rounded
inlet, nonprominenant ischial spines and wide, round pubic arch
26. A cephalic presentation includes all of the following, except:: Brow, Face, Vertex
27. 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?: breastfeeding every 2-3 hours or on de-
mand, whichever comes first
28. In counseling a woman interested in natural family planning, the midwife
would inform her that the most effective method is:: Symptoms-thermal method
, NARM Study Questions
Study online at https://quizlet.com/_husigk
29. The midwife is performing Leopold's maneuvers and determines that the
fetus is ROA. Which of the following did she find?: round, firm object low in the pelvis, small
parts on the mother's left side, and a soft rounded shape in the fundus
30. What describes contractions with a frequency of 3 minutes?: contractions that last
for 30 seconds with a 2 1/2 minute rest in between
31. The midwife takes fetal heart tones and finds they are 158 bpm. What action
is appropriate?: inform the mother that the rate is normal
32. While performing a vaginal exam, the midwife determines that the fetus is in
a cephalic presentation and that the occiput has reached the level of the ischial
spines. The station is:: 0 (zero station)
33. A laboring woman's membranes rupture at the end of a contraction. The
midwife's first action would be to:: Assess FHT
34. What is descriptive of a cephalohematoma:: blood vessels between the cranial bone and the
periosteal layer rupture, leading to bleeding in the subperiosteal space
35. Signs and symptoms of a patient with precipitous labor may include: contraction
every 2 minutes, lasting 90 seconds, rapid progressive cervical dilation, discomfort that seems out of proportion to the
dilation
36. During pelvimetry, a primigravida is found to have a diagonal conjugate
of 10 cm. Based on this information, the midwife would expect her labor to
be:: prolonged, with failure of the head to engage
37. A woman with a partial placenta previa delivers following a three hour labor.
The complication she is most likely to develop in the early postpartal period
is:: hemorrhage
38. The midwife notes a cord protruding from a laboring woman's vagina. The
first action would be to:: apply manual pressure to the presenting part and have the mother assume a
knee-chest position
39. The normal breathing pattern for a full-term baby is predominately: abdomina
with synchronous chest movements
40. The average heart beat range for a full-term, quiet and awake newborn
is: 120-140 BPM
41. Vitamin K is administered in the immediate neonate period because:: newborns
lack the intestinal bacteria with which to synthesize vitamin K
