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NARM Mock Test - MCU - CLNC 3050+MDWF3070 Questions With Complete Solutions
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NARM Mock Test - MCU - CLNC 3050+MDWF3070 Questions With Complete Solutions
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NARM Mock Test - MCU - CLNC 3050+MDWF3070Questions With Complete Solutions
A 15-year-old in is to talk to you about her concern that she has
not menstruated. She has normal growth and development and
the appropriate secondary sex characteristics. She states that she
has never been sexually active. Her physical exam is normal.
Your next step is to: Correct Answers Tell her that it is normal
for some young women to start menstruating at age 16 and to
return if it has not happened by then
A 28-year-old client at 8 weeks' gestation reports bright red
vaginal spotting. Ultrasound reveals normal cardiac activity, no
visible subchorionic hemorrhage, and a crown rump length of 17
mm. What is the midwife's most appropriate response? Correct
Answers Provide reassurance that the risk of pregnancy loss is
4% or less since the heartbeat is present.
A baby is considered SGA when Correct Answers Baby is
undergrown for gestational age despite being post-term,
intrauterine growth has slowed down despite being term, baby is
below the 10th percentile in weight
A brow presentation has a quoted widest diameter of Correct
Answers 13.5in
A client calls at 10w gestation c/o watery brown spotting. This
finding is indicative of what condition? Correct Answers
Hydatidiform Mole
,A client calls her midwife in a panic. She reports that her sister
was just diagnosed with cytomegalovirus. She has been around
her sister a lot lately and knows that cytomegalovirus can cause
significant harm to the baby. Which of the following are risks of
cytomegalovirus infection in pregnancy? Correct Answers
congenital hearing loss, vision loss and microcephaly
A client has indicated that they are interested in a highly
effective long-term non-hormonal birth control method. What
would you recommend? Correct Answers Copper IUD
A client has indicated they are interested in a highly effective
long-term non-hormonal birth control method. What do you
recommend? Correct Answers Copper IUD
A client presents at 34w gestation with a severe headache and
nausea. Which of the following conditions could possibly cause
this? Correct Answers PreE, Flu, Hyperemesis
A client reports at their two-week postpartum visit that they are
sometimes "passing gas" and sometimes even "leaking a little
loose stool" without the ability to control it. This is likely caused
by: Correct Answers Normal fecal incontinence in the
postpartum period that will likely resolve
A client reports vaginal bleeding at 6 weeks gestation. Serial
hCG levels are 1,480 mIU/ml at 6w 0d gestation and 1,920
mIU/ml at 6w 2d gestation. The midwife suspects which of the
following conditions? Correct Answers spontaneous abortion
,A client who gave birth to their sixth child calls 48 hours
postpartum to report that their bleeding has "picked up" and
their uterus "no longer feels tight like a fist." They report that
they just urinated but the symptoms continued. What is the most
likely condition causing of these symptoms? Correct Answers
Subinvolution
A client who gave birth with you six weeks ago brings you their
baby to you with a concern about slow growth. What is the
appropriate plan of care? Correct Answers Evaluate the baby
and refer to a pediatrician if needed, providing emotional and
informational support to the client.
A client who had no birth complications calls on day 4
postpartum to report that they had their first bowel movement
and when they wiped there was blood the size of a quarter and
they had pain for about ten minutes thereafter. What is the most
likely cause of these symptoms? Correct Answers
Hemorrhoids
A client's EDD is definite, and current gestational age is 34
weeks. On assessment, the midwife notes the client's fundal
height is 28 cm. Which of the following is an appropriate
assessment and plan, based on this information? Correct
Answers Size small for dates, refer for ultrasound
A client's initial prenatal labs are positive for HIV-1/HIV-2.
Which of the following is the most appropriate next step for the
midwife? Correct Answers repeat the screening
, A collection of blood between the cranial bone and periosteal
membrane that does not cross suture lines and appears within 48
hours of birth is a: Correct Answers cephalohematoma
A compound presentation is: Correct Answers Presentation of
one or more limbs along with the head or breech
A graphical tool that allows labor progress to be recorded and
visually assessed Correct Answers partograph
A high pitched or weak cry can indicate: Correct Answers
Neurological damage, infection or hypothermia
A latent phase of the second stage can occur when: Correct
Answers there is a lull in uterine activity around the time of
complete dilation
A midwife is working with a non-pregnant woman who has just
found out that she is HIV-positive. Which of the following
statements is most accurate? Correct Answers The client
should be advised to begin antiretroviral treatment immediately
A midwife performs an external cephalic version at 37w
gestation to turn a transverse fetus to vertex. The midwife
should monitor the client for which of the following
complications? Correct Answers Fetal distress
A part that is away from the point of origin? Correct Answers
Distal
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