Narm Multiple Choice Questions With Complete Solutions
267. The "C" in the TORCH group of diseases refers to:
1) calcium pyrophosphate arthropathy
2) cytomegalovirus
3) carbon pneumoconiosis
4) congenital diaphragmatic hernia Correct Answers
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 Correct Answers 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
Correct Answers 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 Correct Answers 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 Correct Answers 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 Correct Answers 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 Correct Answers 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 Correct Answers 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 Correct Answers 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 Correct Answers 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 Correct Answers
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 Correct Answers 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 Correct Answers late
280. The essential female hormone responsible for reproduction
is:
1) testosterone
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