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Midwifery Care 3- Midterm Exam Questions and Answers
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Midwifery Care 3- Midterm Exam Questionsand Answers
Which of the following scenarios carries the highest transmission risk of HSV to the
baby?
-The gestation parent didn't take acyclovir toward the end of pregnancy to prevent
outbreaks
-The gestational parent contracted the virus late in pregnancy
-The gestational parent has a long history of HSV 1 & 2
-The gestational parent had unprotected sex with a partner with a history of of HSV-2 -
Answers -The gestational parent contracted the virus late in pregnancy
A non-primary first episode of HSV refers to:
-A situation in which a person has antibodies to one strain of HSV and has their first
outbreak from the other strain
-An outbreak after the virus has been dormant for at least 10 years
-The most severe outbreak a person has experienced.
-The second outbreak from a prior infection - Answers -A situation in which a person
has antibodies to one strain of HSV and has their outbreak from the other strain.
How does the midwife diagnose a true primary HSV infection?
-Client's report of the existence or absence of prior outbreaks
-History of exposure to HSV
-Examination of the lesion
-Positive PCR or culture of the lesion with negative antibodies - Answers -Positive PCR
or culture of a lesion with negative antibodies
Which of the following scenarios poses the biggest risk in pregnancy?
-Both the client and their partner are HSV- negative
-The client has HSV-1 positive and their partner is HSV-2 positive
-The client is HSV-negative and their partner is positive
-Both the client and their partner are positive for both HSV-1 and HSV-2 antibodies -
Answers -The client is HSV-negative and their partner is positive
A client having prodromal symptoms of a vaginal HSV outbreak at the onset of labor
-can safely deliver their baby vaginally if they have been taking acyclovir since 36
weeks
-should be induced before lesions appear
-can safely deliver their baby vaginally if the lesion is covered
, -should be recommended to have a cesarean delivery to reduce the risk of transmission
to the baby - Answers -Should be recommended to have a cesarean delivery to reduce
the risk of transmission of the baby.
The best way to minimize the risk of parent-to-child transmission of HIV during
pregnancy and birth is to:
-schedule induction of labor for 38 weeks
-use all resources to keep the gestational parent's viral load as low as possible
-schedule a cesarean delivery prior to labor
-augment labor to ensure that it progresses as quickly as possible. - Answers -Use all
resources to keep the gestational parent's viral load as low as possible.
If a client's HBsAg test comes back positive, what test would help the midwife to know
whether the client was experiencing an acute or chronic infection?
-Western blot
-WBC
-IgM anti-HB antibodies
-HBIG - Answers -IgM anti-HB antibodies
The best way to minimize parent-to-child transmission of Hep B is to:
-Vaccinate the gestational parent (and all family members) during pregnancy
-Administer HBIG and Hep B vaccine to the baby at birth
-Schedule a cesarean delivery prior to labor
-Offer HBIG to the gestational parent at 36 weeks - Answers -Administer HBIG and Hep
B vaccine to the baby at birth
A client who was recently exposed to Hep C would typically experience which of the
following symptoms?
-Fatigue
-Low-grade ever
-Asymptomatic
-Poor appetite - Answers -Asymptomatic
The best way to minimize parent-to-child transmission of Hep C is:
-Schedule induction of labor at 38 weeks
-There is no known way to prevent parent-to-child transmission of HCV
-Vaccinate the gestational parent (and all family members) during pregnancy.
-Schedule a cesarean delivery prior to labor. - Answers -There is no known way to
prevent parent-to-child transmission of HCV.
The recommended method in the U.S. and Canada for identifying clients who should be
tested for GBS is to:
-test clients with intrapartum risk factors
-test clients with antepartum risk factors
-test clients with a history of early-onset GBS infection in a previous infant.
-test all pregnant clients - Answers -Test all pregnant clients.
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