Certified Midwife Exam Prep - Question List

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46. A newborn with physiological jaundice is placed on phototherapy. Which of the following actions of the nurse midwife are appropriate for the newborn on phototherapy?

I.Maintain eye dressings during breastfeeding.
II.Place the lights 30 inches above the newborn.
III.Monitor axillary temperature of the newborn.
IV.Undress the infant, except for the diaper, when exposed to the light.
  1. I, II and III
  2. II, III and IV
  3. I, III and IV
  4. All of the actions are appropriate.
47. An 18-year-old client is pregnant for the first time. A few weeks before her due date, the client informs the nurse midwife that she has decided to breastfeed her baby after birth. As a part of the teaching plan, the nurse midwife informs the client that she need to needs to add some calories to her current RDA to ensure sufficient milk production. If the pre-pregnancy RDA of the client is 2,200 calories per day and her pregnancy RDA is 2,500 calories per day, the client’s RDA during the lactation period is:
  1. 2,800 calories per day.
  2. 3,000 calories per day.
  3. 2,200 calories per day.
  4. 2,700 calories per day.
48. A client at 20 weeks’ gestation asks the nurse midwife if she will be able to breastfeed her baby after birth. The client has a history of type 2 diabetes, which has been well-controlled before and during the pregnancy. The client has a BMI of 34. Which of the following statements by the nurse midwife is the most appropriate?
  1. “Whether or not you can breastfeed your baby will depend on your blood glucose levels after birth.”
  2. “Mothers with type 2 diabetes are encouraged to breastfeed their babies after birth. Breastfeeding may also lower your need for insulin.”
  3. “You may not breastfeed your baby after birth. Insulin can cross into the breast milk and may cause your baby to develop hypoglycemia. Your baby may be nourished with formula milk.”
  4. “Breastfeeding is encouraged for women with type 2 diabetes. However, you may need to increase your insulin when nursing.”
49. A newborn has difficulty breathing and experiences severe coughing spells during breastfeeding. The newborn is diagnosed with a tracheoesophageal fistula. Without proper management, the newborn is most likely to lose which reflex?
  1. Sucking reflex
  2. Swallowing reflex
  3. Rooting reflex
  4. Extrusion reflex
50. The rooting reflex occurs when you:
  1. Stroke the baby’s cheek.
  2. Stroke or tap the side of the spine.
  3. Place a finger on the infant’s open palm.
  4. Hold the child upright and rotate their body.

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