Certified Midwife Exam Prep - Question List

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51. Milk is synthesized in the:
  1. Nipple.
  2. Areola.
  3. Cooper’s gland.
  4. Alveoli.
  5. None of the above
52.
The midwife has just received a call from her breastfeeding client who is overseas on vacation with the infant. The mother tells the midwife that she has “traveler’s diarrhea” from contaminated water or food. What should the midwife recommend to this mother?
  1. Stop breastfeeding until the diarrhea has been resolved.
  2. Increase the frequency of breastfeeding.
  3. Decrease the frequency of breastfeeding.
  4. Immediately return home for medical care.
53.

A nurse is caring for a client who had a vaginal birth with episiotomy 8 hours earlier. When caring for the episiotomy site, which of the following actions by the midwife is the most appropriate?

  1. Provide ice packs to the episiotomy site
  2. Provide perineal care using aseptic technique
  3. Dry the perineal area from back to front
  4. Instruct the client to bathe in a tub
54. Postpartum care for an episiotomy or laceration includes all of the following EXCEPT:
  1. Removal of the stitches after 10 days
  2. Sitz baths
  3. Kegel exercises as soon as possible after the birth
  4. Ice packs for comfort
55.

Which of the following is NOT a technique a midwife might suggest so a mother can avoid having an episiotomy?

  1. Use upright positions such as squatting or kneeling
  2. Practice exhaling while pushing, or spontaneously working with the body's contractions while bearing down
  3. Teaching the partner to do perineal support while the mother is pushing
  4. Holding her breath and pushing to the count of 10 several times during each contraction

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