Practice Quiz

Certified Midwife Exam Prep - Question List

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56. Which of the following is TRUE about episiotomy?
  1. An episiotomy will heal better than a tear.
  2. An episiotomy will enlarge the vaginal opening to facilitate a faster birth.
  3. An episiotomy will lessen the mother's risk of urinary incontinence later in life.
  4. An episiotomy can improve sexual satisfaction after birth.
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57.

A midwife is managing the care of four clients. She should administer RhoGAM to the following clients:

1. A client at 28 weeks gestation who received a RhoGAM injection 72 hours after the delivery of her first child.
2. A G2P1 client at 28 weeks gestation who gave birth to an Rh-positive baby two years ago.
3. An Rh-negative client at 15 weeks gestation who develops bleeding after an amniocentesis.
4. An Rh-negative client at 12 weeks gestation who is admitted due to ectopic pregnancy.

  1. 1, 2
  2. 1, 2, 3
  3. 1, 3, 4
  4. 1, 2, 3, 4
  5. None of the clients
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58. During development of a fetus there is a period after separation of the rectum from the dorsal part of the cloaca, what does the ventral part of this cloacal membrane become known as?
  1. Urogenital membrane
  2. Cloaphallus membrane
  3. Urophallus membrane
  4. Urophallus sinus
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59.

A mother asks the midwife how she can perform a breast self-examination if breastfeeding her baby. The nurse’s best response is which of the following?

  1. “Set an appointment with your physician to examine your breast.”
  2. “The BSE for non-nursing and nursing mothers are just the same.”
  3. “You can examine each breast after the baby has emptied your breasts.”
  4. “You can start checking your breast once your menstrual period begins.”
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60.

The midwife teaching a new mother about breastfeeding. Which of the following statements, if made by the client, indicates that the mother needs further teaching?

  1. “In about two weeks, my baby’s weight should surpass her birth weight.”
  2. “My baby should have at least four wet diapers a day and at least one bowel movement per day.”
  3. “My baby should be fed every two to three hours during the day and every four hours at night.”
  4. “My baby should feed for around twenty minutes per breast.”
  5. All of the above
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