Certified Midwife Exam Prep - Question List

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36. A midwife is teaching a 14-year-old girl about contraceptives. The client gave birth to a healthy baby girl three days ago. The midwife is correct when she says that the most effective way to protect against conception is through:
  1. Natural family planning.
  2. Abstinence.
  3. Oral contraception.
  4. Surgical methods.
37. A midwife is assessing four female clients with signs and symptoms involving the reproductive system. All clients are engaging in heterosexual sexual relationships. The midwife requires identification and treatment of sexual partners of all of the following clients except:
  1. A client diagnosed with genital herpes.
  2. A client diagnosed with chlamydia.
  3. A client diagnosed with bacterial vaginosis.
  4. A client with hepatitis B.
38. A midwife is assessing the fertility of couples who have been trying to conceive for a period of time without success. Which of the following couples has primary infertility?
  1. A couple engaging in unprotected sex for half a year. No previous conceptions are reported.
  2. A couple engaging in unprotected sex for one year. A previous conception is reported.
  3. A couple engaging in unprotected sex for one year. No previous conceptions are reported.
  4. A couple engaging in unprotected sex for half a year. A previous conception is reported.
39. Which of the following female clients has the greatest risk for uterine fibroids?
  1. A 30-year-old Chinese American who has a BMI of 30 and smokes 2 packs of cigarettes a day.
  2. A 43-year-old Caucasian who has a BMI of 32 and smokes 2 packs of cigarettes daily.
  3. A 25-year-old Black American who has a BMI of 32; cigarette smoking is denied.
  4. A 25-year-old of Meditteranean descent who has a BMI of 30; cigarette smoking is denied.
40. A couple is considering artificial insemination after the man fails to respond to medications that intend to increase his sperm count. Which of the following statements about artificial insemination is false?
  1. A donor’s sperm can be used.
  2. The sperm is instilled into the female reproductive tract one day after ovulation.
  3. It involves selective termination of gestational sacs.
  4. The sperm is instilled into the cervix or uterus.

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