Practice Quiz

Certified Midwife Exam Prep - Question List

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41.
A midwife is assessing a client who gave birth 12 hours ago. On assessment, the midwife notes that the client’s fundus is above the umbilicus to the right. Which of the following is the nurse’s initial action?
  1. Place the client on her left side
  2. Massage the fundus
  3. Ask the client to void
  4. Notify the physician
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42.
A midwife is assessing a woman who just gave birth 18 hours ago. Which of the following findings should alarm the nurse the most?
  1. Sanitary pads soak up bright red vaginal discharge every hour for more than 2 hours.
  2. The uterus is at the level of the umbilicus.
  3. Perineal swelling.
  4. Body temperature of 100°F.
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43.
A woman is receiving epidural morphine for relief of perineal pain after vaginal birth. The midwife closely monitors for which of the following within the first three hours?
  1. Severe itching
  2. Increased urine output
  3. Nausea
  4. Diarrhea
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44.
The midwife is teaching a 20-year-old woman at 34 weeks gestation about preventing deep vein thrombosis and thrombophlebitis after birth. Which of the following statements suggests that the client needs further teaching?
  1. “I will have to walk soon after delivery.”
  2. “I will not cross my legs when sitting.”
  3. “Raising the knee gatch improves blood circulation.”
  4. “I need to increase my fluid intake after delivery.”
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45. A nurse midwife is assessing a client and her infant one week after delivery. The infant’s birth weight was 7.5 pounds. Which of the following findings indicate that the infant is getting enough milk?

I.The mother reports that the infant is wetting 6 to 8 diapers a day.
II.The mother informs the nurse midwife that the infant appears content between feedings.
III.The infant’s weight is 6.8 pounds.
IV.The mother reports that the infant quietly swallows during breastfeeds.
  1. I and II
  2. I, II and III
  3. I, II and IV
  4. All of the findings indicate sufficient milk intake.
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