Practice Quiz

Nurse Midwife Exam Prep - Question List

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11. A nurse midwife is teaching a female client how to perform a breast self-examination. On return demonstration, which of the following actions by the client indicates that further teaching is necessary?
  1. The client uses the tips of her second, third and fourth fingers to press every part of her breast.
  2. Using the right hand to examine the left breast, the client examines the entire breast using small circular motions in a spiral pattern.
  3. In a supine position, the client places a folded towel under her right shoulder and puts her right hand behind her head. Using the left hand, she palpates her right breast.
  4. In a standing position, the client places her hands on her hips and presses down firmly.
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12. A nurse midwife is assessing four clients who recently gave birth through vaginal delivery. A part of the examination is measuring the fundal height. Which of the following clients needs further evaluation?
  1. A client who gave birth 24 hours ago; the fundus is 1 fingerbreadth below the umbilicus.
  2. A client who gave birth one hour ago; the fundus is at the level of the umbilicus.
  3. A client who gave birth 72 hours ago; the fundus is 2 cm below the umbilicus.
  4. A client who gave birth 10 days ago; the fundus is non-palpable.
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13. A female client is admitted to the facility due to alcohol abuse. During the first 24 hours, which of following interventions is the least appropriate?
  1. Orient the client frequently.
  2. Initiate seizure precautions.
  3. Provide a quiet, non-stimulating environment.
  4. Initiate bleeding precautions.
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14. There are many reasons why nurse midwives should be concerned with professional ethics. Which of the following is the main and critical purpose of applied professional ethics?
  1. To foster professional identity.
  2. To protect consumers and care providers.
  3. To maintain internal regulation and avoid external regulation.
  4. To signal professional maturity.
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15. A series of laboratory examinations are conducted for a client who is admitted to the facility for an annual checkup. Blood is drawn for serum electrolyte testing. Which of the following assessment findings requires further evaluation?
  1. Sodium = 137 mEq/L
  2. Potassium = 4.3 mEq/L
  3. Chloride = 93 mEq/L
  4. Bicarbonate = 27 mEq/L
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