Practice Quiz

Nurse Midwife Exam Prep - Question List

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16. A nurse midwife is managing the care of a 25-year-old postpartum client who gave birth 18 hours ago. No complications were noted during the labor process. The newborn is brought to the client for feeding and to have the mother and child bond for the night. The client says, “I’m too tired. Please get her back to the nursery, just for tonight. I need to get some sleep.” Which of the following is the most appropriate action of the midwife?
  1. Create a teaching plan for the mother that focuses on breast feeding.
  2. Encourage the client to join a parenting skill class.
  3. Accept the client’s behavior as an indication that she is in the taking-in phase.
  4. Accept the client’s behavior as an indication that she is in the taking-hold phase.
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17. A nurse midwife is assessing a mature female neonate born to a 21-year-old G3P2 client. Which of the following findings suggests that further evaluation and notification of the physician are necessary?
  1. Birth length = 53 cm
  2. Head circumference = 35 cm
  3. Birth weight = 11 pounds
  4. Chest circumference is 2 cm less than the head circumference.
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18. A client who gave birth to a healthy newborn experiences crying and expresses feelings of sadness and emptiness. The client delivered her baby 3 days ago. The nurse midwife suspects that the client has:
  1. Postpartum depression.
  2. Postpartum blues.
  3. Postpartum psychosis.
  4. A normal behavior during the taking-hold phase.
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19. A nurse midwife is receiving a client who gave birth an hour ago. Which of the following nursing interventions is the priority action of the nurse during the immediate postpartum period?
  1. Obtain the client’s blood glucose level.
  2. Palpate for the height of fundus.
  3. Order hemoglobin and hematrocrit tests.
  4. Administer oxygen.
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20. A client had a cesarean delivery. The client informs the nurse midwife that she intends to breastfeed her baby. Which of the following instructions is the most effective for a client who wants to breastfeed after a cesarean delivery?
  1. “Use the football hold when breastfeeding.”
  2. “Choose the position that is most comfortable during breastfeeding.”
  3. “Breast feeding is withheld for the first 12 hours of life.”
  4. “Breastfeed the newborn every 4 to 8 hours.”
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