Practice Quiz

Nurse Midwife Exam Prep - Question List

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21. A client at 11 weeks’ gestation complains of severe and extreme nausea and vomiting. During history taking, the nurse midwife learns that the client vomits at least three times a day. An ultrasound is performed and reveals that the client is negative for hydatidiform mole and multiple pregnancy. The nurse midwife suspects a case of hyperemesis gravidarum. The client is admitted for monitoring. Which of the following interventions is the least appropriate for the client?
  1. Increase oral intake of fluids.
  2. Administer 3,000 mL of Ringer’s lactate.
  3. Administer metoclopramide.
  4. Monitor fluid intake and urinary output.
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22. A nurse midwife tells a client who is trying to get pregnant to eat fresh fruits and green and leafy vegetables before conceiving. The nurse midwife also recommends 400 mcg of folic acid a day. Once she gets pregnant, the nurse midwife may recommend that the client increase her folic acid intake to 600 mcg per day during the first trimester. Which of the following is not a benefit of folic acid supplementation before and during pregnancy?
  1. It prevents the formation of large but ineffective red blood cells.
  2. It prevents neural tube defects.
  3. It decreases the baby’s risk for cleft lip or palate.
  4. It ensures proper functioning of the thyroid gland.
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23. A client is in her 18th week of pregnancy. Which of the following psychosocial changes is expected at this time?
  1. The client is ambivalent about being pregnant.
  2. The client begins to imagine how she will feel during the delivery.
  3. The client is excited to attend childbirth educational classes.
  4. The client engages in nest-building activities.
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24. The nurse midwife is creating a teaching plan for a program that encourages women to have their regular Pap smear. Which of the following groups of women is the midwife’s priority?
  1. Women infected with Treponema pallidum.
  2. Women with a history of genitalia herpes.
  3. Women who are on oral contraceptives.
  4. Women who have plans of conceiving within the next year.
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25. A pregnant client asks the nurse midwife about nonpharmacologic methods for managing labor pains. The nurse midwife informs her about a method that is based on the idea that childbirth is a natural and joyful process. This method also stresses the importance of having the husband’s support during the pregnancy, labor and early postpartum period. It also encourages walking during labor. The nurse midwife is teaching which method to the client?
  1. Lamaze method
  2. Bradley method
  3. Psychosexual method
  4. Dick-Read method
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