Practice Quiz

Nurse Midwife Exam Prep - Question List

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31. A client has just given vaginal birth to an eight-pound baby boy. A few minutes after the delivery, the nurse midwife observes lengthening of the umbilical cord and a gush of vaginal blood. The nurse midwife interprets these observations as:
  1. Signs of hemorrhage.
  2. Signs of placenta previa.
  3. Signs of placental separation.
  4. Signs of retained placental fragment.
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32. A client with a multiple pregnancy is scheduled for cesarean delivery and is transported to the delivery operating room. The nurse midwife reminds the staff nurse to position the client in which of the following positions in the operating room?
  1. Left side-lying position
  2. Semi-Fowler position
  3. Supine position, with a wedge placed under the right hip.
  4. Supine position, with a wedge placed under the left hip.
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33. A nurse midwife is reviewing the laboratory tests of a client who is in labor. The laboratory findings include a hemoglobin level of 10 g/dL and a hematocrit concentration of 34%. The nurse midwife is correct if she determines that the client is at risk for which of the following during the postpartum period?
  1. Anemia
  2. Increased cardiac output
  3. Postpartum infection
  4. Hemorrhage
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34. Which of the following clients in labor is most likely considered for artificial induction of labor?
  1. A client who gave birth to an Rh-positive baby and failed to get a RhoGAM after birth.
  2. A client at 43 weeks’ gestation who has been in the second stage of labor for one hour.
  3. A client who ruptured her membranes 18 hours ago.
  4. A client with severe hypertension.
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35. A client in labor is administered with an anesthetic through the spinal subarachnoid space. Which of the following actions by the nurse is the least appropriate when managing the client?
  1. The nurse midwife maintains the client flat on bed for 8 to 12 hours.
  2. Inform the client that headaches may occur.
  3. Monitor the client for hypertension.
  4. Administer IV fluids.
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