Certified Nurse Midwife Practice Test

Flat, pink to red patches can be spotted at the back of the neck of a female newborn. Please indicate which of the following statements is correct:

A week after delivery, a midwife has to assess whether the infant, whose birth weight was 7.5 lbs, is getting enough milk. What could indicate that this is the case?

The fetal heart rate monitor traces decelerations about 35 seconds after the onset of a contraction in a patient, who is receiving IV oxytocin. Which of the following statements indicates a priority course of action for the midwife?

Clear fluid leaks from the vagina of a patient at 38 weeks of pregnancy, but there are no contractions. Please indicate which of the following would not be an appropriate course of action in a patient with suspected PROM.

Plase indicate what would be an appropriate course of action for a patient, who is in the second stage of labor and has been pushing for the past 45 minutes.

The patient's frequency of contractions is 3 minutes and contractions last uniformly for about 40 seconds. A fetal heart rate 106 beats per minute is recorded. Please indicate what would be an appropriate course of action for the midwife.

The midwifes identifies variable decelerations on the fetal heart rate monitor of a G2P1 client in labor. Please indicate which of the following could be the cause:

Please identify in which phase of labor is the following patient, who entered the labor and delivery unit 4.5 hours ago. Contractions occur in 5 minute intervals and last 52 seconds on average. The patient's cervical dilatation is 5 cm.

Please indicate the correct statement about the following finding: The fetus of a patient in labor is in the left occiput anterior position and the presenting part lies at 0 station.

After administering oxytocin to induce labor, the patient should be monitored for the following side effects:

A 34 year old female patient is admitted for an annual check-up. Please indicate which of the following values on a serum electrolyte blood test need to be further assessed.

Please indicate which of the following is the core, underlying goal of applied professional ethics.

Please indicate which of following is the least appropriate course of action for an intoxicated female patient durign the first 24 hours after she was admitted.

Please indicate in case of which of the following fundal height measurements the patient requires further evaluation:

Please indicate which of the following statements describes a situation where the midwife should correct a patient conducting breast self-examination.

A postpartum patient gave birth 12 hours ago without any complications. When the newborn is brought to the mother for the night, the patient refuses to feed and accept the baby saying she was exhausted and needed a good night sleep. Please indicate what would be the most appropriate course of action for the midwife. Encourage the client to join a parenting skill class. Accept the client’s behavior as an indication that she is in the taking-in phase. Accept the client’s behavior as an indication that she is in the taking-hold phase.

Please indicate which of the following instructions is the best one for a midwife to give to a patient who intends to breastfeed her baby after having a cesarean delivery.

Please indicate which of the following is the most appropriate course of action for the midwife upon receiving a patient who gave birth an hour ago?

A patient gave birth without complications one day ago. She is crying and relates feelings of sadness and/or emptiness. This could be an indication that she is experiencing...

A female newborn of a 20-year-old G3P2 patient is being assessed. Please indicate in case of which of the following findings the midwife should notify the physician and order further evaluation.

One system of natural, nonpharmacologic labor techniques rests on the understanding of childbirth as a positive, natural process; stresses the importance of having the father's support during labor; and promotes walking during labor. This method is called...

A midwife should especially encourage which of the following groups of women to have their regular Pap smear?

A patient in the 11th week of pregnancy is experiencing severe nausea and vomits 3 times per day. The midwife decides that the patient is admitted to be monitored for hyperemesis gravidarum. Please indicate which of the following would be an inappropriate course of action in this case: Increase oral intake of fluids. Administer 3,000 mL of Ringer’s lactate. Administer metoclopramide. Monitor

Please indicate what important psychological development takes place at 18 weeks' gestation. The client is ambivalent about being pregnant. The client begins to imagine how she will feel during the delivery. The client is excited to attend childbirth educational classes. The client engages in nest-building activities.

Please indicate which of the following statements describes the benefits of supplementing with folic in the period leading up to, as well as during pregnancy? It prevents the formation of large but ineffective red blood cells. It prevents neural tube defects. It decreases the baby’s risk for cleft lip or palate.

The patient is a sportswoman, who has been subjected to a rigorous training program for the past 4-5 years. During her first pregnancy, she consults the midwife with the question whether she could continue training during pregnancy. Please indicate what would be an appropriate answer in this case. “You should stop exercising when pregnant as it can cause miscarriage or intrauterine growth retardation.” “If you are an athlete, you may proceed with your pre-pregnancy exercise program without limitations.” “You may continue exercising, but make sure to decrease the intensity of exercises. You may return to your pre-pregnancy exercise program two weeks after delivery.” “You should modify the intensity and type of your exercises. Non-weight-bearing exercises are recommended.”

45 minutes after a contraction stress test (CST), three 40-second-long contractions are observed within 10 minutes, followed by two more in the next 7 minutes. contractions within the next five minutes. During more than 50% of the contractions, the fetal rate is determined to decrease at the end and after the contraction. What would be the appropriate priority course of action for the midwife after the CST in this case?

A patient with a history of type II diabetes and a BMI of 33 is interested to know whether she can breastfeed after giving birth. What would be a correct answer?

A patient tested positive on a home pregnancy test. She got her last period on September 29, 2020. What would be the patient's EDD (estimated date of delivery) according to Nagele’s rule?

A patient at 31 weeks’ gestation is admitted with severe hydramnios. Please indicate which of the following interventions would be appropriate:

A patient in labor received spinal anesthesia. Which of the following is an appropriate action for the midwife?

Please identify which of the following are indications for induction of labor:

The lab tests of a patient in labor revealed a hemoglobin level of 10 g/dL and a hematocrit concentration of 34%. In the postpartum period, the patient has an increased risk of...

Several minutes after a successful vaginal delivery, lengthening of the umbilical cord occurs and the midwife notices a gush of vaginal blood. These are an indication that...

A patient with multiple pregnancy is transported to the delivery operating room for cesarean delivery. The patient should be placed in which position in the operating room?

Please indicate the most effective method to prevent pregnancy is...

Please indicate which of the following could be reasons for a couple to consider artificial insemination:

Please identify which of the following is a risk factor for uterine fibroids.

In which of the following cases, the midwife does not need to require the patient's heterosexual partner to be identified and treated?

Please identify which of the following statements indicates that a couple has primary infertility: The couple has been engaging in unprotected sex for ..., without conception occurring and with no previous conception reported.