Question 1

Which supplement is recommended preconception to prevent Neural Tube Defects?

  • [ ] Iron.

  • [✓] Folic Acid. (CORRECT)

  • [ ] Calcium.

  • [ ] Vitamin C.

Question 2

"Hegar’s" sign is defined as:

  • [ ] Bluish discoloration of the cervix.

  • [✓] Softening of the lower uterine segment. (CORRECT)

  • [ ] Vaginal pulsations.

  • [ ] Fetal movement.

Question 3

In Leopold’s maneuvers, the first maneuver is used to determine:

  • [ ] Fetal back location.

  • [✓] Fetal part in the fundus. (CORRECT)

  • [ ] Descent into the pelvis.

  • [ ] Fetal heart rate.

Question 4

Magnesium Sulfate is administered to a preeclamptic patient to prevent:

  • [ ] Hemorrhage.

  • [✓] Seizures (Eclampsia). (CORRECT)

  • [ ] Hypotension.

  • [ ] Preterm labor.

Question 5

Painless, bright red vaginal bleeding in the third trimester is most likely:

  • [ ] Abruptio Placentae.

  • [✓] Placenta Previa. (CORRECT)

  • [ ] Spontaneous abortion.

  • [ ] Labor onset.

Question 6

In the event of a Cord Prolapse, the priority of Midwife action is:

  • [ ] Push the cord back.

  • [✓] Relieve pressure on the cord by manually elevating the fetal part. (CORRECT)

  • [ ] Cover the cord with dry gauze.

  • [ ] Encourage the mother to walk.

Question 7

In Apgar scoring, if a newborn is completely blue (cyanotic), the score for color is:

  • [ ] 1.

  • [✓] 0. (CORRECT)

  • [ ] 2.

  • [ ] 3.

Question 8

Oxytocin is secreted by the:

  • [ ] Anterior Pituitary.

  • [✓] Posterior Pituitary. (CORRECT)

  • [ ] Oaries.

  • [ ] Uterus.

Question 9

Which of the following is a danger sign in the first trimester?

  • [ ] Morning sickness.

  • [✓] Vaginal bleeding. (CORRECT)

  • [ ] Urinary frequency.

  • [ ] None of the above.

Question 10

A postpartum patient was in labor for 30 hours and had ruptured membranes for 24 hours. For which of the following should the midwife be alert?

  • [✓] Endometritis (CORRECT)

  • [ ] Endometriosis

  • [ ] Salpingitis

  • [ ] Pelvic thrombophlebitis

Question 11

A client at 36 weeks' gestation is scheduled for a routine ultrasound prior to amniocentesis. After teaching the client about the purpose of the ultrasound, which of the following client statements would indicate to the midwife in charge that the client needs further instruction?

  • [ ] The ultrasound will help to locate the placenta.

  • [✓] The ultrasound identifies blood flow through the umbilical cord. (CORRECT)

  • [ ] The test will determine where to insert the needle.

  • [ ] The ultrasound locates a pool of amniotic fluid.

Question 12

While the postpartum client is receiving heparin for thrombophlebitis, which of the following drugs would the midwife expect to administer if the client develops complications related to heparin therapy?

  • [ ] calcium gluconate

  • [✓] Protamine sulfate (CORRECT)

  • [ ] Methylergonovine (Methergine)

  • [ ] Nitrofurantoin (Macrodantin)

Question 13

A primigravida in active labor is about 9 days’ post-term. The client desires a bilateral pudendal block anesthesia before delivery. After the midwife explains this type of anesthesia to the client, which of the following locations identified by the client as the area of relief would indicate to the midwife that the teaching was effective?

  • [ ] Back

  • [ ] Abdomen

  • [ ] Fundus

  • [✓] Perineum (CORRECT)

Question 14

The midwife is caring for a primigravida at about 2 months and 1-week gestation. After explaining self-care measures for common discomforts of pregnancy, the midwife determines that the client understands the instructions when she says:

  • [✓] "Nausea and vomiting can be decreased if I eat a few crackers before rising." (CORRECT)

  • [ ] "If I start to leak colostrum, I should cleanse my nipples with soap and water."

  • [ ] "If I have a vaginal discharge, I should wear nylon underwear."

  • [ ] "Leg cramps can be alleviated if I put an ice pack on the area."

Question 15

A midwife is caring for a client in labor. The midwife determines that the client is beginning in the second stage of labor when which of the following assessments is noted?

  • [ ] The client begins to expel clear vaginal fluid.

  • [ ] The contractions are regular.

  • [ ] The membranes have ruptured

  • [✓] The cervix is dilated completely. (CORRECT)

Last modified: Sunday, 13 September 2026, 12:17 PM