Certified Midwife Exam Prep Intrapartum Management & Labor Support 2

Question 1

Which non-pharmacological comfort measure has the strongest evidence for reducing labor pain and improving satisfaction?

Accepted Answer

Continuous labor support by a doula or midwife

Answer

Continuous labor support is the intervention with the strongest evidence base, shown to reduce cesarean rates, labor duration, and pain medication use.

Question 2

A patient is 41 weeks gestation with intact membranes and Bishop score of 4. Which cervical ripening agent is most commonly used?

Accepted Answer

Dinoprostone (PGE2) gel

Answer

Dinoprostone (PGE2) gel or insert is a commonly used pharmacological cervical ripening agent for unfavorable cervices prior to oxytocin induction.

Question 3

How is the second stage of labor defined?

Accepted Answer

Complete cervical dilation to delivery of the fetus

Answer

The second stage of labor begins at complete cervical dilation (10 cm) and ends with delivery of the fetus.

Question 4

Which maternal position change is recommended first when late decelerations are noted on the fetal monitor?

Accepted Answer

Left lateral decubitus (left side-lying)

Answer

Left lateral positioning relieves aortocaval compression, improves uteroplacental blood flow, and is the first-line positional intervention for late decelerations.

Question 5

A patient requests epidural analgesia at 5 cm dilation. Which assessment must be completed before epidural placement?

Accepted Answer

IV access confirmation and hydration bolus

Answer

IV access and a fluid bolus are required before epidural placement to reduce the risk of hypotension from sympathetic blockade.

Certified Midwife Exam Prep Practice Test

Certified Midwife Exam Prep Practice Test

Certified Midwife Exam Prep Intrapartum Management & Labor Support 2