Certified Midwife Exam Prep Intrapartum Management & Labor Support

Question 1

A patient in active labor has a Category II fetal heart rate tracing. What is the midwife's priority action?

Accepted Answer

Apply intrauterine resuscitation measures and continue monitoring

Answer

Category II tracings are indeterminate and require intrauterine resuscitation (repositioning, IV fluids, oxygen) and close ongoing evaluation.

Question 2

Which Bishop score indicates a favorable cervix for labor induction?

Accepted Answer

Score ≥8

Answer

A Bishop score of ≥8 indicates a favorable cervix and predicts successful labor induction similar to spontaneous labor outcomes.

Question 3

Which fetal heart rate pattern is most reassuring during active labor?

Accepted Answer

Early decelerations with moderate variability

Answer

Early decelerations are benign, caused by fetal head compression during contractions, and are reassuring when accompanied by moderate variability.

Question 4

A laboring patient at 7 cm dilation suddenly reports a severe, tearing abdominal pain with cessation of contractions and fetal bradycardia. What is the most likely diagnosis?

Accepted Answer

Uterine rupture

Answer

Uterine rupture presents with sudden severe abdominal pain, cessation of contractions, fetal bradycardia, and often a loss of fetal station.

Question 5

What is the recommended maximum dose of oxytocin for labor augmentation according to standard low-dose protocols?

Accepted Answer

20 mU/min

Answer

Standard low-dose oxytocin protocols typically cap at 20 mU/min to minimize the risk of uterine tachysystole and fetal distress.

Certified Midwife Exam Prep Practice Test

Certified Midwife Exam Prep Practice Test

Certified Midwife Exam Prep Intrapartum Management & Labor Support