Certified Midwife Flashcards
7 cards from real Certified Midwife Exam Prep practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Certified Midwife flashcards as text
A client at 36 weeks gestation presents with sudden severe headache, visual disturbances, and BP of 160/110 mmHg. What is the priority intervention?
Answer: Administer magnesium sulfate IV and prepare for delivery
Severe-range blood pressure with neurological symptoms indicates severe preeclampsia requiring magnesium sulfate for seizure prophylaxis and urgent delivery planning.
Which fetal heart rate pattern requires immediate intervention and expedited delivery?
Answer: Sinusoidal pattern with absent variability
A sinusoidal FHR pattern is associated with severe fetal anemia or hypoxia and is a Category III tracing requiring immediate action.
When using a partograph, a labor curve crossing to the right of the action line indicates:
Answer: Need for obstetric evaluation and possible intervention
Crossing the action line on the partograph signals that labor is not progressing adequately and obstetric review is required.
A newborn at 1 minute of life has a heart rate of 90 bpm, weak cry, flexion of extremities, grimace to stimulation, and blue hands and feet. What is the APGAR score?
Answer: 6
HR <100 (1) + weak cry (1) + some flexion (1) + grimace (1) + acrocyanosis (1) = 6.
Which finding on a biophysical profile (BPP) receives a score of 0 rather than 2?
Answer: Absent fetal breathing movements over 30 minutes
Fetal breathing movements must be present for at least 30 seconds within 30 minutes to score 2; absence scores 0.
A client at 10 weeks gestation reports first-trimester bleeding. Transvaginal ultrasound shows an empty gestational sac measuring 25 mm. The most appropriate diagnosis is:
Answer: Anembryonic pregnancy (blighted ovum)
A mean sac diameter ≥25 mm without an embryo is diagnostic of an anembryonic pregnancy.
Which group B Streptococcus (GBS) prophylaxis regimen is recommended for a penicillin-allergic client with low anaphylaxis risk?
Answer: Cefazolin 2 g IV then 1 g IV every 8 hours
CDC guidelines recommend cefazolin for penicillin-allergic clients at low risk of anaphylaxis because cross-reactivity is very low.
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