Certified Nurse 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 Nurse Midwife flashcards as text
A laboring patient at 39 weeks gestation has a fetal heart rate baseline of 155 bpm with moderate variability and two accelerations in 20 minutes. How should the CNM interpret this tracing?
Answer: Category I (normal)
A baseline of 155 bpm with moderate variability and accelerations meets all criteria for a Category I (normal) fetal heart rate tracing.
Which medication is the preferred first-line treatment for postpartum hemorrhage caused by uterine atony?
Answer: Oxytocin (Pitocin)
Oxytocin is the first-line uterotonic agent for postpartum hemorrhage due to its safety profile, effectiveness, and rapid onset.
A newborn at 1 minute of life has a heart rate of 90 bpm, irregular respirations, grimace to stimulation, blue extremities, and flexed muscle tone. What is the Apgar score?
Answer: 6
Heart rate <100 (1) + irregular respirations (1) + grimace (1) + blue extremities/pink body (1) + flexed tone (1) = Apgar score of 6.
A G2P1 patient at 28 weeks presents with painless bright red vaginal bleeding. Which condition should be highest on the differential?
Answer: Placenta previa
Painless bright red vaginal bleeding in the second or third trimester is the classic presentation of placenta previa.
Under the Midwifery Model of Care, what is the primary role of the CNM when a patient has a normal, low-risk pregnancy?
Answer: Provide surveillance, support, and minimal intervention while promoting physiologic birth
The midwifery model emphasizes supporting physiologic processes, minimizing unnecessary interventions, and partnering with families in informed decision-making.
A breastfeeding mother asks about contraception postpartum. Which method is CONTRAINDICATED before 6 months postpartum in a fully breastfeeding woman per the CDC MEC?
Answer: Combined oral contraceptives
Combined hormonal contraceptives containing estrogen are CDC MEC Category 4 (contraindicated) before 30 days postpartum and Category 3 from 30 days to 6 months in breastfeeding women due to risk of reduced milk supply and infant exposure to estrogen.
Which finding on a routine prenatal visit at 24 weeks warrants immediate further evaluation?
Answer: Blood pressure of 138/88 mmHg on two readings 4 hours apart
A BP ≥140/90 mmHg on two readings at ≥20 weeks gestation meets the diagnostic criteria for gestational hypertension or preeclampsia and requires immediate evaluation.
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