Certified Professional 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 Professional Midwife flashcards as text
A client at 38 weeks gestation presents with a blood pressure of 160/110 mmHg and 3+ proteinuria. What is the most appropriate next step?
Answer: Administer magnesium sulfate and arrange immediate transfer
BP ≥160/110 with proteinuria meets criteria for severe preeclampsia requiring magnesium sulfate prophylaxis and urgent hospital transfer.
Which fetal presentation is associated with the highest risk of cord prolapse?
Answer: Footling breech
Footling (incomplete) breech presents with the foot or feet as the lowest part, leaving space for the umbilical cord to prolapse beside or below the presenting part.
According to NARM standards, which of the following is within the CPM's scope of practice for newborn care?
Answer: Administering vitamin K prophylaxis
Vitamin K prophylaxis (intramuscular injection) is a standard CPM newborn care procedure within scope of practice.
A client in active labor at 41 weeks has meconium-stained amniotic fluid with thick, particulate consistency. The fetal heart rate is 100 bpm. What action should the CPM take?
Answer: Initiate immediate transport to a hospital
Thick meconium combined with fetal bradycardia (100 bpm) indicates fetal compromise requiring immediate hospital transfer for neonatal resuscitation capability.
When performing a postpartum fundal assessment 1 hour after delivery, the midwife notes the uterus is boggy and displaced to the right. What is the most likely cause?
Answer: A full bladder
A displaced, boggy uterus shortly postpartum is most commonly caused by a distended bladder pushing the uterus to the side.
Which herbal supplement is contraindicated during pregnancy due to its uterotonic properties?
Answer: Blue cohosh
Blue cohosh contains caulosaponin and caulophyllosaponin, which have documented uterotonic and potentially harmful vasoconstrictive effects on the fetus.
A newborn at 1 minute of age has a heart rate of 90 bpm, weak cry, some flexion of extremities, grimace response to stimulation, and blue extremities with pink body. What is this infant's APGAR score?
Answer: 6
HR<100=1, weak cry=1, some flexion=1, grimace=1, acrocyanosis=1, totaling an APGAR score of 6.
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