Certified Midwife Exam Prep Certified Midwife 2

Question 1

A client at 36 weeks gestation presents with sudden severe headache, visual disturbances, and BP of 160/110 mmHg. What is the priority intervention?

Accepted Answer

Administer magnesium sulfate IV and prepare for delivery

Answer

Severe-range blood pressure with neurological symptoms indicates severe preeclampsia requiring magnesium sulfate for seizure prophylaxis and urgent delivery planning.

Question 2

Which fetal heart rate pattern requires immediate intervention and expedited delivery?

Accepted Answer

Sinusoidal pattern with absent variability

Answer

A sinusoidal FHR pattern is associated with severe fetal anemia or hypoxia and is a Category III tracing requiring immediate action.

Question 3

When using a partograph, a labor curve crossing to the right of the action line indicates:

Accepted Answer

Need for obstetric evaluation and possible intervention

Answer

Crossing the action line on the partograph signals that labor is not progressing adequately and obstetric review is required.

Question 4

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?

Accepted Answer

6

Answer

HR <100 (1) + weak cry (1) + some flexion (1) + grimace (1) + acrocyanosis (1) = 6.

Question 5

Which finding on a biophysical profile (BPP) receives a score of 0 rather than 2?

Accepted Answer

Absent fetal breathing movements over 30 minutes

Answer

Fetal breathing movements must be present for at least 30 seconds within 30 minutes to score 2; absence scores 0.

Certified Midwife Exam Prep Practice Test

Certified Midwife Exam Prep Practice Test

Certified Midwife Exam Prep Certified Midwife 2