Certified Midwife Exam Prep Certified Midwife 5

Question 1

A breastfeeding client at 6 weeks postpartum asks about contraception. Which method has the least impact on milk supply?

Accepted Answer

Progestin-only pill (minipill)

Answer

Progestin-only methods do not suppress prolactin and are preferred in breastfeeding women; estrogen-containing methods can reduce milk volume.

Question 2

Which neonatal condition presents with a 'blueberry muffin' rash, cataracts, and sensorineural hearing loss?

Accepted Answer

Congenital rubella syndrome

Answer

The classic triad of congenital rubella syndrome includes cataracts, sensorineural deafness, and cardiac defects, often with purpuric 'blueberry muffin' skin lesions.

Question 3

During informed consent for a birth plan that includes declining IV access, the midwife's ethical obligation is to:

Accepted Answer

Provide complete information about risks, document the discussion, and respect the client's autonomous decision

Answer

Informed refusal requires the midwife to disclose risks, document the conversation thoroughly, and honor the competent client's autonomous choice.

Question 4

A newborn at 2 hours of life has a blood glucose of 38 mg/dL and is asymptomatic. The first intervention should be:

Accepted Answer

Encourage breastfeeding or provide formula feeding and recheck glucose in 1 hour

Answer

Asymptomatic hypoglycemia in the newborn is first managed with enteral feeding before escalating to IV dextrose.

Question 5

Which maternal position is most effective for managing second-stage arrest due to persistent occiput posterior position?

Accepted Answer

Hands-and-knees (all-fours) position

Answer

The hands-and-knees position uses gravity and abdominal relaxation to encourage rotation of an occiput posterior fetus.

Certified Midwife Exam Prep Practice Test

Certified Midwife Exam Prep Practice Test

Certified Midwife Exam Prep Certified Midwife 5