Certified Midwife Exam Prep Certified Professional Midwife 2

Question 1

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?

Accepted Answer

Administer magnesium sulfate and arrange immediate transfer

Answer

BP ≥160/110 with proteinuria meets criteria for severe preeclampsia requiring magnesium sulfate prophylaxis and urgent hospital transfer.

Question 2

Which fetal presentation is associated with the highest risk of cord prolapse?

Accepted Answer

Footling breech

Answer

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.

Question 3

According to NARM standards, which of the following is within the CPM's scope of practice for newborn care?

Accepted Answer

Administering vitamin K prophylaxis

Answer

Vitamin K prophylaxis (intramuscular injection) is a standard CPM newborn care procedure within scope of practice.

Question 4

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?

Accepted Answer

Initiate immediate transport to a hospital

Answer

Thick meconium combined with fetal bradycardia (100 bpm) indicates fetal compromise requiring immediate hospital transfer for neonatal resuscitation capability.

Question 5

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?

Accepted Answer

A full bladder

Answer

A displaced, boggy uterus shortly postpartum is most commonly caused by a distended bladder pushing the uterus to the side.

Certified Midwife Exam Prep Practice Test

Certified Midwife Exam Prep Practice Test

Certified Midwife Exam Prep Certified Professional Midwife 2