Certified Midwife Exam Prep Certified Professional Midwife 4

Question 1

Leopold's maneuvers are performed to assess fetal position. Which maneuver identifies fetal lie by palpating the uterine fundus?

Accepted Answer

First maneuver

Answer

The first Leopold's maneuver involves palpating the fundal area to determine which fetal pole (head or breech) occupies the fundus, establishing fetal lie.

Question 2

A laboring client at 8 cm dilation suddenly reports severe, constant abdominal pain with a rigid, board-like uterus and heavy vaginal bleeding. FHR shows late decelerations. What is the MOST likely diagnosis?

Accepted Answer

Placental abruption

Answer

Sudden severe abdominal pain, rigid uterus, vaginal bleeding, and late decelerations are classic signs of placental abruption requiring immediate transport.

Question 3

What is the BEST clinical indicator that the placenta has separated and is ready for delivery?

Accepted Answer

The umbilical cord lengthens at the introitus

Answer

Cord lengthening at the vulva (Brandt-Andrews sign) occurs as the separated placenta descends into the lower uterine segment, indicating readiness for delivery.

Question 4

A client at 28 weeks gestation with Rh-negative blood type has a minor car accident with no apparent injuries. What intervention is indicated?

Accepted Answer

Administer 300 mcg RhoGAM within 72 hours

Answer

Any potentially sensitizing event after 12 weeks in an Rh-negative client warrants the standard 300 mcg RhoGAM dose within 72 hours to prevent Rh isoimmunization.

Question 5

When assessing a client's pelvis using clinical pelvimetry, which measurement is MOST predictive of the ability of the fetal head to pass through?

Accepted Answer

Diagonal conjugate

Answer

The diagonal conjugate is the clinically measurable AP diameter; subtracting 1.5–2 cm estimates the obstetric conjugate, the true narrowest inlet measurement.

Certified Midwife Exam Prep Practice Test

Certified Midwife Exam Prep Practice Test

Certified Midwife Exam Prep Certified Professional Midwife 4