Certified Midwife Exam Prep Pharmacology & Medications in Midwifery

Question 1

Which uterotonic agent is the first-line choice for active management of the third stage of labor according to WHO guidelines?

Accepted Answer

Oxytocin

Answer

Misoprostol

Answer

Ergometrine

Answer

Carboprost

Question 2

A patient in active labor is receiving IV oxytocin for augmentation. Which finding would prompt the midwife to immediately discontinue the infusion?

Accepted Answer

Prolonged fetal heart rate deceleration lasting 3 minutes

Answer

Mild lower back pain between contractions

Answer

Cervical dilation progressing to 7 cm

Answer

Maternal request for additional pain management

Question 3

What is the standard dose of Vitamin K prophylaxis administered to neonates to prevent hemorrhagic disease of the newborn?

Accepted Answer

1 mg IM

Answer

0.5 mg IM

Answer

2 mg IM

Answer

5 mg IM

Question 4

Which antibiotic is preferred for Group B Streptococcus (GBS) intrapartum prophylaxis in a penicillin-allergic patient with low risk of anaphylaxis?

Accepted Answer

Cefazolin

Answer

Vancomycin

Answer

Clindamycin

Answer

Erythromycin

Question 5

A patient with severe preeclampsia is receiving magnesium sulfate. Which clinical finding most clearly indicates magnesium toxicity?

Accepted Answer

Loss of deep tendon reflexes

Answer

Urine output of 35 mL/hr

Answer

Respiratory rate of 16 breaths/min

Answer

Serum magnesium level of 5 mEq/L

Question 6

Which analgesic is contraindicated in a breastfeeding mother due to the risk of Reye's syndrome in the infant?

Accepted Answer

Aspirin

Answer

Acetaminophen

Answer

Ibuprofen

Answer

Naproxen

Question 7

A patient at 36 weeks gestation presents with a blood pressure of 165/112 mmHg. Which antihypertensive agent is a first-line choice for acute management?

Accepted Answer

Labetalol

Answer

Enalapril

Answer

Lisinopril

Answer

Atenolol