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

Oxytocin (10 IU IM) is the WHO-recommended first-line uterotonic for active management of the third stage of labor due to its efficacy and favorable side-effect profile.

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

Prolonged fetal heart rate decelerations indicate uterine hyperstimulation or fetal compromise, requiring immediate oxytocin discontinuation to restore fetal oxygenation.

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

The standard neonatal Vitamin K prophylaxis dose is 1 mg IM given within 6 hours of birth to prevent vitamin K deficiency bleeding (VKDB).

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

Cefazolin is the ACOG-preferred alternative for GBS prophylaxis in penicillin-allergic patients with low anaphylaxis risk because of its proven efficacy and safety.

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

Loss of deep tendon reflexes is a key early clinical sign of magnesium toxicity, indicating serum levels have exceeded the therapeutic range.

Certified Midwife Exam Prep Practice Test

Certified Midwife Exam Prep Practice Test

Certified Midwife Exam Prep Pharmacology & Medications in Midwifery