Certified Midwife Exam Prep Technology & Digital Applications 3 — Questions and Answers
Question 1: A midwife uses a telehealth platform to conduct prenatal visits. Which factor is most critical to document in the medical record for each telehealth encounter?
- Patient location, technology platform used, and confirmation of informed consent for telehealth (Correct answer)
- The midwife's home address used during the visit
- The internet service provider's name
- Screenshot of the video call
Correct answer: Patient location, technology platform used, and confirmation of informed consent for telehealth
Telehealth documentation must include patient location (for licensure and emergency purposes), platform, and consent to meet legal and billing requirements.
Question 2: A practice is evaluating EHR systems. Which interoperability standard enables structured sharing of clinical documents between different EHR platforms?
- HL7 CDA (Clinical Document Architecture) (Correct answer)
- PDF/A archiving format
- CSV data export
- JPEG image compression
Correct answer: HL7 CDA (Clinical Document Architecture)
HL7 CDA is the standard for structured, semantically interoperable clinical documents exchanged between disparate EHR systems.
Question 3: During a postpartum telehealth visit, a patient's video feed is pixelated and audio is cutting out. How should the midwife proceed?
- Switch to telephone visit, document the technology limitation, and ensure clinical assessment is complete (Correct answer)
- End the visit and ask the patient to reschedule in person
- Continue the visit accepting reduced audio/video quality
- Ask the patient to fix their internet before rescheduling
Correct answer: Switch to telephone visit, document the technology limitation, and ensure clinical assessment is complete
Switching to telephone maintains clinical continuity; documenting the limitation protects the provider and ensures billing accuracy.
Question 4: A midwife wants to message a patient about lab results. Which communication method is HIPAA-compliant?
- A secure, encrypted patient portal messaging system (Correct answer)
- Standard SMS text message from a personal cell phone
- Personal email without encryption
- Posting results to the practice's public social media page
Correct answer: A secure, encrypted patient portal messaging system
Only encrypted, secure messaging systems with access controls meet HIPAA technical safeguard requirements for PHI transmission.
Question 5: In obstetric care, what does the acronym 'CTG' refer to in the context of digital fetal monitoring technology?
- Cardiotocography — simultaneous electronic recording of fetal heart rate and uterine contractions (Correct answer)
- Cervical Tissue Grading — ultrasound cervical assessment tool
- Computerized Triage Guide — clinical decision support algorithm
- Continuous Telemetry Gateway — wireless data transmission hub
Correct answer: Cardiotocography — simultaneous electronic recording of fetal heart rate and uterine contractions
Cardiotocography (CTG) is the electronic monitoring technique that simultaneously records fetal heart rate and uterine contraction patterns.
Question 6: A midwife receives a phishing email appearing to come from the EHR vendor asking for login credentials. What is the correct response?
- Report the email to the IT security team and do not click any links or provide credentials (Correct answer)
- Reply with credentials since it appears to be from the vendor
- Forward to colleagues to warn them using the same email
- Unsubscribe using the link in the email
Correct answer: Report the email to the IT security team and do not click any links or provide credentials
Legitimate vendors never request credentials via email; phishing attempts must be reported to IT security immediately without interaction.
Question 7: Which type of clinical decision support tool would best help a midwife calculate gestational age from an irregular last menstrual period?
- An EHR-integrated obstetric wheel calculator using ultrasound biometry data (Correct answer)
- A general BMI calculator
- A medication dosing calculator
- A laboratory reference range tool
Correct answer: An EHR-integrated obstetric wheel calculator using ultrasound biometry data
An obstetric wheel calculator using ultrasound biometry provides the most accurate gestational age when LMP is uncertain.
Certified Midwife Exam Prep Technology & Digital Applications 3
A midwife uses a telehealth platform to conduct prenatal visits.
Which factor is most critical to document in the medical record for each telehealth encounter?