CMA Medications & Pharmacology in Midwifery 2

Question 1

Oxytocin augmentation during labor requires which type of monitoring?

Accepted Answer

Continuous electronic fetal monitoring

Answer

Continuous EFM is required during oxytocin augmentation to detect fetal intolerance (late decelerations, prolonged decelerations) from uterine hyperstimulation.

Question 2

Which analgesic crosses the placenta most readily and can cause neonatal respiratory depression if given close to delivery?

Accepted Answer

IV opioids (e.g., fentanyl, morphine)

Answer

IV opioids cross the placenta and can cause neonatal respiratory depression; their timing must be managed carefully to minimize neonatal exposure near delivery.

Question 3

Naloxone (Narcan) is administered to a newborn to reverse respiratory depression caused by:

Accepted Answer

Maternal opioid analgesics given during labor

Answer

Naloxone reverses opioid-induced neonatal respiratory depression by competitively blocking opioid receptors in the newborn.

Question 4

Betamethasone (Celestone) is given to pregnant women threatened with preterm labor between 24–34 weeks to promote:

Accepted Answer

Fetal lung maturity

Answer

Antenatal corticosteroids such as betamethasone accelerate fetal lung surfactant production, significantly reducing respiratory distress syndrome in preterm newborns.

Question 5

Misoprostol (Cytotec) used for cervical ripening is administered via which route?

Accepted Answer

Buccal, sublingual, or intravaginal routes

Answer

Misoprostol can be administered buccally, sublingually, vaginally, or orally depending on clinical indication and institutional protocol.

CMA - Certified Midwife Assistant Practice Test

CMA - Certified Midwife Assistant Practice Test

CMA Medications & Pharmacology in Midwifery 2