Free Certified Nurse Midwife Question and Answers — Questions and Answers
Question 1: Which of the following is not a side effect of pregnancy-related uncontrolled hypertension?
- Macrosomia
- Preterm delivery
- Increased fetal loss
- Pre-eclampsia (Correct answer)
Correct answer: Pre-eclampsia
Pre-eclampsia is a serious pregnancy complication characterized by new-onset high blood pressure and signs of damage to another organ system, most often the liver and kidneys. It is a *condition* that arises from uncontrolled hypertension in pregnancy, not a side effect of it. Macrosomia, preterm delivery, and increased fetal loss are indeed potential complications or consequences of uncontrolled hypertension during pregnancy.
Question 2: When a pregnant woman's amniotic fluid is green, it indicates
- Malaria
- Meconium (Correct answer)
- Abortion
- Jaundice
Correct answer: Meconium
When a pregnant woman's amniotic fluid is green, it typically indicates the presence of meconium, which is the baby's first stool. The passage of meconium into the amniotic fluid before birth can be a sign of fetal distress. This condition requires close monitoring as it can lead to meconium aspiration syndrome if the baby inhales the fluid.
Question 3: Which of the following symptoms does not indicate severe preeclampsia?
- Thrombocytosis (Correct answer)
- elevated liver enzymes by hemolysis
- Pulmonary edema
- Epigastric pain
Correct answer: Thrombocytosis
Severe preeclampsia is characterized by various symptoms and lab abnormalities, including elevated liver enzymes, pulmonary edema, and epigastric pain. Thrombocytopenia (low platelet count) is a common finding, indicating platelet consumption. Thrombocytosis, which is an *increase* in platelets, is not a typical symptom of severe preeclampsia; rather, a decrease in platelets is expected.
Question 4: Except for one, each of these is a clinical sign of preeclampsia.
- General edema
- Headache
- Seizure (Correct answer)
- Hypertension
Correct answer: Seizure
Preeclampsia is characterized by hypertension and proteinuria or other organ dysfunction. While headache and general edema are common clinical signs, a seizure is the defining symptom of eclampsia, which is a *progression* of preeclampsia. Therefore, a seizure indicates the more severe condition of eclampsia, not just preeclampsia itself.
Question 5: The standardized list includes 554 studies on nursing interventions.
- NIC (Correct answer)
- NNU
- NIPDS
- NUCC
Correct answer: NIC
NIC stands for Nursing Interventions Classification. It is a comprehensive, standardized classification of nursing treatments and actions performed by nurses. The NIC system includes a vast list of interventions, providing a common language for nurses to describe the care they provide, which aids in documentation, research, and education across healthcare settings.
Question 6: A clinodactyly patient will have one of the following:
- Hypertrophied clitoris
- pectus excavatum presence
- bent or curved finger (Correct answer)
- none of the above
Correct answer: bent or curved finger
Clinodactyly is a medical term referring to the curvature or bending of a digit (finger or toe) in the plane of the palm. It is most commonly observed in the little finger, where it bends towards the ring finger. This condition is often congenital and can sometimes be associated with certain genetic syndromes.
Question 7: Which of these statements on Good Samaritan laws is accurate?
- Able to attend situation in emergency
- Free medical provider for all (Correct answer)
- Always help the sick
- Provision of welfare services
Correct answer: Free medical provider for all
Good Samaritan laws are enacted to protect individuals who voluntarily provide reasonable assistance to those in an emergency, shielding them from legal liability. While these laws do not directly establish free medical care for all, they encourage people, including healthcare professionals, to offer aid without fear of being sued, thereby facilitating the provision of immediate, often unpaid, assistance in critical situations. This protection aims to ensure that help is rendered without financial barriers for the rescuer, making emergency aid accessible.
Free Certified Nurse Midwife Question and Answers
Which of the following is not a side effect of pregnancy-related uncontrolled hypertension?