NARM Emergency and Complication Management

Question 1

Which is the first action a midwife should take if a patient experiences a postpartum hemorrhage?

Accepted Answer

Assess and manage uterine tone and administer uterotonics

Answer

Administer intravenous antibiotics

Answer

Perform a manual placenta removal

Answer

Prepare for an emergency cesarean section

Question 2

What is the primary intervention for managing shoulder dystocia during vaginal delivery?

Accepted Answer

Using the McRoberts maneuver and applying suprapubic pressure

Answer

Administering oxytocin to stimulate contractions

Answer

Performing an emergency cesarean section

Answer

Initiating neonatal resuscitation immediately

Question 3

Which condition is characterized by severe hypertension and proteinuria during pregnancy and requires immediate medical intervention?

Accepted Answer

Eclampsia

Answer

Gestational diabetes

Answer

Hyperemesis gravidarum

Answer

Preterm labor

Question 4

What is the recommended management for a patient presenting with a prolonged rupture of membranes (PROM) and signs of infection?

Accepted Answer

Begin broad-spectrum intravenous antibiotics and monitor closely

Answer

Initiate immediate labor induction with oxytocin

Answer

Perform a cesarean section

Answer

Administer a tocolytic agent to delay labor

Question 5

What is the appropriate initial management for a newborn presenting with respiratory distress immediately after birth?

Accepted Answer

Provide positive pressure ventilation

Answer

Administer intravenous fluids

Answer

Start an intravenous antibiotic regimen

Answer

Perform a complete blood count (CBC) test