NARM Clinical Knowledge and Skills 5

Question 1

Which finding during a newborn's initial assessment is a normal variant that requires no intervention?

Accepted Answer

Epstein's pearls on the hard palate

Answer

Epstein's pearls are small, benign epithelial inclusion cysts on the hard palate that disappear spontaneously within weeks and require no treatment.

Question 2

A client at 38 weeks develops a temperature of 38.5°C (101.3°F) in active labor with rupture of membranes for 18 hours. The most likely diagnosis is:

Accepted Answer

Intra-amniotic infection (chorioamnionitis)

Answer

Fever after prolonged rupture of membranes strongly suggests intra-amniotic infection (chorioamnionitis), which requires antibiotics and expedited delivery.

Question 3

Which station indicates that the leading bony part of the presenting part is at the level of the ischial spines?

Accepted Answer

0 station

Answer

Station 0 means the presenting part is at the level of the ischial spines; negative stations are above and positive stations are below the spines.

Question 4

A client experiencing postpartum hemorrhage has a firmly contracted uterus and ongoing vaginal bleeding. The most likely source of bleeding is:

Accepted Answer

Genital tract laceration

Answer

When the uterus is well-contracted yet bleeding continues, a laceration of the cervix, vagina, or perineum is the most probable cause and requires thorough inspection.

Question 5

When counseling a client about Group B Streptococcus (GBS) prophylaxis, which scenario requires intrapartum antibiotic administration?

Accepted Answer

GBS-positive vaginal/rectal culture at 36 weeks with planned vaginal delivery

Answer

A client with a GBS-positive culture who plans a vaginal delivery requires intrapartum IV penicillin G (or appropriate alternative) to prevent early-onset neonatal GBS disease.

(NARM) North American Registry of Midwives Practice Test

(NARM) North American Registry of Midwives Practice Test

NARM Clinical Knowledge and Skills 5