NARM Midwifery Practice and Professionalism 3

Question 1

A midwife's client at 39 weeks is GBS-positive and declines IV antibiotics in labor. The midwife should:

Accepted Answer

Provide thorough counseling on risks to the newborn, document the informed refusal, and attend the birth with enhanced newborn monitoring

Answer

The midwife must respect autonomy, ensure the client is fully informed of neonatal GBS risks, document the refusal, and plan enhanced surveillance for the newborn.

Question 2

Which of the following is a core tenet of the midwifery model of care as recognized by MANA and reflected in NARM competencies?

Accepted Answer

Watchful waiting and non-intervention in normal processes unless warranted

Answer

The midwifery model emphasizes supporting physiologic birth, avoiding unnecessary interventions, and individualizing care based on client needs.

Question 3

A postpartum client at day 3 calls reporting a temperature of 100.6°F (38.1°C), tender uterus, and foul-smelling lochia. What is the midwife's priority action?

Accepted Answer

Assess urgently, as these findings suggest endometritis requiring prompt evaluation and likely antibiotic treatment

Answer

Fever, uterine tenderness, and foul lochia are classic signs of endometritis, a serious infection requiring urgent evaluation and treatment.

Question 4

During a prenatal visit, a client discloses recreational marijuana use. The midwife's most appropriate response is to:

Accepted Answer

Provide non-judgmental education on risks, document the disclosure, and continue supportive care

Answer

Non-judgmental counseling, education about fetal risks, and documentation are the appropriate professional responses; mandatory reporting thresholds vary by state and typically involve more serious concerns.

Question 5

The NARM Skills Assessment requires demonstration of competency in which of the following?

Accepted Answer

Newborn resuscitation, including bag-mask ventilation

Answer

Newborn resuscitation, including effective bag-mask ventilation, is a core clinical skill assessed in the NARM Skills Assessment for CPM candidates.

(NARM) North American Registry of Midwives Practice Test

(NARM) North American Registry of Midwives Practice Test

NARM Midwifery Practice and Professionalism 3