NARM Pharmacology and Medications 2

Question 1

A client at 38 weeks gestation has a postpartum hemorrhage risk. Which medication is the FIRST-LINE uterotonic recommended by ACOG and used by CPMs within their scope?

Accepted Answer

Oxytocin 10 units IM

Answer

Oxytocin 10 units IM is the first-line uterotonic for postpartum hemorrhage prevention and treatment per ACOG guidelines.

Question 2

When administering Vitamin K (phytonadione) to a newborn, what is the correct intramuscular dose?

Accepted Answer

1 mg

Answer

The standard prophylactic dose of Vitamin K1 for newborns is 1 mg IM, given within 6 hours of birth.

Question 3

A client reports she took metformin throughout pregnancy for type 2 diabetes. Which neonatal complication should the midwife monitor for immediately after birth?

Accepted Answer

Hypoglycemia

Answer

Neonates born to mothers on metformin or insulin are at risk for hypoglycemia due to fetal hyperinsulinism responding to maternal glucose levels.

Question 4

Which antibiotic is the standard prophylaxis given to GBS-positive clients in labor when they have no penicillin allergy?

Accepted Answer

Penicillin G 5 million units IV then 2.5 million units q4h

Answer

Penicillin G is the preferred agent for GBS intrapartum prophylaxis per CDC guidelines due to its narrow spectrum.

Question 5

A midwife administers erythromycin ophthalmic ointment to a newborn. What is the primary purpose of this prophylaxis?

Accepted Answer

Prevention of chlamydial and gonococcal conjunctivitis

Answer

Erythromycin 0.5% ophthalmic ointment is applied to prevent ophthalmia neonatorum caused by Neisseria gonorrhoeae and Chlamydia trachomatis.

(NARM) North American Registry of Midwives Practice Test

(NARM) North American Registry of Midwives Practice Test

NARM Pharmacology and Medications 2