/118 0 Maternal Nursing Methodology Preparation 1 / 118 1) Procedure of daily examination of the baby: all activities below are right except one, which one? a. Weight the baby if indicated b. Redress the baby and give back to the parents c. Wash hands, undertake a general examination of the baby d. Undress the baby and undertake the ‘toe to top’ examination 2 / 118 2) During labor, the midwife may not undertake a vaginal examination to: a. Confirm the onset of labor b. Perform an artificial rupture of membranes c. Confirm the placenta praevia d. Identify the presentation 3 / 118 3) When performing CPR on an adult, approximately how deeply should the chest be compressed? a. 1-2 cm b. 4-5 cm c. 2-3 cm d. 6-7 cm 4 / 118 4) Correct attachment of the baby at the breast: all are correct except one. Which one is incorrect? a. Baby’s chin touching breast b. Lower lip turn upward c. Mouth wide open d. More alveola visible about baby’s mouth 5 / 118 5) You witness an 25-year-old pregnant female collapse, she appears unconscious. What is the first step in patient management? a. Begin chest compression b. Give two rescue breaths c. Check color, movement, breathing and heart rate d. Open the patient’s airway 6 / 118 6) How many methods of vulval toilet? a. 2 methods b. 4 methods c. 1 method d. 3 methods 7 / 118 7) What is the name Expulsion of the placenta when the fetal surface appears first at the vulva, with the membranes behind? a. Weckert b. Matthews Duncan c. Schultze d. Middleton 8 / 118 8) Drug will be administered in maternal resuscitation: (All the answers below are right except one, which one?) a. Atropine b. Sodium bicarbonate c. Adrenaline d. Magnesium sulfate 9 / 118 9) Definition of first stage of labour: Not yet in active labour? a. When cervix dilated 1 to 3cm b. When cervix dilated 1 to 4cm c. When cervix dilated 0 to 2cm d. When cervix dilated 0 to 3cm 10 / 118 10) For which of these heart rates would you provide chest compression with ventilation to a neonate? a. 100 bpm b. 65 bpm c. 75 bpm d. <60 bpm 11 / 118 11) Anatomy of the breast: Recent research (Geddes 2009) suggests that: a. there are 19-22 ducts onto the nipple b. there are 23-27 ducts onto the nipple c. there are 2-4 ducts onto the nipple d. there are 4-18 ducts onto the nipple 12 / 118 12) When ventilating an apneic adult with a pulse with a bag-mask device, you should: a. Attach 100% oxygen b. Deliver one breath every 8 seconds and make the chest rise visibly c. Squeeze the bag once every 3 seconds until the chest expands widely d. Provide each breath over than one second at a rate 0f 10-12 breaths/min 13 / 118 13) Urine: In reality a. 5 or more voids should be seen on days 5-6 b. 1 or more voids should be seen on days 1-2 c. Six or more voids after one week of age d. 3 or more voids should be seen on days 3-4 14 / 118 14) You attempt to ventilate an apneic (not breathing) patient with a bag mask device and notice very little chest expansion (chest rise) with each ventilation. What should you do? a. Ensure a proper mask seal, reposition the patient’s head and try to ventilate again b. Check to see if the bag mask device is damaged c. Intubate the patient d. Switch to a pocket face mask with oxygen 15 / 118 15) What volume of water should be filled on baby bath? a. One third full b. No more than half full c. More than half full d. Two third full 16 / 118 16) After delivery of a premature newborn, you warm, dry and stimulate the child for 30 seconds and provide bag-mask ventilation for an additional 30 seconds. The newborn’s heart rate is now 50 beats per minute. What is the most appropriate next step? a. Intramuscular adrenaline b. Intravenous normal saline bonus c. Endotracheal intubation d. Bag mask ventilation and chest compressions 17 / 118 17) To assess the presentation of the fetus is: a. Head: fells firmer, more rounded and ballotable, b. Fetal breath c. shoulder d. Buttocks: feel softer, less ballotable, bulkier, less clearly defined 18 / 118 18) What is not included in the bed making’s principles? a. Before commencing, all equipment should be ready b. The woman’s preference should not be considered c. Ensuring none of the bedding touches the floor d. Working in a coordinated way 19 / 118 19) Urine: In the first few days of life term baby micturate a. 15-60mL/kg per day b. 30-80mL/kg per day c. 25-75mL/kg per day d. 20-70mL/kg per day 20 / 118 20) Below is a high risk category for standard precaution use to be considered for Childbearing women, except one: a. And body fluid during care. b. There is exposure to large amounts of blood c. Prolong labor or hemorrhage during delivery d. Unprotected sexual intercourse is likely to have taken place 21 / 118 21) Birth weight of newborn is generally regained a. by one and half weeks of age. b. by half week of age. c. by one week of age. d. by two weeks of age. 22 / 118 22) Hand expressing of breast milk? (All the answers below are correct except one, which one?) a. Gentle massage of the breast using the fingers of clenched fist to 'roll' up the breast towards the nipple. b. Relaxed peaceful environment in which the baby (or photograph) is near c. The nipple should then be gently rolled between the finger and thumb to stimulate the oxytocin d. Leaning forwards and gently shaking the breasts 23 / 118 23) Reed et al (2009) state that the presence of a nuchal cord occurs: a. in 5-7% of deliveries b. in 10-37% of deliveries c. in 40-50% of deliveries d. in 7-9% of deliveries 24 / 118 24) What kind of the soap should be used to clean the baby? a. Neutral pH soap b. Normal soap c. Any soap d. Alkaline soap 25 / 118 25) Which presentation that the chin may be felt? a. Breech b. Shoulder c. Cephalic d. Face 26 / 118 26) A normal expiratory breath of adult approximately: a. 400-600 mL b. 100-200mL c. 600-800mL d. 200-400 mL 27 / 118 27) Umbilicus: The cord usually separates a. within 16-18 days b. within 18-25 days c. within 2-4 days d. within 5-16 days 28 / 118 28) Signs of separation and descent of the placenta, bleeding: a. 20-50mL may trickle from the vagina b. 30-60mL may trickle from the vagina c. 50-80mL may trickle from the vagina d. 40-70mL may trickle from the vagina 29 / 118 29) Which is not the procedure of normal delivery? a. As the next contraction occurs and the woman has urges to push again, apply traction to the posterior shoulder to deliver it, followed by traction in the opposite direction to deliver the anterior one b. As the head crowns, consider applying gentle pressure to it with one hand to slow the delivery c. As the fetus reaches the perineum, the perineum is seen to stretch d. Restitution will be seen followed by external rotation of the head as the shoulders rotate 30 / 118 30) A baby that is being fed effectively should defecate at least a. four times a day b. one time a day c. two times a day d. three times a day 31 / 118 31) Hand decontamination should be practiced: a. Before clients visited to avoid the contamination b. After contact the patients only c. routinely and thoroughly before and after every episode of direct contact or care (before applying and removing gloves) d. Not necessary, just wash before eating it enough 32 / 118 32) Principle of abdominal examination is below except one: a. Measuring the symphysis fundal height b. Visual appearance of the abdomen c. Assessing the uterine fundus d. Mother health is priority 33 / 118 33) In normal labor, what frequency of vaginal examination that midwife should do? a. Every 2 hours b. Every hour c. Every 5 hours d. Every 4 hours 34 / 118 34) For primigravida, what is right step of cervix dilatation? a. Dilatation usually precedes effacement b. Effacement and dilatation occur simultaneously c. Effacement occur long time after dilatation d. Effacement usually precedes dilatation 35 / 118 35) The Apgar scores are undertaken in: a. 1 minute, 4 minutes and 8 minutes b. 1 minute, 5 minutes and 10 minutes c. 1 minute, 3 minutes and 5 minutes d. 1 minute, 6 minutes and 12 minutes. 36 / 118 36) Definition of first stage of labour: In active labour? a. When cervix is not fully effaced and dilated 2 cm or more or to 10cm b. When cervix is fully effaced and dilated 2 cm or more or to 10cm c. When cervix is fully effaced, and dilated 3cm or more or to 10cm d. When cervix is not fully effaced and dilated 3 cm or more or to 10cm 37 / 118 37) A healthy term baby undergoes a diuresis from intra to extra uterine adaptation. This results in a physiological weight loss of: a. 8-12% of its birth weight within the first 3-4 days. b. 5-10% of its birth weight within the first 3-4 days. c. 2-3% of its birth weight within the first 3-4 days. d. 3-5% of its birth weight within the first 3-4 days. 38 / 118 38) In Formula feeding, The Baby Friendly Initiative is clear that : a. The production and manufacture of artificial milk has many unanswered question b. Formula milk may contain bacteria. c. Women should make infant feeding choices based on accurate and full information of all possible options. d. The long-term consequences of a formula-fed nation are not yet fully realized. 39 / 118 39) What activity the midwife should not do to perform bed bathing? a. Vulval toilet b. Oral hygiene, hair washing, pedicure, manicure c. Assessment of woman’s knowledge d. Observation of the skin 40 / 118 40) There are necessary to express breast milk when: (All the answers below are correct except one, which one?) a. Problems attaching the baby at the breast b. Sleepy reluctant feeders c. A clinical need to decrease the milk supply d. Separation from the baby 41 / 118 41) Recognition of collapse: The MW should be aware of the situations when apnoea and/or cardiac arrest may occur among women: (All the answers below are right except one. Which is the wrong one?) a. Little ante- or postpartum haemorrage b. Pulmonary embolism c. Amniotic fluid embolism (anaphylactoid syndrome of pregnancy) d. Eclampsia 42 / 118 42) All are contraindications of amniotomy except one, which one? a. Maternal HIV- negative status b. Placenta praevia c. Vasa praevia d. Preterm labor 43 / 118 43) Human cannot tolerate extreme changes at either end of the temperature range: a. temperatures above 42oc can result in brain dysfunction, coma, cardiovascular collapse and death b. should the temperature rise to 42.5oc, cellular damage will begin c. temperatures above 37oc can result in brain dysfunction, coma, cardiovascular collapse and death d. should the temperature rise to 40.5oc, cellular damage will not begin 44 / 118 44) Head of the newborn: Moulding should have resolved a. within the first 12H of birth b. within the first 24H of birth c. within the first 18H of birth d. within the first 10H of birth 45 / 118 45) A woman has just delivered 38-week-old infant, which of the following will you perform first? a. Check heart rate b. Warm and dry c. Suction airway d. Count respiration 46 / 118 46) The head of the newborn: Widely spaced of sutures may be indicative of:… All the answers below are right except one, which one? a. hydrocephalus b. lack of moulding or c. preterm baby or d. microcephaly or 47 / 118 47) What is not included in the role and responsibilities of midwife on hygiene on a woman? a. Record keeping b. Completing the procedure safety c. Not applying infection control d. Offering an individualized approach 48 / 118 48) Equipment required in formula milk: (All the answers below are correct except one, which one?) a. Plastic spatula or leveler b. Sterilisable tongs or tweezers c. Sterilizing equipment d. Bottles and teat brushes (metallic) 49 / 118 49) With active management, the cord is clamped immediately after delivery usually within: a. 40 seconds b. 50 seconds c. 30 seconds d. 20 seconds 50 / 118 50) Below is the answer of Antenatal Abdominal Examination except one: a. At antenatal assessments after 24 weeks of pregnancy, adapted according to gestation. b. After delivery c. Before a vaginal examination d. Prior auscultation of the fetal heart and use of CTG equipment 51 / 118 51) The effective feeding: As the baby breastfeeds, the MW observes: (there is one incorrect, which one?) a. The lower lip is not curled down b. Chin and breast are in closed contact c. Swallowing may be seen and heard d. The mouth is wide, sometimes the areola can be seen above the nipple, but little will be seen beneath the nipple. 52 / 118 52) Clamping the cord immediately following the birth of the baby or delaying clamping up to 3 minutes make no significant difference to PPH rates: This is the state of: a. Airey et al 2008 b. NICE 2007 c. McDonald & Middleton 2008 d. Soltani et al 2005 53 / 118 53) Which presentation that the buttock and or the feet may be felt? a. Face b. Breech c. Shoulder d. Cephalic 54 / 118 54) With the delivery of the baby, the intrauterine volume reduces drastically: a. From 5L before labor to 1L b. From 4.5L before labor to 0.6L c. From 4L before labor to 0.4L d. From 4L before labor to 0.5L 55 / 118 55) Which is not the principle of active management in third stage of labor? a. When the placenta appears at the vulva, traction should be applied in an downward direction to follow the curve the birth canal b. When the uterus contracted and signs of separation and descent are noted, place the non – dominant hand above the symphysis pubis, with thumb and fingers stretch across the abdomen and palm passing in ward c. Grasp the cord with the dominant hand and apply steady traction(controlled cord traction); at the same time, push the uterus upwards towards the umbilicus with the non-dominant hand (to reduce the risk of uterine inversion) d. If resistance is felt, stop, relieve the pressure from the dominant then the non-dominant hand and wait for a minute before attempting again, ensuring the uterus is contracted 56 / 118 56) Which Apgar score of a baby in 1 minute when the body is pink but the extremities are blues, the heart rate is under 100, the baby cries in response to stimuli, there is some flexion of the limbs, and the respiration of the baby is good and strong? a. 7 points b. 9 points c. 8 points d. 6 points 57 / 118 57) Amniotomy: Which researchers stated that: Based on cervical dilatation only, this occurs when the cervix dilates at less than 0.5cm per hour. a. Svardy et al (2007) b. NICE (2007) c. NICE (2005). d. Smyth et al (2007) 58 / 118 58) For reducing infection risks in daily examination: one statement is wrong, which one? a. If contact with body fluid, personal protective equipment is used. b. Standard precautions should be utilized c. It is important to avoid cross-infection from other sources d. Hand hygiene should be unscrupulous. 59 / 118 59) Which presentation that is smooth, round and firm and sutures or fontanelles may be felt? a. Cephalic b. Shoulder c. Breech d. Face 60 / 118 60) What is the technique of Formula feeding? a. The teat should administer regular drops, rather than a stream of milk b. The baby should be held securely, close to his parent, in a similar position to breastfeeding, so that eye contact can be maintained. c. The baby will suck and pause, retained the teat in his mouth. A bib may catch any of the dribbles. d. The teat needs to be under the baby’s tongue and the bottle tipped up far enough for air to be excluded from the teat. 61 / 118 61) The risk of Formula milk:” He suggests that the production and manufacture of artificial milk has many unanswered question – its composition, the role of genetically modified ingredients, the potential hazards in manufacture, to name but a few.” This is the state of: a. Bean (2001) b. Minchin (2000) c. NICE (2005) d. NICE (2007) 62 / 118 62) At term, the circulation of the placenta is approximately: a. 500-800mL/mn b. 200-400mL/mn c. 400-600mL/mn d. 300-500mL/mn 63 / 118 63) How many phases in third stage of labor? a. Four phases b. One phase c. Three phases d. Two phases 64 / 118 64) How to care the cord? a. Keep the cord dry and clean b. Apply with antibiotics c. Cover the cord with a bandage after cleaning d. Apply with antiseptics 65 / 118 65) At the uterus can be stimulated when the Antenatal Abdominal examination is performed, it should be undertaken cautiously when there is: a. Throughout labour b. Placental abruption and Preterm labour c. Face presentation d. Transverse presentation 66 / 118 66) The principle need to be apply correctly and the mid-wife need to be alert to the following situation of: a. Breast feed baby b. Examination per vaginam use of amnihook, fetal scalp electrods, etc c. Take a bath for a baby d. Temperature measurement 67 / 118 67) Rises in body temperature increase demands for oxygen and therefore increase the head rate: a. This is of significance for the pregnant women; the nature oxygen transfer to the fetus means that it is more likely to be compromised if the mother is not pyrexial. b. This is not significance for the pregnant women; the nature oxygen transfer to the fetus means that it is more likely to be compromised if the mother is pyrexial. c. This is not significance for the pregnant women; the nature oxygen transfer to the fetus means that it is more likely to be compromised if the mother is not pyrexial. d. This is of significance for the pregnant women; the nature oxygen transfer to the fetus means that it is more likely to be compromised if the mother is pyrexial. 68 / 118 68) Related to clamping the cord, Airey et al (2008): a. Suggest that keeping the baby level with the placental bed, or within 10cm above or below, has little effect on the size and speed of placental transfusion. b. State that the increase in early protein and iron levels with a 50% reduction in the number of blood transfusion needs for very low birth weight babies was found even with a delay in clamping of 30 seconds. c. State clamped the cord immediately following the birth of the baby or delaying clamping up to 3 minutes make no significant difference to PPH rates. d. Suggest delayed cord clamping increases placenta transfusion to the baby by 20%. 69 / 118 69) The baby should be able to flex the head a. 45-50º laterally towards his ear. b. 40-45º laterally towards his ear. c. 35-40º laterally towards his ear. d. 50-60º laterally towards his ear. 70 / 118 70) What is the name Expulsion of the placenta when the lower edge of the placenta descends first, the maternal surface appears at the vulva a. Middleton b. Weckert c. Matthews Duncan d. Schultze 71 / 118 71) What temperature of the water should be reasonable for the baby’s bath? a. More than 37 C b. It is about 37.5 C c. Not more than 37 C d. It is about 38 C 72 / 118 72) If the placenta is not delivering: a. within 20mn, the MW should refer to an obstetrician b. within 30mn, the MW should refer to an obstetrician c. within 10mn, the MW should refer to an obstetrician d. within 40mn, the MW should refer to an obstetrician 73 / 118 73) In second stage of labor, all activities that midwife can do, except one, which one? a. Teach women and their birthing partners how to utilise upright positions together b. Encourage and support women to adopt the positions of their choice in which they are most comfortable c. Have not confidence with their own ability to facilitate safe deliveries in different positions d. Consider the suitability of the environment and accessibility of equipment such as birthing balls, birthing chairs, etc… 74 / 118 74) Drug therapy for neonatal resuscitation: (All the answers below are right except one, which one?) a. Sodium bicarbonate 6.2% b. Adrenaline (10µg/kg) c. A bolus dose of 10mL/kg 0.9% saline. d. Dextrose 10% (250 mg/kg). 75 / 118 75) Standard precautions should be used when there is (or expected to be) contact with, and except: a. The persons who have a high risk behavior. b. urine or faeces, amniotic fluid, cerebrospinal fluid, saliva, c. breast milk or any other body fluid d. blood, vaginal and seminal secretion, 76 / 118 76) The normal oral temperature is set within a range: a. of 35.8-38.3 oc b. of 36.8-37.3 oc c. of 35.8-37.3 oc d. of 35.5-37.5 oc 77 / 118 77) Below is Principles of standard precaution, except, a. Infection Control b. Personal protective Equipment c. Disposal plastic aprons d. Condoms program 78 / 118 78) Contraindications of Palpation of uterine contraction is answer below except one: a. Palpation should be done with care when trying to stop a pretum labour or if there is uterine irritability for any other reason, e.g. antepartum haemorrhage, fever. b. An incorrect technique can lead to stimulating the uterus unnecessarily. c. During active management of the third stage of labour: to determine if the uterus is contracted prior to undertaking controlled cord traction to deliver the placenta and membranes. d. Excessive interference with the uterine fundus can cause it to have uncoordinated activity as opposed to its usual coordination across the uterus. This would result in poor cervical dilatation. 79 / 118 79) In active management, clamp and cut the cord at birth should within: a. 3 minutes b. 4 minutes c. 6 minutes d. 5 minutes 80 / 118 80) You are resuscitating an apneic newborn. At what rate should you ventilate with the bag valve mask? a. 10 breathes per minute b. 20 breathes per minute c. 30 breathes per minute d. 100 breathes per minute 81 / 118 81) The midwife should know maternal or fetal risk factors before delivery. All the answers below are right except one, which one? a. Maternal disease, e.g. hypertension, diabetes b. Known normal presentation c. Prematurity d. Previous poor obstetric or neonatal history, e.g. previous stillbirth, neonatal death 82 / 118 82) When mid-wife would not work with women to care for hygiene? a. Intensive b. Mobility c. Prescribe bed rest d. Immobility 83 / 118 83) Procedure of maternal resuscitation: a. After every 25 cardiac compressions, undertake 2 ventilation breaths where possible b. After every 35 cardiac compressions, undertake 2 ventilation breaths where possible c. After every 20 cardiac compressions, undertake 2 ventilation breaths where possible d. After every 30 cardiac compressions, undertake 2 ventilation breaths where possible 84 / 118 84) You are performing CPR on a newborn who was noted to have a pulse of 35 just after delivery. How often should you reassess the infant’s heart rate? a. Every 120 seconds b. Every 60 seconds c. Every 15 seconds d. Every 30 seconds 85 / 118 85) All are contraindicated to do the vaginal examination except one, which one? a. Bleeding b. Preterm of rupture of membrane c. Placenta praevia d. Consent from the woman 86 / 118 86) To auscultate the fetal heat the always use the material below except one: a. Ultra-sound: the mother can see the picture of the baby b. Using of the Sonicaid (Doppler): the women can hear the sound too. c. Using the Pinard stethoscope: listen and count the fetal heart for 1 minutes d. Cardiotocography (CTG): also known as electronic fetal monitoring 87 / 118 87) Which score that suggest the baby is in a good health? a. 8-10 points b. 6-10 points c. 9-10 points d. 7-10 points 88 / 118 88) You have just delivered an infant and begin drying the child with a clean blanket. You notice the baby is limp and gasping for breath. How should you proceed? a. Chest compression b. High flow oxygen by facemask c. Continue to warm and dry the baby d. Bag mask ventilation 89 / 118 89) Which Apgar score of a baby in 1 minute when the body is pink but the extremities are blues, the heart rate is under 100, whether it is trying to cry but is only able to grimace, the baby is limp, and the respiration of the baby is slow and irregular? a. 5 points b. 7 points c. 6 points d. 4 points 90 / 118 90) Neonatal Breathing: Practically this means that if mechanically ventilating the lungs the initial pressures should be: a. 20cmH2O lasting 2-3 seconds for the first 5 inflation breaths. b. 25cmH2O lasting 1-2 seconds for the first 5 inflation breaths. c. 30cmH2O lasting 2-3 seconds for the first 5 inflation breaths. d. 15cmH2O lasting 1-2 seconds for the first 5 inflation breaths. 91 / 118 91) All the answers above are right except one, which one? Meconium is seen for a. the first 3 days b. the first 1 day c. the first 2 days d. the first 4 days 92 / 118 92) In Formula feeding, Bean (2001) point out that: a. In the campaign to increase breastfeeding rates, information and support for bottle feeding mothers is lost and therefore is increasing the risks for a formula-fed infant. b. In recent years the practice around reconstitution of the milk has changed notably, with the preparation of 24H worth of feeds no longer being an acceptable practice. c. The long-term consequences of a formula-fed nation are not yet fully realized. d. Numerous skills are needed to achieve safe infant nutrition when using formula milk. 93 / 118 93) All equipment are used for baby’s resuscitation except one. Which is the wrong one? a. Oxygen/air source with flow regulation, reservoir and adjustable pressure relief valve b. A radiant heater c. Laryngoscopes (with spare bulbs and batteries) d. Guedel airways, sizes 2 and 3 94 / 118 94) Indication of Palpation of uterine contraction is answer below except one: a. To assess the fetus movement more than 3 times during 10 minute. b. To assess progress of labour in relation to the length, strength and frequency of the uterine contraction c. Correct administration of Entonox (inhalational analgesia). d. During the second stage of labour: if the women is being guided to push , e.g. with epidural analgesia. 95 / 118 95) The baby should be able to move the head to both sides well past the shoulder a. 80-90º from the midline b. 90-100º from the midline c. 110-120º from the midline d. 100-110º from the midline 96 / 118 96) When performing CPR on a pregnant female in cardiac arrest, which of the following interventions should be performed to reduce aortocaval compression (pressure on the large blood vessels in the abdomen) by the uterus? a. Sit the patient at a 45 degree angle b. Lie the patient flat c. Lie the patient in a wedge positioned under the woman’s right hip to displace the gravid uterus d. Lie the patient flat and angle the patient 30 degrees towards right side 97 / 118 97) What are NICE 2007 stated during pushing period in second stage of labor? a. Women should be encouraged to push spontaneously or breath through a contraction where fetal heart rate abnormalities occur until the fetus recovers. b. The duration of second stage in not significantly increased with the use of spontaneous pushing . c. Women should be encouraged to follow what their bodies are telling them to do and push when they have the urge. d. Breath holding can make wimen feel dizzy, causing them to gasp, a suddent surge of blood back to the heart may occur, resulting in rebound hypertension. 98 / 118 98) Which is not the side effect of oxytocin? a. decreased blood pressure b. Vomiting c. Dizziness d. Nausea 99 / 118 99) How many phase during second stage of labor from National Institute for Health and clinical Excellent 2007? a. Four phases b. Three phases c. One phase d. Two phases 100 / 118 100) Which is not a procedure of examination of genital tract following delivery? a. Wash up the external genitalia gently with a sterile swap and warm tap water. b. Separate the labia with the fingers of the non-examining hand and insert the swabbed fingers carefully into the vagina, directing the fingers in a downwards and backwards direction. Gently press down to examine the anterior and posterior wall of vagina. c. Wrap a sterile swap around the first 2 fingers, fingers slightly parted. d. Examine the vulva, noting any trauma, particularly to the labia. 101 / 118 101) In an unresponsive and pulseless adult, how many chest compressions should be performed per minute during CPR? a. 100 b. 75 c. 50 d. 150 102 / 118 102) A cephalhaematoma first appears: a. between 12-36H and is likely to increase in size, taking up to 6w to disappear b. between 11-31H and is likely to increase in size, taking up to 4w to disappear c. between 12-36H and is likely to increase in size, taking up to 4w to disappear d. between 10-30H and is likely to increase in size, taking up to 6w to disappear 103 / 118 103) Factors influencing body temperature is include the answer below but except one: a. Fever: bacterial, viral…etc. b. Childbearing c. Hot baths d. Local anesthesia 104 / 118 104) Which is the wrong statement in the role and responsibility of the MW in assessment of the baby at birth? a. undertaking the significance of the score b. Undertaking the birth examination thoroughly and non-competently, referring as necessary. c. Contemporaneous record keeping d. Being able to competently assess the baby at birth, using the Apgar score 105 / 118 105) All the answers below are right except one, which one?: Incorrect fed of formula milk can lead to: a. Obesity b. Electrolyte balance c. Malnutrition (insufficient powder) d. Constipation (excess powder) or 106 / 118 106) A body temperature less than 28oc: a. Can result in coordinated muscle activity and other funtions b. Can result in uncoordinated muscle activity and fatigue, unconsciousness, cardiac arrhythmias and death. c. The result in coordinated muscle activity and fatigue, unconsciousness, cardiac arrhythmias will be better. d. The result in coordinated muscle activity and fatigue, unconsciousness, cardiac arrhythmias temporally. 107 / 118 107) What is not indication of amniotomy? a. Augmentation of labor b. High presenting part c. Induction of labor d. Often prior to birth of second twin 108 / 118 108) To undertaking lateral position there are: a. One method of undertaking lateral position b. Four methods of undertaking lateral position c. Three methods of undertaking lateral position d. Two methods of undertaking lateral position 109 / 118 109) Colostrum is present from about a. the 16 W of pregnancy b. the 15 W of pregnancy c. the 17 W of pregnancy d. the 14 W of pregnancy 110 / 118 110) In estimation of blood loss, Begley et al 2008 state that: a. Women are affected differently by blood loss, many women who are in good health can tolerate a 500mL loss with little or no effect. b. Healthy women are able to tolerate a blood loss up to 1000mL without being compromised. c. Study of midwives ‘ability to estimate blood loss found that as the actual amount of blood increased, the accuracy of the estimation reduced. d. Blood loss should be estimated as accurately as possible as if forewarns of impending haemorragic state. 111 / 118 111) Effective feeding of the newborn: a. 13-15 feeds in 24H b. 4-8 feeds in 24H c. 5-7 feeds in 24H d. 8-12 feeds in 24H 112 / 118 112) All equipment below are used for maternal resuscitation except one, which one? a. Bag and facemask for ventilation (with Oxygen reservoir) or pocket mask b. Suction apparatus c. Laryngeal mask airway d. T-tube or self-inflating resuscitation bag with valve and assorted size facemasks 00,01 113 / 118 113) Why nappy should be changed regularly? a. To cure baby b. To keep baby fresh c. To avoid nappy rash due to the amount of urine and faeces d. To clean baby 114 / 118 114) When the cervix can no longer be felt, full dilatation has occurred equal to? a. 10 cm b. 11 cm c. 8 cm d. 9 cm 115 / 118 115) In preparation of the environment during second stage of labor NICE 2007 recommends that: a. Hourly blood pressure and pulse, 3-hourly temperature, hourly recording of the frequency of the contractions and intermittent auscultation of the fetal heart for 1 minute following a contraction every 5 minutes. b. Hourly blood pressure and pulse, 3-hourly temperature, ½-hourly recording of the frequency of the contractions and intermittent auscultation of the fetal heart for 1 minute following a contraction every 5 minutes. c. Hourly blood pressure and pulse, 4-hourly temperature, ½-hourly recording of the frequency of the contractions and intermittent auscultation of the fetal heart for 1 minute following a contraction every 5 minutes. d. 2 hourly blood pressure and pulse, 4-hourly temperature, ½-hourly recording of the frequency of the contractions and intermittent auscultation of the fetal heart for 1 minute following a contraction every 5 minutes. 116 / 118 116) Respiration normal of the baby: a. 40-60/mn b. 30-40/mn c. 60-80/mn d. 20-30/mn 117 / 118 117) Birth examination:” Usually undertake after the first of life to enable the baby to have a long period of skin-to-skin contact between mother and baby and after his first feed” is a state of: a. Med 1996 b. NICE 2007 c. NMC 2004 d. AAP & ACOG 2006 118 / 118 118) What is not the information gained from external genitalia examination? a. The color consistency, amount and odor of any discharge or bleeding form the vagina b. Any abnormalities such as varicosities, oedema, warts or signs of infection c. The cystocoele or rectorcoele d. Amniotic fluid may be seen if the membranes have ruptured Your score isThe average score is 0% Facebook 0% Restart quiz Any comments? Send feedback