CNM: Varney's Practice Tests

Question 1

When is a woman most likely to suffer mastitis?

Answer 1

BF more than a week pp.

Question 2

Car accident, blood loss. Labs: Hgb 9, elevated reticulocyte count, mean corpuscular volume of 86. What kind of anemia?

Answer 2

Normocytic anemia

Treat with iron supplements

Question 3

If engagement in LOT, how many degrees of rotation for OA delivery?

Answer 3

90

Question 4

Wandering baseline assoc with?

Answer 4

impending fetal demise

Question 5

Painful “itchy” bumps on vagina. You note half dozen visicles on labia minora and majora. Pt has fever and general malaise x 5 days. Soem inguinal lympadenopathy

Answer 5

HSV

Question 6

when is MTCT of HIV most likely to happen?

Answer 6

labor and delivery

Question 7

30 wk GA. abnormal fasting glucose, abnormal 1 hr glucose challenge? Appropriate action?

Answer 7

Dx as GDM and consult with physician

Question 8

Normal uterine contraction pattern in the uterus.

Answer 8

contraction of longer and stronger duration in tehfundus to minimal or nonexistent toward the cervix

Question 9

ABNORMAL finding in newborn at approximately 90 minutes after birth.

Answer 9

Absence of bowel sounds

Question 10

cutoff for marked bradycardia

Answer 10

below 100 bpm

Question 11

BPP 6/10 at 40 wk GA. Recommendation?

Answer 11

immediate delivery for fetal indications

Question 12

When is maternal cardiac output highest?

Answer 12

immediately postpartum

Question 13

What test could you do to confirm a dx of polyhydramnios?

Answer 13

amniocentesis

Question 14

In women with which hair color is chloasma most noticeable?

Answer 14

brunettes

Question 15

35 wk GA presents with vag bleeding. C/o colicky uterine pain. PE: mild, discoordinate contractions. uterus indentable during contractionsa nd uterus is neither board-like nor rigid between contractions, but she does have pain with palpation. FHR 120 w repeated late decels. DX?

Answer 15

Placental abruption

Question 16

What are potential complications of maternal HPV during pregnancy?

Answer 16

Increase in number and size of warts
Excessive bleeding during delivery if tearing or cutteing extends to affected region
Intrapartum laryngeal infection of neonate

Question 17

What management is NOT appropriate when there is painless vaginal bleeding in the first trimester with a womaon with previous tubal surgery?

Answer 17

watchful waiting

Question 18

Where is the fundus normally palpated in the immediate pp period after delivery of placenta?

Answer 18

~2/3 between symphysis pubis and umbilicus

Question 19

the sex of the fetus is clearly distinguishable by direct examination at what GA by LMP?

Answer 19

14th week

Question 20

27 wk GA, rubella nonimmune, exposed. What do ou do?

Answer 20

Obtain blood specimen to test for IgG and IgM antibody titers and consult with a physican

Question 21

When in pregnancy should sulfa drugs NOT be used?

Answer 21

near term

Question 22

according to friedman, what is the average length of second stage for multiparas?

Answer 22

15 minutes

Question 23

Waht are effects of cold stress on newborns?

Answer 23

Metabolic acidosis
Pulmonary vasoconstriction
Hypoglycemia

Question 24

Postive pressure ventilation of the newborn should conitnue until what condition is met?

Answer 24

spontaneous respirations