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,Varney's Midwifery, 7e
Julia C. Phillippi, Ira Kantrowitz-Gordon
Final Exam
Chapters 1-39
1. Nadia, an obese, 16-year-old Muslim female, is visiting the nurse-midwife for an initial prenatal visit.
She lives with her husband and in-laws and has a past medical history of asthma. Which of her
information is associated with health disparities?
A) Age
B) Religion
C) Past medical history
D) Weight
Ans: B
Complexity: Difficult
Ahead: Health Disparities
Subject: Chapter 1
Title: Context of Individuals Seeking Midwifery Care
2. The nurse-midwife is hired by a local obstetric and gynecologic practice to provide care to patients.
Which does the midwife expect to be included in the employment contract with the practice?
A) Demographics of clientele
B) Work location
C) Orientation plan
D) Currency of credentials
Ans: D
Complexity: Easy
Ahead: The Business of Midwifery
Subject: Chapter 2
Title: Professional Foundations of Midwifery
3. A nurse-midwife believes a pregnant client with abnormal moles would benefit from an appointment
with a dermatologist. What is this an example of?
A) Collaboration
B) Consultation
C) Referral
D) Transfer
Ans: C
Complexity: Moderate
Ahead: Interprofessional Team Collaboration
Subject: Chapter 2
Title: Professional Foundations of Midwifery
4. Which circumstances require the nurse-midwife to perform hand hygiene with soap and water?
Ans: Soap and water are always used when hands are visibly dirty or contaminated with proteinaceous
material, or visibly soiled with blood or body fluids.
Complexity: Moderate
Ahead: Standard Precautions
Subject: Chapter 3
Title: An Introduction to Sexual, Reproductive, and Primary Care
Copyright © 2024 by Jones & Bartlett Learning, LLC, an Ascend Learning Company
,Varney's Midwifery, 7e
Julia C. Phillippi, Ira Kantrowitz-Gordon
Final Exam
Chapters 1-39
5. Which of the following interventions would be considered tertiary prevention?
A) Lead screening
B) MMR immunization
C) Pap smear
D) Pelvic floor physical therapy
Ans: D
Complexity: Moderate
Ahead: Clinical Health Promotion
Subject: Chapter 4
Title: Health Promotion Across the Lifespan
6. What are the evidence-based interventions the nurse-midwife will consider when providing
preconception care to a patient diagnosed with a mental health condition?
Ans: Although debate continues regarding the potential teratogenic effects of some psychotropic agents,
there is a general consensus that the benefits associated with treatment generally outweigh the risks.
Severe mental disorders in pregnancy are associated with poor obstetric outcomes, higher risk of
postpartum psychiatric illnesses, increased rates of substance abuse, lower participation in prenatal care,
and adverse infant outcomes.
Complexity: Difficult
Ahead: Preconception Care Interventions for Chronic Medical Conditions
Subject: Chapter 4
Title: Health Promotion Across the Lifespan
7. Which of the following is an effect of lead exposure?
A) Reduced sperm quality
B) Gastrointestinal impairment
C) Genomic methylation alternations
D) Impaired neurologic development
Ans: D
Complexity: Easy
Ahead: Environmental Toxins with General and Reproductive Effects
Subject: Chapter 4
Title: Health Promotion Across the Lifespan
8. The nurse-midwife provides care to a patient with a history of migraine headaches. Which
manifestation does not indicate a headache emergency?
A) Rapid onset
B) Neck stiffness
C) Light sensitivity
D) Loss of balance
Ans: C
Complexity: Moderate
Ahead: Warning Signs of Headache Emergencies
Subject: Chapter 5
Title: Common Conditions in Primary Care
Copyright © 2024 by Jones & Bartlett Learning, LLC, an Ascend Learning Company
, Varney's Midwifery, 7e
Julia C. Phillippi, Ira Kantrowitz-Gordon
Final Exam
Chapters 1-39
9. A patient with psoriasis presents to the nurse-midwife’s office. When should methotrexate be
considered for treatment?
A) When the plaques cover >3% of the patient’s body
B) When the plaques cover >5% of the patient’s body
C) When the plaques cover >7% of the patient’s body
D) When the plaques cover >10% of the patient's body
Ans: B
Complexity: Difficult
Ahead: Dermatologic Conditions
Subject: Chapter 5
Title: Common Conditions in Primary Care
10. Which food does the nurse-midwife recommend to a pregnant patient as a complete source of
protein?
A) Peanut butter
B) Fortified cereal
C) Nonfat fruit yogurt
D) Vegetarian chili
Ans: C
Complexity: Easy
Ahead: Protein
Subject: Chapter 6
Title: Nutrition
11. Which information does the nurse-midwife include when teaching a patient about healthy versus
unhealthy fats based on the key principles in a healthy eating pattern?
Ans: The nurse-midwife emphasizes the consumption of healthy versus unhealthy fats. The nurse-
midwife recommends that the patient avoid trans fats while choosing monounsaturated and
polyunsaturated fats.
Complexity: Difficult
Ahead: Dietary Patterns
Subject: Chapter 6
Title: Nutrition
12. The nurse-midwife is caring for a patient with suspected depression. What must be done prior to
prescribing an antidepressant?
A) Attempt psychotherapy
B) Encourage outdoor activity and regular exercise
C) Obtain history of substance abuse
D) Rule out bipolar disorder
Ans: D
Complexity: Moderate
Ahead: Mood Disorders
Subject: Chapter 7
Title: Mental Health Conditions
13. Which neurotransmitters are affected by psychotropic medications?
Copyright © 2024 by Jones & Bartlett Learning, LLC, an Ascend Learning Company