NARM Exam with Correct Answers Rate A+
Which of the following types of birth control would be contraindicated in a woman
who had a history of PID?
A) Diaphragm
B) IUD
C) Condom
D) Cervical cap - ✅✅ B. IUD
The following are true about newborn vital signs, except?
A) Axillary temperature on a newborn is considered to be an accurate core
measurement
B) A normal neonatal heart rate is between 120-160
C) Breath sounds should be auscultated for a full minute to obtain an accurate
count in the newborn
D) Neonatal blood pressure should be obtained at birth - ✅✅ D. Neonatal blood
pressure should be obtained at birth
A woman invites the midwife to her home for an initial prenatal exam. During
history taking, which areas are the most important for the midwife to obtain?
- ✅✅ D. Drug use, family planning methods, any surgeries, and weights of
previous babies
This hormone is only produced during pregnancy; first by the ovaries and later by
the placenta: - ✅✅ B. Human chorionic gonadotropin
Which would be a typical list for a midwife to give a woman of things to avoid in
early pregnancy?
A) Over the counter drugs, hot tubs, saunas, and bird feces
B) Smoking, raw meat, infectious diseases, Group B Strep
C) Cat litter, HIV, tattoos, and sugary drinks
D) X-rays, ultrasounds, amniocentesis, and MSAFP - ✅✅ A. Over the counter
drugs, hot tubs, saunas, and bird feces
Developing follicles and the Graafian follicle are found in the? - ✅✅ Cortex of
the ovaries
The non-pregnant uterus is lined by the? Endometrium
,Which principle factors cause the vaginal ph to be acidic? - ✅✅ Action of
Doderlein's bacillus
When doing a physical exam on a woman, it does not include? - ✅✅ counseling
women about their sexual choices and preferences
The fetus receives oxygenated blood through the? - ✅✅ umbilical vein
Ovulation occurs? - ✅✅ Approximately 14 days before the onset of
menstruation
Urinary frequency in early pregnancy is most often a result of? - ✅✅ Hormone
changes
The "C" in the TORCH group of diseases refers to? - ✅✅ cytomegalovirus
After a shoulder dystocia, which is the most likely complication in the baby?
- ✅✅ need for resuscitation
Which of the following women is most likely to suffer from mastitis? - ✅✅ a
breastfeeding woman more than a week postpartum
Which of these signs would not be indicative of a ruptured tubal pregnancy? -
✅✅ urinary frequency
Low birth weight is defined as a baby born at term weighing less than 5 1/2
pounds, or 2500 grams. Which of the following is true about low birth weight
babies? - ✅✅ they may have cognitive disabilities
During neonatal CPR, the midwife should place her fingers? - ✅✅ in between
the nipples
The femoral pulse is located? - ✅✅ in the groin
When performing a pelvic exam, one of the bony elements the midwife will
identify is located at the end of the sacral curve, and should be slightly moveable.
This is the? - ✅✅ coccyx
, When performing a pelvic exam, the midwife will feel this on both sides of the
pelvis; it could be any of the following: protruding, sharp, non-prominent, or blunt.
This is the? - ✅✅ ischial spine
During well woman care, the midwife performs a pelvic exam and finds that a
woman's uterus is easily palpable and somewhat irregular above the pubic bone,
indicating possible enlargement. The most appropriate response to this finding
would be? - ✅✅ investigate further with recent history questions, and discuss
with her such things as failure of contraception and the possibility of uterine
fibroids
During the midwife's initial vaginal exam on a woman in labor, she will be
checking for all of the following, except? - ✅✅ strength of the uterine
contractions
The best way to describe the difference between hemoglobin and hematocrit is:
- ✅✅ hemoglobin measures the oxygen carrying capacity of the red blood cell;
hematocrit measures the volume of red blood cells in a packed volume of blood
The midwife is listening during a contraction and hears the fetal heart rate drop
following the acme of the contraction. What kind of decelerations are occurring?
- ✅✅ late
The essential female hormone responsible for reproduction is? - ✅✅ estrogen
Which of the following is the largest diameter of the fetal head? - ✅✅
occipitomental
At 15 weeks gestation, the fetus:- ✅✅ has a full set of fingerprints
Mothers usually feel their baby kick for the first time around the? - ✅✅ 20th
week
A mother may be at risk for a complicated pregnancy and delivery if she has which
of the following conditions?
A) More than four years between pregnancies
B) Less than 18 months between pregnancies
C) Has had three previous children
D) Has a singleton pregnancy - ✅✅ B. Less than 18 months between
pregnancies
Which of the following types of birth control would be contraindicated in a woman
who had a history of PID?
A) Diaphragm
B) IUD
C) Condom
D) Cervical cap - ✅✅ B. IUD
The following are true about newborn vital signs, except?
A) Axillary temperature on a newborn is considered to be an accurate core
measurement
B) A normal neonatal heart rate is between 120-160
C) Breath sounds should be auscultated for a full minute to obtain an accurate
count in the newborn
D) Neonatal blood pressure should be obtained at birth - ✅✅ D. Neonatal blood
pressure should be obtained at birth
A woman invites the midwife to her home for an initial prenatal exam. During
history taking, which areas are the most important for the midwife to obtain?
- ✅✅ D. Drug use, family planning methods, any surgeries, and weights of
previous babies
This hormone is only produced during pregnancy; first by the ovaries and later by
the placenta: - ✅✅ B. Human chorionic gonadotropin
Which would be a typical list for a midwife to give a woman of things to avoid in
early pregnancy?
A) Over the counter drugs, hot tubs, saunas, and bird feces
B) Smoking, raw meat, infectious diseases, Group B Strep
C) Cat litter, HIV, tattoos, and sugary drinks
D) X-rays, ultrasounds, amniocentesis, and MSAFP - ✅✅ A. Over the counter
drugs, hot tubs, saunas, and bird feces
Developing follicles and the Graafian follicle are found in the? - ✅✅ Cortex of
the ovaries
The non-pregnant uterus is lined by the? Endometrium
,Which principle factors cause the vaginal ph to be acidic? - ✅✅ Action of
Doderlein's bacillus
When doing a physical exam on a woman, it does not include? - ✅✅ counseling
women about their sexual choices and preferences
The fetus receives oxygenated blood through the? - ✅✅ umbilical vein
Ovulation occurs? - ✅✅ Approximately 14 days before the onset of
menstruation
Urinary frequency in early pregnancy is most often a result of? - ✅✅ Hormone
changes
The "C" in the TORCH group of diseases refers to? - ✅✅ cytomegalovirus
After a shoulder dystocia, which is the most likely complication in the baby?
- ✅✅ need for resuscitation
Which of the following women is most likely to suffer from mastitis? - ✅✅ a
breastfeeding woman more than a week postpartum
Which of these signs would not be indicative of a ruptured tubal pregnancy? -
✅✅ urinary frequency
Low birth weight is defined as a baby born at term weighing less than 5 1/2
pounds, or 2500 grams. Which of the following is true about low birth weight
babies? - ✅✅ they may have cognitive disabilities
During neonatal CPR, the midwife should place her fingers? - ✅✅ in between
the nipples
The femoral pulse is located? - ✅✅ in the groin
When performing a pelvic exam, one of the bony elements the midwife will
identify is located at the end of the sacral curve, and should be slightly moveable.
This is the? - ✅✅ coccyx
, When performing a pelvic exam, the midwife will feel this on both sides of the
pelvis; it could be any of the following: protruding, sharp, non-prominent, or blunt.
This is the? - ✅✅ ischial spine
During well woman care, the midwife performs a pelvic exam and finds that a
woman's uterus is easily palpable and somewhat irregular above the pubic bone,
indicating possible enlargement. The most appropriate response to this finding
would be? - ✅✅ investigate further with recent history questions, and discuss
with her such things as failure of contraception and the possibility of uterine
fibroids
During the midwife's initial vaginal exam on a woman in labor, she will be
checking for all of the following, except? - ✅✅ strength of the uterine
contractions
The best way to describe the difference between hemoglobin and hematocrit is:
- ✅✅ hemoglobin measures the oxygen carrying capacity of the red blood cell;
hematocrit measures the volume of red blood cells in a packed volume of blood
The midwife is listening during a contraction and hears the fetal heart rate drop
following the acme of the contraction. What kind of decelerations are occurring?
- ✅✅ late
The essential female hormone responsible for reproduction is? - ✅✅ estrogen
Which of the following is the largest diameter of the fetal head? - ✅✅
occipitomental
At 15 weeks gestation, the fetus:- ✅✅ has a full set of fingerprints
Mothers usually feel their baby kick for the first time around the? - ✅✅ 20th
week
A mother may be at risk for a complicated pregnancy and delivery if she has which
of the following conditions?
A) More than four years between pregnancies
B) Less than 18 months between pregnancies
C) Has had three previous children
D) Has a singleton pregnancy - ✅✅ B. Less than 18 months between
pregnancies
