NARM MOCK TEST QUESTIONS AND ANSWERS A+
GRADED
The correct cavity that contains the heart
Thoracic
Best definition for "sterilization"
killing all microorganisms
What is the first condition to rule out when diagnosing amenorrhea?
pregnancy
Describe a neurotransmitter
chemical signal that transmits information across the synaptic cleft
Name 2 OTC analgesics that are "Ibuprofen"
advil and motrin
What route of administration uses "PR"?
per rectum
S/SX of dehydration include
dry skin, headache, low energy, hunger pangs, dry mouth, constipation
What route of administration uses "IM"?
intramuscular
What kind of suture materials would you use for the repair of the posterior
vaginal wall?
3-0 chromic gut or 2-0 or 3-0 braided synthetic on a taper point needle
Maneuver used to elicit flexion when the fetal head is extended (as in a face
presentation):
Thorne's maneuver
What contributing conditions/lifestyle exposures can contribute to pelvic organ
prolapse?
grand multiparity, smoking, malnourishment, obesity, intense exercise, genetic
predisposition
What outdated routine practice is now associated with instability in breathing,
heart rate, and oxygen saturation? and only utilized when indicated
routine suctioning of the nasopharynx
Bright red lochia, normal at day 2-3 postpartum is called
lochia rubra
A second degree tear would be described as
beefy red firm tissue
What is the appropriate description of how to "place a stitch"?
The needle should enter the wound at a 90 degree angle (perpendicular to the wound),
rotate the wrist following the curve of the needle, and the stitch should be deeper than it
is wide
Generally, how far apart should stitches be placed?
1cm
This may result from the rupture of blood vessels, especially veins, under the
skin of the external genitals and beneath the vaginal mucosa
,hematoma
Nutrition and hydration in labor are
important for uterine perfusion and optimal myometrial function
A succenturiate lobe is
an accessory lobe of the placenta
During SVE in a primipara, you feel a pulse under your fingers at the FHR. What is
your next best course of action?
Ask them to move to knee chest position and transport to the hospital in that position
Moulding is:
the ability of the fetal head to change shape in order to adapt itself to the maternal
pelvis
What symptom in the birthing person may indicate chorioamnionitis?
Tachycardia
The first A in APGAR stands for?
Appearance
When should labial tears be repaired?
When the tissue is torn completely through its width, is hanging in a chunk, or is sagging
down from its original location, or if it forms a flap large enough to be folded backward
during normal activity or rubbed apart with walking.
The sate of labor that immediately precedes active labor is called?
latent/early
What is the name of this position or technique that involves placing two fingers
inside of the vagina behind the uppermost shoulder in an attempt to rotate the
fetus to an oblique pelvic diameter?
Rubin Maneuver
A compound presentation is:
Presentation of one or more limbs along with the head or breech
You have been auscultating FHTs after every other contraction or every 5min and
the range has been 110-130s with a baseline of 122bpm. You hear an abrupt
decrease in the FHR to 90. What is occuring?
Deceleration
Symptoms of postpartum endometritis include
subinvolution of the uterus
Answer the following statement: continuous stitches are most appropriately
applied...
for the majority of repairs requiring multiple stitches
Complete the following statement: a first degree repair...
involves skin and mucosa and is optimal to suture depending on the tear and client
preferences
The second A in APGAR stands for
Activity
An urge to push before full dilation:
Should be managed on a case by case basis
The following condition is a risk factor for shoulder dystocia
Fetal macrosomia
Postterm pregnancy is defined as a pregnancy that continues beyond...
, 42w 0d
The definition of synclitism is:
when the BPD (biparietal diameter) of the babys head is parallel to the planes of the
pelvis
the classic triad of endometritis symptoms include
Fever, foul smelling lochia, and uterine tenderness
How long does it take to establish a FHR baseline?
Determine the approximate mean FHR rounded to the nearest 5 bpm during a 2-minute
segment and record it as a single number
In a twin birth, the birthing person is at risk of sepsis due to:
Ascending infection from first babys umbilical cord
How frequently should you assess FHR in a normal labor?
q15-30min in active labor
The turtle sign is:
When the delivered head remains tight against the perineum, sometimes even
appearing to retract
The R in APGAR stands for
resprirations
The vertex is:
the area between the two fontanelles; the top of the skull
VBAC is not recommended in which of the following situations
classical cesarean scar
SBAR stands for
Situation
Background
Assessment
Recommendation
What technique can help compensate for the lost transfer of blood volume to the
neonate if cord is severed early?
cord milking
TOLAC means
trial of labor after cesarean
This type of laceration involves skin, vaginal mucosa, the posterior fourchette,
and extends into the perineal body, but not the anal sphincter
2nd degree
A graphical tool that allows labor progress to be recorded and visually assessed
partograph
When AROM is performed, the practitioner's fingers should remain in place
during the initial gush of fluid in order to ensure the absence of:
prolapsed cord
Longitudinal lie means
the long axis of the fetus is parallel to the long axis of the birthing person
Risk factors for neonatal hypoglycemia include
preterm birth
The fetal heart rate should be routinely assessed every --- min in second stage
5-15min
GRADED
The correct cavity that contains the heart
Thoracic
Best definition for "sterilization"
killing all microorganisms
What is the first condition to rule out when diagnosing amenorrhea?
pregnancy
Describe a neurotransmitter
chemical signal that transmits information across the synaptic cleft
Name 2 OTC analgesics that are "Ibuprofen"
advil and motrin
What route of administration uses "PR"?
per rectum
S/SX of dehydration include
dry skin, headache, low energy, hunger pangs, dry mouth, constipation
What route of administration uses "IM"?
intramuscular
What kind of suture materials would you use for the repair of the posterior
vaginal wall?
3-0 chromic gut or 2-0 or 3-0 braided synthetic on a taper point needle
Maneuver used to elicit flexion when the fetal head is extended (as in a face
presentation):
Thorne's maneuver
What contributing conditions/lifestyle exposures can contribute to pelvic organ
prolapse?
grand multiparity, smoking, malnourishment, obesity, intense exercise, genetic
predisposition
What outdated routine practice is now associated with instability in breathing,
heart rate, and oxygen saturation? and only utilized when indicated
routine suctioning of the nasopharynx
Bright red lochia, normal at day 2-3 postpartum is called
lochia rubra
A second degree tear would be described as
beefy red firm tissue
What is the appropriate description of how to "place a stitch"?
The needle should enter the wound at a 90 degree angle (perpendicular to the wound),
rotate the wrist following the curve of the needle, and the stitch should be deeper than it
is wide
Generally, how far apart should stitches be placed?
1cm
This may result from the rupture of blood vessels, especially veins, under the
skin of the external genitals and beneath the vaginal mucosa
,hematoma
Nutrition and hydration in labor are
important for uterine perfusion and optimal myometrial function
A succenturiate lobe is
an accessory lobe of the placenta
During SVE in a primipara, you feel a pulse under your fingers at the FHR. What is
your next best course of action?
Ask them to move to knee chest position and transport to the hospital in that position
Moulding is:
the ability of the fetal head to change shape in order to adapt itself to the maternal
pelvis
What symptom in the birthing person may indicate chorioamnionitis?
Tachycardia
The first A in APGAR stands for?
Appearance
When should labial tears be repaired?
When the tissue is torn completely through its width, is hanging in a chunk, or is sagging
down from its original location, or if it forms a flap large enough to be folded backward
during normal activity or rubbed apart with walking.
The sate of labor that immediately precedes active labor is called?
latent/early
What is the name of this position or technique that involves placing two fingers
inside of the vagina behind the uppermost shoulder in an attempt to rotate the
fetus to an oblique pelvic diameter?
Rubin Maneuver
A compound presentation is:
Presentation of one or more limbs along with the head or breech
You have been auscultating FHTs after every other contraction or every 5min and
the range has been 110-130s with a baseline of 122bpm. You hear an abrupt
decrease in the FHR to 90. What is occuring?
Deceleration
Symptoms of postpartum endometritis include
subinvolution of the uterus
Answer the following statement: continuous stitches are most appropriately
applied...
for the majority of repairs requiring multiple stitches
Complete the following statement: a first degree repair...
involves skin and mucosa and is optimal to suture depending on the tear and client
preferences
The second A in APGAR stands for
Activity
An urge to push before full dilation:
Should be managed on a case by case basis
The following condition is a risk factor for shoulder dystocia
Fetal macrosomia
Postterm pregnancy is defined as a pregnancy that continues beyond...
, 42w 0d
The definition of synclitism is:
when the BPD (biparietal diameter) of the babys head is parallel to the planes of the
pelvis
the classic triad of endometritis symptoms include
Fever, foul smelling lochia, and uterine tenderness
How long does it take to establish a FHR baseline?
Determine the approximate mean FHR rounded to the nearest 5 bpm during a 2-minute
segment and record it as a single number
In a twin birth, the birthing person is at risk of sepsis due to:
Ascending infection from first babys umbilical cord
How frequently should you assess FHR in a normal labor?
q15-30min in active labor
The turtle sign is:
When the delivered head remains tight against the perineum, sometimes even
appearing to retract
The R in APGAR stands for
resprirations
The vertex is:
the area between the two fontanelles; the top of the skull
VBAC is not recommended in which of the following situations
classical cesarean scar
SBAR stands for
Situation
Background
Assessment
Recommendation
What technique can help compensate for the lost transfer of blood volume to the
neonate if cord is severed early?
cord milking
TOLAC means
trial of labor after cesarean
This type of laceration involves skin, vaginal mucosa, the posterior fourchette,
and extends into the perineal body, but not the anal sphincter
2nd degree
A graphical tool that allows labor progress to be recorded and visually assessed
partograph
When AROM is performed, the practitioner's fingers should remain in place
during the initial gush of fluid in order to ensure the absence of:
prolapsed cord
Longitudinal lie means
the long axis of the fetus is parallel to the long axis of the birthing person
Risk factors for neonatal hypoglycemia include
preterm birth
The fetal heart rate should be routinely assessed every --- min in second stage
5-15min
