NARM – Midwifery Certification Study Guide & Practice Questions
Maternal diabetes
Maternal Obesity
Hx of Shoulder Dystocia
Fetal Macrosomia
Post term gestation - correct answer ✔✔Risk factors for Shoulder Dystocia
Maternal diabetes
Maternal Obesity
Hx of Shoulder Dystocia
Fetal Macrosomnia
Post term gestation - correct answer ✔✔Risk factors for Shoulder Dystocia
Signs and symptoms of Thrombophlebitis - correct answer ✔✔Leg Pain
Localized Heat
Tenderness
Palpation of a knot or cord
Inflammation at the site
Signs and symptoms of Thrombophlebitis - correct answer ✔✔Leg Pain
Localized Heat
Tenderness
Palpation of a knot or cord
Inflammation at the site
,Woodscrew maneuver - correct answer ✔✔With a hand firmly against either the posterior or
anterior shoulder, push the shoulder clockwise or counterclockwise in an attempt to rotate it in
a 180 degree arc. Continue to rotate the shoulders back and forth in whichever direction they
will move until impaction is dislodged.
Woodscrew maneuver - correct answer ✔✔With a hand firmly against either the posterior or
anterior shoulder, push the shoulder clockwise or counterclockwise in an attempt to rotate it in
a 180 degree arc. Continue to rotate the shoulders back and forth in whichever direction they
will move until impaction is dislodged.
hPL - correct answer ✔✔The primary role of this hormone is to regulate glucose availability for
the fetus
hPL - correct answer ✔✔The primary role of this hormone is to regulate glucose availability for
the fetus
Anterior Fontanelle, Bregma - correct answer ✔✔It is diamond shaped and closed by 18 mos of
age. Pulsations of cerebral vessels can be felt through it.
Anterior Fontanelle, Bregma - correct answer ✔✔It is diamond shaped and closed by 18 mos of
age. Pulsations of cerebral vessels can be felt through it.
Partial molar pregnancy - correct answer ✔✔In this type of molar pregnancy, there may be
normal placental tissue along with abnormally forming placental tissue. There may also be
formation of a fetus, but the fetus is not able to survive, and is usually miscarried early in
pregnancy. A fetus develops, but it will be abnormal and will not survive.
Partial molar pregnancy - correct answer ✔✔In this type of molar pregnancy, there may be
normal placental tissue along with abnormally forming placental tissue. There may also be
formation of a fetus, but the fetus is not able to survive, and is usually miscarried early in
pregnancy. A fetus develops, but it will be abnormal and will not survive.
,Fallopian Tube - correct answer ✔✔This passage propels the ovum towards the uterus, receives
the sperm as they travel upwards and provides a site for fertilization. It supplies the fertilized
ovum with nutrition during its continued journey to the uterus.
Fallopian Tube - correct answer ✔✔This passage propels the ovum towards the uterus, receives
the sperm as they travel upwards and provides a site for fertilization. It supplies the fertilized
ovum with nutrition during its continued journey to the uterus.
Placenta Previa - correct answer ✔✔Painless, bleeding from the vagina. This condition should
be considered when the presenting part of the fetus is above the pelvis and/or the lie is
unstable. The color of the blood is bright red and pain is not a feature.
Placenta Previa - correct answer ✔✔Painless, bleeding from the vagina. This condition should
be considered when the presenting part of the fetus is above the pelvis and/or the lie is
unstable. The color of the blood is bright red and pain is not a feature.
Trisomy 13/ Patau Syndrome - correct answer ✔✔An extra copy of the 13th chromosome leads
to multiple abnormalities. These children have a short life. Affected infants are small and
microcephalic. Midline facial abnormalities such as a cleft lip and palate are common and limb
abnormalities are frequently seen. Brain, cardiac and renal abnormalities may coexist with this
trisomy.
Trisomy 13/ Patau Syndrome - correct answer ✔✔An extra copy of the 13th chromosome leads
to multiple abnormalities. These children have a short life. Affected infants are small and
microcephalic. Midline facial abnormalities such as a cleft lip and palate are common and limb
abnormalities are frequently seen. Brain, cardiac and renal abnormalities may coexist with this
trisomy.
Osianders Sign - correct answer ✔✔Stronger and harder vaginal pulsations caused by the
greatly increased blood supply and the enlarged uterine artery. A probable sign of pregnancy.
, Osianders Sign - correct answer ✔✔Stronger and harder vaginal pulsations caused by the
greatly increased blood supply and the enlarged uterine artery. A probable sign of pregnancy.
hCG (human chorionic gonadotropin) - correct answer ✔✔This hormone can be detected in the
maternal serum and urine 7-8 days after ovulation or around the time of implantation and can
give a positive indication of pregnancy by 3 weeks after conception.
hCG (human chorionic gonadotropin) - correct answer ✔✔This hormone can be detected in the
maternal serum and urine 7-8 days after ovulation or around the time of implantation and can
give a positive indication of pregnancy by 3 weeks after conception.
Chadwick's sign - correct answer ✔✔Bluish-purple coloration of the vaginal mucosa and cervix
resulting from increased blood flow.
Chadwick's sign - correct answer ✔✔Bluish-purple coloration of the vaginal mucosa and cervix
resulting from increased blood flow.
Lochia rubra - correct answer ✔✔Reddish or red-brown vaginal discharge that occurs
immediately after childbirth; composed mostly of blood. Lasts about 1-3 days
Lochia rubra - correct answer ✔✔Reddish or red-brown vaginal discharge that occurs
immediately after childbirth; composed mostly of blood. Lasts about 1-3 days
Lochia Serosa - correct answer ✔✔Pinkish/brown uterine discharge , Lasts day 4-10 postpartum
Lochia Serosa - correct answer ✔✔Pinkish/brown uterine discharge , Lasts day 4-10 postpartum
Lochia Alba - correct answer ✔✔Whitish/yellowish discharge - lasts 10-14 days, may last 3-6
weeks and remain normal.
Maternal diabetes
Maternal Obesity
Hx of Shoulder Dystocia
Fetal Macrosomia
Post term gestation - correct answer ✔✔Risk factors for Shoulder Dystocia
Maternal diabetes
Maternal Obesity
Hx of Shoulder Dystocia
Fetal Macrosomnia
Post term gestation - correct answer ✔✔Risk factors for Shoulder Dystocia
Signs and symptoms of Thrombophlebitis - correct answer ✔✔Leg Pain
Localized Heat
Tenderness
Palpation of a knot or cord
Inflammation at the site
Signs and symptoms of Thrombophlebitis - correct answer ✔✔Leg Pain
Localized Heat
Tenderness
Palpation of a knot or cord
Inflammation at the site
,Woodscrew maneuver - correct answer ✔✔With a hand firmly against either the posterior or
anterior shoulder, push the shoulder clockwise or counterclockwise in an attempt to rotate it in
a 180 degree arc. Continue to rotate the shoulders back and forth in whichever direction they
will move until impaction is dislodged.
Woodscrew maneuver - correct answer ✔✔With a hand firmly against either the posterior or
anterior shoulder, push the shoulder clockwise or counterclockwise in an attempt to rotate it in
a 180 degree arc. Continue to rotate the shoulders back and forth in whichever direction they
will move until impaction is dislodged.
hPL - correct answer ✔✔The primary role of this hormone is to regulate glucose availability for
the fetus
hPL - correct answer ✔✔The primary role of this hormone is to regulate glucose availability for
the fetus
Anterior Fontanelle, Bregma - correct answer ✔✔It is diamond shaped and closed by 18 mos of
age. Pulsations of cerebral vessels can be felt through it.
Anterior Fontanelle, Bregma - correct answer ✔✔It is diamond shaped and closed by 18 mos of
age. Pulsations of cerebral vessels can be felt through it.
Partial molar pregnancy - correct answer ✔✔In this type of molar pregnancy, there may be
normal placental tissue along with abnormally forming placental tissue. There may also be
formation of a fetus, but the fetus is not able to survive, and is usually miscarried early in
pregnancy. A fetus develops, but it will be abnormal and will not survive.
Partial molar pregnancy - correct answer ✔✔In this type of molar pregnancy, there may be
normal placental tissue along with abnormally forming placental tissue. There may also be
formation of a fetus, but the fetus is not able to survive, and is usually miscarried early in
pregnancy. A fetus develops, but it will be abnormal and will not survive.
,Fallopian Tube - correct answer ✔✔This passage propels the ovum towards the uterus, receives
the sperm as they travel upwards and provides a site for fertilization. It supplies the fertilized
ovum with nutrition during its continued journey to the uterus.
Fallopian Tube - correct answer ✔✔This passage propels the ovum towards the uterus, receives
the sperm as they travel upwards and provides a site for fertilization. It supplies the fertilized
ovum with nutrition during its continued journey to the uterus.
Placenta Previa - correct answer ✔✔Painless, bleeding from the vagina. This condition should
be considered when the presenting part of the fetus is above the pelvis and/or the lie is
unstable. The color of the blood is bright red and pain is not a feature.
Placenta Previa - correct answer ✔✔Painless, bleeding from the vagina. This condition should
be considered when the presenting part of the fetus is above the pelvis and/or the lie is
unstable. The color of the blood is bright red and pain is not a feature.
Trisomy 13/ Patau Syndrome - correct answer ✔✔An extra copy of the 13th chromosome leads
to multiple abnormalities. These children have a short life. Affected infants are small and
microcephalic. Midline facial abnormalities such as a cleft lip and palate are common and limb
abnormalities are frequently seen. Brain, cardiac and renal abnormalities may coexist with this
trisomy.
Trisomy 13/ Patau Syndrome - correct answer ✔✔An extra copy of the 13th chromosome leads
to multiple abnormalities. These children have a short life. Affected infants are small and
microcephalic. Midline facial abnormalities such as a cleft lip and palate are common and limb
abnormalities are frequently seen. Brain, cardiac and renal abnormalities may coexist with this
trisomy.
Osianders Sign - correct answer ✔✔Stronger and harder vaginal pulsations caused by the
greatly increased blood supply and the enlarged uterine artery. A probable sign of pregnancy.
, Osianders Sign - correct answer ✔✔Stronger and harder vaginal pulsations caused by the
greatly increased blood supply and the enlarged uterine artery. A probable sign of pregnancy.
hCG (human chorionic gonadotropin) - correct answer ✔✔This hormone can be detected in the
maternal serum and urine 7-8 days after ovulation or around the time of implantation and can
give a positive indication of pregnancy by 3 weeks after conception.
hCG (human chorionic gonadotropin) - correct answer ✔✔This hormone can be detected in the
maternal serum and urine 7-8 days after ovulation or around the time of implantation and can
give a positive indication of pregnancy by 3 weeks after conception.
Chadwick's sign - correct answer ✔✔Bluish-purple coloration of the vaginal mucosa and cervix
resulting from increased blood flow.
Chadwick's sign - correct answer ✔✔Bluish-purple coloration of the vaginal mucosa and cervix
resulting from increased blood flow.
Lochia rubra - correct answer ✔✔Reddish or red-brown vaginal discharge that occurs
immediately after childbirth; composed mostly of blood. Lasts about 1-3 days
Lochia rubra - correct answer ✔✔Reddish or red-brown vaginal discharge that occurs
immediately after childbirth; composed mostly of blood. Lasts about 1-3 days
Lochia Serosa - correct answer ✔✔Pinkish/brown uterine discharge , Lasts day 4-10 postpartum
Lochia Serosa - correct answer ✔✔Pinkish/brown uterine discharge , Lasts day 4-10 postpartum
Lochia Alba - correct answer ✔✔Whitish/yellowish discharge - lasts 10-14 days, may last 3-6
weeks and remain normal.
