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AMCB Certified Nurse Midwife
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A pregnant woman presents with a history of recurrent early pregnancy loss. Which of the following actions would be most appropriate for the nurse midwife to take?
Provide counseling and support for the woman.
efer the woman for first-trimester ultrasound. valuate the woman's acceptance of pregnancy.
wer: A
anation: Providing counseling and support for a woman experiencing rent early pregnancy loss is an essential role of a nurse midwife. This des addressing her emotional needs, providing information about poss es of pregnancy loss, discussing treatment options, and offering suppo ughout the process.
egnant woman is Rh-negative. Which of the following actions would appropriate for the nurse midwife to take?
erform nonstress tests (NST) to evaluate fetal well-being.
Order serial hCG levels to monitor pregnancy progress.
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E
Ans Expl
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inclu ible
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thro
A pr be
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Order Rh immunoglobulin when indicated during pregnancy.
Order and interpret lab results to diagnose anemias in pregnancy.
Counsel the woman about the use of complementary and alternative therapies in pregnancy.
Answer: B
Explanation: Ordering Rh immunoglobulin when indicated during pregnancy is necessary for Rh-negative women to prevent sensitization and potential complications in future pregnancies. Rh immunoglobulin is administered to
Rh-negative women at specific times during pregnancy and postpartum to prevent the development of Rh antibodies.
ng a prenatal visit, a pregnant woman mentions she has been using to lcohol. What should the AMCB Certified Nurse Midwife do?
rder ultrasounds to assess fetal growth when indicated. rder and interpret routine laboratory tests in pregnancy.
creen for substance use during pregnancy and refer as appropriate. ounsel about fetal movement awareness and/or counting.
wer: C
anation: When a pregnant woman discloses tobacco and alcohol use, t CB Certified Nurse Midwife should screen for substance use during nancy and refer the woman as appropriate. This helps address the pote to the woman and the fetus and provides necessary support and ventions. Ordering and interpreting routine laboratory tests, assessing th, or counseling about fetal movement awareness are not directly
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addressing the substance use issue.
During a prenatal visit, a nurse midwife is assessing a pregnant woman's nutritional status. Which of the following actions would be most appropriate for the nurse midwife to take?
Assess the woman's social support system.
Evaluate the woman's exercise routine during pregnancy.
Recommend the use of herbal supplements for improved nutrition.
anation: Calculating the woman's pre-pregnancy BMI is an important sessing her nutritional status during pregnancy. It helps determine if t an is underweight, normal weight, overweight, or obese, and guides opriate recommendations for weight gain and dietary modifications du nancy.
egnant woman is scheduled for a routine ultrasound to assess fetal gro ch of the following actions would be most appropriate for the nurse wife to take?
rder ultrasounds to assess fetal growth when indicated. uscultate fetal heart tones using a pinard, fetoscope, or doppler.
erform Leopold's maneuvers to determine fetal presentation and positi ounsel the woman about the use of over-the-counter medications in nancy.
Calculate the woman's pre-pregnancy BMI. Answer: D
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O
A
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Answer: A
Explanation: Ordering ultrasounds to assess fetal growth when indicated is an important responsibility of a nurse midwife. Regular monitoring of fetal growth helps ensure appropriate development and can detect any abnormalities or growth restrictions that may require further evaluation or intervention.
During a prenatal visit, a nurse midwife is evaluating a woman's risk status during her current pregnancy. Which of the following actions would be most appropriate for the nurse midwife to take?
creen the woman for violence or abuse during pregnancy. rder and interpret routine laboratory tests.
ssess the woman's prior obstetric and medical history. wer: D
anation: Assessing the woman's prior obstetric and medical history is al in determining her risk status during her current pregnancy. It helps ify any previous complications or medical conditions that may impact nt pregnancy and guides appropriate management and interventions.
ch of the following actions should the AMCB Certified Nurse Midwif o evaluate for signs of pregnancy?
ssesses the woman's acceptance of pregnancy.
rders and evaluates serial hCG levels when indicated.
Perform Leopold's maneuvers to determine fetal position.
S
O
A
Ans Expl
cruci
ident the
curre
Whi e
take t
A
O
Performs basic genetic counseling including genetic screening and diagnostic testing options.
Orders Rh immunoglobulin when indicated during pregnancy.
Answer: B
Explanation: To evaluate for signs of pregnancy, the AMCB Certified Nurse Midwife should order and evaluate serial hCG levels when indicated. hCG (human chorionic gonadotropin) is a hormone that is produced during pregnancy, and its levels can be measured to confirm and monitor pregnancy.
egnant woman presents with a possible teratogen exposure. Which of wing actions would be most appropriate for the nurse midwife to take
creen and refer the woman for violence or abuse during pregnancy. erform Leopold's maneuvers to determine fetal presentation and estim ht.
rder and interpret ultrasounds to evaluate fetal anatomy and rule out rmalities.
ssess and provide counseling for possible teratogen exposure. wer: D
anation: Assessing and providing counseling for possible teratogen sure is an important responsibility of a nurse midwife. It involves ering information about the specific teratogen, assessing the timing an nt of exposure, and discussing potential risks and available options wit nant woman to facilitate informed decision-making.
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A pregnant woman is experiencing common discomforts during pregnancy and seeks guidance from the nurse midwife.Which of the following actions would be most appropriate for the nurse midwife to take?
Order and interpret routine laboratory tests in pregnancy.
Assess the woman's acceptance of pregnancy.
Evaluate the woman's nutritional status by calculating pre-pregnancy BMI.
Counsel the woman about the use of over-the-counter medications for symptom relief.
Answer: D
cations for symptom relief is an appropriate action to address commo omforts during pregnancy. It is important to provide guidance on safe opriate medications that can alleviate discomfort while considering th ntial risks and benefits for both the woman and the fetus.
egnant woman presents with first-trimester bleeding. Which of the wing actions would be most appropriate for the nurse midwife to take
ounsel the woman about normal physiology of pregnancy. rder immunizations for the woman.
erform pelvimetry to evaluate the bony pelvis. ssess for causes of first-trimester bleeding.
wer: D
anation: Assessing for causes of first-trimester bleeding is a critical st
Explanation: Counseling the woman about the use of over-the-counter medi n
disc and
appr e
pote
A pr
follo ?
C
O
P
A
Ans
Expl ep in
the evaluation and management of a pregnant woman with vaginal bleeding. It helps determine the underlying cause, such as threatened abortion, ectopic pregnancy, or cervical pathology, and guides appropriate treatment and referral as indicated.
A pregnant woman has a history of substance use, including tobacco, alcohol, and cannabis. Which of the following actions would be most appropriate for the nurse midwife to take?
Counsel the woman about fetal movement awareness and counting.
Evaluate the woman's nutritional status by calculating pre-pregnancy BMI.
Screen the woman for substance use and refer as appropriate.
wer: C
anation: Screening the pregnant woman for substance use and referrin ppropriate interventions and support is an essential role of a nurse mi tance use during pregnancy can have significant adverse effects on bo oman and the fetus, and early identification and intervention are cruc ptimizing outcomes.
ch of the following actions should the AMCB Certified Nurse Midwif o assess a woman's risk status during her current pregnancy?
efers to community resources as indicated.
rders and evaluates serial hCG levels when indicated. valuate prior obstetric and medical history.
Order and interpret routine laboratory tests in pregnancy.
Ans
Expl g her
for a dwife.
Subs th
the w ial
for o
Whi e
take t
R
O
E
Counsels about the use of over-the-counter medications in pregnancy.
Answer: C
Explanation: To assess a woman's risk status during her current pregnancy, the AMCB Certified Nurse Midwife should evaluate her prior obstetric and
medical history. This helps identify any potential risk factors that may require additional monitoring or interventions. Ordering and evaluating hCG levels, referring to community resources, or counseling about the use of over-the- counter medications are not directly addressing the assessment of risk status.
nce. What should the AMCB Certified Nurse Midwife do?
valuate historical, physical, and laboratory data to determine current tional age and due date.
ssess the woman's acceptance of pregnancy.
creen and refer as indicated for violence or abuse during pregnancy. ounsel about normal physiology of pregnancy, common discomforts, a care during pregnancy.
wer: C
anation: When a pregnant woman reports experiencing domestic viole ssential for the AMCB Certified Nurse Midwife to screen for violenc during pregnancy and refer the woman as indicated. This ensures th an's safety and connects her with appropriate resources and support. ssing the woman's acceptance of pregnancy, evaluating gestational ag seling about normal physiology of pregnancy are not directly addressi
A pregnant woman comes for a prenatal visit and reports experiencing domestic viole
E
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A
S
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Expl nce,
it is e e or
abuse e
wom
Asse e, or
coun ng
the issue of domestic violence.
A pregnant woman presents with symptoms of anemia. Which of the following actions should the AMCB Certified Nurse Midwife take?
Orders immunizations in pregnancy.
Orders and interprets routine laboratory tests in pregnancy.
Orders ultrasounds to assess fetal growth when indicated.
Performs pelvimetry to evaluate the bony pelvis.
Answer: B
anation: When a pregnant woman presents with symptoms of anemia, CB Certified Nurse Midwife should order and interpret routine laborat n pregnancy to diagnose anemias. This helps determine the specific t
emia and guide appropriate treatment and management. Ordering unizations, assessing fetal growth, or performing pelvimetry are not tly addressing the issue of anemia.
tion 15:
egnant woman presents with vaginal bleeding in the first trimester. W following actions should the AMCB Certified Nurse Midwife take?
rder a first-trimester ultrasound to establish gestational age.
ssess for causes of first trimester bleeding and refer for treatment as ated.
erform Leopold's maneuvers to determine presentation, lie, position of and estimated weight of fetus.
uscultate fetal heart tones with a pinard, fetoscope, or doppler.
Expl the
AM ory
tests i ype
of an imm direc
Ques
A pr hich
of the
O
A
indic
P
fetus,
A
Answer: A, B
Explanation: In the case of vaginal bleeding in the first trimester, it is important to establish the gestational age and assess the causes of bleeding. Therefore, the AMCB Certified Nurse Midwife should order a first-trimester ultrasound to establish gestational age and assess for causes of bleeding and refer for
treatment if necessary. Leopold's maneuvers are used to determine the position of the fetus and estimate its weight, while auscultating fetal heart tones is done to assess fetal well-being, but these actions are not directly related to addressing vaginal bleeding in the first trimester.