NARM Exam Review - Verified Answers 267. The "C" in the TORCH grou...

NARM Exam Review (2023/ 2024 Latest Update) 267 Questions and Verified Answers

267. The "C" in the TORCH group of diseases refers to:

1) calcium pyrophosphate arthropathy 2) cytomegalovirus 3) carbon pneumoconiosis 4) congenital diaphragmatic hernia - ANSWER cytomegalovirus

• After a shoulder dystocia, which is the most likely complication in the baby?

1) hemorrhage in the eyes 2) need for resuscitation 3) sepsis 4) cephalohematoma - ANSWER need for resuscitation

• Which of the following women is most likely to suffer from mastitis?

1) a breastfeeding woman in the first 7 days postpartum 2) a breastfeeding woman more than a week postpartum 3) a non-breastfeeding woman in the first 7 days postpartum 1 / 4

4) a non-breastfeeding woman more than a week postpartum - ANSWER a breastfeeding woman more than a week postpartum

• Which of these signs would NOT be indicative of a ruptured tubal pregnancy?

1) marked lower abdominal pain 2) vaginal bleeding 3) urinary frequency 4) shoulder pain - ANSWER 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?1) they always have immature lungs 2) they have healthier hearts because they do not have too much fat 3) they may have cognitive disabilities 4) they may become hyperglycemic - ANSWER they may have cognitive disabilities

272. During neonatal CPR, the midwife should place her fingers:

1) in between the clavicles 2) in between the nipples 3) just under the xiphoid process 4) over the rib cage - ANSWER in between the nipples 2 / 4

273. The femoral pulse is located:

1) on the wrist 2) in the axilla 3) in the groin 4) on the neck - ANSWER 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:

1) ischial spine 2) symphysis pubis 3) sacrum 4) coccyx - ANSWER 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:

1) ilium 2) ischium 3) sacrum 4) ischial spine - ANSWER ischial spine 3 / 4

• 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:

1) trust her insistence that there is "no way" she could be pregnant, decide it must be normal for her, and move on with the exam 2) draw blood for a pregnancy test and run a prenatal panel with CBC and give her all the handouts for early pregnancy 3) investigate further with recent history questions, and discuss with her such things as failure of contraception and the possibility of uterine fibroids 4) send her immediately for an ultrasound to rule out cancer of the uterus - ANSWER 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:

1) location of the cervix 2) station of the fetal head 3) condition of the external genitalia 4) strength of the uterine contractions - ANSWER strength of the uterine contractions

• The best way to describe the difference between hemoglobin and

hematocrit is:

1) 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 2) there is no difference; they both measure the risk for anemia

• / 4