Midwifery Exam Questions and Answers PDF

Correct Answer: A

Rationale: The correct answer is A because an acute small for gestational age neonate will have all body parts proportionately reduced in size compared to a normal gestational age baby. This is due to intrauterine growth restriction. Choice B is incorrect because the head is not disproportionately larger. Choice C is incorrect as it states the body is larger than the head, which is not the case in SGA babies. Choice D is incorrect as SGA babies typically appear thin with a scaphoid abdomen, not plumpy.

Correct Answer: D

Rationale: Step 1: Atony of the uterus is the most common cause of primary postpartum hemorrhage due to inadequate uterine contractions. Step 2: Trauma of the genital tract can lead to bleeding but is not as common as atony of the uterus in postpartum hemorrhage. Step 3: Blood coagulation disorder can contribute to excessive bleeding but is not the primary cause of postpartum hemorrhage. Step 4: Prolonged 3rd stage can result in postpartum hemorrhage but is typically secondary to uterine atony.

Correct Answer: B

Rationale: The correct answer is B: FALSE. In mild preeclampsia, the mother may have symptoms such as mild hypertension, proteinuria, and swelling. This contradicts the statement that the mother has no complaints. Choice A is incorrect because it inaccurately states that the mother has no complaints. Choices C and D are not applicable as they do not provide any relevant information to address the question.

Correct Answer: C

Rationale: The correct answer is C: Consideration of prophylactic therapy. A 12-mm induration in a healthcare worker is considered positive for PPD. In the absence of active TB on chest radiograph, the next step is to consider prophylactic therapy to prevent the development of active TB. This is based on the guidelines for the management of latent TB infection. Choice A is incorrect as a positive PPD warrants further evaluation regardless of the chest radiograph result. Choice B, the Quantiferon assay, is not the next step after a positive PPD and negative chest radiograph. Choice D, beginning therapy for pulmonary TB pending sputum cultures, is not indicated in this scenario as there is no evidence of active TB.

Correct Answer: D

Rationale: Correct Answer: D. Some form of vagotomy Rationale: 1. Vagotomy is a surgical procedure that involves cutting the vagus nerve to reduce acid production in the stomach, which can help in treating ulcers. 2. Vagotomy is often recommended when ulcers are refractory to medical therapy, making it an appropriate surgical option. 3. Lifelong vitamin D replacement (A) is not typically necessary for ulcer treatment. Excision of the ulcer (B) is not a common treatment and does not address the underlying cause. Eating smaller meals (C) may help manage symptoms but is not a surgical option for refractory ulcers.