Midwifery 2
Midwifery Knowledge Quiz
Welcome to the Midwifery Knowledge Quiz, a comprehensive assessment designed for current and aspiring midwives. Test your understanding of essential concepts in midwifery through a series of 60 carefully crafted questions.
Whether you're preparing for a certification exam, brushing up on your skills, or simply want to challenge yourself, this quiz provides:
- In-depth questions covering a wide range of midwifery topics
- Immediate feedback on your performance
- An opportunity to strengthen your knowledge and confidence in practice
Which is NOT a risk factor for PPH?
Oligohydramnious
Prolonged labour
Multiple pregnancy
Precipitate labour
Postural hypotension in early pregnancy may be caused by...
Pressure on the vena cava from the gravid uterus
High levels of circulating human chronic gonadotrophin morning sickness
Decreasing arterial peripheral resistance
The drug of choice for the prevention of seizures associated with eclampsia is:
Calcium gluconate
Labetalol
Nifedipine
Magnesium sulphate
In pre-eclampsia, brisk reflexes are a sign of:
Dehydration
Cerebral hypoxia
Altered liver function
Renal failure
The resting pregnant women increases her ventilation by:
Increasing the expiratory reserve volume
Deepening her respirations
Reducing intercostal movement
Breathing more frequently
The foreman ovale functionally closes:
At around 8 weeks gestation when the neural grove is encapsulated
Due to lack of blood flow through the placenta
When the pressure in the left atrium exceeds the pressure in the right atrium
When the pressure in the right atrium exceeds the pressure in the left atrium
In early pregnancy the blastocyst is nourished by:
Human chorionic gonadotrophin
Maternal blood within the trophoblasts
Glycogen found in the decidual lining
The mitochondria in the cell nucleus
Which of the following is NOT a uterotonic drug?
Ephedrine
Ergometrine
Misoprostol
Synotmetrine
What does of folic acid should diabetic women take pre-conceptually
400mg
500mg
5mg
4mg
Bile is involved in the breakdown and excretion of:
Carbohydrate
Waste products
Protein
Fats
The most common risk factor associated with uterine inversion is:
Mismanagement 3rd stage of labour
Precipitate birth
Grand multiparity
Instrumental delivery
In sepsis, nitrous oxide in the blood is responsible for:
Haemodilution
Vasodilation
Vasoconstriction
Haemoconcentration
A human cell containing 22 autosomes and a Y chromosome is a:
Protozoa
Sperm cell
Somatic cell of a female
Zygote
Opiates facilitate pain relief by:
Stimulating encephalin release
Blocking synaptic receptor sites
Suppressing hind brain activity
Creating euphoria
The main difference between a virus and bacteria is:
Infections caused by bacteria are normally mild compared to viruses
Bacteria can’t multiply on their own but viruses can
Viruses are found naturally in the body and only sometimes cause illness
Viruses invade a host cell
The shedding of the endometrium during menstruation is in response to:
Falling levels of progesterone and oestrogen
A progesterone surge
Rising levels of gonadotrophic hormones
Falling levels of follicle stimulating hormone
Follicle stimulating hormone is released following childbirth as a consequence of:
Falling levels of progesterone
Increased levels of human chorionic gonadotrophin
Falling levels of oestrogen
Falling levels of oxytocin
In an assisted breech birth the technique used to assit delivery of the infant’s arm is known as:
Mauriceau-Smellie-Veit manoeuvre
Gaskin manoeuvre
Lovset’s manoeuvre
Burns-marshall manoeuvre
The trophoblast differentiates into:
Decidua basalis and decidua capsularis
Mesoderm and fetal blood vessel epithelium
Ectoderm and endoderm
Syncitiotrophoblasts and cytotrophoblasts
The ductus arteriosus connects:
The aorta to the umbilical arteries
The pulmonary artery to the aorta
The umbilical vein to the inferior vena cava
The left and right atria
During labour the fetal skull is capable of changing shape. This is known as:
Caput succedaneum
Moulding
Cephalohematoma
Tentorial tearing
Spiral arteries are found in the:
Decidua
Spinal cord
Amniotic membrane
Placenta
Surfactant
Assits gaseous exchange
Is produced by type II alveolar cells
Is a lipoprotein that reduces surface tension
All the above
When applying suprapubic pressure during shoulder dystocia, the labouring woman should be advised to
Roll onto all fours
To adopt a semi recumbent position
Cease directed pushing
The push while the midwife applies suprapubic pressure.
Acid mantle refers to:
Testing the pH of a pregnant women’s urine
A protective film that forms on the baby's skin
The pH of the vagina during pregnancy
The amount of hydrochronic acid present in the stomach
Maternal cholestasis is associated with this fetal complication:
Macrosomia
Altered end diastolic flow
Passage of meconium in utero
Intra uterine growth restriction
Physiological haemodilution:
Occurs when there is a larger increase in plasma volume compared to erythrocyte volume
Automatically requires iron supplementation
Occurs when plasma volume is reduced in relation to erythrocyte volume
Causes an overall rise in blood pressure
Low molecular weight heparins are generally self-administered via:
Subcutaneous injection
Intravenous injection
Intradermal injection
Intramuscular injection
The role of the proximal convoluted tube is to:
Secrete ADH and aldosterone
Reabsorb physiologically important solutes including glucose
Passively reabsorb water
Filter waste products out of the blood
Pharmacological treatment of cholestasis includes this supplement:
Vitamin K
Vitamin D
Vitamin C
Vitamin B12
Which of the following symptoms is NOT related to disseminated intravascular coagulation (DIC)?
Peripheral cyanosis
Oozing from the venepuncture sites
Purpura
Pica
Relaxation of the cardiac sphincter (oesophageal sphincter) in pregnancy may result in:
A reduction in cardiac efficiency
Decreased intestinal transit time
Mixing of oxygenated and deoxygenated blood
Oesophageal reflux
The left ventricle of the adult heart:
Pumps oxygenated blood to the body
Receives deoxygenated blood from the body
Pumps blood to the lungs
Receives blood from the aorta
The drug labetalol is a:
Angiotensin II receptor antagonist
ACE inhibitor
Beta blocker
Calcium channel blocker
The lambdoidal suture of the fetal head is found:
Between the frontal bones
Between the anterior and posterior fontanelle
Between the posterior edges of the frontal bones and the anterior edges of the parietal bones
Between the posterior edges of the parietal bones and occipital bones
A woman may know that she is ovulating because:
She may experience nausea and vomiting
Menstrual blood will be passed
Her cervical mucus may become thin and clear
She may feel quickening
What happens to Iron (Fe) during the process of converting fetal haemoglobin to bilirubin?
It is excreted in faeces
It is converted to biliverdin
It is recycled to make more red blood cells
It is conjugated in the liver
This physiological change in hepatic system during pregnancy can lead to pruritis because of the:
Retention of bile salts
Increased amount of bile storage
Dilution of bile concentrate
Hypotonic gallbladder
Epigastric pain associated with hypertension is due to:
Congestion of protein in the liver
Activation of coagulation pathways
Damage to the Bowman’s capsule
Leakage of fluid into the tissues of the liver
Which of the following symptoms is NOT associated with HELLP syndrome?
Excessive glomerular filtration rate
Elevated levels of liver enzymes
Reduced platelet levels
Rapid destruction of blood cells
In cases of severe sepsis a serum lactate of what level and above is considered indicative of hypoperfusion?
2 mmol/L
4 mmol/L
6 mmol/L
8 mmol/L
The main bile pigment is..
Stercobiliniogen
Urobilinogen
Bilirubin
Biliverdin
A systemic hypersensitivity reaction with an immune and inflammatory reaction best describes?
Cardiogenic shock
Hypovolamic shock
Septic shcok
Anaphylactic shock
Abnormal placental implantation, where the chorionic villi invade through the myometrium is known as Placenta:
Praevia
Increta
Percreta
Accreta
According to green top guidance, secondary postpartum haemorrhage is defined as abnormal or excessive bleeding from the birth canal 24 hours and:
6 weeks
6 days
12 weeks
12 days
Cleavage is
The migration of cells from the outer layer of the embryonic disc
The first cell division.
Cell differentiation
The growth of the ampulla and milk ducts in pregnancy
Following the process of meiosis each cell with have
23 chromosomes
21 chromosomes
44 chromosomes
46 chromosomes
Insulin
Is secreted by the alpha cells of the islets of Langerhans
Lowers blood glucose levels
Production leads to glycosuria
Raises blood glucose levels
The most common bacteria identified in puerpal sepsis is
Streptococci
Staphylococci
E-coli
Chlamydia trachomatis
Which hormone causes a reduction in motility within the gastrointestinal tract?
Prolactin
Relaxin
Progesterone
Oxytocin
Women are at an increased risk of DVT in the postnatal period because of
Reduction in cardiac output
Decrease in oestrogen
Reduction in peripheral resistance
Process of haemoconcentration.
Breath holding and attempting to exhale against a closed glottis/airway is called?
Ferguson's reflex
Valsalva manoeuvre
Rubin manoeuvre
McRoberts manoeuvre
The amnion is:
Yolk sac providing nourishment to the embryo
Ovarian lining which secretes hCG in early pregnancy
Is the inner embryonic membrane
Membrane in direct contact with the uterus
The degeneration of the corpus luteum leads to:
An increase in chorionic gonadotrophin
Release of an ovum
A surge in progesterone and oestrogen
Menstruation
The initiation of milk secretion occurs in this phase:
Lactogenesis 1
Lactogenesis 3
Mammogenesis
Lactogenesis 2
The shedding of the endometrium during menstruation is in response to:
Falling levels of progesterone and oestrogen
A progesterone surge
Rising levels of gonadotrophic hormones
Falling levels of follicle stimulating hormone
Varicose veins are common in pregnancy due to:
The pressure of the uterus on the femoral veins
Lordosis due to the weight of the gravid uterus
Progesterone relaxing the smooth muscle of the veins
The force of blood due to an increased cardiac output
Which of the following does the placenta excrete?
Protein
Glycogen
Iron
Bilirubin
Cholasma is the name given to:
The first fetal movements that a women feels
The pigmented line running from the pubis to the umbilicus
Hyperpigmentation of the face
The secondary areola of the nipple
The main features of the gynaecoid pelvis are:
Heart shaped brim, narrow fore-pelvis, funnel shaped cavity and prominent ischial spines
Kidney shaped brim, narrow fore-pelvis, shallow cavity and blunt ischial spines
Oval brim, large fore-pelvis, shallow cavity and prominent ischial spines
Round brim, large fore-pelvis, shallow cavity and blunt ischial spines
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