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Quizzes > Health & Medicine

Midwifery Quiz: Check Your Maternal Care Knowledge

Quick, 15 midwifery practice questions. Instant feedback.

Editorial: Review CompletedCreated By: Jenny RydhammerUpdated Aug 23, 2025
Difficulty: Moderate
Questions: 20
Learning OutcomesStudy Material
Colorful paper art promoting a Midwifery Practice Knowledge Quiz.

This midwifery quiz helps you review maternal care basics, safe practice steps, and common terms in 15 short questions. Get instant feedback after each item to see what to revisit before clinicals or exams. For more focused practice, try the obstetrics quiz and explore the fetal position quiz to strengthen labor assessment skills.

Which folic acid supplementation is recommended for low-risk women starting preconception to reduce neural tube defects?
Folic acid 1 mg twice daily only during the second trimester
Folic acid 4 mg weekly starting at 20 weeks
Folic acid 400 mcg daily (preconception through at least 12 weeks)
Folic acid 100 mcg daily starting after delivery
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Delayed cord clamping of at least 30 to 60 seconds improves neonatal iron stores in term infants.
True
False
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The normal baseline fetal heart rate range at term is:
80 to 100 beats per minute
160 to 200 beats per minute
95 to 115 beats per minute
110 to 160 beats per minute (normal baseline range)
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Routine antenatal care typically recommends visit frequency of every 4 weeks until 28 weeks, every 2 weeks until 36 weeks, then weekly until birth.
True
False
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Which vaccine is recommended during each pregnancy, ideally between 27 and 36 weeks, to protect against pertussis in the newborn?
Tdap (recommended each pregnancy at 27-36 weeks)
HPV
MMR
Varicella
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Active management of the third stage of labor includes prophylactic uterotonic, controlled cord traction, and uterine massage after placental delivery.
False
True
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A reactive nonstress test (NST) at term is defined by two or more accelerations of at least 15 bpm lasting 15 seconds within 20 minutes.
True
False
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Which parameter is NOT part of the Bishop score?
Fundal height
Cervical dilation
Cervical effacement
Fetal station
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Which finding supports the diagnosis of preeclampsia with severe features?
Trace protein on dipstick alone in a normotensive patient
Mild pedal edema in late third trimester
Any BP above 120/70 mmHg without proteinuria
Systolic BP >= 160 or diastolic >= 110 mmHg, or severe features such as thrombocytopenia, elevated liver enzymes with RUQ pain, pulmonary edema, or new-onset cerebral/visual symptoms
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Meconium-stained amniotic fluid alone is an indication for routine tracheal suctioning in vigorous newborns.
True
False
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Which maneuver is first-line for shoulder dystocia after recognizing the turtle sign and calling for help?
Internal podalic version
Fundal pressure
Zavanelli maneuver as initial step
McRoberts maneuver with suprapubic pressure (first-line)
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Which statement best describes Group B Streptococcus (GBS) intrapartum prophylaxis?
Prophylaxis is only for symptomatic mothers
Penicillin G is first-line when indicated by positive screen at 36-37 weeks or risk factors
Screening is not recommended in pregnancy
Ceftriaxone is first-line in all cases regardless of allergy
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What is the recommended management for umbilical cord prolapse when the fetus is viable and delivery is not immediate?
Elevate the presenting part and prepare for urgent cesarean while avoiding cord manipulation
Administer oxytocin to increase contractions
Encourage ambulation to promote descent
Attempt vacuum-assisted vaginal delivery in all cases
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A category III fetal heart rate tracing indicates abnormal acid-base status and requires prompt evaluation and intrauterine resuscitation.
False
True
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Which of the following is an absolute contraindication to vaginal birth after cesarean (VBAC)?
Prior low transverse cesarean with >18 months interpregnancy interval
Suspected macrosomia without other risk factors
Prior classical (vertical) uterine incision
History of successful VBAC
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Which test is used to detect fetomaternal hemorrhage volume to guide Rh immune globulin dosing after sensitizing events?
Glucose challenge test
VDRL test
Coombs direct antiglobulin test on neonate only
Kleihauer-Betke test (acid elution) or flow cytometry for fetal cells
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Which is the most appropriate first-line antibiotic for intrapartum GBS prophylaxis in a patient with severe penicillin allergy and high risk for anaphylaxis, with a susceptible isolate?
Amoxicillin regardless of allergy
Clindamycin if the isolate is susceptible to clindamycin and erythromycin
No prophylaxis needed if afebrile
Gentamicin monotherapy
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Low-dose aspirin started by 12-16 weeks is recommended for patients at high risk of preeclampsia.
False
True
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Which intrapartum fetal scalp assessment can confirm metabolic acidemia when available and indicated?
Fetal scalp blood sampling for pH or lactate
Maternal capillary glucose
Apgar score at 1 minute
Urine dipstick for ketones
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A negative pressure room is required for all laboring patients regardless of infection status.
False
True
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Learning Outcomes

  1. Identify key stages of antenatal, intrapartum, and postpartum care
  2. Analyze maternal and fetal vital signs for clinical decision-making
  3. Apply evidence-based guidelines to manage common midwifery scenarios
  4. Demonstrate understanding of prenatal screening and diagnostic tests
  5. Evaluate risk factors and develop individualized care plans
  6. Master communication strategies with diverse birthing populations

Cheat Sheet

  1. Grasp the three big stages of maternity care - Think of antenatal as the pregnancy check-in, intrapartum as the labor road trip, and postpartum as the recovery celebration. You'll learn the critical assessments and interventions that keep both mom and baby happy throughout the journey.
  2. Master maternal and fetal vital signs - Monitoring blood pressure, heart rate, and fetal heart tones is like your early warning system for any surprises under the belly. Know the normal ranges and practice spotting deviations to take swift, lifesaving action.
  3. Apply evidence-based midwifery protocols - When preeclampsia or gestational diabetes shows up, you'll have the research-backed moves to keep everyone safe. Staying current on protocols means you can handle common scenarios with confidence and ease.
  4. Understand prenatal screening and diagnostics - Screening tests act as your "risk radar," while diagnostics like amniocentesis and CVS confirm the details. Get comfy with pros, cons, and timing so you can guide families through big decisions confidently.
  5. Customize care plans for each mom-to-be - Age, history, and lifestyle are the puzzle pieces to crafting the perfect maternity roadmap. Personal touches not only boost outcomes but also make moms feel truly heard and supported.
  6. Use top-notch communication skills - A friendly chat, active listening, and cultural respect build trust faster than you can say "contraction." Good vibes mean less stress for families and smoother sailing in the delivery room.
  7. Champion informed consent - Explaining risks, benefits, and alternatives isn't just a formality - it's empowering patients to make the best choices for themselves and their babies. Ethical high-fives all around when autonomy reigns.
  8. Keep up with chromosomal screening updates - Advances in screening for conditions like Down syndrome mean you can offer the latest, most accurate info. Staying in the loop ensures families get clear, current advice on their options.
  9. Dive into non-invasive prenatal testing (NIPT) - NIPT reads baby DNA from a simple blood draw, a high-tech sneak peek with minimal risk. Knowing the ins and outs helps you guide conversations with confidence and clarity.
  10. Prioritize comprehensive postpartum care - The baby might steal the spotlight, but postpartum visits support mom's recovery, mental health, and breastfeeding success. A strong after-birth plan means healthier families long after the delivery date.
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