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AMCB Certified Midwife - Reviews


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See why our users from 154 countries love us for their exam prep! Including 140 reviews for the AMCB CM exam.

Exam Edge is an industry leader in online test prep. We work with institutional partners to offer a wide array of practice tests that will help you prepare for your big exam. No matter how niche your field of interest might be, we're here to help you prepare for test day.

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AMCB Certified Midwife - Test Reviews Sample Questions

Maternal intraamniotic infection and postpartum endometritis are complications that can arise from which of the following?





Correct Answer:
prelabor rupture of membranes
prelabor rupture of membranes (prom) refers to the breaking of the amniotic sac and the leakage of amniotic fluid before the onset of labor. this condition can lead to several maternal complications, including maternal intraamniotic infection and postpartum endometritis, both of which are serious health concerns.

maternal intraamniotic infection, also known as chorioamnionitis, is an infection of the membranes and the amniotic fluid. it is a significant risk when the membranes rupture prematurely because the protective barrier between the baby and the external environment is compromised. this allows bacteria from the vagina to ascend into the uterine cavity, potentially infecting the amniotic fluid and the fetus. symptoms of intraamniotic infection may include maternal fever, uterine tenderness, and foul-smelling amniotic fluid. this condition can lead to severe complications, including sepsis and the transmission of the infection to the newborn.

postpartum endometritis is an infection of the lining of the uterus that occurs after childbirth. this condition is more common when prom occurs, as the prolonged exposure of the open cervix and uterus to bacteria from the vagina and external environment can lead to contamination and infection. symptoms of postpartum endometritis may include fever, uterine tenderness, and foul-smelling lochia (postpartum vaginal discharge). this infection can complicate the postpartum period, leading to prolonged hospital stays and increased need for antibiotics.

it is crucial to manage prom promptly to minimize the risk of these infections. management might include monitoring for signs of labor, checking for infection, and considering the appropriate timing for the delivery to reduce the time the membranes are ruptured. in cases where prom occurs and there is a delay in the onset of labor, antibiotics and steroids may be administered to prevent infection and aid in fetal lung maturation, respectively.

in summary, prelabor rupture of membranes is associated with significant risks for maternal infections such as intraamniotic infection and postpartum endometritis. managing these risks involves careful monitoring and timely medical intervention to prevent serious health outcomes for both the mother and the newborn.

During the perimenopausal transition, which of the following would the hormones change?





Correct Answer:
all of the above
during the perimenopausal transition, a woman's body undergoes numerous hormonal changes that can affect various physiological systems. the correct answer to the question, "during the perimenopausal transition, which of the following would the hormones change?" is "all of the above." let's expand on how each of these areas is impacted:

muscle: hormonal changes during perimenopause, particularly the decline in estrogen, can affect muscle mass and strength. estrogen is known to play a role in muscle metabolism and function. its decrease can lead to a reduction in muscle mass and an increase in fat deposition, which may contribute to the overall feeling of fatigue and a decrease in physical performance.

bone: estrogen is crucial for bone health as it helps in the absorption and utilization of calcium and in maintaining bone density. during perimenopause, as estrogen levels fluctuate and overall decline, there is an increased risk of osteoporosis and bone fractures. this is because the reduced estrogen levels lead to an increase in bone resorption (breakdown) over bone formation.

brain: hormonal fluctuations during perimenopause can also impact brain function. estrogen influences various neurotransmitters in the brain, including serotonin and dopamine, which affect mood, memory, and cognitive functions. many women experience mood swings, irritability, anxiety, depression, and memory lapses during this transitional period.

cardiovascular: estrogen has a protective effect on the heart and blood vessels. it helps in maintaining the flexibility of the arteries, thus supporting healthy blood pressure levels. with the decline in estrogen during perimenopause, women's risk of developing cardiovascular diseases increases, including higher risks of hypertension and heart disease.

metabolic parameters: hormonal changes during perimenopause can lead to changes in body composition (increased fat deposition especially around the abdomen), alterations in cholesterol levels, and insulin resistance, which can predispose women to type 2 diabetes. these metabolic changes can also increase the risk of developing metabolic syndrome.

in conclusion, during the perimenopausal transition, the hormonal changes can significantly impact muscle, bone, brain, cardiovascular health, and metabolic parameters. these changes can influence a woman's overall health and quality of life, making it important to manage symptoms and mitigate risks through lifestyle adjustments, medical interventions, and regular monitoring by healthcare professionals.