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AMCB CNM (CNM) Practice Tests & Test Prep by Exam Edge - Review


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AMCB Certified Nurse-Midwife - Reviews


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See why our users from 154 countries love us for their exam prep! Including 110 reviews for the AMCB CNM 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 Nurse-Midwife - Test Reviews Sample Questions

Female transcervical sterilization (Essure) is performed via hysteroscopy under local anesthesia. After the completion of this procedure, how long should the patient continue to take additional contraception?
 

Correct Answer:
3 months
the correct answer is "3 months." *p female transcervical sterilization using the essure system is a procedure that involves placing small metal coils into the fallopian tubes via a hysteroscopic approach, which does not require incisions. this procedure is typically performed under local anesthesia, which numbs the area but allows the patient to remain awake. *p after the coils are placed in the fallopian tubes, tissue begins to grow around them over the following weeks. this growth eventually blocks the fallopian tubes, which prevents sperm from reaching and fertilizing an egg. however, this process does not happen immediately. it typically takes about three months for enough tissue growth to occur to ensure that the fallopian tubes are fully blocked. *p during this three-month period, it is crucial that the patient continues to use an alternative form of contraception to prevent pregnancy. the effectiveness of the essure procedure in preventing pregnancy is not immediate, and relying on it without additional contraception during this time can result in unintended pregnancy. *p after three months, the patient must undergo a follow-up test called a hysterosalpingography (hsg). this test involves using an x-ray technique to ensure that the fallopian tubes are completely blocked. if the test confirms that the tubes are fully obstructed, then the patient can rely on the essure system for contraception. if the tubes are not completely blocked, the patient will need to continue using alternative contraception until full blockage is confirmed. *p therefore, it is recommended that patients who undergo the essure procedure continue to use another form of contraception for at least three months after the procedure, until the effectiveness of the tubal blockage has been validated through the follow-up hsg test.

The neonate can create heat in different ways. The method that entails utilization of brown fat for heat production is which of the following?

Correct Answer:
nonshivering thermogenesis


the question revolves around the methods through which neonates can generate heat. neonates, or newborns, have limited ability to shiver, which is a common way older children and adults generate heat. therefore, neonates depend on other methods to maintain their body temperature in colder environments. the correct answer to the question is nonshivering thermogenesis.

nonshivering thermogenesis is a process specifically significant in neonates and involves the utilization of brown fat, also known as brown adipose tissue (bat). unlike white adipose tissue, which primarily stores fat, brown fat has a high density of mitochondria and blood vessels. this structure facilitates the rapid oxidation of fat, leading to heat production. the mitochondria in brown fat contain a protein called uncoupling protein-1 (ucp1), which is crucial for thermogenesis. ucp1 disrupts the normal process of atp generation in mitochondria, causing energy to be released as heat instead of being stored.

this method of heat production is vital for newborns because it helps them regulate their body temperature without the need for physical activity or muscle contractions, which are seen in shivering thermogenesis. nonshivering thermogenesis is particularly important in the early days of life when the neonate is adjusting to the temperature of the external environment after leaving the relatively warm and stable temperature of the womb.

in contrast to other options such as shivering, muscle activity, or convection, nonshivering thermogenesis does not rely on body movements or external air flow, but rather on metabolic processes within brown fat. since neonates have a higher proportion of brown fat compared to adults, they are uniquely equipped to utilize this method for heat generation effectively during the initial phase of life. however, the amount of brown fat decreases with age, making nonshivering thermogenesis a less significant heat source later in life.