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DHA Midwifery Exam Practice Questions & Test Prep - Review


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DHA Registered Midwifery - Reviews


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DHA Registered Midwifery - Test Reviews Sample Questions

All of the cranial nerves, with the exception of the olfactory nerve, should be routinely assessed in the newborn. To assess the facial nerve (CN VII) which of the following would be assessed?

Correct Answer:
symmetry of facial movement while crying or smiling


to effectively evaluate the facial nerve (cranial nerve vii) in a newborn, healthcare providers focus on the symmetry of facial movements. this assessment is particularly observable when the infant is engaged in expressions such as crying or smiling. the facial nerve is responsible for innervating the muscles of facial expression. therefore, any asymmetry in these movements can indicate a dysfunction or pathology affecting this nerve.

in contrast, other cranial nerves are assessed through different means: - the coordination of suck and swallow primarily involves the glossopharyngeal nerve (cranial nerve ix) and the vagus nerve (cranial nerve x). these nerves help in controlling the muscles necessary for these functions. - the presence of a gag reflex is also a test for the glossopharyngeal nerve, which innervates parts of the tongue and the pharynx. - the ability of the head to turn easily to either side is assessed to examine the function of the accessory nerve (cranial nerve xi), which controls the sternocleidomastoid and trapezius muscles involved in head and shoulder movements.

thus, for a comprehensive assessment of the facial nerve in newborns, observing the symmetry of facial movements during emotional expressions is the recommended and most direct method. this helps in determining the functional status of the nerve and identifying any potential issues that may require further medical evaluation or intervention.

Which of the following could be considered diagnostic of ROM (rupture of membranes)?

Correct Answer:
the observation of fluid coming from the cervical os


the rupture of membranes (rom) is a significant event during pregnancy, typically indicating that labor is imminent or has already begun. the amniotic sac, which holds the fetus and amniotic fluid, breaks either spontaneously or as a result of medical intervention. identifying rom is crucial as it can lead to labor or, if premature, require medical intervention to prevent infection or other complications.

among the options provided: 1. **lightening** - this refers to the baby dropping lower into the pelvis, preparing for birth, which usually occurs a few weeks before the onset of labor. although lightening indicates that the body is preparing for delivery, it is not specifically diagnostic of the rupture of membranes. 2. **the observation of fluid coming from the cervical os** - this is a direct sign of rom. when the amniotic sac ruptures, amniotic fluid escapes through the cervical opening (os). observing this fluid is a clear indication of membrane rupture. clinicians often confirm this through a visual examination and might use additional tests such as the nitrazine test (checking the ph of the fluid) or the fern test (microscopic examination of the fluid to see if it forms a fern-like pattern, indicative of amniotic fluid). 3. **infrequent contractions** - while contractions are a part of labor, their frequency and intensity can vary greatly and are not directly indicative of rom. infrequent or irregular contractions might suggest early labor or false labor (braxton hicks contractions) but are not diagnostic of membrane rupture. 4. **both b and c** - since option c (infrequent contractions) is not diagnostic of rom, this choice is also incorrect. the correct answer would be solely based on the observation of fluid coming from the cervical os, as noted in option b.

thus, the most accurate choice for diagnosing rupture of membranes from the options given is the observation of fluid coming from the cervical os. this observation directly indicates that the amniotic sac has ruptured, which is a definitive diagnostic sign of rom.