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DHA Midwifery Exam Practice Questions & Test Prep - Topics


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DHA Registered Midwifery Exam Blueprint

Understanding the exact breakdown of the DHA Registered Midwifery test will help you know what to expect and how to most effectively prepare. The DHA Registered Midwifery has 70 multiple-choice questions The exam will be broken down into the sections below:

DHA Registered Midwifery Exam Blueprint
Domain Name
Antenatal Care
Intrapartum Care
Ethics and Legal Issues
Antepartum Care
Postpartum Care
Newborn Care
Gynecological Care
Pharmacology in Midwifery
Counseling and Education

DHA Registered Midwifery - Exam Topics Sample Questions

Transient hyperammonemia of the newborn (THAN) is a disorder occasionally present in preterm newborns but not always symptomatic. The most common and most effective treatment for THAN is which of the following?

Correct Answer:
hemofiltration
transient hyperammonemia of the newborn (than) is a metabolic disturbance observed primarily in premature infants, characterized by a sudden rise in serum ammonia levels during the first few days of life. this condition can lead to serious neurological damage if not treated promptly, although it usually resolves within a few days without specific treatment. however, in severe cases or when symptoms are evident, intervention is required.

the most common and effective treatment for than is continuous dialysis or hemofiltration. this approach helps to remove excess ammonia from the blood directly and rapidly, thereby preventing potential brain damage or other serious complications associated with high ammonia levels. hemofiltration is particularly effective because it can be adjusted to the specific needs of neonates, who are often more sensitive to changes in fluid and electrolyte balances compared to adults.

alongside hemofiltration, additional treatments may be employed to manage or support the infant's condition. nutritional support is crucial, as it helps ensure that the newborn receives adequate nutrients while avoiding excessive protein intake, which can exacerbate ammonia production. in some cases, healthcare providers may recommend limiting protein in the diet temporarily until ammonia levels stabilize.

sodium benzoate and arginine are also used as adjunct therapies in managing than. sodium benzoate works by helping to convert ammonia into a less toxic substance that can be more easily eliminated from the body. arginine, an amino acid, plays a role in the urea cycle, helping to process ammonia into urea, which is then excreted in the urine.

protein restriction may be recommended as a short-term therapeutic strategy. since the transamination of proteins (a process where amino groups are transferred from amino acids to form new amino acids) is a significant source of ammonia production, reducing protein intake can help decrease the ammonia load until the infant's condition improves.

in summary, while than can resolve on its own, severe cases require prompt and effective treatment to prevent long-term damage. hemofiltration remains the most effective treatment modality for rapidly reducing serum ammonia levels in affected newborns. this, combined with nutritional management and supportive therapies like sodium benzoate and arginine, forms the cornerstone of managing transient hyperammonemia in the newborn.

When the feet of a newborn turn outward this position is known as which of the following?

Correct Answer:
valgus


when the feet of a newborn turn outward, this position is referred to as "valgus." the term 'valgus' specifically describes an alignment in which the distal part of a limb is turned outward away from the midline of the body. this is in contrast to "varus," where the distal part of the limb is turned inward toward the midline.

the valgus position in newborns is often noticed at birth and can be attributed to the baby's position while in the womb. during gestation, the limited space within the uterus can sometimes force the baby's legs or feet into unusual positions. although it might seem concerning at first, this outward turning of the feet (valgus) is usually benign and tends to correct itself as the child grows and begins to walk. the natural weight-bearing and walking activities help in realigning the feet.

nevertheless, it is important for healthcare providers to monitor the progression of this condition. in most cases, no specific treatment is required, and the condition resolves without intervention. however, in some instances where the valgus alignment is pronounced or does not improve over time, further investigation and possibly intervention may be needed.

if concerns persist, or if the valgus position is accompanied by other symptoms, a pediatric orthopedist might be consulted to ensure there are no underlying issues such as congenital deformities or neuromuscular conditions. treatment, when required, may involve physical therapy, bracing, or other orthotic interventions to guide the proper growth and alignment of the feet and legs.

in conclusion, while the valgus position in newborns can initially be a source of worry for parents, it is typically a temporary condition that improves as the child grows. regular check-ups with a pediatrician can help ensure that the development of the child's lower extremities is progressing normally.