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DOH Assistant Midwife (DOH-Asst-Midwife) Practice Tests & Test Prep by Exam Edge - Review


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DOH Assistant Midwife - Reviews


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See why our users from 154 countries love us for their exam prep! Including 100 reviews for the DOH Assistant Midwife 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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DOH Assistant Midwife - Test Reviews Sample Questions

In hormonal contraception all of the following are actions related to estrogen EXCEPT:

Correct Answer:
inhibiting the release of luteinizing hormone


in understanding the actions of estrogen in hormonal contraception, it's important to differentiate between the roles of estrogen and progestins, as they contribute in distinct ways to the effectiveness of contraceptives. estrogen has several key actions in hormonal contraception, but inhibiting the release of luteinizing hormone (lh) is not one of them; this function is primarily associated with progestins.

one of the main roles of estrogen in hormonal contraception is to stabilize the endometrium, which is the lining of the uterus. this stabilization is crucial as it helps to regulate menstrual cycles and reduces the likelihood of breakthrough bleeding, a common side effect when the endometrium is not adequately supported. by maintaining a consistent endometrial lining, estrogen aids in providing predictable and manageable menstrual cycles for users of hormonal contraceptives.

additionally, estrogen plays a role in suppressing the secretion of follicle-stimulating hormone (fsh) from the pituitary gland. by inhibiting fsh, estrogen prevents the normal growth and development of ovarian follicles, which in turn helps to inhibit the development of a dominant follicle capable of ovulation. this suppression is vital in preventing the maturation and release of eggs, thereby contributing to the contraceptive effect.

however, unlike progestins, estrogens do not significantly inhibit the release of luteinizing hormone (lh). lh is crucial for the final maturation and subsequent release of the egg from the ovary, a process known as ovulation. progestins in hormonal contraceptives effectively reduce lh levels, thus preventing ovulation. this distinction is critical in understanding the complementary roles of these hormones in contraception.

therefore, while estrogen contributes to the efficacy of hormonal contraceptives through endometrial stabilization and suppression of fsh, it does not play a direct role in inhibiting lh release. this action is reserved for progestins, highlighting the synergistic effect of these hormones in contraceptive methods.

A patient is diagnosed with a urinary tract infection. She has had several urinary tract infections over the last couple of years. You go over a teaching plan for her in hopes of preventing further urinary tract infections. Which of the following pieces of advice would NOT be included in your teaching plan?

Correct Answer:
avoid wearing cotton undergarments.
in developing a teaching plan for a patient who frequently suffers from urinary tract infections (utis), certain preventive strategies are recommended to decrease the risk of recurrence. this plan would include various lifestyle and hygiene tips tailored to reduce the conditions that foster uti development. it is crucial to identify which advice would be inappropriate as part of this plan.

the correct answer to the question, "avoid wearing cotton undergarments," is misleading in the context of preventing utis. contrary to the implication of this advice, wearing cotton undergarments is actually beneficial for individuals prone to utis. cotton is a breathable fabric, which helps reduce moisture build-up in the genital area. moist environments can promote the growth of bacteria, including escherichia coli, which is often responsible for utis. therefore, patients are advised to wear loose, cotton undergarments to ensure proper air circulation and reduce moisture.

other effective strategies in the teaching plan that would be included are: - **hydration:** encouraging the patient to increase fluid intake, ideally around 3 liters per day, helps flush out bacteria from the urinary tract before an infection can start. - **urination habits:** patients should be advised to void every 2 to 3 hours during the day and to always void immediately after sexual intercourse to help clear any bacteria that may have been introduced into the urethra. - **personal hygiene:** it is important to teach the patient to cleanse from front to back after using the toilet to prevent bacteria from the anal region from spreading to the urethra. additionally, choosing showers over baths can prevent sitting in potentially bacteria-laden water. - **medication adherence:** if the patient is prescribed antibiotics or any other medication to manage or prevent utis, it is crucial to take the full course of the prescribed medication exactly as directed by a healthcare provider.

thus, the advice to "avoid wearing cotton undergarments" does not align with standard recommendations for preventing utis. instead, patients should be encouraged to wear cotton undergarments as a preventive measure alongside other lifestyle and hygiene practices mentioned in the teaching plan.