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NMC Registered Midwives - Reviews


   Excellent
Based on 85 reviews

Jessica


   TrustPilot Review

"Content of the NMC midwife test completely irrelevant, non-evidence based, specific to USA health service. I would seek a full refund. There is more nursing based questions than midwifery, Midwives are NOT always nurses."

Ogeri


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"There is nothing to add. You guys are great, Thanks so very much"



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See why our users from 154 countries love us for their exam prep! Including 85 reviews for the NMC Registered Midwives 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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NMC Registered Midwives - Test Reviews Sample Questions

A corrective measure for late decelerations in the FHR pattern is using a lateral position. This accomplishes which of the following?

Correct Answer:
increases uterine blood flow so intervillous space is adequately perfused


the question relates to managing late decelerations in fetal heart rate (fhr) patterns, specifically through the application of a lateral maternal position. late decelerations are a type of fhr abnormality characterized by a gradual decrease and return to baseline fhr associated with uterine contractions. these decelerations are typically due to uteroplacental insufficiency, a condition where the placenta is not delivering enough oxygen and nutrients to the fetus during labor.

positioning the mother in a lateral position—either left or right—can be an effective corrective measure for late decelerations. this position is beneficial because it helps increase uterine blood flow, thus enhancing the perfusion of the intervillous space of the placenta. the intervillous space is the area in the placenta where maternal blood supplies oxygen and nutrients to the fetus through the villous trees of the placenta. adequate perfusion of this space is crucial for maintaining fetal well-being during labor.

when a pregnant woman lies flat on her back, the enlarged uterus can compress major blood vessels like the inferior vena cava and aorta. this compression can reduce blood flow returning to the heart and decrease cardiac output, which in turn may reduce uterine blood flow and placental perfusion. by shifting the mother's position to her side, this vascular compression is alleviated, allowing for better blood flow to the uterus and placenta.

other strategies to manage late decelerations may include reducing uterine activity, which can be achieved by discontinuing labor-inducing agents such as oxytocin, if being used. administration of intravenous fluids can help increase maternal blood volume, thereby potentially increasing uterine blood flow. additionally, providing supplemental oxygen to the mother can also help increase the availability of oxygen in the maternal blood, further supporting fetal oxygenation.

in summary, the lateral position increases uterine blood flow, thereby improving the perfusion of the intervillous space in the placenta. this is crucial for optimizing the oxygen and nutrient delivery to the fetus, especially in the presence of uteroplacental insufficiency indicated by late decelerations in the fhr pattern. this adjustment, along with other interventions, forms an integral part of the management strategies to ensure fetal well-being during labor.

Determining the order in which patients should be cared for when there is more than one patient whose condition demands attention is part of which ethical principle?

Correct Answer:
justice


the ethical principle concerned with determining the order in which patients should be cared for, particularly when multiple patients require urgent attention, is the principle of justice. this principle is pivotal in situations where healthcare resources are limited, and decisions must be made regarding who receives care first.

justice, in the context of healthcare ethics, entails the fair and equitable distribution of care and resources among patients. it seeks to ensure that every patient is treated equally, without discrimination, and that decisions are made based on clinically relevant factors, such as the severity of the condition, the urgency of the need for medical intervention, and the potential benefit to the patient.

contrastingly, autonomy refers to respecting an individual's right to make their own decisions about their health care. for instance, patients have the autonomy to accept or refuse treatment based on their personal beliefs or preferences. beneficence involves healthcare providers making decisions that benefit the patient, aiming to improve the patient's health and wellbeing. non-maleficence, often coupled with beneficence, is the obligation to avoid causing harm.

in scenarios where healthcare providers must prioritize care, such as in emergency rooms or during a public health crisis, the principle of justice guides the decision-making process. this may involve triage systems that categorize patients based on the immediacy of their medical needs and the likelihood of benefit from medical attention. through these systems, justice is served by striving to maximize the overall health benefits across all patients, while still considering individual needs.

thus, in the ethical landscape of healthcare, justice plays a critical role in guiding how decisions about patient care order are made, ensuring that these decisions are fair, impartial, and justifiable, considering the broader context and available resources.