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Qatar Council for HealthCare Practitoners Midwife - Reviews


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Based on 125 reviews


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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 are here to help you prepare for test day.



See why our users from 154 countries love us for their exam prep! Including 125 reviews for the QCHP 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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Qatar Council for HealthCare Practitoners Midwife - Test Reviews Sample Questions

Of the following statements regarding cord blood values of a full-term newborn, which would not be considered correct?

Correct Answer:
reticulocyte count would be 15-30%.


to address the question regarding the correctness of certain statements about cord blood values in a full-term newborn, it is essential to understand the typical physiological blood values for newborns at birth. these values are important indicators of the newborn's health status and can vary from those of adults due to the unique conditions of the fetal and perinatal circulatory systems.

first, looking at platelet counts, the statement that the platelet count would be between 150,000-350,000/mm^2 is accurate. this range aligns with the normal range for full-term newborns. platelets play a crucial role in blood clotting, and their count is an important parameter to assess in newborns to rule out potential hematological issues.

moving to the hematocrit values, which measure the percentage of red blood cells in the blood, the typical range for a full-term newborn is indeed between 43-63%. this range is higher compared to adults due to the increased demand for oxygen in the fetal environment, which stimulates higher red blood cell production.

regarding serum iron concentration, a typical range for a full-term newborn is 125-225 mcg/dl. this range is considered standard and reflects the transfer of iron from the mother to the fetus late in pregnancy, which is necessary for the baby's iron stores to support growth and development after birth.

however, the reticulocyte count, which is an indicator of new red blood cell production, shows conflicting statements. one statement suggests a reticulocyte count of 15-30%, and another suggests 3-7%. for full-term newborns, a reticulocyte count of 3-7% is typical several days after birth. the higher range (15-30%) may be observed immediately post-birth, reflecting active red blood cell production in response to the transition from a fetal to a neonatal circulatory environment. therefore, the statement that "the reticulocyte count would be 3-7%" would not be considered correct without specifying the exact timing after birth when this measurement is taken. typically, a reticulocyte count would start higher and normalize to the 3-7% range as the newborn adjusts to life outside the womb.

in conclusion, the incorrect statement among those given concerns the reticulocyte count being 3-7% without additional context on the timing of the measurement post-birth. it’s crucial to consider the dynamic changes in blood parameters that occur as the newborn adapts to the external environment in the first days of life.

A mother who tests positive for group B streptococcus should be given which of the following medications prior to and during delivery?

Correct Answer:
antibiotics


group b streptococcus (gbs) is a type of bacterial infection that can be found in the vagina or rectum of pregnant women. while it is usually harmless in adults, gbs can be passed to the newborn during childbirth and lead to serious infections such as meningitis, sepsis, and pneumonia. therefore, it is crucial to manage and treat this condition effectively to prevent neonatal complications.

the standard treatment for a mother who tests positive for gbs is the administration of antibiotics during labor. this is recommended to start at least 4 hours before delivery to ensure adequate levels of the drug in the bloodstream to effectively reduce the risk of transmitting the bacteria to the baby during birth. the most commonly used antibiotic for this purpose is penicillin, due to its effectiveness against gbs and its overall safety profile for both the mother and the fetus.

for individuals allergic to penicillin, alternative antibiotics such as cefazolin, clindamycin, or vancomycin can be used depending on the sensitivity of the gbs strain to these medications. the choice of antibiotic should be guided by allergy history and the results of antibiotic sensitivity tests if available.

it is important to note that antibiotics are administered intravenously (iv) to ensure quick and effective delivery of the medication into the bloodstream. oral antibiotics are not used for gbs prophylaxis in labor because they do not provide adequate levels of the drug at the site of infection risk.

this preventive treatment approach is crucial as it significantly reduces the risk of early-onset gbs disease in newborns, which occurs in the first week of life. the centers for disease control and prevention (cdc) and other health organizations worldwide recommend routine screening for gbs in pregnant women and the use of intrapartum antibiotic prophylaxis for those who test positive. this strategy has been shown to decrease the incidence of neonatal gbs disease substantially.

in summary, antibiotics, particularly penicillin, administered iv during labor are the recommended treatment for mothers testing positive for gbs to prevent the transmission of the infection to the newborn. this practice has been a critical component of prenatal care protocols to ensure the health and safety of both mother and child during the childbirth process.