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SANC Midwifery (SANC- Midwifery) Practice Tests & Test Prep by Exam Edge - Topics


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

SANC Midwifery Exam Blueprint
Domain Name
Physical Assessment and Diagnostic Evaluation
Primary Care
Gynecology
Obstetrics
Pharmacology
Professional Issues


SANC Midwifery - Exam Topics Sample Questions

You have a patient who is in labor. She is in her 39th week of pregnancy. Her uterine activity and the fetal heart rate are being measured by fetal monitoring. You have detected a variable deceleration pattern. Your actions in response may include all but which of the following?





Correct Answer:
increase oxytocin if infusing


in obstetric care, fetal heart monitoring is a critical aspect of managing labor to ensure the health and safety of both the mother and the fetus. one of the patterns that can be observed through fetal monitoring is variable deceleration. variable decelerations are decreases in fetal heart rate that can vary in duration, intensity, and timing with respect to uterine contractions. these decelerations are usually caused by umbilical cord compression, leading to transient reductions in blood flow and oxygen to the fetus.

when variable decelerations are detected, several interventions are typically considered to improve fetal oxygenation and circulation. these interventions include changing the maternal position, often to the left lateral position, to relieve pressure on major blood vessels and improve uterine blood flow. performing a vaginal exam may be necessary to check for conditions like cord prolapse, which can severely affect fetal circulation if the umbilical cord descends ahead of the fetus and is compressed. if indicated, stimulating the fetus can also help assess the fetal condition and responsiveness.

one critical intervention in managing variable decelerations involves the administration of oxytocin. oxytocin is a hormone commonly used to induce or augment labor. however, it can also increase uterine activity, potentially exacerbating conditions like umbilical cord compression during contractions. therefore, in the presence of variable decelerations, the correct course of action is typically to decrease or discontinue oxytocin infusion to mitigate any additional stress on the fetal heart rate caused by heightened uterine activity.

the administration of supplemental oxygen to the mother at 10 liters per minute via a tight face mask is another supportive measure. this can help increase the amount of oxygen available to the fetus, potentially alleviating the effects of intermittent decreases in oxygenation associated with variable decelerations.

in summary, the correct response to detecting variable decelerations in fetal heart monitoring during labor would include changing the maternal position, performing a vaginal exam for potential complications like cord prolapse, possibly stimulating the fetus, and administering supplemental oxygen. crucially, it would involve decreasing or discontinuing oxytocin if it is being infused, rather than increasing it, as increased oxytocin could intensify the uterine contractions leading to further complications associated with variable decelerations.

Which of the following basic equipment would be necessary for delivery in an out-of-hospital site?





Correct Answer:
all of the above


the question "which of the following basic equipment would be necessary for delivery in an out-of-hospital site?" focuses on identifying the essential tools and supplies required to manage a birth outside of a traditional hospital setting. the options provided include "bulb syringe," "all of the above," and other specific items. understanding each component's role during delivery helps in comprehending why "all of the above" is the correct and comprehensive choice.

starting with the **bulb syringe**, this simple device is crucial for clearing mucus from the newborn’s nose and mouth, facilitating breathing immediately after birth. this is particularly important in environments where advanced suction equipment might not be available.

next, **cord clamps or cord ties** and **sterile scissors** are necessary for safely managing the umbilical cord. cord clamps or ties are used to securely close off the umbilical cord to prevent bleeding after it's cut with the sterile scissors. this step is vital in preventing infection and ensuring both maternal and newborn safety.

the list includes **gloves and personal protective equipment (ppe)**, which protect both the caregiver and the mother from potential infections and ensure a sanitary environment is maintained throughout the delivery process. **towels and blankets** are essential not only for cleaning and drying the newborn but also for swaddling them to maintain body heat. a **newborn hat** further assists in keeping the baby warm, as newborns can lose heat rapidly.

*stethoscopes** allow for monitoring the newborn’s heart rate and breathing, essential for assessing the infant’s initial health status and ongoing monitoring. the **self-inflating bag with a pressure release valve, oxygen, and tubing**, along with different sizes of **infant masks** (for term and preterm infants), are critical for providing respiratory support if the newborn has difficulties breathing on their own.

access to **oxygen** is listed as a contingency for situations where the infant requires additional respiratory support, highlighting the need for preparedness in various scenarios. lastly, a **cognitive instrument with the nrp (neonatal resuscitation program) or hbb (helping babies breathe) algorithm** provides a quick reference for medical personnel or trained birth attendants to follow step-by-step procedures in critical situations, ensuring they can respond effectively during neonatal emergencies.

therefore, when evaluating the necessary equipment for an out-of-hospital delivery, "all of the above" is the most appropriate and safest response. it encompasses all tools and supplies that might be required to manage different aspects of childbirth and initial newborn care effectively, providing a comprehensive approach to handling a birth outside of a hospital environment safely.