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SLE Midwife (SLE-Midwife) Practice Tests & Test Prep by Exam Edge - Review


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SLE 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 SLE 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.

   Excellent -- Based on 125 reviews

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SLE Midwife - Test Reviews Sample Questions

Thick meconium-stained amniotic fluid is an indication to do all of the following except?





Correct Answer:
emergency cesarean section


thick meconium-stained amniotic fluid is a concerning clinical finding during labor and delivery, indicating that the fetus may have experienced stress and passed meconium (the newborn's first stool) into the amniotic fluid. this condition prompts several specific medical responses to manage potential risks to both the mother and the baby. however, not all actions are universally indicated solely based on the presence of meconium-stained fluid.

**step up fetal surveillance:** when meconium is observed in the amniotic fluid, it is crucial to closely monitor the fetal heart rate and other signs to detect any distress. meconium can signal that the fetus has experienced hypoxia (lack of oxygen), which can lead to complications. increased surveillance often includes continuous fetal heart monitoring and possibly additional ultrasounds or biophysical profiles to assess the baby's condition.

**watch closely for signs of fetal distress:** the presence of thick meconium can be associated with fetal distress, and healthcare providers are vigilant for any signs that might indicate the baby is struggling. this includes abnormalities in the fetal heart rate such as bradycardia (slow heart rate), tachycardia (fast heart rate), or variable decelerations, all of which could suggest that immediate interventions might be necessary.

**prepare for intrauterine and extrauterine resuscitation:** given the risk of meconium aspiration (where the newborn inhales meconium mixed with amniotic fluid into the lungs), preparations for resuscitation at birth are crucial. this preparation includes having the appropriate neonatal resuscitation team and equipment ready immediately upon delivery to manage potential respiratory distress or other complications in the newborn.

**emergency cesarean section:** while an emergency cesarean section may be necessary if there are clear signs of fetal distress or if the baby’s health is compromised, the presence of meconium-stained amniotic fluid alone does not universally mandate an emergent c-section. the decision for a c-section typically depends on the overall clinical picture, including how the fetus is tolerating labor and other maternal and fetal factors.

in conclusion, thick meconium-stained amniotic fluid is an indication to enhance surveillance and prepare for potential complications but does not automatically necessitate an emergency cesarean section unless other clinical signs of distress or risk are present.

Which of the following drugs may destroy vitamin B12 if taken within one hour of vitamin B12 ingestion?





Correct Answer:
ascorbic acid


the correct answer to the question is ascorbic acid. ascorbic acid, commonly known as vitamin c, has been shown to interact negatively with vitamin b12 (cobalamin) when both are ingested simultaneously or within a short period of one another. specifically, the concern arises when ascorbic acid is taken within one hour of vitamin b12; during this time, the ascorbic acid can chemically degrade or destroy vitamin b12.

the mechanism behind this interaction involves the reduction and oxidation properties of ascorbic acid. vitamin b12 is sensitive to redox changes, and the strong reducing power of ascorbic acid can lead to the breakdown of the cobalamin molecule, rendering it ineffective. this destruction of vitamin b12 can adversely affect its bioavailability and, consequently, its physiological functions, such as red blood cell formation and neurological maintenance.

it is important to note the difference between drugs that decrease the absorption of vitamin b12 and those that destroy it. while certain medications and supplements might reduce the efficiency of vitamin b12 absorption from the digestive tract, ascorbic acid can actually destroy the vitamin if their intake overlaps closely in time. this distinction is crucial for managing dietary supplements and medication schedules, especially for individuals who rely on vitamin b12 supplementation for health reasons, such as those with pernicious anemia or strict vegetarians.

to avoid this interaction, it is advised that ascorbic acid and vitamin b12 supplements be taken at different times of the day, ensuring a gap of more than one hour between their ingestions. this precaution helps in maintaining the efficacy of both supplements and supports the optimal functioning of various bodily processes dependent on these essential nutrients.