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SNB Midwives - Reviews


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Based on 140 reviews


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See why our users from 154 countries love us for their exam prep! Including 140 reviews for the SNB 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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SNB Midwives - Test Reviews Sample Questions

With a pregnant patient, the midwife should obtain a history as part of data collecting for the pregnancy that includes which of the following?

Correct Answer:
all of the above
in the context of prenatal care, the comprehensive collection of a patient's history by a midwife is an essential component of optimizing maternal and fetal health outcomes. this history collection helps identify potential risks, plan necessary interventions, and establish a baseline for ongoing assessment throughout the pregnancy. here's an expanded explanation of the key categories typically included:

**last menstrual period (lmp):** knowing the date of the last menstrual period is crucial as it helps estimate the gestational age of the fetus, which is vital for scheduling appropriate prenatal tests and predicting the due date. accurate dating of the pregnancy can influence decisions related to prenatal care and the management of delivery.

**method of birth control:** understanding the method of birth control used prior to conception can provide insights into potential conception difficulties and the time it took to conceive after cessation of birth control. this information may be relevant especially if there were any issues with hormonal methods or intrauterine devices that could affect early pregnancy.

**conception issues:** details about the ease or difficulty of becoming pregnant can alert the healthcare provider to possible underlying fertility issues or conditions that might affect the pregnancy, such as polycystic ovary syndrome (pcos) or endometriosis.

**symptoms of pregnancy:** early symptoms such as nausea, vomiting, fatigue, and breast tenderness are common, but their presence, severity, and onset can vary widely. discussing these symptoms can help in managing them better and identifying any atypical symptoms that might suggest complications.

**birth history:** information about previous pregnancies and their outcomes—such as gestational diabetes, preeclampsia, preterm labor, or cesarean delivery—can indicate potential risks in the current pregnancy. this is crucial for planning preventative measures or closer monitoring.

**signs or symptoms of complications:** early identification of symptoms like abnormal bleeding, severe abdominal pain, or persistent severe headaches can be lifesaving. these symptoms may indicate serious complications such as ectopic pregnancy or preeclampsia.

**interval history since last menstrual period:** any significant events, illnesses, or exposures (like medications, toxins, infections) since the last menstrual period must be considered as they might impact pregnancy outcomes.

**relevant social history:** factors such as smoking, alcohol intake, drug use, and level of social support are significant as they can directly affect maternal and fetal health. social history also helps in tailoring health education and support services to the patient's specific needs.

**relevant medical/surgical history:** a comprehensive medical and surgical history is vital as pre-existing conditions such as diabetes, hypertension, or thyroid disorders can significantly influence pregnancy management and outcomes. knowledge of previous surgeries, especially on the reproductive organs, can also inform delivery planning.

collecting this extensive history not only aids in the medical management of the pregnancy but also builds a rapport and trust between the patient and the midwife, fostering an environment where concerns can be openly discussed and addressed throughout the pregnancy journey. the data collected forms the basis of personalized care tailored to meet the unique needs of each patient, ensuring both maternal and fetal health are optimized.

Which of the following would be considered a nonhormonal contraceptive method?

Correct Answer:
all of the above


nonhormonal contraceptive methods are those that do not involve the use of hormones to prevent pregnancy. these methods can be mechanical, behavioral, or barrier-based, and they function by either preventing sperm from reaching the egg or by altering the sexual behavior to avoid the possibility of fertilization. below are some commonly used nonhormonal contraceptive methods:

**abstinence:** this method involves refraining from all sexual activity that involves genital contact, thereby eliminating the risk of sperm reaching the egg. it is the only 100% effective method of contraception and also prevents the transmission of sexually transmitted infections (stis).

**female condom:** this is a barrier method that consists of a soft, loose-fitting pouch with a ring on each end. one ring is inserted into the vagina to hold the condom in place, while the other ring remains outside the vagina. the female condom prevents sperm from entering the uterus.

**lactational amenorrhea method (lam):** this is a natural method of contraception that relies on the postpartum hormonal changes that occur when a woman is exclusively breastfeeding. it temporarily suppresses ovulation, making pregnancy unlikely during the period of intense breastfeeding.

**coitus interruptus/withdrawal method:** this method involves the male partner withdrawing his penis from the vagina before ejaculation to prevent sperm from entering the vagina. while somewhat effective, its efficacy relies heavily on the male's self-control and timing.

**male condom:** similar to the female condom, the male condom is a barrier method made of latex, polyurethane, or other synthetic materials. it is worn over the penis during intercourse and blocks sperm from entering the vagina.

**spermicidal agents:** these are chemicals that kill sperm or significantly reduce their mobility. they are often used in conjunction with other barrier methods, such as condoms, diaphragms, or cervical caps, to increase their effectiveness.

**diaphragm:** this is a shallow, dome-shaped cup made of silicone or latex that is inserted into the vagina to cover the cervix. it must be used with spermicide and works by blocking sperm from entering the uterus.

**cervical cap:** similar to the diaphragm, the cervical cap is a small cup made of silicone or latex that is designed to fit snugly over the cervix. it also must be used with spermicide to prevent pregnancy.

when answering the question, "which of the following would be considered a nonhormonal contraceptive method?", all the options listed - abstinence, female condom, lactational amenorrhea method, and all of the above - are correct. each of these methods does not involve hormones and serves to prevent pregnancy through different mechanisms.