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SNB Midwives (SNB-MW) Practice Tests & Test Prep by Exam Edge - Topics


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SNB Midwives Exam Blueprint

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

SNB Midwives Exam Blueprint
Domain Name
Professional & Competent Practice
Responsibility and Accountability
Knowledge-based Practice
Resource Management
Nursing Development

SNB Midwives - Exam Topics Sample Questions

Which of the following is a type of umbilical cord prolapse in which the umbilical cord is compressed alongside the presenting part in the lower uterine segment or inner cervix?

Correct Answer:
occult


the correct answer is "occult." this type of umbilical cord prolapse is known as occult prolapse. unlike the more visible forms of cord prolapse, in occult prolapse, the umbilical cord descends alongside the presenting part of the fetus (such as the head or buttocks) but remains hidden within the cervical canal or the lower segment of the uterus. this can occur without the cord being visible or palpable during a vaginal examination.

occult cord prolapse is particularly dangerous because it is not immediately obvious. the compression of the umbilical cord that occurs in this scenario can compromise blood flow to the fetus, leading to potential distress. this distress is often indicated by variable decelerations in the fetal heart rate, which are abrupt decreases in heart rate typically caused by cord compression. in severe cases, this can also lead to fetal heart rate bradycardia, a condition where the fetal heart rate is consistently below the normal range.

the identification of an occult cord prolapse is usually made through monitoring of the fetal heart rate. signs such as variable decelerations, especially if they are recurrent and severe, can suggest the possibility of an occult prolapse. in such cases, further diagnostic procedures and immediate medical intervention may be necessary to ensure the safety and well-being of the fetus.

managing an occult cord prolapse involves careful monitoring and often necessitates delivery, possibly by cesarean section, to prevent prolonged periods of fetal hypoxia (lack of oxygen). the clinical approach depends on the gestational age of the fetus, the progression of labor, and the severity of the fetal heart rate abnormalities observed.

Noncontraceptive benefits of the hormonal contraceptives could include which of the following?
 

Correct Answer:
all of the above
the question addresses the noncontraceptive benefits of hormonal contraceptives, which, beyond their primary function of preventing pregnancy, offer several additional health advantages. each option listed in the question corresponds to one or more of these benefits, and the correct answer is "all of the above." here's an expanded explanation of each listed benefit:

**decrease in risk of osteoporosis:** hormonal contraceptives, particularly those containing estrogen, can have a positive effect on bone density. estrogen is known to play a critical role in bone metabolism and its decline during menopause is closely associated with an increase in bone loss. by maintaining estrogen levels, hormonal contraceptives can help preserve bone density and decrease the risk of osteoporosis, particularly in women who cannot take other forms of osteoporosis prevention.

**treatment of acne:** hormones such as androgens can stimulate the production of oil in the skin, leading to acne. certain hormonal contraceptives contain ingredients that counteract androgens, thus reducing oil production and improving acne symptoms. this makes them a useful option for managing acne, especially in women who also seek contraception.

**treatment of dysmenorrhea:** dysmenorrhea, the medical term for painful menstrual cramps, can be alleviated by hormonal contraceptives. these medications can reduce the severity of menstrual cramps by lessening the uterine lining's thickness and decreasing the amount of prostaglandins—chemicals involved in pain and inflammation—produced during menstruation.

**treatment of heavy menstrual flow:** hormonal contraceptives can regulate and often reduce menstrual bleeding. this is beneficial for women who experience menorrhagia (excessively heavy menstrual bleeding), as it can help prevent anemia and improve quality of life.

**treatment of perimenopausal symptoms:** as women approach menopause, they may experience symptoms such as hot flashes and mood swings due to fluctuating hormone levels. hormonal contraceptives can provide a steady level of hormones, helping to alleviate these symptoms.

**treatment of bleeding that is associated with fibroids:** uterine fibroids can cause heavy menstrual bleeding and pain. certain hormonal contraceptives help in reducing the bleeding and regulating menstrual cycles, thereby providing relief.

**treatment of pelvic pain associated with endometriosis:** endometriosis involves the growth of uterine-lining tissue outside the uterus, often causing significant pelvic pain. hormonal contraceptives can suppress the growth of these tissues and reduce associated pain.

in summary, while the primary use of hormonal contraceptives is to prevent pregnancy, they also offer a variety of other health benefits. these benefits not only help in managing various reproductive health issues but also contribute to the overall well-being of individuals using them. the option "all of the above" accurately reflects the broad scope of noncontraceptive advantages provided by these medications.