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LICENSING EXAM OF NORMAL OBSTERICS AND NEONATOLOGY NCNM PAST PAPER 2016 E
Question 1
In spontaneous vaginal delivery, what do you do next after the head coming out :
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A. return the baby quickly, check the umbilical cord, clean air way and deliver the posterior shoulder
B. return the baby quickly, check the umbilical cord, clean air way and deliver the anterior shoulder
C. Wait the baby return himself, check the umbilical cord, clean air way and deliver the posterior shoulder
D. Wait the baby return himself, check the umbilical cord, clean air way and deliver the anterior shoulder
Question 2
Directly after birth, what do you do firstly for the baby born without a problem?
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A. Clean the baby and cut the cordon
B. Put the baby on skin to skin and cut the cordon
C. Clean the baby and put him skin to skin
D. Cut the cordon and put the baby skin to skin
Question 3
Which of the following rationales best explains why a pregnant client should not lie a long time on her right side when resting or sleeping in the later stages of pregnancy or in labor:
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A. To facilitate digestion and prevent heartburn
B. To prevent compression of vena cava
C. To facilitate bladder emptying
D. To avoid abnormalities of fetal cord
Question 4
A woman with a term, uncomplicated pregnancy comes into labor ward in earl active phase of labor saying that she thinks her forewater is broken. Which action should the nurse/ midwife takes:
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A. Prepare the woman for delivery without delay
B. Perform immediately vaginal examination
C. Immediately contact doctor for next action
D. Collect sample of fluid for microbial analysis
Question 5
One of the following is not an indicator of the adequate pelvis for vaginal delively during vaginal examination:
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A. Sacral promontory cannot be felt
B. Ischial spines are not blunt
C. Subpubic arch accept 2 fingers
D. Intertuberous diameter accept 4 knuckles
Question 6
During the examination of a pregnant woman, the nurse / midwife have to determine the foetal position .The denominator in the Left Occipal Anterior and Right occipital Anterior is the:
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A. Nasion
B. Mentum
C. Occiput
D. Sacrum
Question 7
The routine administration of vitamin K to all newborns is due to:
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A. Maternal insufficiency of Vitamin K
B. The maternal liver dysfunction during pregnancy
C. Immature fetal liver immediately after birth
D. Lack of absorption of vitamin K.
Question 8
The APGAR score is composed of five elements:
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A. Temperature, grimace, heartbeat, breathing, muscle tone
B. Couleur, grimace, heartbeat, breathing, muscle tone
C. Couleur, grimace, temperature, heartbeat, breathing.
D. Breathing, muscle tone, weight, color and temperature
Question 9
Which of the following statements is true in relation with care of the umbilical cord in newborns
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A. a. Cover the umbilical cord with Vaseline
B. b. Apply antiseptic solution every day
C. c. Do not cover to expose it to the air
D. d. Apply antiseptic solution twice daily
Question 10
A client has just given birth at 42 weeks gestation. When assessing the neonate, which result of physical exam is expected to be founded?
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A. A sleepy and lethargic baby
B. Lanugo covering body
C. Desquamation of the epidermis
D. Vernix caseosa covering the body
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