SPEEDY GROUP-CBT SAMPLE QUESTIONS

COMPILED BY AFIA

A midwife is feeling low and stressed, which is having an impact on their work and personal life.
What do they do?
a. Write a reflection
b. Access support
c. Carry on coping
d. Nothing

The obstetrician has advised a woman with a breech presentation to have a caesarean section,
and she asks whether there are other options. What action does the midwife take?
a. Recommends a caesarean section
b. Promotes a multiprofessional evidence-based discussion of options, risks and benefits to
empower her choices
c. Recommends vaginal breech
d. Advises the woman to listen to the obstetrician

What is the name of the part of the male reproductive system that carries sperm from the
epididymis to the ejaculatory ducts? Choose the correct answer.
a. Corpus cavernosum
b. Seminal vesicles
c. Vas deferens
d. Testicles

What is critical appraisal? Choose the correct answer.

a. A one-to-one review of performance in the workplace
b. Undertaking a research study in an area of interest
c. Gaining ethical approval for a research study
d. Use of explicit and transparent methods to assess the data in published research

What is the MC requirement for reflection as part of the revalidation process? Choose the correct
answer.
a. Five written reflections over 3 years
b. Three written reflections over 5 years
c. Three written reflections over 3 years
d. Five written reflections over 5 years

Which is the most important element to consider when supporting the transition of a newborn to
extrauterine life? Choose the correct answer.
a. Administering vitamin K
b. Drying it and maintaining body temperature
c. Dressing the newborn
d. Facilitating the newborn's first feed

What is the value of continuity of carer teams in midwifery? Choose the correct answer.
a.Midwives will not have to travel far to see the women in their care
b. Midwives can provide consistent care to women in a small geographical area
c. Women can receive care from a familiar midwife if they live within the midwife's
geographical area
d. Women can receive care from a familiar midwife wherever they are living or staying

At which stage of pregnancy is cardiac output increased by up to 50%? Choose the correct
answer.
a. The second trimester
b. Throughout pregnancy
c. The first trimester
d. The third trimester

How does amniotic fluid protect the fetus? Choose the correct answer.
a. It filters toxins and waste and removes it from the womb to assist with lung development
b. It provides cushioning, promotes muscular, skeletal and lung development, and develops the
gastrointestinal tract
c. It provides cushioning, stops trauma and assists with lung development
d. It assists with blood flow to and from the placenta, and assists with lung development

What is a strength based approach in midwifery? Choose the correct answer.

a. The midwife and woman working independently making the most of their own strengths
b. The midwife and woman working together making the most of the woman's strengths
c. The midwife and woman working independently making the most of each other's strengths
d. The midwife and woman working together making the most of the midwife's strengths

What position should a newborn's head be in for resuscitation? Choose the correct answer.
a. Anterior
b. Extended
c. Posterior
d. Neutral

Why do midwives attend annual interdisciplinary team laming events? Choose the correct
answer.
a. To improve teamwork and quality improvement
b. It is continuous professional development
c. It is mandatory training
d. To meet other colleagues at work's expense

What is quality improvement? Choose the correct answer.

a. Improving oneself
b. Provision of quality care
c. Change management
d. Improving healthcare to ensure safe, quality care
A woman, admitted for induction of labour, says she does not want any interventions. What is
the midwife's plan of care? Choose the correct answer.
a. Respect her wishes and discharge her home
b. Offer to inform the consultant on her behalf
c. Tell the woman she needs to think of her baby and agree to the induction
d. Explain that the consultant obstetrician knows best so not to worry

How does a midwife assess a neonate for signs of positive attachment? Choose the correct
answer.
a. By observing whether the neonate is feeding and crying frequently, and the mother is smiling
b. By observing for physical signs such as regular bowel and urinary movements
c. By observing for signs of settling, suckling, head turning towards the mother, babbling and
smiling to maintain proximity to the mother
d. By observing for signs of settling, sleeping for long periods, and feeding frequently

A midwife is caring for a worn who has been prescribed erythromycin tablets for a chest
infection. The wornan is not able to swallow the tablets and asks the midwife to crush them for
her. What should the midwife do? Choose the correct answer.
a. Crush the tablets as this is the woman's choice
b. Refuse to crush the tablets but allow the woman to crush them if that is her preference
c. Refuse to crush the tablets and ask the prescribing doctor to prescribe the antibiotics in liquid
form
d. Refuse to crush the tablets and omit the medication as the woman was unable to take it

A midwife is holding an antenatal clinic in a General Practitioner's (GP) surgery. A woman in

the waiting room is breastfeeding her toddler, and one of the receptionists asks her to stop as she
is upsetting some of the patients waiting to see the GP. What does the midwife do? Choose the
correct answer.
a. Not get involved as the situation does not involve them
b.Offer the woman a space to feed her toddler in her clinic room
c.Suggest to the woman that her toddler is too old to breastfeed and can now have solid food
d.Explain to the receptionist that she is breaking the law by asking the woman to stop feeding her
toddler

A midwife believes that a policy is based on out-of-date research. What action do they take?
Choose the correct answer.
a. Approach a manager for guidance on how to approach the policy group with up-to-date
evidence
b. Change their own practice in line with the new evidence
c. Ask colleagues whether they agree that the policy is out of date
d. Nothing, as this is the role of management

What advice does a midwife give to a woman who wishes to resume intercourse while
breastfeeding? Choose the correct answer.
a. Breastfeeding is 100% effective as a method of contraception
b. Discuss contraception methods with the woman
c. Begin contraception straight away
d. Resume intercourse when the partner is ready

Optimal position during labour and birth is . Choose the correct option to complete the sentence.
a. Jupright and mobile.
b. left lateral.
c. semi-recumbent.
d. lying flat

Communication is an essential clement of midwifery care. What is key for effective

communication? Choose the correct arcane
a. Making notes while a woman is speaking to ensure that everything is documented
b. Giving information in written format via leaflet or smart phone app
c. Communicating efficiently as time for appointments is limited
d. Respectful open and closed questioning and active listening

A midwife has provided care for a number of women during a busy shift. What is the correct
approach to documentation? Choose the correct answer
a. Use a scrap of paper to make brief notes for later
b. Ask a care assistant to update the records for you
c. At the end of the day, sit down and update all clinical records
d.Maintain consistent, complete, clear, accurate, secure and timely records

Which type of twin pregnancy has two amnions and two chorions? Choose the correct answer.
a. Neither monozygotic nor dizygotic
b. Both monozygotic and dizygotic
c. Monozygotic
d. Dizygotic

During an antenatal examination on a woman at 25 weeks' gestation, a midwife notices that she
is wearing a medical alert bracelet. There is no medical history documented in her notes. What
action does the midwife take? Choose the correct answer
a. Enquire about the medical condition, document the relevant information in the notes, and refer
if appropriate
b. Ignore it as she would say if she wanted the midwife to know
c. Question her on why she did not disclose this information at booking
d. Tell her that she will need another booking appointment to make sure that no other
information has been missed

What is the normal heartrate for a newborn? Choose the correct answer.
a. 50 to 100 beats per minute
b. 150 to 200 beats per minute
c. 20 to 60 beats per minute
d. 100 to 160 beats per minute
In a breech birth, which manoeuvre is required to deliver flexed arms? Choose the correct
answer.
a. Lovset
b. Burns-Marshall
c. Podalic version
d. Modified Mauriceau-Smellie-Veit

What are the constituents of amniotic fluid in the third trimester? Choose the correct answer.
a. Carbohydrates, proteins, water and blood
b. Meconium, urea, epithelial cells and water
c. Water, epithelial cells, urea and blood
d. Meconium, urea, blood and infections

During a busy clinic in the maternity unit, a man approaches a midwife to say that he and his
wife do not want to be seen by any healthcare staff who are not British. How does the midwife
respond to this? Choose the correct answer.
a. The midwife should explain that this is discriminatory but, if there are British staff around,
they will try to see his wife
b. The midwife should explain that this is discriminatory and will not be tolerated
c. The midwife should acknowledge that the woman's wishes are important and British staff will
be asked to attend
d. The midwife should acknowledge that the woman's wishes are important and, if there are any
British staff free, they will try to attend

A woman discloses that she is fearful of a family member. What advice does the midwife give?
Choose the correct answer.
a. Ask her to bring the family member to the next appointment
b. Advise her not to see them anymore
c. Ask her further questions and undertake a safeguarding risk assessment
d. Advise her to confide in a friend

Why is it necessary to perform modified early obstetric warning score (MEOWS) observations?
Choose the correct answer.
a. To recognise clinical deterioration
b. To ensure that the fetus is well
c. To stop infections
d. To recognise perineal tears

The evidence base is not clear and there are no definitive recommendations for a woman's care.
How should a midwife respond? Choose the correct
answer
a. Debate the implications for practice in the absence of an evidence base
b. Escalate concerns about the lack of evidence
c. Complain about the lack of research
d. Leave that for the research professionals to consider further
A woman having her first baby has been in the second stage of labour for 3 hours. There is no
further progress, and she has refused referral to an obstetrician for assistance. How should the
midwife proceed? Choose the correct answer
a. Discuss the evidence base and support her with her informed choices, documenting
discussions carefully and acting as an advocate
b. Call an obstetrician
c. Consider the woman's mental capacity
d. Escalate concems to the senior team

A midwife becomes aware that one of her colleagues is regularly accepting financial gifts from
woren in her care. What does the mutwife do? Choose the correct answer,
a. Escalate it to management as a breach of public trust
b. Talk to the midwife about why this is happening
c. Ignore it, as the midwife is obviously giving good care
d. Ask the midwife what she does to receive so many gifts

A midwife is caring for a woman who is in early labour and is a surrogate for a married,
heterosexual couple. The couple have attended the labour ward with her. The woman tells the
midwife that she previously agreed for them to be with her all the time, but she would now like
some privacy for a few hours while her labour establishes. The husband of the couple does not
want to be excluded from the room as the baby is biologically his and he feels that he has a right
to be there. How should the midwife handle this situation? Choose the correct answer
a. The midwife should respect the wishes of the woman in her care but should encourage her to
listen to the husband's point of view as he is the baby's
biological father
b. The midwife should respect the wishes of the woman in her care and support her decisions if it
is safe to do so. She should check that this is what
the woman really wants
c. The midwife should respect the wishes of the woman in her care and support her decisions.
She should ask the couple to leave
d. The midwife should explain to the woman that she is there to support all of them in this
situation. She should allow the couple to stay

A midwife is talking to a woman about her birth plan. The woman wants to discuss the benefits
of delayed cord clamping and is unsure whether she wants this. What should the midwife advise?
Choose the correct answer.
a. The midwife should advise that delayed cord clamping gives the baby up to 30% more blood
volume but could delay the initiation of breastfeeding
b. The midwife should advise that delayed cord clamping gives the baby up to 10% more blood
volume but could be dangerous if the baby needs to be
resuscitated
c. The midwife should advise that delayed cord clamping gives the baby up to 30% more blood
volume, which prevents anemia and provides stem
cells that contribute to growth and immune development
d. The midwife should advise that delayed cord clamping gives the baby up to 10% more blood
volume, which reduces anemia and provides stem cells that contribute to growth and immune
development

A midwife is feeling low and stressed, which is having an impact on their work and personal life.
What do they do? Choose the correct answer.
a. Write a reflection
b. Access support
c. Carry on coping
d. Nothing

A midwife is visiting a wornan at home who is 10 days postnatal after an uncomplicated birth.
She informs the midwife that she wants to continue to breastfeed but she is finding it stressful as
her family does not want her to continue. What advice does the midwife give? Choose the
correct answer.
a. Tell her she needs to make a decision otherwise the baby will get confused
b. Advise her to follow her family's wishes as this will be less stressful
c. Encourage the woman's feeding choice and advise her of local specialists and peer support
groups for ongoing support
d. Advise her that the health visitor is the professional to speak to

A woman, who does not speak any English, attends her midwife appointment, accompanied by
her husband who offers to translate for her. What does the midwife do? Choose the correct
answer.
a. Rearrange the appointment with a female relative to act as interpreter
b. Ask the woman's husband to interpret
c. Ask if there are any members of staff who are able to interpret
d. Rearrange the appointment with an interpreter present

Which bodily system is responsible for an increase in fluid plasma and glomerular filtration rate
in pregnancy? Choose the correct answer.
a. Cardiovascular
b. Renal
c. Hepatic
d. Haematological

How else are "human factors' referred to? Choose the correct answer.
a. Safety
b. Serious incidents
c. Ergonomics
d. Economics

What does the term 'autonomy' mean? Choose the correct answer.
a. Positive health and wellbeing
b. A birth position
c. The right or condition of self-government
d. The state of being equal

During an antenatal appointment, a woman tells the midwife that she would like to give up
smoking. What does the midwife do? Choose the correct answer.
a. Agree that this is a good idea and suggest she check for ideas to help her online
b. Refer her to an obstetrician for a risk assessment
c. Refer her for specialist support to help her to stop smoking
d. Nothing, as this is not related to pregnancy

What is the continuity of carer model in midwifery? Choose the correct answer.
a. Consistency in the midwifery team who provide care to the woman and newborn as much as
possible
b. Consistency in the midwifery team who provide care to the woman and newborn during
pregnancy, labour and the postnatal period
c. Consistency in the midwifery team who provide care to the woman and newborn during
pregnancy
d. Consistency in the healthcare team who provide care to the woman and newborn as much as
possible

At antenatal clinic, a woman provides a mid-stream sample of urine. On analysis, it tests positive
for leucocytes. Why is this significant? Choose the correct answer.
a. This can be a sign that labour is beginning
b. This can be a sign that the sample is contaminated
c. This can be a sign of a vaginal infection
d. This can be a sign of pre-eclampsia

Ankyloglossia affects up to 10% of newborn infants. If a midwife is caring for a baby who has
this condition, what referral should be made? Choos correct answer.
a. Referral for a tongue-tie
b. Referral for swallowing difficulty
c. Referral for a smaller than normal lower jaw
d. Referral for an abnormally large tongue

The obstetrician has advised a woman with a breech presentation to have a caesarean section,
and she asks whether there are other options. What action does the midwife take? Choose the
correct answer.
a. Recommends a caesarean section
b. Promotes a multiprofessional evidence-based discussion of options, risks and benefits to
empower her choices
c. Recommends vaginal breech
d. Advises the woman to listen to the obstetrician

What is the name of the part of the male reproductive system that carries sperm from the
epididymis to the ejaculatory ducts? Choose the correct answer.
a. Corpus cavernosum
b. Seminal vesicles
c. Vas deferens
d. Testicles

What is critical appraisal? Choose the correct answer.

a. A one-to-one review of performance in the workplace
b. Undertaking a research study in an area of interest
c. Gaining ethical approval for a research study
d. Use of explicit and transparent methods to assess the data in published research

Which is the most important element to consider when supporting the transition of a newborn to
extrauterine life? Choose the correct answer.
a. Administering vitamin K
b. Drying it and maintaining body temperature
c. Dressing the newborn
d. Facilitating the newborn's first feed

What is the value of continuity of carer teams in midwifery? Choose the correct answer.
a. Midwives will not have to travel far to see the women in their care
b. Midwives can provide consistent care to women in a small geographical area
c. Women can receive care from a familiar midwife if they live within the midwife's
geographical area
d. Women can receive care from a familiar midwife wherever they are living or staying

At which stage of pregnancy is cardiac output increased by up to 50%? Choose the correct
answer.
a. The second trimester
b. Throughout pregnancy
c. The first trimester
d. The third trimester

How does amniotic fluid protect the fetus? Choose the correct answer.
a. It filters toxins and waste and removes it from the womb to assist with lung development
b. It provides cushioning, promotes muscular, skeletal and lung development, and develops the
gastrointestinal tract
c. It provides cushioning, stops trauma and assists with lung development
d. It assists with blood flow to and from the placenta, and assists with lung development

A midwife has supported a woman with the birth of her first baby, and the woman needs to have
a second degree perineal tear repaired. However, as there is only an hour left before the end of
the shift, the midwife decides to wait and ask whoever takes over on the next shift to complete
the suturing so that she has time to do the paperwork before she goes home. Has the midwife
made the right decision? Choose the correct answer
a. No. This is not in the best interests of the woman and so is not in line with the responsibility of
the midwife
b. No. The labour ward co-ordinator will be angry that the clinical work is not completed when
the next shift begins
c. Yes. It is important to complete the paperwork as a priority as it is a legal record
d. Yes. The midwife coming on to the next shift will do just as good a job

During the systematic examination of a newborn male, a midwife discovers bilateral

undescended testes. What is the plan of care? Choose the correct answer.
a. Refer for further testing to exclude endocrine or chromosomal causes
b. Advise the parents to have the baby examined regularly
c. Observe the newborn's urine output for 24 hours
d. Advise the parents that this is common and not to worry

A midwifery unit creates a new smart phone app for women and their families, but the midwives
in the clinic decide not to use or share it as they do not really enjoy working with technology.
Are the midwives making the right decision? Choose the correct answer.
a. No. Midwives must help women with whatever they need and so need to learn how to use the
app
b. No. Midwives are required to demonstrate digital literacy to ensure safe and effective practice
c. Yes. Midwives are too busy to extend their practice to include technological support
d. Yes Using an app is not part of the role of the midwife, so there is no need for them to learn
how to use this

How does a midwife develop the strength and resourcefulness to work in difficult situations?
Choose the correct answer.
a. Reflection, life long learning and appropriate support
b. Life long leaming and obtaining professional qualifications
c. Avoiding difficult situations and accessing appropriate support if necessary
d. Reporting all difficult situations and reflecting on this

A proposal is made to move the antenatal clinic upstairs to a part of the unit that has no lift. What
action does the midwife take? Choose the correct answer.
a. Contact a local disability support group for advice
b. Offer to hold a discussion with other staff to see how they feel
c. Oppose this as it is discriminatory against anyone who needs to use a lift
d. Nothing, as this is not to do with midwifery care

What informs best practice? Choose the correct answer.

a. Evidence from research
b. White Papers
c. Guidelines
d. Policies

How should a midwife support a woman who has declined blood products? Choose the correct
answer.
a. Signpost her to support groups who can give her further information, document the discussion
and arrange follow-up care
b. Tell her that it is in her best interests to accept the products and then refer her to a consultant
c. Give her written information and recommend that she discuss it with her family
d. Ensure that she has verbal and written information on the associated risks, refer to a
consultant, arrange follow-up care and signpost to support groups

What is the midwife's role in coordinating care? Choose the correct answer.
a. Ensuring timely referrals, effective communication, and seamless transfer of care
b. Completing care referrals, arranging appointments and transferring care as soon as possible
c. Ensuring all tasks and communications are completed by one person
d. Taking responsibility for ensuring mothers attend all of their appointments

How does a woman demonstrate working in partnership with a woman? Choose the correct
answer.
a. Completing a risk assessment
b. Information giving and documentation
c. Present pregnancy choices and birth options
d. Respect, uphold and value rights and choices

A primigravida woman with a body mass index of 25 is admitted to hospital. She has been
experiencing strong uterine contractions for the past 10 hours.
On abdominal examination, the midwife notices an oblique, visible ridge above the symphysis
pubis. What is the cause of this? Choose the correct answer.
a. Obstructed labour
b. Second stage of labour
c. Very tight underwear
d. Inflamed subcutaneous fat

What supports the development of a midwifery team? Choose the correct answer.
a. Delegating roles
b. Working together
c. Distributing tasks
d. Leadership and clear communication

A woman is prescribed co-amoxiclav 375mgs t.d.s. What is the total amount that will be
administered in 24 hours? Choose the correct answer.
a. 1125mcgs
b. 1500mcgs
c. 1500 mgs
d. 1125mgs

Which of the following is a social determinant of health? Choose the correct answer.
a. Access to healthcare, education and social support
b. How houses and communities are designed
c. The state of the local environment such as worksites and green spaces
d. Access to social workers as needed

How does a midwife manage an allergic reaction following the administration of a medication?
Choose the correct answer.
a. Stop the medication, advise the patient, assess for collapse, refer to specialists and document
b. Advise the patient, document, do not refer to specialists, hand over to a colleague
c. Continue the medication, assess for collapse, refer to specialists, ongoing assessment, and
document
d. Continue the medication, assess, do not advise the patient, document

Why is interdisciplinary teamworking and learning so important? Choose the correct answer.
a. It builds relations
b. It promotes teamwork and safety
c. It saves time
d. It is mandatory

What is the correct anatomical position of the non-pregnant uterus? Choose the correct answer.
a. Retroverted and retroflexed
b. Retroverted and anteflexed
c. Anteverted and anteflexed
d. Anteverted and retroflexed

During adult resuscitation, what is the ratio of chest compressions to rescue breaths? Choose the
correct answer.
a. 20 compressions to three breaths
b. 630 compressions to two breaths
c. 30 compressions to one breath
d. Two compressions to 30 breaths

What is the legal age of viability of a fetus in the UK? Choose the correct answer.
a. 24 weeks
b. 8 weeks
c. 18 weeks
d. 40 weeks

What are human factors? Choose the correct answer.

a. The effects on human behaviour of teamwork, tasks, equipment, workspace, culture and
organisation
b. Training together to ensure effective care
c. A team leader directing care
d. The principles of teamwork following guidelines

Midwives have a duty to maintain skill competencies and knowledge levels. What process
ensures this? Choose the correct answer.
a. Re-registering
b. Routine training
c. Revalidation
d. Reflection

When leading a shift or a team, a midwife must ..

Choose the correct option to complete the sentence.
a. support and develop the team to achieve their goals
b. write the names of the team and their tasks on the board.
c. assign cases in alphabetical order
d. ask the team what they want to do.

How does a midwife support a woman who discloses domestic abuse? Choose the correct
answer.
a. By advising the woman to contact the police and keeping her in the healthcare setting
b. By assisting with safety planning and keeping her in the healthcare setting
c. By demonstrating empathy, conducting a risk assessment, assisting with safety planning, and
liaising with specialist services
d. By advising the woman to leave the relationship and keeping her in the healthcare setting