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Studying for the NARM - Page 2

post #21 of 61
Actually, a better sample question would be:

1. What is the most important thing to discuss with your client at the 36 week home visit?
a. sex during pregnancy
b. nutrition
c. kegels
d. baby care

I'm not exaggerating terribly. But I would like to stress that those were only one or two random questions so don't get in a tizzy thinking they're going to cause you to fail.

Something else that would bother me about this question is "36 week home visit??" I mean, yeah, that's common, but it's not a core competency. It's not something that you have to do to be a competent CPM and there are plenty of midwives out there that have no concept of a special home visit performed at a specific week to go over everything they've already talked about during prenatal care. It's a good idea, but it's completely up to the midwife whether that's a standard thing for her practice. What if you work in a birth center? So why present it ask something we should be expected to have an answer for? They might as well as something like "A client calls you thinking her baby might have whooping cough. How do you distinguish between whooping cough and a cold?" Sure, there are a lot of midwives who are up on their rare newborn diseases that parents need to call their pediatrician about and not their midwife... It actually took me a really long time to come up with that example because I kept thinking of the ones that were really on the test. Of course neither of those are actual test questions. Being very careful here.

cathi, thank you. I'm sure we've met. I'm the president of the TMA
post #22 of 61
Quote:
Originally Posted by nashvillemidwife View Post
Actually, a better sample question would be:

1. What is the most important thing to discuss with your client at the 36 week home visit?
a. sex during pregnancy
b. nutrition
c. kegels
d. baby care
e. where they keep the coffee maker
post #23 of 61
Quote:
Originally Posted by olive&pimiento View Post
e. where they keep the coffee maker
A+!!!!

post #24 of 61
: I'm taking the NARM in August, so I find all of this discussion very interesting. Thanks!
post #25 of 61
I couldn't think of a sample question if I tried... Many of the questions are related. IOW, if you don't know the answer to part 1 of 5, you will likely get them all wrong.
post #26 of 61
I came across this recently: http://flashcardsecrets.com/midwives/

I haven't ordered them myself, so I can't give an actual review. I think it's a good idea although the website seems a little... heavy on the advertising? It reminds me of those "order now! Only seen on TV! Limited time offer!" things
post #27 of 61
Thread Starter 
Quote:
Originally Posted by Mama2Xander View Post
I came across this recently: http://flashcardsecrets.com/midwives/

I haven't ordered them myself, so I can't give an actual review. I think it's a good idea although the website seems a little... heavy on the advertising? It reminds me of those "order now! Only seen on TV! Limited time offer!" things
Well I don't care about that... I ordered it! I figure it ought to be easy to re-sell anyway. I'll let you know what I think. Thanks for the tip!
post #28 of 61
Quote:
Originally Posted by momileigh View Post
Well I don't care about that... I ordered it! I figure it ought to be easy to re-sell anyway. I'll let you know what I think. Thanks for the tip!
You have to let us know what you think when you get them!
post #29 of 61
Quote:
Originally Posted by sevenkids View Post
A+!!!!


aaaahhhhhh hah!
post #30 of 61
maybe we could help each and come up with an mdc midwifery study guide....like each person could submit 1 question and we could compile it as a sticky or something??
post #31 of 61
Quote:
Originally Posted by Mama2Xander View Post
I came across this recently: http://flashcardsecrets.com/midwives/

I haven't ordered them myself, so I can't give an actual review. I think it's a good idea although the website seems a little... heavy on the advertising? It reminds me of those "order now! Only seen on TV! Limited time offer!" things
But doesn't EVERYONE need a Popeil Pocket Fisherman?
post #32 of 61
Quote:
Originally Posted by snugglebug14 View Post
maybe we could help each and come up with an mdc midwifery study guide....like each person could submit 1 question and we could compile it as a sticky or something??
This sounds like a super fantastic idea.
post #33 of 61
Thread Starter 
OK, so I got the NARM flash cards. Here are my reactions:

1. Quality of the cards: meh. They come 6 up on cardstock and you have to tear them apart yourself. Not in any way laminated or anything, would be easy to stain/tear/lose. Some of the pages weren't perforated and I had to cut them. Some of the words printed on the cards are faded out, but not so bad you can't tell what it says.

2. Material: Seems pretty exhaustive, and seems to come straight out of H&H. Sometimes the accuracy is not 100%. For example, "define rectocele," and the answer is "a swelling on the vulva near the rectum." Well... not exactly! That's an approximation of what you might SEE on exam but it isn't what a rectocele actually IS. (Right? I'm pretty sure seeing as I have a rectocele myself, and it is totally invisible from the outside.) There are occasional typos I have noticed.

3. Study value: My idea of a flashcard is that there is a question on one side, and a definite correct answer on the other side. These are not like that. Each flashcard says something like, "Discuss the importance of..." Or "Explain the use of..." on the front, and there is a whole long paragraph on the back. So it isn't what I imagined (ie, "What drug is used to treat syphillis?" Other side: "Penicillin G") where you can quickly go through. You sit there considering the question and discussing it for a while, trying to hit as many points as possible, and then flip the card and read the paragraph to see what points you hit and anything you may have missed. It is going to take FOREVER to get through the whole deck.

So, am I happy with them? Yes and no. I'm using them to study now, and when a topic comes up I feel I'm weak on, I jot it down to read from Frye later. I'm separating out the cards that I feel are easy stuff (a lot of the social things, like about domestic violence or single motherhood, that I'm just not worried about) from the more complicated topics (how do you diagnose and treat shock, etc.).

My plan is to use them, and after I take the test I'll have a much better idea if they were very useful or not! Meanwhile, I wouldn't classify them as a "must-have," but if you've got an extra $50 kicking around, it won't hurt.
post #34 of 61
Thread Starter 
Quote:
Originally Posted by snugglebug14 View Post
maybe we could help each and come up with an mdc midwifery study guide....like each person could submit 1 question and we could compile it as a sticky or something??
I would totally be into that idea, except that I worry about possible ethics issues. What if someone who has taken the test started posting stuff too close to what is actually on the test? Then the NARM people catch wind of it and feel they have to re-write the test, or anyone who is caught on this board is treated as suspect, or... I don't know. Maybe I'm paranoid, but I hear they make you swear up and down you won't discuss the test with anyone else, and if anyone is caught doing so, there's hell to pay. I just don't want to risk being involved w/ something like that.
post #35 of 61
Thanks for the review!
post #36 of 61
Thread Starter 
You're welcome!
post #37 of 61
I re-read Heart and Hands cover to cover.... reviewed parts of Varneys.... read up on the nutrition and herbal sections of Frye's HM I and mostly reviewed my protocols. I made my own flashcards as I was studying of the things I felt weaker on (signs and symptoms of different STDs/infections, for example, as in my apprenticeship.... we didn't see a lot of those).

But seriously, the test is really not that bad. The hardest part was sitting in that room for so long. I literally got up to go to the bathroom and did jumping jacks in the ladies room just to get the blood flowing.

But the test is not that scary. And, it's not specific to your state laws, etc. The test is aimed at entry-level midwives.

So, really, the best advice I got (from Pamamidwife here on MDC, I believe!) and now pass on to others is don't overthink any of it. Everything is considered normal unless the test question specifically says otherwise. NARM is not out to trick you. Take every question at face value and keep it simple.

If you've had a good apprenticeship, you should be fully prepared for this test. It's a lot of scenarios... Basically "In this situation, WWYD?"

I spent far too much time studying and stressing, and it was really not bad at all. It took me 2 hours in the morning, and 2 hours in the afternoon, and I walked out with a 91.
post #38 of 61
Thread Starter 
Thanks Cori, it is good to hear stories like that.

I think I've had a really good apprenticeship in terms of "seeing it all," but when I think of the girls I know who flunked, it freaks me out all over again, because they've seen just as much as I have.

I really hope I feel similarly when it is all done, that I studied and stressed way too much!
post #39 of 61
Jumping in a little late here:

I took the narm in Aug 2006 after PEP and self study (with some college classes)

A couple of times in the year before testing, I went through the written test specs from the CIB and wrote out information from whatever book I was using at the time.

I can't imagine getting through midwifery education without Frye's vol 1 and now 2 (2 wasn't available for most of my training) But I have all of the books on the list even though I didn't read all of them

I tried to read H&H the last weeks/months before the exam and I get lost in the conversational style. I need bullet points.

With the previous in mind, I ordered the 4th ed Varney a couple of months before the test and used those bullet points in conjunction with the test specs. Ignored the advanced stuff. I just needed to review the basics.

I was very nervous for the skills test. It was more about doing the procedure right and not missing something for me. yes, I had been doing the skills, but not necessarily all of the steps that were tested. The test is about verbalizing and not just the doing. Be sure to have the practical skills guide for procedures. I passed even with the nervousness.

Those that I have known that have not passed the test were ones who didn't think that they needed to know certain things, because they wouldn't use them in real practice. That is not what education is about. You learn the standards and core competencies and THEN choose what you are going to do as a midwife. Hopefully with safety for the mother/baby in mind.

Hope this help! Good luck to all!
post #40 of 61
Another general test taking skill that helped me during the NARM...

If I wasn't 100% confident of an answer, I put my best guess, and put a little ? mark next to it, and just moved on. Didn't stress about it or spend time debating.

Then when I was finished going through the whole test, I went back to JUST the ones I originally put a ? mark next too, and then gave those questions a little more thought and time.

It also gave me some confidence too, since I thought "Worse case, even if I got every one wrong that I put a ? mark next too... I'd should still pass." That took some stress out.
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