Prenatal Checkups: Monitoring Maternal and Fetal Well-being

Question 1

Which of the following is the standard frequency for subsequent prenatal visits in low-risk pregnancies?

Accepted Answer

Every 4 weeks

Answer

Every 2 weeks

Answer

Every 6 weeks

Answer

Monthly

Question 2

When may the frequency of prenatal visits be increased?

Accepted Answer

gestational diabetes, advanced maternal age, hypertension, and others

Answer

gestational diabetes and advanced maternal age only

Answer

hypertension and advanced maternal age only

Answer

gestational diabetes only

Question 3

What are the primary benefits of regular prenatal visits?

Accepted Answer

Improved maternal and fetal outcomes, early detection of complications, and patient education and support

Answer

Improved maternal outcomes only

Answer

Early detection of complications and patient education only

Answer

Patient education and support only

Question 4

When determining the optimal timing for prenatal visits, which factors should be considered?

Accepted Answer

Maternal gestational age, fetal growth, and maternal risk factors

Answer

Maternal gestational age and fetal growth only

Answer

Maternal risk factors and fetal growth only

Answer

Maternal gestational age only

Question 5

Which aspect is NOT a crucial component of maternal weight monitoring during routine prenatal care visits?

Accepted Answer

Assessing dietary habits and cultural factors influencing food choices

Answer

Calculating body mass index (BMI)

Answer

Monitoring the frequency of weight gain

Answer

Comparing weight gain to gestational age

Question 6

Describe how maternal nutrition and regular moderate-intensity exercise during pregnancy contribute to the well-being of both the mother and the developing fetus.

Accepted Answer

Supports optimal fetal growth and development by providing essential nutrients and oxygen.

Accepted Answer

May reduce the risk of gestational diabetes by improving glucose metabolism.

Accepted Answer

Can potentially lower the risk of pre-eclampsia by improving placental function and reducing inflammation.

Answer

Has no significant impact on maternal or fetal health.

Question 7

Which of the following is not typically included in a routine prenatal visit?

Accepted Answer

Ultrasound at every visit

Answer

Blood pressure measurement

Answer

Urine analysis

Answer

Cervical exam

Question 8

What is the primary purpose of measuring fundal height during prenatal visits?

Accepted Answer

To assess fetal growth and presentation

Answer

To evaluate the position of the placenta

Answer

To detect uterine abnormalities

Answer

To monitor blood pressure

Question 9

At what gestational age is the recommended ultrasound for detailed fetal anatomy and anomaly assessment?

Accepted Answer

18-22 weeks

Answer

24-28 weeks

Answer

32-36 weeks

Answer

36-40 weeks

Question 10

During the second trimester, prenatal visits are typically scheduled every:

Accepted Answer

4 weeks

Answer

2 weeks

Answer

6 weeks

Answer

8 weeks

Question 11

At what gestational age is a routine glucose tolerance test typically performed?

Accepted Answer

24-28 weeks

Answer

12-16 weeks

Answer

32-36 weeks

Answer

40-44 weeks

Question 12

The primary purpose of a non-stress test during prenatal visits is to:

Accepted Answer

Assess fetal heart rate reactivity

Answer

Measure uterine contractions

Answer

Evaluate amniotic fluid volume

Answer

Determine fetal presentation

Question 13

A biophysical profile is typically performed at which gestational age?

Accepted Answer

32-36 weeks

Answer

16-20 weeks

Answer

24-28 weeks

Answer

36-40 weeks

Question 14

Which of the following is NOT a role of a prenatal care provider?

Accepted Answer

Performing major surgical interventions

Answer

Monitoring maternal and fetal well-being

Answer

Providing education and counseling

Answer

Prescribing medications

Question 15

In prenatal care, fetal heart rate monitoring and ultrasound imaging are crucial diagnostic tools. Their primary purpose is to:

Accepted Answer

Detect potential fetal complications and congenital anomalies early on

Answer

Estimate fetal gestational age and determine fetal position

Answer

Monitor maternal blood pressure and assess maternal health

Question 16

For effective interdisciplinary collaboration in high-risk pregnancy management, which communication method is essential?

Accepted Answer

Regular team meetings

Answer

Formal written reports only

Answer

Sporadic verbal updates

Answer

Email correspondence only

Question 17

In the first trimester, what is the most common cause of antepartum hemorrhage?

Accepted Answer

Abortion

Answer

Placenta previa

Answer

Uterine rupture

Answer

Uterine fibroids

Question 18

For pregnant women, a common symptom of polyhydramnios is:

Accepted Answer

Shortness of breath

Answer

Abdominal pain

Answer

Vaginal bleeding

Answer

Nausea

Question 19

Cervical cancer screening during prenatal visits primarily aims to:

Accepted Answer

Detect early signs of cervical cancer

Answer

Prevent premature birth

Answer

Assess fetal development

Answer

Manage sexually transmitted infections

Question 20

If a pregnant woman expresses concerns about the safety of ultrasound during prenatal visits, which response is most appropriate?

Accepted Answer

Reassure her that ultrasound is safe

Answer

Discontinue ultrasound examinations

Answer

Refer her to a specialist for counseling

Answer

Ignore her concerns and proceed with the ultrasound

Question 21

Which of the following tests or measurements is NOT recommended at every prenatal visit in the second trimester?

Accepted Answer

Fetal heart rate monitoring

Answer

Weight and blood pressure measurement

Answer

Urine analysis

Answer

Fundal height measurement

Question 22

The measurement of the distance from the top of the uterus to the pubic bone is known as:

Accepted Answer

Fundal height

Answer

Pelvic height

Answer

Uterine height

Answer

Fetal height

Question 23

The recommended gestational age range for a second-trimester ultrasound is:

Accepted Answer

18-22 weeks

Answer

16-20 weeks

Answer

20-24 weeks

Answer

24-28 weeks

Question 24

The recommended gestational age range for screening for gestational diabetes is:

Accepted Answer

24-28 weeks

Answer

15-16 weeks

Answer

28-32 weeks

Answer

32-36 weeks

Question 25

During subsequent prenatal visits, how often should blood pressure be monitored?

Accepted Answer

At every visit

Answer

Once per trimester

Answer

Only if signs of preeclampsia are present

Question 26

How often are subsequent prenatal visits typically scheduled during the second trimester?

Accepted Answer

Every 4 weeks

Answer

Every 2 weeks

Answer

Every 6 weeks

Answer

Every 8 weeks

Question 27

Which of the following tests is usually performed at the 18-20 week prenatal visit?

Accepted Answer

Ultrasound for fetal anatomy

Answer

Amniocentesis (if indicated)

Answer

Glucose tolerance test

Answer

Cervical length measurement

Question 28

What is the main purpose of hemoglobin and hematocrit tests during prenatal visits?

Accepted Answer

To screen for anemia

Answer

To assess fetal oxygenation

Answer

To monitor blood clotting

Answer

To detect infections

Question 29

Which of the following is an uncommon complaint during pregnancy?

Accepted Answer

Weight loss

Answer

Nausea and vomiting

Answer

Frequent urination

Answer

Constipation

Question 30

During which trimester does the majority of fetal growth occur?

Accepted Answer

Second trimester

Answer

First trimester

Answer

Throughout all trimesters at a steady pace

Answer

Third trimester

Question 31

What is the purpose of the fundal height measurement?

Accepted Answer

To assess fetal growth and well-being

Answer

To estimate the expected date of delivery

Answer

To evaluate maternal weight gain

Question 32

Which of the following laboratory tests is routinely performed at each prenatal visit?

Accepted Answer

Urinalysis

Answer

Glucose tolerance test

Answer

Lipid profile

Answer

Complete blood count

Question 33

What is the recommended timing for the first prenatal visit?

Accepted Answer

Within 8-10 weeks of the last menstrual period

Answer

As soon as the pregnancy is suspected

Answer

Between 12-14 weeks of gestation

Answer

No later than 20 weeks of gestation

Question 34

Which of the following is NOT a component of routine prenatal care visits?

Accepted Answer

Pap smear

Answer

Urine analysis

Answer

Blood pressure measurement

Answer

Fetal heart rate assessment

Question 35

What is the primary purpose of a targeted ultrasound scan during the second trimester?

Accepted Answer

To assess fetal anatomy and detect any anomalies

Answer

To determine fetal gender

Answer

To measure amniotic fluid volume

Answer

To monitor fetal growth

Question 36

What is the most common indication for induction of labor?

Accepted Answer

Post-term pregnancy

Answer

Oligohydramnios

Answer

Intrauterine growth restriction

Answer

Preeclampsia

Question 37

Which of the following is a significant risk factor for postpartum depression?

Accepted Answer

History of depression

Answer

Exclusive breastfeeding

Answer

Adequate social support

Answer

Good physical health

Question 38

A 28-year-old woman with a history of gestational diabetes in a previous pregnancy presents for her 24-week prenatal visit. Which of the following is the MOST important component of her assessment at this visit?

Accepted Answer

Blood glucose monitoring

Answer

Maternal weight assessment

Answer

Fundal height measurement

Answer

Fetal heart rate monitoring

Question 39

During a 30-week prenatal visit, a patient reports experiencing occasional mild leg cramps. Which of the following is the MOST appropriate advice for the patient?

Accepted Answer

Encourage frequent calf stretches and hydration

Answer

Prescribe a calcium supplement

Answer

Refer to a specialist for further evaluation

Answer

Recommend immediate bed rest

Question 40

A 35-year-old primigravida presents for her 32-week prenatal visit. Which of the following is the MOST important fetal assessment to be performed at this visit?

Accepted Answer

Biophysical profile

Answer

Fetal echocardiogram

Answer

Doppler velocimetry of the umbilical artery

Answer

Amniocentesis

Question 41

A 28-year-old primigravida presents for her 38-week prenatal visit. She reports experiencing vaginal discharge. Which of the following is the MOST important step in the management of this patient?

Accepted Answer

Assess the characteristics of the discharge

Answer

Order a vaginal swab for culture

Answer

Recommend immediate hospitalization

Answer

Prescribe antibiotics

Question 42

A 30-year-old woman presents for her 39-week prenatal visit. She is concerned about the possibility of having a vaginal delivery after a previous cesarean section. Which of the following is the MOST appropriate response?

Accepted Answer

Discuss the risks and benefits of vaginal birth after cesarean (VBAC) with her

Answer

Advise her that a cesarean delivery is the safest option

Answer

Reassure her that a vaginal delivery is always possible

Question 43

A 34-year-old woman presents for her 41-week prenatal visit. She is concerned about the risks of continuing the pregnancy beyond term. Which of the following is the MOST appropriate response?

Accepted Answer

Explain the risks of post-term pregnancy and discuss options for induction or delivery

Answer

Advise her to wait for spontaneous labor to begin

Answer

Reassure her that the baby is still safe and can continue to grow

Question 44

A 29-year-old woman presents for her 6-week postpartum visit. She reports experiencing fatigue and emotional lability. Which of the following is the MOST appropriate step in the management of this patient?

Accepted Answer

Screen her for postpartum depression

Answer

Prescribe a multivitamin

Answer

Recommend increased rest and hydration

Question 45

A 28-year-old G2P1 woman at 24 weeks gestation presents for a routine prenatal visit. Her previous pregnancy was uncomplicated. Which of the following findings on today's examination would be most concerning?

Accepted Answer

Dependent edema, headache, and visual disturbances

Answer

Trace glucosuria on urine dipstick

Answer

Weight gain of 1 pound since her last visit

Answer

Fetal heart rate of 140 bpm

Question 46

During a prenatal visit at 32 weeks gestation, a patient reports experiencing occasional shortness of breath. Her physical exam is unremarkable. What is the most likely physiological explanation for this symptom?

Accepted Answer

Enlarging uterus elevating the diaphragm

Answer

Underlying cardiac disease

Answer

Pulmonary embolism

Answer

Early onset of gestational diabetes

Question 47

At what gestational age is it recommended to perform a gestational diabetes screening for women without pre-existing risk factors?

Accepted Answer

24-28 weeks

Answer

32-36 weeks

Answer

At every prenatal visit

Answer

16-20 weeks

Question 48

A patient at 30 weeks gestation presents with sudden, painless vaginal bleeding. What is the most important initial diagnostic test?

Accepted Answer

Ultrasound

Answer

Digital cervical exam

Answer

Non-stress test

Answer

Complete blood count

Question 49

Which of the following is NOT a routine component of subsequent prenatal visits after the first trimester?

Accepted Answer

Cervical cultures for gonorrhea and chlamydia

Answer

Urine dipstick for proteinuria

Answer

Blood pressure measurement

Answer

Assessment of fetal heart rate

Question 50

A pregnant patient at 28 weeks gestation presents with a blood pressure of 145/95 mmHg. This is her first elevation in blood pressure. What is the next best step in management?

Accepted Answer

Confirm the blood pressure reading and assess for proteinuria

Answer

Order a 24-hour urine collection for protein

Answer

Immediately start antihypertensive medication

Question 51

A woman at 36 weeks gestation reports decreased fetal movement. What is the most appropriate next step in management?

Accepted Answer

Perform a non-stress test

Answer

Order an ultrasound to assess fetal growth

Answer

Send the patient to labor and delivery for immediate induction

Answer

Reassure the patient that decreased movement is normal at this stage

Question 52

Which of the following vaccines is recommended for administration during pregnancy?

Accepted Answer

Inactivated influenza vaccine

Answer

Human Papillomavirus (HPV) vaccine

Answer

Measles, Mumps, Rubella (MMR) vaccine

Answer

Varicella vaccine

Question 53

A pregnant patient presents with itching on her palms and soles, particularly at night.  Her liver function tests show elevated bile acids. What is the most likely diagnosis?

Accepted Answer

Intrahepatic cholestasis of pregnancy

Answer

Preeclampsia

Answer

Gestational diabetes

Question 54

At what gestational age should the Group B Streptococcus (GBS) screening test be performed?

Accepted Answer

35-37 weeks

Answer

At the first prenatal visit

Answer

32-36 weeks

Answer

24-28 weeks