BOARD REVIEW 2026 MASTER PRACTICE SET
WITH ACCURATE SOLUTIONS
◉ What re expectations regarding weight gain in pregnancy?
Answer: If patient was normal weight BMI: expect about 25-35 lb
weight gain
Greater weight gain is going to be recommended if the patient was
underweight previously
Lower weight gain is going to be recommended if the patient was
overweight
◉ What heart sound may be audible in pregnant women due to that
extra fluid of pregnancy? Answer: S3
◉ Where should the fundal height be at 12 weeks? Answer:
Symphysis pubis
◉ Where should the fundal height be at 20 weeks? Answer:
Umbilicus
◉ What does it mean if the mother is Rh-negative and the baby is
Rh- positive? Answer: An incompatibility is present, that can affect
future pregnancies.
,It is common during deliveries for fetal and maternal blood to mix,
and so the mother can develop antibodies against that Th-positive
blood type. This would mean that if she had a future pregnancy with
an Rh-positive baby, those antibodies could attack.
◉ What pregnant mothers need Rhogam? When is it given? Answer:
All Rh-negative mothers
28 weeks
***If the mother is Rh-negative and the baby is Rh-positive, then
ANOTHER dose will be given within 72 hours of delivery
◉ When are AFP Levels checked in pregnancy? Answer: 15-20
weeks
◉ What does low AFP levels indicate? Answer: Down Syndrome
◉ What does high AFP levels indicate? Answer: Multiple gestation,
neural tube defects
◉ Where is AFP made? Answer: Fetal liver
◉ When do we screen for gestational diabetes? Answer: 24-28
weeks
,◉ How do we screen for gestational diabetes? Answer: One Step: 2
hour oral glucose tolerance test, and if the result is > 200 the patient
has gestational diabetes
Two Step: One hour glucose challenge, and if the pregnant fails the
one hour, a 3 hour test will be initiated
◉ What is the treatment of gestational diabetes? Answer: First line:
lifestyle modifications
Second: Metformin and/or insulin- insulin is favored because it does
not cross the placenta
◉ When do we screen for Group B Strep and how is it collected?
Answer: 35-37 weeks
Vaginal/Rectal swab
◉ If a woman screens positive for Group B Strep, what is the
treatment? Answer: PCN administered during labor
◉ What is preterm labor? Answer: Labor that occurs prior to 37
weeks
◉ What are risk factors for preterm labor? Answer: Multiple
gestation pregnancy, smoking, and various infection, UTIs
, ◉ What is preeclampsia? Answer: High blood pressure in
combination of signs of damage to other organ systems.
REFER!
◉ What are signs and symptoms of preeclampsia? Answer: HTN,
edema, headache, epigastric pain, visuals changes, clonus,
proteinuria
◉ What is placenta previa? Answer: When the placenta partially
covers the cervix
S/S: PAINLESS vaginal bleeding
◉ What is management for placenta previa? Answer: Pelvic rest,
monitoring with US, typically resolves on own as the uterus grows
◉ What is placental abruption? Answer: EMERGENCY
Placenta separates from the uterus
S/S: Painful contractions and vaginal bleeding and a hard uterus
◉ What is Zika Virus? Answer: Virus spread through mosquito bites
◉ What can zika virus cause in pregnant women? Answer: Can be
passed to the fetus, can cause microcephalic and brain defects
WITH ACCURATE SOLUTIONS
◉ What re expectations regarding weight gain in pregnancy?
Answer: If patient was normal weight BMI: expect about 25-35 lb
weight gain
Greater weight gain is going to be recommended if the patient was
underweight previously
Lower weight gain is going to be recommended if the patient was
overweight
◉ What heart sound may be audible in pregnant women due to that
extra fluid of pregnancy? Answer: S3
◉ Where should the fundal height be at 12 weeks? Answer:
Symphysis pubis
◉ Where should the fundal height be at 20 weeks? Answer:
Umbilicus
◉ What does it mean if the mother is Rh-negative and the baby is
Rh- positive? Answer: An incompatibility is present, that can affect
future pregnancies.
,It is common during deliveries for fetal and maternal blood to mix,
and so the mother can develop antibodies against that Th-positive
blood type. This would mean that if she had a future pregnancy with
an Rh-positive baby, those antibodies could attack.
◉ What pregnant mothers need Rhogam? When is it given? Answer:
All Rh-negative mothers
28 weeks
***If the mother is Rh-negative and the baby is Rh-positive, then
ANOTHER dose will be given within 72 hours of delivery
◉ When are AFP Levels checked in pregnancy? Answer: 15-20
weeks
◉ What does low AFP levels indicate? Answer: Down Syndrome
◉ What does high AFP levels indicate? Answer: Multiple gestation,
neural tube defects
◉ Where is AFP made? Answer: Fetal liver
◉ When do we screen for gestational diabetes? Answer: 24-28
weeks
,◉ How do we screen for gestational diabetes? Answer: One Step: 2
hour oral glucose tolerance test, and if the result is > 200 the patient
has gestational diabetes
Two Step: One hour glucose challenge, and if the pregnant fails the
one hour, a 3 hour test will be initiated
◉ What is the treatment of gestational diabetes? Answer: First line:
lifestyle modifications
Second: Metformin and/or insulin- insulin is favored because it does
not cross the placenta
◉ When do we screen for Group B Strep and how is it collected?
Answer: 35-37 weeks
Vaginal/Rectal swab
◉ If a woman screens positive for Group B Strep, what is the
treatment? Answer: PCN administered during labor
◉ What is preterm labor? Answer: Labor that occurs prior to 37
weeks
◉ What are risk factors for preterm labor? Answer: Multiple
gestation pregnancy, smoking, and various infection, UTIs
, ◉ What is preeclampsia? Answer: High blood pressure in
combination of signs of damage to other organ systems.
REFER!
◉ What are signs and symptoms of preeclampsia? Answer: HTN,
edema, headache, epigastric pain, visuals changes, clonus,
proteinuria
◉ What is placenta previa? Answer: When the placenta partially
covers the cervix
S/S: PAINLESS vaginal bleeding
◉ What is management for placenta previa? Answer: Pelvic rest,
monitoring with US, typically resolves on own as the uterus grows
◉ What is placental abruption? Answer: EMERGENCY
Placenta separates from the uterus
S/S: Painful contractions and vaginal bleeding and a hard uterus
◉ What is Zika Virus? Answer: Virus spread through mosquito bites
◉ What can zika virus cause in pregnant women? Answer: Can be
passed to the fetus, can cause microcephalic and brain defects
