Treatment Obstetrics & Gynecology EXAM Test
Bank 12th Edition updated 2026
Chapter 1: Obstetrics
Contraindications to Pregnancy (Medications and Vaccines)
1|Page
, A 28-year-old female with history of recurrent pregnancy loss. She comes now want to improve
her immunity before trying to conceive. What you will give her?
A. Influenza vaccine
B. Rubella vaccine
C. Hepatitis
D. Immunoglobulin
Correct Answer:
B
Explanation: ( According to te
UpToDa ) Rubella infection can have catastrophic effects on the
Congenital rubella syndrome developing
—
fetus, resulting in spontaneous abortion, fetal infection, stillbirth, or intrauterine growth
restriction
Female her previous pregnancy is sti llbirth
about and now she want to pregnant and ask the
A. the
all Rubella
vaccines that she is need before doctor conception and reduce the
B. Varicella
stillbirth ?
C. Influenza
Correct Answer:
Explanation: A
( According to
UpToDate
Congenital rubella syndrome )
— Rubella infection can have catastrophic effects on the developing
fetus, resulting in spontaneous abortion, fetal infection, stillbirth, or intrauterine growth
restriction
2|Pa
ge
, Married women came in winter to OB /gyn clinic she want to conceive later what vaccine you
should give her before conceive?
A. Rubella
B. Influenza
C. Varicella
D. Tdap
Correct Answer: B
Explanation: (According to Williams Obstetrics and UpToDate)
PRECONCEPTION IMMUNIZATION
Obstetrics and Gynecology: SMLE Questions and Answers Chapter 1: Obstetrics
- Influenza o Vaccinate all women who will be pregnant during flu season. Vaccinate high-
risk women prior to flu season.
o Vaccination against influenza throughout the influenza season, but optimally in
October or November, is recommended by the Centers for Disease Control and
Prevention (CDC) and the American College of Obstetricians and Gynecologists for
all women who will be pregnant during the influenza season.
- Measles, mumps, rubella (MMR) o Screen for rubella immunity. If nonimmune, vaccinate
and counsel on the need for effective contraception during the subsequent month.
- Varicella o Screen for varicella immunity. If nonimmune, vaccinate and counsel on the
need for effective contraception during the subsequent month.
- Tdap (tetanus, diphtheria, pertussis) o Update vaccination in all reproductive-aged women.
3|Page
, Pregnant in 2nd trimester which vaccine to give her?
A. H. influenza
B. DTAP
Correct Answer: A
Explanation: (According to UpToDate)
- Tdap
• Pregnant women should receive Tdap, ideally during the early part of the 27 to 36
week gestational age range (third trimester)
- Inactivated Influenza Vaccine
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