NSPN 7200 ACTUAL EXAM PAPER 2026
QUESTIONS WITH ANSWERS GRADED A+
◉Monozygotic twins . Answer: develop from one fertilized ovum
(identical)
◉Diamniotic-Dichorionic twins . Answer: If cell division takes place
soon after fertilization, then two placentas develop and each fetus is
surrounded by its own amnion and chorion
◉Monoamniotic-monochorionic twins . Answer: If division is late, one
placenta develops with the fetuses surrounded by shared amnion and
chorion
◉Diamniotic-monochorionic twins . Answer: The most frequent
occurrence is the development of one placenta, two amnions, and one
chorion
◉Most hazardous type of twinning . Answer: A single placenta with
monochorionic/monoamniotic membranes
There is a risk of cord entanglement and increased risk of twin-to-twin
transfusion
,◉Risks of AMA . Answer: Fetal chromosomal abnormalities,
miscarriage, preterm birth, gestational hypertension, preeclampsia,
gestational diabetes, and placenta previa
◉Infertility . Answer: the inability to conceive after one year of trying
to become pregnant
◉What is the success rate of IVF related to? . Answer: Maternal age
(<35)
◉What are four risks associated with induction of labour? . Answer:
Tachysystole
Abnormal fetal heart rate patterns
Caesarean section
Postpartum hemorrhage (also abruption, uterine rupture, and poor fetal
oxygenation).
◉Why should first trimester ultrasound be done in the first trimester for
twins . Answer: To determine the size of each fetus and the number of
placentas (chorionicity)
◉What is Twin-to-twin transfusion syndrome (TTTS)? . Answer: A
condition that occurs in monochorionic twins sharing a placenta where
one twin receives more blood supply than the other
, ◉What are the effects on the recipient twin in TTTS? . Answer: Fluid
overload, polyhydramnios, and polycythemia
◉What are the effects on the donor twin in TTTS? . Answer: Growth
restriction, oligohydramnios, and anemia
◉Vaginal delivery likely for twins when . Answer: Dichorionic or
monochorionic/diamniotic
Twin B shouldn't be too much larger than A
Twin A must be vertex
Size between 1500-4000g
◉Risks of post-term pregnancy . Answer: Increased risk of
maternal/fetal morbidity and mortality
induction of labour
dysfunctional labour
caesarean birth
fatigue/frustration
macrosomia
decreased amniotic fluid volume (oligohydramnios)
meconium aspiration
QUESTIONS WITH ANSWERS GRADED A+
◉Monozygotic twins . Answer: develop from one fertilized ovum
(identical)
◉Diamniotic-Dichorionic twins . Answer: If cell division takes place
soon after fertilization, then two placentas develop and each fetus is
surrounded by its own amnion and chorion
◉Monoamniotic-monochorionic twins . Answer: If division is late, one
placenta develops with the fetuses surrounded by shared amnion and
chorion
◉Diamniotic-monochorionic twins . Answer: The most frequent
occurrence is the development of one placenta, two amnions, and one
chorion
◉Most hazardous type of twinning . Answer: A single placenta with
monochorionic/monoamniotic membranes
There is a risk of cord entanglement and increased risk of twin-to-twin
transfusion
,◉Risks of AMA . Answer: Fetal chromosomal abnormalities,
miscarriage, preterm birth, gestational hypertension, preeclampsia,
gestational diabetes, and placenta previa
◉Infertility . Answer: the inability to conceive after one year of trying
to become pregnant
◉What is the success rate of IVF related to? . Answer: Maternal age
(<35)
◉What are four risks associated with induction of labour? . Answer:
Tachysystole
Abnormal fetal heart rate patterns
Caesarean section
Postpartum hemorrhage (also abruption, uterine rupture, and poor fetal
oxygenation).
◉Why should first trimester ultrasound be done in the first trimester for
twins . Answer: To determine the size of each fetus and the number of
placentas (chorionicity)
◉What is Twin-to-twin transfusion syndrome (TTTS)? . Answer: A
condition that occurs in monochorionic twins sharing a placenta where
one twin receives more blood supply than the other
, ◉What are the effects on the recipient twin in TTTS? . Answer: Fluid
overload, polyhydramnios, and polycythemia
◉What are the effects on the donor twin in TTTS? . Answer: Growth
restriction, oligohydramnios, and anemia
◉Vaginal delivery likely for twins when . Answer: Dichorionic or
monochorionic/diamniotic
Twin B shouldn't be too much larger than A
Twin A must be vertex
Size between 1500-4000g
◉Risks of post-term pregnancy . Answer: Increased risk of
maternal/fetal morbidity and mortality
induction of labour
dysfunctional labour
caesarean birth
fatigue/frustration
macrosomia
decreased amniotic fluid volume (oligohydramnios)
meconium aspiration
