UWORLD MATERNAL AND NEWBORN UPDATED
ACTUAL EXAM PAPER 2026 QUESTIONS WITH
SOLUTIONS GRADED A+
◉ Which vaccines are indicated during pregnancy only for high-risk
patients? Answer: Hepatitis B; Hepatitis A; pneumococcus;
Haemophilus influenzae; meningococcus; varicella-zoster
immunoglobulin
◉ Which vaccines are contraindicated during pregnancy? Answer:
HPV; MMR; live attenuated influenza; varicella
◉ Why are live vaccines contraindicated during pregnancy? Answer:
Risk of fetal infection from live attenuated organisms
◉ What is the purpose of magnesium sulfate in pregnancy? Answer:
CNS depressant used to prevent seizures in preeclampsia and
eclampsia
◉ What is the earliest sign of magnesium toxicity? Answer: Absent
or diminished deep tendon reflexes
,◉ What respiratory findings indicate magnesium toxicity? Answer:
Respiratory rate less than 12 per minute or oxygen saturation less
than 95 percent
◉ What neurologic finding suggests magnesium toxicity? Answer:
Somnolence or excessive drowsiness
◉ What are the most severe complications of magnesium toxicity?
Answer: Respiratory failure and cardiac arrest
◉ What is the antidote for magnesium toxicity? Answer: Calcium
gluconate
◉ What is the purpose of tocolytic medications such as terbutaline?
Answer: Relax uterine muscle to suppress preterm labor
◉ Why are tocolytics contraindicated in placental abruption?
Answer: They increase cardiovascular adverse effects and worsen
uterine bleeding
◉ What cardiovascular effects can tocolytics cause? Answer:
Hypotension and tachycardia
,◉ What vitamin is folic acid? Answer: Water-soluble B-complex
vitamin
◉ What is the role of folic acid in pregnancy? Answer: Red blood cell
production and prevention of neural tube defects
◉ What is the minimum recommended daily folic acid intake for
pregnancy? Answer: 400 mcg per day
◉ Which foods are the best dietary sources of folic acid? Answer:
Leafy green vegetables
◉ What other foods are good sources of folic acid? Answer: Cooked
beans; rice; fortified cereals; peanut butter
◉ How is toxoplasmosis commonly transmitted? Answer: Cat feces
or undercooked meat or soil-contaminated fruits and vegetables
◉ What is the normal weight gain during the first trimester for a
healthy BMI? Answer: 1.1 to 4.4 pounds
◉ What is the expected weekly weight gain after the first trimester
for a healthy BMI? Answer: About 1 pound per week
, ◉ What is leukorrhea? Answer: Thin milky white vaginal discharge
during pregnancy
◉ What causes leukorrhea in pregnancy? Answer: Increased
progesterone and estrogen
◉ When does leukorrhea require further evaluation? Answer: If it
becomes colored, malodorous, or causes itching or burning
◉ What maternal conditions can cause fetal tachycardia? Answer:
Fever; infection; dehydration; hyperthyroidism
◉ What fetal condition can cause fetal tachycardia? Answer: Fetal
anemia
◉ What substances or medications can cause fetal tachycardia?
Answer: Atropine and cocaine
◉ What fetal movement finding is considered reassuring? Answer:
At least 10 distinct movements within 2 hours
◉ What contraction pattern is typical of active labor? Answer:
Contractions every 2 to 5 minutes
ACTUAL EXAM PAPER 2026 QUESTIONS WITH
SOLUTIONS GRADED A+
◉ Which vaccines are indicated during pregnancy only for high-risk
patients? Answer: Hepatitis B; Hepatitis A; pneumococcus;
Haemophilus influenzae; meningococcus; varicella-zoster
immunoglobulin
◉ Which vaccines are contraindicated during pregnancy? Answer:
HPV; MMR; live attenuated influenza; varicella
◉ Why are live vaccines contraindicated during pregnancy? Answer:
Risk of fetal infection from live attenuated organisms
◉ What is the purpose of magnesium sulfate in pregnancy? Answer:
CNS depressant used to prevent seizures in preeclampsia and
eclampsia
◉ What is the earliest sign of magnesium toxicity? Answer: Absent
or diminished deep tendon reflexes
,◉ What respiratory findings indicate magnesium toxicity? Answer:
Respiratory rate less than 12 per minute or oxygen saturation less
than 95 percent
◉ What neurologic finding suggests magnesium toxicity? Answer:
Somnolence or excessive drowsiness
◉ What are the most severe complications of magnesium toxicity?
Answer: Respiratory failure and cardiac arrest
◉ What is the antidote for magnesium toxicity? Answer: Calcium
gluconate
◉ What is the purpose of tocolytic medications such as terbutaline?
Answer: Relax uterine muscle to suppress preterm labor
◉ Why are tocolytics contraindicated in placental abruption?
Answer: They increase cardiovascular adverse effects and worsen
uterine bleeding
◉ What cardiovascular effects can tocolytics cause? Answer:
Hypotension and tachycardia
,◉ What vitamin is folic acid? Answer: Water-soluble B-complex
vitamin
◉ What is the role of folic acid in pregnancy? Answer: Red blood cell
production and prevention of neural tube defects
◉ What is the minimum recommended daily folic acid intake for
pregnancy? Answer: 400 mcg per day
◉ Which foods are the best dietary sources of folic acid? Answer:
Leafy green vegetables
◉ What other foods are good sources of folic acid? Answer: Cooked
beans; rice; fortified cereals; peanut butter
◉ How is toxoplasmosis commonly transmitted? Answer: Cat feces
or undercooked meat or soil-contaminated fruits and vegetables
◉ What is the normal weight gain during the first trimester for a
healthy BMI? Answer: 1.1 to 4.4 pounds
◉ What is the expected weekly weight gain after the first trimester
for a healthy BMI? Answer: About 1 pound per week
, ◉ What is leukorrhea? Answer: Thin milky white vaginal discharge
during pregnancy
◉ What causes leukorrhea in pregnancy? Answer: Increased
progesterone and estrogen
◉ When does leukorrhea require further evaluation? Answer: If it
becomes colored, malodorous, or causes itching or burning
◉ What maternal conditions can cause fetal tachycardia? Answer:
Fever; infection; dehydration; hyperthyroidism
◉ What fetal condition can cause fetal tachycardia? Answer: Fetal
anemia
◉ What substances or medications can cause fetal tachycardia?
Answer: Atropine and cocaine
◉ What fetal movement finding is considered reassuring? Answer:
At least 10 distinct movements within 2 hours
◉ What contraction pattern is typical of active labor? Answer:
Contractions every 2 to 5 minutes
