CMS ACTUAL EXAM QUESTIONS AND
COMPLETE STUDY GUIDE 2026
▶ Oxytocin challenge test (OCT). Answer: oxytocin-stimulated contraction
test, used if nipple stimulation fails and consists of the IV administration of
oxytocin to induce uterine contractions
▶ Parity. Answer: Number of pregnancies in which the fetus or fetuses
reach 20 weeks of pregnancy, not the number of fetuses. parity is not
effected whether the fetus is born still born or alive
▶ Disadvantage of OCT. Answer: Contractions started with oxytocin can
be difficult to stop and can lead to preterm labor
▶ Nullipara. Answer: No pregnancy beyond the stage of viability
▶ Negative CST. Answer: Normal finding indicated if within a 10-min
period, with three uterine contractions, there are no late decelerations of
the FHR
▶ Primipara. Answer: Has completed one pregnancy to stage of viability
▶ Positive CST. Answer: Abnormal finding, indicated with persistent and
consistent late decelerations with 50% or more of the contractions, may
indicate uteroplacental insufficiency
, ▶ Multipara. Answer: Has completed two or more pregnancies to stage of
viability
▶ Amniocentesis. Answer: The aspiration of amniotic fluid for analysis by
insertion of a needle transabdominally into a client's uterus and amniotic
sac under direct ultrasound guidance
▶ Viability. Answer: The point in time when an infant has the capacity to
survive outside the uterus
▶ AFP. Answer: Alpha-fetoprotein, level determines fetal abnormalities
▶ Cardiovascular changes. Answer: Cardiac output increases 30-50% and
blood volume increases 30-45%, and heart rate increases
▶ Use of AFP. Answer: Can be used to assess for neural tube defects in
the fetus or chormosomal disorders
▶ Blood pressure changes. Answer: Only a slight decrease in diastolic
pressure around 24-32 weeks
▶ High levels of AFP. Answer: Associated with neural tube defects, such
as anencephaly, spina bifida, or omphalocele
▶ Chloasma. Answer: An increase of pigmentation on the face
COMPLETE STUDY GUIDE 2026
▶ Oxytocin challenge test (OCT). Answer: oxytocin-stimulated contraction
test, used if nipple stimulation fails and consists of the IV administration of
oxytocin to induce uterine contractions
▶ Parity. Answer: Number of pregnancies in which the fetus or fetuses
reach 20 weeks of pregnancy, not the number of fetuses. parity is not
effected whether the fetus is born still born or alive
▶ Disadvantage of OCT. Answer: Contractions started with oxytocin can
be difficult to stop and can lead to preterm labor
▶ Nullipara. Answer: No pregnancy beyond the stage of viability
▶ Negative CST. Answer: Normal finding indicated if within a 10-min
period, with three uterine contractions, there are no late decelerations of
the FHR
▶ Primipara. Answer: Has completed one pregnancy to stage of viability
▶ Positive CST. Answer: Abnormal finding, indicated with persistent and
consistent late decelerations with 50% or more of the contractions, may
indicate uteroplacental insufficiency
, ▶ Multipara. Answer: Has completed two or more pregnancies to stage of
viability
▶ Amniocentesis. Answer: The aspiration of amniotic fluid for analysis by
insertion of a needle transabdominally into a client's uterus and amniotic
sac under direct ultrasound guidance
▶ Viability. Answer: The point in time when an infant has the capacity to
survive outside the uterus
▶ AFP. Answer: Alpha-fetoprotein, level determines fetal abnormalities
▶ Cardiovascular changes. Answer: Cardiac output increases 30-50% and
blood volume increases 30-45%, and heart rate increases
▶ Use of AFP. Answer: Can be used to assess for neural tube defects in
the fetus or chormosomal disorders
▶ Blood pressure changes. Answer: Only a slight decrease in diastolic
pressure around 24-32 weeks
▶ High levels of AFP. Answer: Associated with neural tube defects, such
as anencephaly, spina bifida, or omphalocele
▶ Chloasma. Answer: An increase of pigmentation on the face
