CMS PRACTICE EXAM QUESTIONS AND
DETAILED SOLUTIONS 2026
▶ Nagele's rule. Answer: Take the first day of the woman's last menstrual
cycle, subtract 3 months, and then add 7 days and 1 year
▶ Reasons for an NST. Answer: Decreased fetal movement, intrauterine
growth restriction, postmaturity, gestational diabetes mellitus, gestational
hypertension, maternal chronic hypertension, history of previous fetal
demise, advanced maternal age, sickle cell disease, and isoiummunization
▶ Gravidity. Answer: number of pregnancies
▶ Interpretation of NST findings. Answer: Reactive if FHR is a normal
baseline rate with moderate variability, accelerate at least 15/min for at
least 15 seconds and occurs two or more times during a 20 minute period.
Nonreactive if does not demonstrate at least two qualifying accelerations in
a 20-min window
▶ Nulligravida. Answer: A woman who has never been pregnant
▶ Nipple-stimulated contraction test. Answer: When a woman lightly
brushes her palm across her palm across her nipple for 2 min, which
causes the pituitary gland to release endogenous oxytocin, and then
stopping the nipple stimulation when a contraction begins
, ▶ Primigravida. Answer: A woman in her first pregnancy
▶ Results of a contraction stress test. Answer: Determines how the fetus
will tolerate the stress of labor
▶ Multigravida. Answer: A woman who has had two or more pregnancies
▶ 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
DETAILED SOLUTIONS 2026
▶ Nagele's rule. Answer: Take the first day of the woman's last menstrual
cycle, subtract 3 months, and then add 7 days and 1 year
▶ Reasons for an NST. Answer: Decreased fetal movement, intrauterine
growth restriction, postmaturity, gestational diabetes mellitus, gestational
hypertension, maternal chronic hypertension, history of previous fetal
demise, advanced maternal age, sickle cell disease, and isoiummunization
▶ Gravidity. Answer: number of pregnancies
▶ Interpretation of NST findings. Answer: Reactive if FHR is a normal
baseline rate with moderate variability, accelerate at least 15/min for at
least 15 seconds and occurs two or more times during a 20 minute period.
Nonreactive if does not demonstrate at least two qualifying accelerations in
a 20-min window
▶ Nulligravida. Answer: A woman who has never been pregnant
▶ Nipple-stimulated contraction test. Answer: When a woman lightly
brushes her palm across her palm across her nipple for 2 min, which
causes the pituitary gland to release endogenous oxytocin, and then
stopping the nipple stimulation when a contraction begins
, ▶ Primigravida. Answer: A woman in her first pregnancy
▶ Results of a contraction stress test. Answer: Determines how the fetus
will tolerate the stress of labor
▶ Multigravida. Answer: A woman who has had two or more pregnancies
▶ 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
