MATERNITY FINAL EXAM QUESTIONS AND ANSWERS GRADED
A+/2026 UPDATE/100% CORRECT /INSTANT DOWNLOAD
B, C, D
Rationale: True labor is regular, location is back to front, and the duration
remains constant. Cervical change is a true indicator of labor. - CORRECT
ANSWERS-A pregnant woman who is in her late 3rd trimester called her
primary care provider complaining of contractions. Which of the following
indicates that the patient is experiencing true labor? Select all that apply.
A. My pain duration changes when I move around
B. My contractions are occurring every 6 minutes and last 1 minute long
C. I have pain located back to front
D. My cervix is changing
E. My contractions are coming 10, 7, and then 15 minutes apart
B
Rationale: HCG levels would still rise because the fertilized ovum is still secreting
HCG even though it is in the wrong place. The HCG level would decline over 48
hours if their was a spontaneous abortion/loss. - CORRECT ANSWERS-A
pregnant women presents to her doctors office with nausea, vomiting, and
sharp abdominal pain. The doctor suspects an ectopic pregnancy. What would
her HCG levels look like?
A. HCG level slowly declining over 48 hours
B. HCG level rising but not doubling appropriately in 48 hours
C. HCG level drastically drops within 24 hours
D. No HCG hormone detected
,C - CORRECT ANSWERS-Janine is a 34-year-old female who is 36 weeks
pregnant with fraternal twins, has two living children that are also fraternal
twins and now 4 years old, that she delivered at 36 weeks via c-section. She had
a therapeutic abortion at 23 years old and spontaneously aborted during her
second pregnancy at 27 years old. What is her GTPAL?
A.) G=2, T=1, P=1, A=2, L=2
B.) G=4, T=1, P=0, A=2, L=2
C.) G=4, T=0, P=1, A=2, L=2
D.) G=4, T=0, P=1, A=1, L=2
E.) G=2, T=1, P=0, A=1, L=2
D
subtract 3 months, add 7 seven days & adjust year - CORRECT ANSWERS-
Your patient's last menstrual cycle was February 6, 2020. Using Naegele's Rule,
what is her expected date of delivery?
A. November 13, 2021
B. November 9, 2020
C. October 13, 2020
D. November 13, 2020
A - CORRECT ANSWERS-A 26 year old woman presents to her OB because
she missed her last menstrual period. She reports fatigue, nausea, and urinary
frequency. The provider interprets these findings as which indication of
pregnancy?
Probable
Presumptive
Positive
, Negative
B - CORRECT ANSWERS-A patient comes into the GYN clinic in her second
trimester. She is 37 years old. She has had two vaginal births in the past, both at
40 weeks gestation. She miscarried one fetus at 24 weeks. She currently has two
living children. What is her GTPAL?
G=2, T=3, P=1, A=1, L=3
G=4, T=2, P=0, A=1, L=2
G=3, T=2, P=1, A=0, L=2
G=4, T=3, P=0, A=1, L=1
A, B, C, D
RationaleA- Asthma may affect fetal oxygenation levels due to inadequate gas
exchange in the mom B- Gestational diabetes may lead to placental insufficiency
which affects fetal oxygenationC- Hypertension may reduce blood flow to
placenta due to vasospasmD- Epidural side effects include hypotension, which
will reduce blood flow to placenta and therefore affect fetal oxygenation -
CORRECT ANSWERS-1. Which of the following maternal factors may decrease
fetal oxygenation? Select all that apply
A. Asthma
B. Gestational diabetes
C. Hypertension
D. Epidural
B, C, D
RationaleA is incorrect because cardiac output increases with the 30% increased
blood volume to compensate for blood loss during birth and to provide fetus
with nutrient. E is incorrect because pregnant women develop supine
A+/2026 UPDATE/100% CORRECT /INSTANT DOWNLOAD
B, C, D
Rationale: True labor is regular, location is back to front, and the duration
remains constant. Cervical change is a true indicator of labor. - CORRECT
ANSWERS-A pregnant woman who is in her late 3rd trimester called her
primary care provider complaining of contractions. Which of the following
indicates that the patient is experiencing true labor? Select all that apply.
A. My pain duration changes when I move around
B. My contractions are occurring every 6 minutes and last 1 minute long
C. I have pain located back to front
D. My cervix is changing
E. My contractions are coming 10, 7, and then 15 minutes apart
B
Rationale: HCG levels would still rise because the fertilized ovum is still secreting
HCG even though it is in the wrong place. The HCG level would decline over 48
hours if their was a spontaneous abortion/loss. - CORRECT ANSWERS-A
pregnant women presents to her doctors office with nausea, vomiting, and
sharp abdominal pain. The doctor suspects an ectopic pregnancy. What would
her HCG levels look like?
A. HCG level slowly declining over 48 hours
B. HCG level rising but not doubling appropriately in 48 hours
C. HCG level drastically drops within 24 hours
D. No HCG hormone detected
,C - CORRECT ANSWERS-Janine is a 34-year-old female who is 36 weeks
pregnant with fraternal twins, has two living children that are also fraternal
twins and now 4 years old, that she delivered at 36 weeks via c-section. She had
a therapeutic abortion at 23 years old and spontaneously aborted during her
second pregnancy at 27 years old. What is her GTPAL?
A.) G=2, T=1, P=1, A=2, L=2
B.) G=4, T=1, P=0, A=2, L=2
C.) G=4, T=0, P=1, A=2, L=2
D.) G=4, T=0, P=1, A=1, L=2
E.) G=2, T=1, P=0, A=1, L=2
D
subtract 3 months, add 7 seven days & adjust year - CORRECT ANSWERS-
Your patient's last menstrual cycle was February 6, 2020. Using Naegele's Rule,
what is her expected date of delivery?
A. November 13, 2021
B. November 9, 2020
C. October 13, 2020
D. November 13, 2020
A - CORRECT ANSWERS-A 26 year old woman presents to her OB because
she missed her last menstrual period. She reports fatigue, nausea, and urinary
frequency. The provider interprets these findings as which indication of
pregnancy?
Probable
Presumptive
Positive
, Negative
B - CORRECT ANSWERS-A patient comes into the GYN clinic in her second
trimester. She is 37 years old. She has had two vaginal births in the past, both at
40 weeks gestation. She miscarried one fetus at 24 weeks. She currently has two
living children. What is her GTPAL?
G=2, T=3, P=1, A=1, L=3
G=4, T=2, P=0, A=1, L=2
G=3, T=2, P=1, A=0, L=2
G=4, T=3, P=0, A=1, L=1
A, B, C, D
RationaleA- Asthma may affect fetal oxygenation levels due to inadequate gas
exchange in the mom B- Gestational diabetes may lead to placental insufficiency
which affects fetal oxygenationC- Hypertension may reduce blood flow to
placenta due to vasospasmD- Epidural side effects include hypotension, which
will reduce blood flow to placenta and therefore affect fetal oxygenation -
CORRECT ANSWERS-1. Which of the following maternal factors may decrease
fetal oxygenation? Select all that apply
A. Asthma
B. Gestational diabetes
C. Hypertension
D. Epidural
B, C, D
RationaleA is incorrect because cardiac output increases with the 30% increased
blood volume to compensate for blood loss during birth and to provide fetus
with nutrient. E is incorrect because pregnant women develop supine
