MIDWIFERY COMPREHENSIVE EXAM 2026
COMPREHENSIVE ASSESSMENT SCRIPT
SOLVED QUESTIONS ANSWERS UPDATED
REVIEW SET
◉ True or False: Acupuncture is a holistic method that has not been
correlated with effective pain relief.
Answer: False: One study found that 60% of women reported a
decrease in back pain after receiving acupuncture.
◉ True or False: It is safe to receive chiropractic manipulation
during pregnancy.
Answer: True: As long as a patient sees a licensed chiropractor,
studies have shown manual manipulation to be effective.
◉ Why does Round Ligament pain occur?
Answer: As the uterus grows during pregnancy the ligaments stretch
and thicken to accommodate and support it. These changes can
occasionally cause pains.
◉ Where are Round Ligament pains felt?
Answer: Round Ligament pain is a sharp pain or jabbing feeling
often felt in the lower belly or groin area on one or both sides.
,◉ What are some of the triggers of Round Ligament pains?
Answer: Round Ligament pains can occur with position changes,
getting up from a sitting, lying down, coughing, sneezing, and
laughing.
◉ What non-pharmacological methods can be used to alleviate
Round Ligament pains?
Answer: Avoid sudden movements
Side lying relaxation positions
Flex hips: Bend and flex before coughing, sneezing, or laughing.
Apply warmth: Heat or warm bath.
Exercise: Walking
◉ True/False:
Round Ligament pains lasting for more than 1 minute is normal.
Answer: False: Round Ligament pain should only last for a few
seconds. See your health care provider for pains lasting longer or
not alleviate after a short rest.
◉ What are "dermatoses of pregnancy"?
Answer: Dermatoses of pregnancy are rare severe pruritic
inflammatory skin diseases that are specific to women during
pregnant or postpartum period.
,◉ MATCH the dermatoses of pregnancy with its clinical
presentation.
1. Pruritic Urticarial papules and plaques of preganancy
2. Pemphigiod gastationis
3. Intrahepatic cholestasis of pregnancy
4. Atopic eruption of pregnancy
A. Red painful itchy rash that begins as erythematous papules within
the striae
B. Eczematous type on face, neck and flexure surfaces
C. Papules that begins around the umbilicus and spreads
centrifugally.
D. Intense pruritus on palms of hands and soles of feet, but with an
absence of lesions.
Answer: 1. Pruritic Urticarial papules and plaques of preganancy= A
2. Pemphigiod gastationis=C
3. Intrahepatic cholestasis of pregnancy=D
4. Atopic eruption of pregnancy=B
◉ Pemphigoid gestationis, which begins as plaques or papules
around the womans's umbilicus and spreads centrifugally. TRUE or
FALSE. The plaques and papules usually spreads to the face, scalp
and mucus membrane also.
, Answer: FALSE. In pemphigoid gestationis, the face, scalp and mucus
membrane are UNAFFECTED.
◉ Your patient Ms G is in her third trimester and is complaining of
intense itching, dark colored urine and clay colored stools. You
suspect which dermatoses of pregnancy?
A. Pruritic Urticarial papules and plaques of preganancy
B. Pemphigiod gastationis
C. Intrahepatic cholestasis of pregnancy
D. Atopic eruption of pregnancy
Answer: C. Intrahepatic cholestasis of pregnancy
◉ Pruritic Urticarial papules and plaques of pregnancy usually
presents:
A. Before 12 weeks gestation
B. Early in the second trimester
C. Late in the third trimester
Answer: C. Late in the third trimester
◉ True/False: Although it often appears during the first trimester,
pregnancy rhinitis can occur at any point during pregnancy.
Answer: True.
COMPREHENSIVE ASSESSMENT SCRIPT
SOLVED QUESTIONS ANSWERS UPDATED
REVIEW SET
◉ True or False: Acupuncture is a holistic method that has not been
correlated with effective pain relief.
Answer: False: One study found that 60% of women reported a
decrease in back pain after receiving acupuncture.
◉ True or False: It is safe to receive chiropractic manipulation
during pregnancy.
Answer: True: As long as a patient sees a licensed chiropractor,
studies have shown manual manipulation to be effective.
◉ Why does Round Ligament pain occur?
Answer: As the uterus grows during pregnancy the ligaments stretch
and thicken to accommodate and support it. These changes can
occasionally cause pains.
◉ Where are Round Ligament pains felt?
Answer: Round Ligament pain is a sharp pain or jabbing feeling
often felt in the lower belly or groin area on one or both sides.
,◉ What are some of the triggers of Round Ligament pains?
Answer: Round Ligament pains can occur with position changes,
getting up from a sitting, lying down, coughing, sneezing, and
laughing.
◉ What non-pharmacological methods can be used to alleviate
Round Ligament pains?
Answer: Avoid sudden movements
Side lying relaxation positions
Flex hips: Bend and flex before coughing, sneezing, or laughing.
Apply warmth: Heat or warm bath.
Exercise: Walking
◉ True/False:
Round Ligament pains lasting for more than 1 minute is normal.
Answer: False: Round Ligament pain should only last for a few
seconds. See your health care provider for pains lasting longer or
not alleviate after a short rest.
◉ What are "dermatoses of pregnancy"?
Answer: Dermatoses of pregnancy are rare severe pruritic
inflammatory skin diseases that are specific to women during
pregnant or postpartum period.
,◉ MATCH the dermatoses of pregnancy with its clinical
presentation.
1. Pruritic Urticarial papules and plaques of preganancy
2. Pemphigiod gastationis
3. Intrahepatic cholestasis of pregnancy
4. Atopic eruption of pregnancy
A. Red painful itchy rash that begins as erythematous papules within
the striae
B. Eczematous type on face, neck and flexure surfaces
C. Papules that begins around the umbilicus and spreads
centrifugally.
D. Intense pruritus on palms of hands and soles of feet, but with an
absence of lesions.
Answer: 1. Pruritic Urticarial papules and plaques of preganancy= A
2. Pemphigiod gastationis=C
3. Intrahepatic cholestasis of pregnancy=D
4. Atopic eruption of pregnancy=B
◉ Pemphigoid gestationis, which begins as plaques or papules
around the womans's umbilicus and spreads centrifugally. TRUE or
FALSE. The plaques and papules usually spreads to the face, scalp
and mucus membrane also.
, Answer: FALSE. In pemphigoid gestationis, the face, scalp and mucus
membrane are UNAFFECTED.
◉ Your patient Ms G is in her third trimester and is complaining of
intense itching, dark colored urine and clay colored stools. You
suspect which dermatoses of pregnancy?
A. Pruritic Urticarial papules and plaques of preganancy
B. Pemphigiod gastationis
C. Intrahepatic cholestasis of pregnancy
D. Atopic eruption of pregnancy
Answer: C. Intrahepatic cholestasis of pregnancy
◉ Pruritic Urticarial papules and plaques of pregnancy usually
presents:
A. Before 12 weeks gestation
B. Early in the second trimester
C. Late in the third trimester
Answer: C. Late in the third trimester
◉ True/False: Although it often appears during the first trimester,
pregnancy rhinitis can occur at any point during pregnancy.
Answer: True.
