NCM109: Final Exam -PRELIMS Test
Questions and All Correct Answers
2026 Updated.
Which statements about Rh incompatibility are true? Select all that apply
- First exposure to Rh-positive blood results in IgM release.
- The mixing of maternal and fetal blood is part of the physiology of pregnancy.
- After the initial mix of mother and baby's blood, the baby is at risk for harm.
- IgG antibodies can cross the placenta and cause complications.
- Complications occur when the mother is Rh-positive and the baby Rh-negative. - Answer -
First exposure to Rh-positive blood results in IgM release.
- IgG antibodies can cross the placenta and cause complications.
What is the purpose of RhoGAM?
To destroy IgG antibodies
To prevent the mixing of maternal and fetal blood
To circulate non-destructive Rh-antibodies
To suppress the immune system - Answer To circulate non-destructive Rh-antibodies
Which of the following is a characteristic craniofacial feature of a child with Fetal Alcohol
Syndrome?
Long and flat philtrum
Large head circumference
Wide set eyes
Cleft palate
Macroglossia - Answer Long and flat philtrum
Which of the following is NOT a characteristic abnormality in a child with Fetal Alcohol
Syndrome?
Thin vermilion border of the upper lip
Intellectual disability
,Short palpebral fissure
Ataxia
Microcephaly - Answer Ataxia
What is the safe lower limit of alcohol intake during pregnancy?
- Patients should be advised that they will not have any alcohol-related adverse outcomes as
long as they are not getting "buzzed" or drunk while pregnant.
- There is no safe lower limit. Patients should be advised not to drink alcohol during pregnancy
- Patients should be advised to not exceed 4 drinks a week during pregnancy.
- Patients should be advised that although an occasional glass of wine with dinner is okay
during pregnancy, they should not make regular drinking a habit.
- Patients should be advised to have no more than one drink a day during pregnancy. - Answer
- There is no safe lower limit. Patients should be advised not to drink alcohol during pregnancy
Your 32-year-old G4P3 patient comes to you for her first prenatal appointment at an estimated
22 weeks gestational age. She states that she drinks about 1 glass of wine with dinner a day to
feel relaxed enough to go to bed after a stressful day of work. Otherwise, she has never
experienced anyone ask her about her drinking, has never felt the need to cut down on her
alcohol intake, and has never needed an "eye-opener" in the morning. Is the screening positive
for alcohol abuse?
No, she only scores a 2 on the alcohol abuse screening test.
No, she has no points on the screening test.
Yes, she has a score of 1 on the alcohol abuse screening test.
No, she only has a score of 1 on the alcohol abuse screening test.
Yes, she has a score of 2 on the alcohol abuse screening test. - Answer No, she has no points
on the screening test.
Which of the following is known to put a patient at risk of using illicit drugs during pregnancy?
Having a partner that uses illicit drugs
Teenage pregnancy
Having no partner or parental support during pregnancy
High socioeconomic status
Smoking cigarettes during pregnancy - Answer Having a partner that uses illicit drugs
Which of the following is NOT a known effect of smoking during pregnancy?
, Preterm premature rupture of membranes
Preterm labor
Fetal growth restriction
Gestational hypertension
Placental abruption - Answer Gestational hypertension
A 23-year-old G1P0 with a 2-year history of smoking a half-pack of cigarettes a day comes to you
for her first prenatal appointment at 8 weeks gestational age. What can you advise her with
regard to smoking cessation?
- You should avoid any discussion on smoking cessation for fear that she will not return for
further prenatal care.
- You should advise her to quit immediately and that you are happy to provide her with options
that can help her with the process.
- You should encourage her to stop smoking for the duration of her pregnancy, but reassure
that if she chooses to resume smoking after delivery there will not be any additional risk to her
infant.
- You should advise her that regardless of whether or not she quits, because of her history of
smoking a half-pack a day for over 1 year puts her at increased risk of fetal growth restriction
and preterm labor. - Answer - You should advise her to quit immediately and that you are
happy to provide her with options that can help her with the process.
What is the first step in smoking cessation counselling?
- Patients rarely ever quit smoking, so it is best to focus your efforts on other aspects of her
pregnancy during your limited appointment time.
- Ask if the patient is ready to stop smoking and educate her on the negative side effects of
smoking on pregnancy and fetal well-being.
- You should first arrange for a family meeting to gather the support for getting the patient to
quit smoking before trying to discuss it with the patient on your own.
- Make your assessment of whether or not you think the patient is ready to quit smoking before
initiating any discussion on smoking.
- You should first prescribe the patient nicotine patches regardless of whether or not they plan
on quitting smoking cigarettes. - Answer - Ask if the patient is ready to stop smoking and
educate her on the negative side effects of smoking on pregnancy and fetal well-being.
A neonate is born with congenital cretinism. Which of the following is NOT a likely cause?
- Pregnant mother on carbimazole
Questions and All Correct Answers
2026 Updated.
Which statements about Rh incompatibility are true? Select all that apply
- First exposure to Rh-positive blood results in IgM release.
- The mixing of maternal and fetal blood is part of the physiology of pregnancy.
- After the initial mix of mother and baby's blood, the baby is at risk for harm.
- IgG antibodies can cross the placenta and cause complications.
- Complications occur when the mother is Rh-positive and the baby Rh-negative. - Answer -
First exposure to Rh-positive blood results in IgM release.
- IgG antibodies can cross the placenta and cause complications.
What is the purpose of RhoGAM?
To destroy IgG antibodies
To prevent the mixing of maternal and fetal blood
To circulate non-destructive Rh-antibodies
To suppress the immune system - Answer To circulate non-destructive Rh-antibodies
Which of the following is a characteristic craniofacial feature of a child with Fetal Alcohol
Syndrome?
Long and flat philtrum
Large head circumference
Wide set eyes
Cleft palate
Macroglossia - Answer Long and flat philtrum
Which of the following is NOT a characteristic abnormality in a child with Fetal Alcohol
Syndrome?
Thin vermilion border of the upper lip
Intellectual disability
,Short palpebral fissure
Ataxia
Microcephaly - Answer Ataxia
What is the safe lower limit of alcohol intake during pregnancy?
- Patients should be advised that they will not have any alcohol-related adverse outcomes as
long as they are not getting "buzzed" or drunk while pregnant.
- There is no safe lower limit. Patients should be advised not to drink alcohol during pregnancy
- Patients should be advised to not exceed 4 drinks a week during pregnancy.
- Patients should be advised that although an occasional glass of wine with dinner is okay
during pregnancy, they should not make regular drinking a habit.
- Patients should be advised to have no more than one drink a day during pregnancy. - Answer
- There is no safe lower limit. Patients should be advised not to drink alcohol during pregnancy
Your 32-year-old G4P3 patient comes to you for her first prenatal appointment at an estimated
22 weeks gestational age. She states that she drinks about 1 glass of wine with dinner a day to
feel relaxed enough to go to bed after a stressful day of work. Otherwise, she has never
experienced anyone ask her about her drinking, has never felt the need to cut down on her
alcohol intake, and has never needed an "eye-opener" in the morning. Is the screening positive
for alcohol abuse?
No, she only scores a 2 on the alcohol abuse screening test.
No, she has no points on the screening test.
Yes, she has a score of 1 on the alcohol abuse screening test.
No, she only has a score of 1 on the alcohol abuse screening test.
Yes, she has a score of 2 on the alcohol abuse screening test. - Answer No, she has no points
on the screening test.
Which of the following is known to put a patient at risk of using illicit drugs during pregnancy?
Having a partner that uses illicit drugs
Teenage pregnancy
Having no partner or parental support during pregnancy
High socioeconomic status
Smoking cigarettes during pregnancy - Answer Having a partner that uses illicit drugs
Which of the following is NOT a known effect of smoking during pregnancy?
, Preterm premature rupture of membranes
Preterm labor
Fetal growth restriction
Gestational hypertension
Placental abruption - Answer Gestational hypertension
A 23-year-old G1P0 with a 2-year history of smoking a half-pack of cigarettes a day comes to you
for her first prenatal appointment at 8 weeks gestational age. What can you advise her with
regard to smoking cessation?
- You should avoid any discussion on smoking cessation for fear that she will not return for
further prenatal care.
- You should advise her to quit immediately and that you are happy to provide her with options
that can help her with the process.
- You should encourage her to stop smoking for the duration of her pregnancy, but reassure
that if she chooses to resume smoking after delivery there will not be any additional risk to her
infant.
- You should advise her that regardless of whether or not she quits, because of her history of
smoking a half-pack a day for over 1 year puts her at increased risk of fetal growth restriction
and preterm labor. - Answer - You should advise her to quit immediately and that you are
happy to provide her with options that can help her with the process.
What is the first step in smoking cessation counselling?
- Patients rarely ever quit smoking, so it is best to focus your efforts on other aspects of her
pregnancy during your limited appointment time.
- Ask if the patient is ready to stop smoking and educate her on the negative side effects of
smoking on pregnancy and fetal well-being.
- You should first arrange for a family meeting to gather the support for getting the patient to
quit smoking before trying to discuss it with the patient on your own.
- Make your assessment of whether or not you think the patient is ready to quit smoking before
initiating any discussion on smoking.
- You should first prescribe the patient nicotine patches regardless of whether or not they plan
on quitting smoking cigarettes. - Answer - Ask if the patient is ready to stop smoking and
educate her on the negative side effects of smoking on pregnancy and fetal well-being.
A neonate is born with congenital cretinism. Which of the following is NOT a likely cause?
- Pregnant mother on carbimazole
