Obstetrics Final Review Exam Questions
With Guaranteed Pass Solutions.
A pregnancy-related complication of unknown cause that is characterized by high blood pressure (when
pre-pregnancy BP's were normal) and signs of damage to other organ systems such as the kidneys,
leading to a condition known as proteinuria. Usually begins after 20 weeks of pregnancy and if left
untreated can lead to serious, even fatal, complications for the mother and the baby." - Answer
Preeclampsia
"A maternal condition defined by the progressive dilation and effacement of the cervix that begins after
20 weeks and before term (the 37th week of pregnancy). This condition occurs because risk factors that
are known or unknown cause uterine contractions and the cervix to dilate and efface prior to the time
that the fetus is considered Term or 37-41 weeks. Many known and unknown causes for the condition
exist. This condition is the leading cause of morbidity and mortality of newborns." - Answer Premature
Labor
"A complication that occurs prior to, or during, delivery of the baby. This condition occurs when the
"pulsing life-line" which connects the placenta to the fetus drops through the open cervix into the vagina
ahead of the baby becoming trapped and totally or partially occluded against the baby's body during
delivery. This complication occurs in one in every 300 births and presents a great danger to the fetus. It
can result in hypoxia or death to the fetus if intervention is not initiated immediately." - Answer
Umbilical cord prolapse
"An antepartum fetal surveillance procedure carried out after 28 weeks gestational age exam. By fetal
heart rate monitoring and the mother marking the movements of the fetus, this exam detects fetal well-
being by recording movement, heart rate and reactivity of the heart rate of the fetus. Abnormal results
lead to immediate further exploration of the fetal condition." - Answer Nonstress Test
"An inpatient procedure whereby contractions of the uterus and/or cervical dilation are initiated in the
absence of natural labor by artificial rupture of amniotic membranes (AROM), and/or cervical ripening
agents and/or IV oxytocin." - Answer Induction of Labor
"A condition in pregnancy associated with preeclampsia whereby the pregnant patient experiences a
critical hemolysis, elevated liver enzymes and low platelet count." - Answer HELLP Syndrome
, "An inpatient procedure whereby preexisting labor is assisted in its progress in strength and frequency of
uterine contractions and/or dilation and effacement in the cervix by Artificial Rupture of the Amniotic
Membranes (AROM), and/or cervical ripening agents and/or IV oxytocin." - Answer Augmentation of
Labor
"A condition of glucose intolerance, with no pre-existing occurrence, that begins and is diagnosed during
pregnancy only. This condition is diagnosed between 24-28 weeks gestational age by an oral 50-gram
glucose challenge test (GCT) during prenatal care. If results are abnormal, a 100-gram oral glucose
tolerance test (OGTT) is carried out for confirmation of the diagnosis. Classifications of this disorder
include A1-(diet control) and A2 (insulin control with diet). Maternal treatments include self-glucose
monitoring, diet, exercise and close maternal and fetal surveillance. This condition can lead to fetal
macrosomia or large for gestational age fetus (LGA), cephalopelvic disproportion (CPD), Cesarean Section
and hypoglycemia, hyperbilirubinemia (Jaundice), respiratory distress syndrome (RDS) or hypocalcemia
of the newborn." - Answer Gestational Diabetes Mellitus (GDM)
"The breaking/leaking of what a patient refers to as their "bag of water" before natural labor has taken
place at term (37-41 weeks gestation)." - Answer Premature Rupture of Membrane (PROM)
"A pregnancy that has exceeded 42 weeks gestation without delivery of the fetus or signs or symptoms
of natural labor." - Answer Post Term Pregnancy
"Premature separation of the placenta from the wall of the uterus before birth." - Answer Abruptio
Placentae
"A condition in which the neck of the lower uterine segment begins to open, or dilate, in the second
trimester of pregnancy." - Answer Incompetent Cervix
Peg Smith
A G2P3 at 38 weeks gestational age presents to the emergency department with a diagnosis of Placenta
Previa. She is complaining of a large amount of bright red bleeding and she continues to actively bleed
on the waterproof pad on the mattress. She has active, painful, regular contractions every 2-5 minutes
for the last hour. The fetal heart rate is present at 120 beats per minute and variability is minimal and
accelerations are absent. - Answer Placenta Previa
Prepare for Surgical Intervention or Cesarean Section
With Guaranteed Pass Solutions.
A pregnancy-related complication of unknown cause that is characterized by high blood pressure (when
pre-pregnancy BP's were normal) and signs of damage to other organ systems such as the kidneys,
leading to a condition known as proteinuria. Usually begins after 20 weeks of pregnancy and if left
untreated can lead to serious, even fatal, complications for the mother and the baby." - Answer
Preeclampsia
"A maternal condition defined by the progressive dilation and effacement of the cervix that begins after
20 weeks and before term (the 37th week of pregnancy). This condition occurs because risk factors that
are known or unknown cause uterine contractions and the cervix to dilate and efface prior to the time
that the fetus is considered Term or 37-41 weeks. Many known and unknown causes for the condition
exist. This condition is the leading cause of morbidity and mortality of newborns." - Answer Premature
Labor
"A complication that occurs prior to, or during, delivery of the baby. This condition occurs when the
"pulsing life-line" which connects the placenta to the fetus drops through the open cervix into the vagina
ahead of the baby becoming trapped and totally or partially occluded against the baby's body during
delivery. This complication occurs in one in every 300 births and presents a great danger to the fetus. It
can result in hypoxia or death to the fetus if intervention is not initiated immediately." - Answer
Umbilical cord prolapse
"An antepartum fetal surveillance procedure carried out after 28 weeks gestational age exam. By fetal
heart rate monitoring and the mother marking the movements of the fetus, this exam detects fetal well-
being by recording movement, heart rate and reactivity of the heart rate of the fetus. Abnormal results
lead to immediate further exploration of the fetal condition." - Answer Nonstress Test
"An inpatient procedure whereby contractions of the uterus and/or cervical dilation are initiated in the
absence of natural labor by artificial rupture of amniotic membranes (AROM), and/or cervical ripening
agents and/or IV oxytocin." - Answer Induction of Labor
"A condition in pregnancy associated with preeclampsia whereby the pregnant patient experiences a
critical hemolysis, elevated liver enzymes and low platelet count." - Answer HELLP Syndrome
, "An inpatient procedure whereby preexisting labor is assisted in its progress in strength and frequency of
uterine contractions and/or dilation and effacement in the cervix by Artificial Rupture of the Amniotic
Membranes (AROM), and/or cervical ripening agents and/or IV oxytocin." - Answer Augmentation of
Labor
"A condition of glucose intolerance, with no pre-existing occurrence, that begins and is diagnosed during
pregnancy only. This condition is diagnosed between 24-28 weeks gestational age by an oral 50-gram
glucose challenge test (GCT) during prenatal care. If results are abnormal, a 100-gram oral glucose
tolerance test (OGTT) is carried out for confirmation of the diagnosis. Classifications of this disorder
include A1-(diet control) and A2 (insulin control with diet). Maternal treatments include self-glucose
monitoring, diet, exercise and close maternal and fetal surveillance. This condition can lead to fetal
macrosomia or large for gestational age fetus (LGA), cephalopelvic disproportion (CPD), Cesarean Section
and hypoglycemia, hyperbilirubinemia (Jaundice), respiratory distress syndrome (RDS) or hypocalcemia
of the newborn." - Answer Gestational Diabetes Mellitus (GDM)
"The breaking/leaking of what a patient refers to as their "bag of water" before natural labor has taken
place at term (37-41 weeks gestation)." - Answer Premature Rupture of Membrane (PROM)
"A pregnancy that has exceeded 42 weeks gestation without delivery of the fetus or signs or symptoms
of natural labor." - Answer Post Term Pregnancy
"Premature separation of the placenta from the wall of the uterus before birth." - Answer Abruptio
Placentae
"A condition in which the neck of the lower uterine segment begins to open, or dilate, in the second
trimester of pregnancy." - Answer Incompetent Cervix
Peg Smith
A G2P3 at 38 weeks gestational age presents to the emergency department with a diagnosis of Placenta
Previa. She is complaining of a large amount of bright red bleeding and she continues to actively bleed
on the waterproof pad on the mattress. She has active, painful, regular contractions every 2-5 minutes
for the last hour. The fetal heart rate is present at 120 beats per minute and variability is minimal and
accelerations are absent. - Answer Placenta Previa
Prepare for Surgical Intervention or Cesarean Section
