OB/PEDS final Exam questions and
answers best assured success updated
2025/2026 rated A+
Naegele's Rule - CORRECT ANSWERS add 7 days to LMP, subtract 3 months, add 1 year
GTPAL - CORRECT ANSWERS G number of times pregnant
T carried to term 37 weeks or later
P preterm delivered 20-36 weeks
A abortions- ending before 20 wks
L currently living children
Expected fundal height for gestational age - CORRECT ANSWERS 8-10 weeks: size of a large
orange (2x non pregnant)
12 weeks: size of a large grapefruit, leaves pelvis, top edge may be felt at pubis symphysis
20 weeks: funds at umbilicus
36-38 weeks: xiphoid
"lightening": fundus may decrease as fetus moves down and engages into the pelvis ("baby dropped").
Braxton Hicks contractions: perceived after 20 weeks, irregular, painless, change with activity.
Non-stress test - CORRECT ANSWERS Looks at FHE with activity
- Favorable results- 2 or more FHR accelerations of 15 beats lasting 15 seconds in a 20 minute period
CST (contraction stress test) - CORRECT ANSWERS determines fetal heart response to uterine
contractions that temporarily decrease placental blood flow.
Fetal Heart Rate Monitoring - CORRECT ANSWERS performed later in pregnancy to obtain info
on the physical condition of the fetus
-counts baby's HR
placenta abruption - CORRECT ANSWERS premature separation of the placenta from the wall
of the uterus
-can deprive baby of oxygen and nutrients
placenta previa - CORRECT ANSWERS abnormally low implantation of the placenta on the
uterine wall completely or partially covering the cervix
-painless vagina bleeding after 24 weeks
-NO VAGINAL EXAMS (can cause hemorrhage)
Cord prolapse - CORRECT ANSWERS cord lies below the presenting part of the fetus, causing
pressure of the cord. This can cause obstructed blood supply to the fetus.
preeclampsia - CORRECT ANSWERS abnormal condition associated with pregnancy, marked by
high blood pressure, proteinuria, edema, and headache
BP: 140/90 or greater (must be 20 weeks gestation or greater)
, Severe preeclampsia - CORRECT ANSWERS BP 160/100 or greater, proteinuria greater than 3+,
oliguria, elevated serum creatinine- 1.2+, epigastric pain (liver enlargement or failure), headache (can be
mild or severe), usual disturbances (scotoma, blurring), SOB, dyspnea (pulmonary edema)
eclampsia - CORRECT ANSWERS seizures that occur in pregnant people with preeclampsia
(high bp, blurry vision, convulsions)
preeclampsia management - CORRECT ANSWERS *M*y *L*oving *B*aby *H*as *D*emands
• *M*agnesium
• *L*abetalol
• *B*etamethasone
• *H*ydralazine
• *D*examethasone
severe preeclampsia management - CORRECT ANSWERS Hospitalization, magnesium sulfate,
and preparation for birth
Eclampsia management - CORRECT ANSWERS Seizure management, magnesium sulfate,
antihypertensive agents; birth once seizures controlled
magnesium sulfate use - CORRECT ANSWERS prevents seizures due to worsening
preeclampsia, to slow or stop preterm labor and prevent injuries to a baby's brain
magnesium sulfate side effects - CORRECT ANSWERS 1. weak or absent deep tendon reflexes
2. hypotension
3. respiratory depression
4. depresses cardiac function
5. hypocalcemia
gestational diabetes - CORRECT ANSWERS diabetes that develops during pregnancy between
24-28 weeks of pregnancy but can occur at 20 weeks
Oxytocin - CORRECT ANSWERS given to induce uterine contractions, may be used to augment
labor
postpartum hemorrhage - CORRECT ANSWERS >500ml (vag birth)
>1000ml (C/S)
- If boggy uterus, massage fundus
- elevate legs 20-30degrees to promote venous return
- give oxytocin, uterine stimulants : methylergonovine (Methergine -not for HTN pt), Misoprostol
(Cytotec), carboprost (Hemabate)
postpartum hemorrhage risk factors - CORRECT ANSWERS - prolonged labor
- augmented labor
- rapid labor
- retained placenta or placenta products
- use of oxytocin in labor
answers best assured success updated
2025/2026 rated A+
Naegele's Rule - CORRECT ANSWERS add 7 days to LMP, subtract 3 months, add 1 year
GTPAL - CORRECT ANSWERS G number of times pregnant
T carried to term 37 weeks or later
P preterm delivered 20-36 weeks
A abortions- ending before 20 wks
L currently living children
Expected fundal height for gestational age - CORRECT ANSWERS 8-10 weeks: size of a large
orange (2x non pregnant)
12 weeks: size of a large grapefruit, leaves pelvis, top edge may be felt at pubis symphysis
20 weeks: funds at umbilicus
36-38 weeks: xiphoid
"lightening": fundus may decrease as fetus moves down and engages into the pelvis ("baby dropped").
Braxton Hicks contractions: perceived after 20 weeks, irregular, painless, change with activity.
Non-stress test - CORRECT ANSWERS Looks at FHE with activity
- Favorable results- 2 or more FHR accelerations of 15 beats lasting 15 seconds in a 20 minute period
CST (contraction stress test) - CORRECT ANSWERS determines fetal heart response to uterine
contractions that temporarily decrease placental blood flow.
Fetal Heart Rate Monitoring - CORRECT ANSWERS performed later in pregnancy to obtain info
on the physical condition of the fetus
-counts baby's HR
placenta abruption - CORRECT ANSWERS premature separation of the placenta from the wall
of the uterus
-can deprive baby of oxygen and nutrients
placenta previa - CORRECT ANSWERS abnormally low implantation of the placenta on the
uterine wall completely or partially covering the cervix
-painless vagina bleeding after 24 weeks
-NO VAGINAL EXAMS (can cause hemorrhage)
Cord prolapse - CORRECT ANSWERS cord lies below the presenting part of the fetus, causing
pressure of the cord. This can cause obstructed blood supply to the fetus.
preeclampsia - CORRECT ANSWERS abnormal condition associated with pregnancy, marked by
high blood pressure, proteinuria, edema, and headache
BP: 140/90 or greater (must be 20 weeks gestation or greater)
, Severe preeclampsia - CORRECT ANSWERS BP 160/100 or greater, proteinuria greater than 3+,
oliguria, elevated serum creatinine- 1.2+, epigastric pain (liver enlargement or failure), headache (can be
mild or severe), usual disturbances (scotoma, blurring), SOB, dyspnea (pulmonary edema)
eclampsia - CORRECT ANSWERS seizures that occur in pregnant people with preeclampsia
(high bp, blurry vision, convulsions)
preeclampsia management - CORRECT ANSWERS *M*y *L*oving *B*aby *H*as *D*emands
• *M*agnesium
• *L*abetalol
• *B*etamethasone
• *H*ydralazine
• *D*examethasone
severe preeclampsia management - CORRECT ANSWERS Hospitalization, magnesium sulfate,
and preparation for birth
Eclampsia management - CORRECT ANSWERS Seizure management, magnesium sulfate,
antihypertensive agents; birth once seizures controlled
magnesium sulfate use - CORRECT ANSWERS prevents seizures due to worsening
preeclampsia, to slow or stop preterm labor and prevent injuries to a baby's brain
magnesium sulfate side effects - CORRECT ANSWERS 1. weak or absent deep tendon reflexes
2. hypotension
3. respiratory depression
4. depresses cardiac function
5. hypocalcemia
gestational diabetes - CORRECT ANSWERS diabetes that develops during pregnancy between
24-28 weeks of pregnancy but can occur at 20 weeks
Oxytocin - CORRECT ANSWERS given to induce uterine contractions, may be used to augment
labor
postpartum hemorrhage - CORRECT ANSWERS >500ml (vag birth)
>1000ml (C/S)
- If boggy uterus, massage fundus
- elevate legs 20-30degrees to promote venous return
- give oxytocin, uterine stimulants : methylergonovine (Methergine -not for HTN pt), Misoprostol
(Cytotec), carboprost (Hemabate)
postpartum hemorrhage risk factors - CORRECT ANSWERS - prolonged labor
- augmented labor
- rapid labor
- retained placenta or placenta products
- use of oxytocin in labor
