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MATERNITY FINAL EXAM QUESTIONS WITH ANSWERS.
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MATERNITY FINAL EXAM QUESTIONSWITH ANSWERS.
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. ANS -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.
ANS -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 ANS -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 ANS -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 ANS -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 ANS -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
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