Pregnancy: Multiple Choice & Other Questions

Question 1

Select all early symptoms of pregnancy.

1. Missed menses
2. Back pain
3. Breast tenderness
4. Nausea

Answer 1

1. Missed menses
2. Breast tenderness
3. Nausea

Question 2

Select all clues to domestic violence.

1. Improbable injury
2. Late prenatal care (after first trimester)
3. Disinterested partner
4. Depression and anxiety

Answer 2

1. Improbable injury
2. Late prenatal care (after first trimester)
3. Depression and anxiety

NOTE: 3. Disinterested partner is not a good sign but it is not a sign of domestic violence

Question 3

Select all actions that should be taken when ectopic pregnancy is suspected.

1. Order qualitative hCG serology
2. Refer to ED/ObGyn
3. Schedule a follow-up appt with ObGyn
4. Discharge home for bedrest

Answer 3

1. Order qualitative hCG serology
2. Refer to ED/ObGyn

Question 4

Which lab tests should be considered in the 1st trimester for a low-risk woman. Select all that apply.

1. Hgb, Hct
2. TSH
3. STI testing
4. Blood type and Rh
5. Urine culture

Answer 4

1. Hgb, Hct
2. TSH
3. STI testing
4. Blood type and Rh

Question 5

A 32 year-old woman presents to your office with nausea and right lower quadrant pain. Select all that should be part of the differential diagnosis.

1. GERD
2. Urinary tract infection
3. Ectopic pregnancy
4. Appendicitis
5. Ovarian cyst

Answer 5

2. Urinary tract infection
3. Ectopic pregnancy
4. Appendicitis
5. Ovarian cyst

Question 6

Select all true statements about gestational diabetes (GD).

1. Screening should be conducted in the 2nd trimester
2. Two abnormal readings on the 3-hour OGTT equals GD
3. GD affects about 10% of pregnant women
4. GD is associated with maternal and fetal abnormalities

Answer 6

1. Screening should be conducted in the 2nd trimester
2. Two abnormal readings on the 3-hour OGTT equals GD
3. GD is associated with maternal and fetal abnormalities

NOTE:
GD affects about 18% - 20% of pregnant women, not 10% (#3)

Question 7

A pregnant mother is Rh negative. When should she receive RhoGam? Select all that apply.

1. At diagnosis of pregnancy
2. At 12 - 14 weeks’ gestation
3. At about 28 weeks’ gestation
4. During each trimester
5. Within 72 hours of delivery

Answer 7

3. At about 28 weeks’ gestation
4. Within 72 hours of delivery

Question 8

A pregnant mother, who is Rh negative, has had a suspected miscarriage early this morning. LMP 8 weeks ago. How should this be handled?

1. She does not need RhoGam
2. She should receive RhoGam now
3. She needs RhoGam only if miscarriage occurs in the 2nd trimester
4. She needs RhoGam only if miscarriage occurs in the 3rd trimester

Answer 8

2. She should receive RhoGam now

Question 9

A pregnant patient (1st trimester) with mild persistent asthma has used budesonide (Pulmicort) BID prior to pregnancy with good results. What should be done with this medication during pregnancy?

1. Discontinue it and use albuterol instead
2. Discontinue it and try Singulair (LTRA)
3. Continue it at the same dose BID
4. Continue it only once daily

Answer 9

3. Continue it at the same dose BID

Question 10

Select all antibiotics that are not recommended for a pregnant patient.

1. Amoxicillin
2. Levofloxacin
3. Trimethoprim-sulfamethoxazole
4. Doxycycline

Answer 10

2. Levofloxacin
3. Trimethoprim-sulfamethoxazole
4. Doxycycline

Question 11

Select all true statements about placenta previa.

1. It causes painless vaginal bleeding
2. It usually occurs in the 2nd trimester
3. No referral is needed unless it worsens
4. It may progress to placenta abruptio

Answer 11

1. It causes painless vaginal bleeding
2. It usually occurs in the 2nd trimester
3. It may progress to placenta abruptio

Question 12

According to the CDC, what is the recommended dose of folic acid for all non-pregnant women of reproductive age?

1. 0.5 mg (500 mg) per day
2. 1 mg (1000 mg) per day
3. 0.4 mg (400 mcg) per day
4. 2 mg (2000 mcg) per day

Answer 12

3. 0.4 mg (400 mcg) per day

Question 13

Folic acid is recommended prior to and during the first 2 - 3 months of pregnancy to prevent neural tube defects. Select all examples of neural tube defects.

1. Cleft palate
2. Spina bifida
3. Anencephaly
4. Encephalocele

Answer 13

2. Spina bifida
3. Anencephaly
4. Encephalocele

Question 14

The uterine funds should be palpable at 20 weeks:

1. At the level of the umbilicus
2. Just above the level of the symphysis pubis
3. Midway between the symphysis and umbilicus
4. Below the symphysis pubis

Answer 14

1. At the level of the umbilicus

Question 15

A 2-week postpartum patient has a positive screen for depression. What is the patient’s most likely diagnosis?

1. Postpartum “blues”
2. Postpartum depression
3. Major depressive disorder
4. Postpartum psychosis

Answer 15

2. Postpartum depression