OB: Maternal Newborn CMS Exam
Questions and Verified Answers
A need for fetal suctioning can occur after which which complication: -
✔✔Meconium in the amniotic fluid
(may also be benign- requires fetal assessment)
If meconium is found in the amniotic fluid, notify: - ✔✔The neonatal
resuscitation team to be present at birth
An increased risk of meconium in the amniotic fluid occures after: - ✔✔38
weeks or breech presentation
Meconium stained amniotic fluid is often what color: - ✔✔Green
After presence of meconium stain in the amniotic fluid, if respiratory efforts are
strong and newborn HR is >100, suction via: - ✔✔Normal suctioning- mouth
then nose using a bulb syringe
After presence of meconium stain in the amniotic fluid, if respiratory efforts are
depressed and newborn HR is < 100, suction via: - ✔✔Endotracheal tube below
the vocal cords BEFORE first breath is taken
Fetal Distress indicated by what FHR pattern: - ✔✔<110
>160
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©JOSHCLAY 2025/2026. YEAR PUBLISHED 2025.
,Priority intervention for decreased or no variability that indicates fetal distress:
- ✔✔Left Side lying reclining position with legs elevated
8-10L O
D/C oxy
Increase IV fluids to combat hypotension (if indicated)
Prepare for C- Section
Which type of uterus is indentable even during a contraction: - ✔✔Hypotonic
uterus
Which type of uterus is nonindentable even in between contractions: -
✔✔Hypertonic uterus
Which presentation accompanies the common complaint of greater back pain: -
✔✔Persistent Occipital Posterior
A normal increase of pigmentation on the face during pregnancy is called: -
✔✔Chloasma
During pregnancy, low levels of hCG might suggest: - ✔✔Miscarriage or ectopic
pregnancy
During pregnancy, high levels of hCG might suggest: - ✔✔Multifetal pregnancy,
ectopic pregnancy, mole, or genetic abnormality
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, hCG peaks during: - ✔✔60-70 days gestation
Meds that can cause false pregnancy tests (both - and +) are: -
✔✔Anticonvulsants (Acetazolamide, Carbamazapine, Diazepam, Gaba,
Lamotrigine)
Diuretics
tranquilizers (bezos)
For Group B, a culture is obtained (vag/anal) at: - ✔✔35-37 weeks
A one hour glucose test is done ______________ and again at
____________________. A follow up is required if the value is: - ✔✔Initial visit
(if at risk)
24-28 weeks
>130- 140 (positive test)
Screening using AFP is done during: - ✔✔16-18 weeks
Is it normal for a woman to be unhappy/ unsure about her pregnancy in the first
trimester? - ✔✔YES! Reassure her it's normal. Don't make an appointment for
MH unless she into her second or third trimester.
If the mother has PKU, she must follow a PKU diet: - ✔✔Three months prior to
her pregnancy and until birth.
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©JOSHCLAY 2025/2026. YEAR PUBLISHED 2025.
Questions and Verified Answers
A need for fetal suctioning can occur after which which complication: -
✔✔Meconium in the amniotic fluid
(may also be benign- requires fetal assessment)
If meconium is found in the amniotic fluid, notify: - ✔✔The neonatal
resuscitation team to be present at birth
An increased risk of meconium in the amniotic fluid occures after: - ✔✔38
weeks or breech presentation
Meconium stained amniotic fluid is often what color: - ✔✔Green
After presence of meconium stain in the amniotic fluid, if respiratory efforts are
strong and newborn HR is >100, suction via: - ✔✔Normal suctioning- mouth
then nose using a bulb syringe
After presence of meconium stain in the amniotic fluid, if respiratory efforts are
depressed and newborn HR is < 100, suction via: - ✔✔Endotracheal tube below
the vocal cords BEFORE first breath is taken
Fetal Distress indicated by what FHR pattern: - ✔✔<110
>160
Page 1 of 26
©JOSHCLAY 2025/2026. YEAR PUBLISHED 2025.
,Priority intervention for decreased or no variability that indicates fetal distress:
- ✔✔Left Side lying reclining position with legs elevated
8-10L O
D/C oxy
Increase IV fluids to combat hypotension (if indicated)
Prepare for C- Section
Which type of uterus is indentable even during a contraction: - ✔✔Hypotonic
uterus
Which type of uterus is nonindentable even in between contractions: -
✔✔Hypertonic uterus
Which presentation accompanies the common complaint of greater back pain: -
✔✔Persistent Occipital Posterior
A normal increase of pigmentation on the face during pregnancy is called: -
✔✔Chloasma
During pregnancy, low levels of hCG might suggest: - ✔✔Miscarriage or ectopic
pregnancy
During pregnancy, high levels of hCG might suggest: - ✔✔Multifetal pregnancy,
ectopic pregnancy, mole, or genetic abnormality
Page 2 of 26
©JOSHCLAY 2025/2026. YEAR PUBLISHED 2025.
, hCG peaks during: - ✔✔60-70 days gestation
Meds that can cause false pregnancy tests (both - and +) are: -
✔✔Anticonvulsants (Acetazolamide, Carbamazapine, Diazepam, Gaba,
Lamotrigine)
Diuretics
tranquilizers (bezos)
For Group B, a culture is obtained (vag/anal) at: - ✔✔35-37 weeks
A one hour glucose test is done ______________ and again at
____________________. A follow up is required if the value is: - ✔✔Initial visit
(if at risk)
24-28 weeks
>130- 140 (positive test)
Screening using AFP is done during: - ✔✔16-18 weeks
Is it normal for a woman to be unhappy/ unsure about her pregnancy in the first
trimester? - ✔✔YES! Reassure her it's normal. Don't make an appointment for
MH unless she into her second or third trimester.
If the mother has PKU, she must follow a PKU diet: - ✔✔Three months prior to
her pregnancy and until birth.
Page 3 of 26
©JOSHCLAY 2025/2026. YEAR PUBLISHED 2025.
