SWIFTRIVER MATERNITY COMPLETE NEW, UPDATED
EXAM QUESTIONS AND VERIFIED ANSWERS
1. Q: What is the recommended frequency of prenatal visits during the first
trimester? ANSWER Every 4 weeks from conception to 28 weeks of
pregnancy.
2. Q: What are the cardinal movements of labor? ANSWER Engagement,
descent, flexion, internal rotation, extension, external rotation, and expulsion.
3. Q: What is the normal fetal heart rate range? ANSWER 110-160 beats
per minute.
4. Q: What blood tests are routinely performed during the first prenatal
visit? ANSWER Complete blood count, blood type and Rh factor, rubella
immunity, hepatitis B surface antigen, syphilis screening, and HIV testing.
5. Q: What is the recommended daily folic acid intake for pregnant
women? ANSWER 600-800 micrograms daily.
6. Q: At what gestational age is the glucose tolerance test typically
performed? ANSWER Between 24-28 weeks of pregnancy.
7. Q: What is considered a normal weight gain during pregnancy for a
woman with normal BMI? ANSWER 25-35 pounds (11.3-15.9 kg).
8. Q: What are the signs of preeclampsia? ANSWER High blood pressure
(≥140/90), proteinuria, sudden weight gain, headaches, visual changes, and
upper abdominal pain.
9. Q: When should fetal movement counting begin? ANSWER Around 28
weeks of pregnancy.
10. Q: What is the recommended position for sleeping during pregnancy
after 20 weeks? ANSWER Left lateral position to improve blood flow to the
placenta.
11. Q: What vaccinations are safe during pregnancy? ANSWER Influenza
vaccine and Tdap (tetanus, diphtheria, pertussis) vaccine.
12. Q: What is the normal range for maternal blood pressure during
pregnancy? ANSWER Less than 140/90 mmHg.
,13. Q: At what gestational age is ultrasound most accurate for dating?
ANSWER Between 8-13 weeks and 6 days.
14. Q: What are the warning signs that require immediate medical
attention during pregnancy? ANSWER Vaginal bleeding, severe abdominal
pain, persistent headache, vision changes, decreased fetal movement, and signs
of preterm labor.
15. Q: What is the recommended calcium intake during pregnancy?
ANSWER 1,000-1,300 mg daily.
16. Q: When does morning sickness typically resolve? ANSWER By 12-14
weeks of pregnancy.
17. Q: What is the purpose of the alpha-fetoprotein (AFP) test? ANSWER
To screen for neural tube defects and chromosomal abnormalities.
18. Q: What is considered advanced maternal age? ANSWER 35 years or
older at the time of delivery.
19. Q: What are the components of a biophysical profile? ANSWER Fetal
breathing movements, gross body movements, fetal tone, reactive fetal heart
rate, and amniotic fluid volume.
20. Q: What is the recommended iron intake during pregnancy? ANSWER
27 mg daily.
21. Q: What is quickening? ANSWER The first fetal movements felt by the
mother, typically occurring between 16-20 weeks.
22. Q: What is the normal amniotic fluid volume? ANSWER 500-2000 mL
at term.
23. Q: What foods should be avoided during pregnancy? ANSWER Raw
fish, unpasteurized dairy products, deli meats, high-mercury fish, and alcohol.
24. Q: What is the purpose of Group B Strep screening? ANSWER To
identify mothers who need antibiotic prophylaxis during labor to prevent
neonatal infection.
25. Q: When is Group B Strep screening performed? ANSWER Between
35-37 weeks of pregnancy.
26. Q: What is the normal fundal height measurement? ANSWER Should
equal the gestational age in weeks (±2 cm) from 20-36 weeks.
, 27. Q: What is hyperemesis gravidarum? ANSWER Severe nausea and
vomiting during pregnancy leading to dehydration and weight loss.
28. Q: What is the recommended frequency of prenatal visits in the third
trimester? ANSWER Every 2 weeks from 28-36 weeks, then weekly from 36
weeks to delivery.
29. Q: What is oligohydramnios? ANSWER Decreased amniotic fluid
volume (less than 500 mL).
30. Q: What is polyhydramnios? ANSWER Excessive amniotic fluid volume
(greater than 2000 mL).
31. Q: What is the purpose of the glucose challenge test? ANSWER To
screen for gestational diabetes mellitus.
32. Q: What is considered a positive glucose challenge test? ANSWER
Blood glucose level ≥140 mg/dL after 1 hour.
33. Q: What is the normal hemoglobin level during pregnancy? ANSWER
Greater than 11 g/dL in the first and third trimesters, greater than 10.5 g/dL in
the second trimester.
34. Q: What is placenta previa? ANSWER A condition where the placenta
partially or completely covers the cervical opening.
35. Q: What is abruptio placentae? ANSWER Premature separation of the
placenta from the uterine wall.
36. Q: What are Braxton Hicks contractions? ANSWER Irregular, painless
uterine contractions that occur throughout pregnancy, becoming more
noticeable in the third trimester.
37. Q: What is the recommended protein intake during pregnancy?
ANSWER 71 grams daily (25 grams more than non-pregnant women).
38. Q: What is gestational diabetes? ANSWER Diabetes that develops
during pregnancy in women who did not have diabetes before pregnancy.
39. Q: What is the normal range for blood glucose during pregnancy?
ANSWER Fasting: <95 mg/dL; 1-hour post-meal: <140 mg/dL; 2-hour post-
meal: <120 mg/dL.
40. Q: What is PROM? ANSWER Premature rupture of membranes - when
the amniotic sac breaks before labor begins.
EXAM QUESTIONS AND VERIFIED ANSWERS
1. Q: What is the recommended frequency of prenatal visits during the first
trimester? ANSWER Every 4 weeks from conception to 28 weeks of
pregnancy.
2. Q: What are the cardinal movements of labor? ANSWER Engagement,
descent, flexion, internal rotation, extension, external rotation, and expulsion.
3. Q: What is the normal fetal heart rate range? ANSWER 110-160 beats
per minute.
4. Q: What blood tests are routinely performed during the first prenatal
visit? ANSWER Complete blood count, blood type and Rh factor, rubella
immunity, hepatitis B surface antigen, syphilis screening, and HIV testing.
5. Q: What is the recommended daily folic acid intake for pregnant
women? ANSWER 600-800 micrograms daily.
6. Q: At what gestational age is the glucose tolerance test typically
performed? ANSWER Between 24-28 weeks of pregnancy.
7. Q: What is considered a normal weight gain during pregnancy for a
woman with normal BMI? ANSWER 25-35 pounds (11.3-15.9 kg).
8. Q: What are the signs of preeclampsia? ANSWER High blood pressure
(≥140/90), proteinuria, sudden weight gain, headaches, visual changes, and
upper abdominal pain.
9. Q: When should fetal movement counting begin? ANSWER Around 28
weeks of pregnancy.
10. Q: What is the recommended position for sleeping during pregnancy
after 20 weeks? ANSWER Left lateral position to improve blood flow to the
placenta.
11. Q: What vaccinations are safe during pregnancy? ANSWER Influenza
vaccine and Tdap (tetanus, diphtheria, pertussis) vaccine.
12. Q: What is the normal range for maternal blood pressure during
pregnancy? ANSWER Less than 140/90 mmHg.
,13. Q: At what gestational age is ultrasound most accurate for dating?
ANSWER Between 8-13 weeks and 6 days.
14. Q: What are the warning signs that require immediate medical
attention during pregnancy? ANSWER Vaginal bleeding, severe abdominal
pain, persistent headache, vision changes, decreased fetal movement, and signs
of preterm labor.
15. Q: What is the recommended calcium intake during pregnancy?
ANSWER 1,000-1,300 mg daily.
16. Q: When does morning sickness typically resolve? ANSWER By 12-14
weeks of pregnancy.
17. Q: What is the purpose of the alpha-fetoprotein (AFP) test? ANSWER
To screen for neural tube defects and chromosomal abnormalities.
18. Q: What is considered advanced maternal age? ANSWER 35 years or
older at the time of delivery.
19. Q: What are the components of a biophysical profile? ANSWER Fetal
breathing movements, gross body movements, fetal tone, reactive fetal heart
rate, and amniotic fluid volume.
20. Q: What is the recommended iron intake during pregnancy? ANSWER
27 mg daily.
21. Q: What is quickening? ANSWER The first fetal movements felt by the
mother, typically occurring between 16-20 weeks.
22. Q: What is the normal amniotic fluid volume? ANSWER 500-2000 mL
at term.
23. Q: What foods should be avoided during pregnancy? ANSWER Raw
fish, unpasteurized dairy products, deli meats, high-mercury fish, and alcohol.
24. Q: What is the purpose of Group B Strep screening? ANSWER To
identify mothers who need antibiotic prophylaxis during labor to prevent
neonatal infection.
25. Q: When is Group B Strep screening performed? ANSWER Between
35-37 weeks of pregnancy.
26. Q: What is the normal fundal height measurement? ANSWER Should
equal the gestational age in weeks (±2 cm) from 20-36 weeks.
, 27. Q: What is hyperemesis gravidarum? ANSWER Severe nausea and
vomiting during pregnancy leading to dehydration and weight loss.
28. Q: What is the recommended frequency of prenatal visits in the third
trimester? ANSWER Every 2 weeks from 28-36 weeks, then weekly from 36
weeks to delivery.
29. Q: What is oligohydramnios? ANSWER Decreased amniotic fluid
volume (less than 500 mL).
30. Q: What is polyhydramnios? ANSWER Excessive amniotic fluid volume
(greater than 2000 mL).
31. Q: What is the purpose of the glucose challenge test? ANSWER To
screen for gestational diabetes mellitus.
32. Q: What is considered a positive glucose challenge test? ANSWER
Blood glucose level ≥140 mg/dL after 1 hour.
33. Q: What is the normal hemoglobin level during pregnancy? ANSWER
Greater than 11 g/dL in the first and third trimesters, greater than 10.5 g/dL in
the second trimester.
34. Q: What is placenta previa? ANSWER A condition where the placenta
partially or completely covers the cervical opening.
35. Q: What is abruptio placentae? ANSWER Premature separation of the
placenta from the uterine wall.
36. Q: What are Braxton Hicks contractions? ANSWER Irregular, painless
uterine contractions that occur throughout pregnancy, becoming more
noticeable in the third trimester.
37. Q: What is the recommended protein intake during pregnancy?
ANSWER 71 grams daily (25 grams more than non-pregnant women).
38. Q: What is gestational diabetes? ANSWER Diabetes that develops
during pregnancy in women who did not have diabetes before pregnancy.
39. Q: What is the normal range for blood glucose during pregnancy?
ANSWER Fasting: <95 mg/dL; 1-hour post-meal: <140 mg/dL; 2-hour post-
meal: <120 mg/dL.
40. Q: What is PROM? ANSWER Premature rupture of membranes - when
the amniotic sac breaks before labor begins.
