Obstetrics and Gynecology: SMLE Questions and Answers Chapter 1: Obstetrics
Current Diagnosis & Treatment Obstetrics &
Gynecology Teat Bank 12th Edition questions
and answers latest updated 2026
Contraindications to Pregnancy (Medications and Vaccines)
A 28-year-old female with history of recurrent pregnancy loss. She comes now want to
improve her immunity before trying to conceive. What you will give her?
A. Influenza vaccine
B. Rubella vaccine
C. Hepatitis
D. Immunoglobulin
1|Page
,Obstetrics and Gynecology: SMLE Questions and Answers Chapter 1: Obstetrics
Correct Answer: B
Explanation:(According to UpToDate )
Congenital rubella syndrome — Rubella infection can have catastrophic effects on the developing
fetus, resulting in spontaneous abortion, fetal infection, stillbirth, or intrauterine growth restriction
Female her previous pregnancy is stillbirth and now she want to pregnant and ask the doctor
about all the vaccines that she is need before conception and reduce the stillbirth?
A. Rubella
B. Varicella
C. Influenza
Correct Answer: A
Explanation:(According to UpToDate )
Congenital rubella syndrome — Rubella infection can have catastrophic effects on the developing
fetus, resulting in spontaneous abortion, fetal infection, stillbirth, or intrauterine growth restriction
Married women came in winter to OB /gyn clinic she want to conceive later what vaccine you
should give her before conceive?
A. Rubella
B. Influenza
C. Varicella
D. Tdap
Correct Answer: B
Explanation: (According to Williams Obstetrics and UpToDate)
PRECONCEPTION IMMUNIZATION
2|Page
,Obstetrics and Gynecology: SMLE Questions and Answers Chapter 1: Obstetrics
- Influenza o Vaccinate all women who will be pregnant during flu season. Vaccinate
high-risk women prior to flu season.
o Vaccination against influenza throughout the influenza season, but optimally in
October or November, is recommended by the Centers for Disease Control and
Prevention (CDC) and the American College of Obstetricians and Gynecologists for
all women who will be pregnant during the influenza season.
- Measles, mumps, rubella (MMR) o Screen for rubella immunity. If nonimmune,
vaccinate and counsel on the need for effective contraception during the subsequent
month.
- Varicella o Screen for varicella immunity. If nonimmune, vaccinate and counsel on the
need for effective contraception during the subsequent month.
- Tdap (tetanus, diphtheria, pertussis) o Update vaccination in all reproductive-aged
women.
Pregnant in 2nd trimester which vaccine to give her?
A. H. influenza
B. DTAP
Correct Answer: A
Explanation: (According to UpToDate)
- Tdap
• Pregnant women should receive Tdap, ideally during the early part of the 27 to 36
week gestational age range (third trimester)
- Inactivated Influenza Vaccine
3|Page
, Obstetrics and Gynecology: SMLE Questions and Answers Chapter 1: Obstetrics
• All women who are pregnant or might be pregnant during the influenza season
should receive the inactivated influenza vaccine as soon as it becomes available
and before onset of influenza activity in the community, regardless of their stage of
pregnancy
Pregnant lady, what vaccine should she get at first visit?
A. Influenza
B. Tdap
Correct Answer: A
Explanation: (According to UpToDate)
- Tdap
• Pregnant women should receive Tdap, ideally during the early part of the 27 to 36
week gestational age range (third trimester)
- Inactivated Influenza Vaccine
• All women who are pregnant or might be pregnant during the influenza season
should receive the inactivated influenza vaccine as soon as it becomes available
and before onset of influenza activity in the community, regardless of their stage of
pregnancy
Pregnant nullipara what vaccine should you give her?
A. Influenza
B. DTaP
C. Rh immunoglobulin
Correct Answer: Depends on the gestational age
Explanation:
- If 1st or second trimester I would go with influenza
- If third trimester I would go with Tdap
Female have regular cycle every 30 days her last period before 36, she received rubella
vaccine before 3 weeks. She was asked not to get pregnant until 2 months of receiving rubella ,
But she got pregnant, what’s the most likely pregnancy outcome?
A. Not affected
4|Page
Current Diagnosis & Treatment Obstetrics &
Gynecology Teat Bank 12th Edition questions
and answers latest updated 2026
Contraindications to Pregnancy (Medications and Vaccines)
A 28-year-old female with history of recurrent pregnancy loss. She comes now want to
improve her immunity before trying to conceive. What you will give her?
A. Influenza vaccine
B. Rubella vaccine
C. Hepatitis
D. Immunoglobulin
1|Page
,Obstetrics and Gynecology: SMLE Questions and Answers Chapter 1: Obstetrics
Correct Answer: B
Explanation:(According to UpToDate )
Congenital rubella syndrome — Rubella infection can have catastrophic effects on the developing
fetus, resulting in spontaneous abortion, fetal infection, stillbirth, or intrauterine growth restriction
Female her previous pregnancy is stillbirth and now she want to pregnant and ask the doctor
about all the vaccines that she is need before conception and reduce the stillbirth?
A. Rubella
B. Varicella
C. Influenza
Correct Answer: A
Explanation:(According to UpToDate )
Congenital rubella syndrome — Rubella infection can have catastrophic effects on the developing
fetus, resulting in spontaneous abortion, fetal infection, stillbirth, or intrauterine growth restriction
Married women came in winter to OB /gyn clinic she want to conceive later what vaccine you
should give her before conceive?
A. Rubella
B. Influenza
C. Varicella
D. Tdap
Correct Answer: B
Explanation: (According to Williams Obstetrics and UpToDate)
PRECONCEPTION IMMUNIZATION
2|Page
,Obstetrics and Gynecology: SMLE Questions and Answers Chapter 1: Obstetrics
- Influenza o Vaccinate all women who will be pregnant during flu season. Vaccinate
high-risk women prior to flu season.
o Vaccination against influenza throughout the influenza season, but optimally in
October or November, is recommended by the Centers for Disease Control and
Prevention (CDC) and the American College of Obstetricians and Gynecologists for
all women who will be pregnant during the influenza season.
- Measles, mumps, rubella (MMR) o Screen for rubella immunity. If nonimmune,
vaccinate and counsel on the need for effective contraception during the subsequent
month.
- Varicella o Screen for varicella immunity. If nonimmune, vaccinate and counsel on the
need for effective contraception during the subsequent month.
- Tdap (tetanus, diphtheria, pertussis) o Update vaccination in all reproductive-aged
women.
Pregnant in 2nd trimester which vaccine to give her?
A. H. influenza
B. DTAP
Correct Answer: A
Explanation: (According to UpToDate)
- Tdap
• Pregnant women should receive Tdap, ideally during the early part of the 27 to 36
week gestational age range (third trimester)
- Inactivated Influenza Vaccine
3|Page
, Obstetrics and Gynecology: SMLE Questions and Answers Chapter 1: Obstetrics
• All women who are pregnant or might be pregnant during the influenza season
should receive the inactivated influenza vaccine as soon as it becomes available
and before onset of influenza activity in the community, regardless of their stage of
pregnancy
Pregnant lady, what vaccine should she get at first visit?
A. Influenza
B. Tdap
Correct Answer: A
Explanation: (According to UpToDate)
- Tdap
• Pregnant women should receive Tdap, ideally during the early part of the 27 to 36
week gestational age range (third trimester)
- Inactivated Influenza Vaccine
• All women who are pregnant or might be pregnant during the influenza season
should receive the inactivated influenza vaccine as soon as it becomes available
and before onset of influenza activity in the community, regardless of their stage of
pregnancy
Pregnant nullipara what vaccine should you give her?
A. Influenza
B. DTaP
C. Rh immunoglobulin
Correct Answer: Depends on the gestational age
Explanation:
- If 1st or second trimester I would go with influenza
- If third trimester I would go with Tdap
Female have regular cycle every 30 days her last period before 36, she received rubella
vaccine before 3 weeks. She was asked not to get pregnant until 2 months of receiving rubella ,
But she got pregnant, what’s the most likely pregnancy outcome?
A. Not affected
4|Page
