Comprehensive Exam | Questions And
Answers Plus Rationales Latest 2026/27
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1. Which trimester is the most critical for fetal organ
development?
Answer: First trimester
Rationale: Organogenesis occurs during the first
trimester, making it the most vulnerable period.
2. A positive Chadwick’s sign indicates:
Answer: Bluish discoloration of the cervix
Rationale: Increased vascularity in early pregnancy causes
this change.
,3. Which hormone is responsible for maintaining the
corpus luteum early in pregnancy?
Answer: hCG (human chorionic gonadotropin)
Rationale: hCG supports progesterone production.
4. A woman at 12 weeks gestation is expected to have a
fundal height at:
Answer: Just above the symphysis pubis
Rationale: Uterus remains in the pelvic cavity at this stage.
5. Which nutrient is most important to prevent neural
tube defects?
Answer: Folic acid
Rationale: Essential for early neural tube development.
6. A pregnant woman reports absent fetal movement at 24
weeks. What is the priority action?
, Answer: Further assessment with Doppler/ultrasound
Rationale: Fetal viability must be confirmed.
7. Which finding suggests hyperemesis gravidarum?
Answer: Severe vomiting with weight loss
Rationale: Excessive vomiting leads to dehydration and
weight loss.
8. Which position is recommended for pregnant women
during sleep?
Answer: Left lateral position
Rationale: Improves uteroplacental circulation.
9. A normal fetal heart rate is:
Answer: 110–160 bpm
Rationale: Indicates adequate oxygenation.