NU661 FINAL EXAM (REGIS) NEWEST 2025 ACTUAL EXAM |
NU 661 PRIMARY CARE CHILDBEARING WOMEN FINAL
EXAM REVIEW 300 REAL EXAM QUESTIONS AND CORRECT
VERIFIED ANSWERS WITH DETAILED RATIONALES ALREADY
GRADED A+ (BRAND NEW!!)
TABLE OF CONTENTS
SECTION 1: ANTENATAL CARE & PRENATAL SCREENING .................. Questions 1-50
SECTION 2: MEDICAL COMPLICATIONS IN PREGNANCY .................. Questions 51-100
SECTION 3: LABOR & DELIVERY COMPLICATIONS ..................... Questions 101-140
SECTION 4: POSTPARTUM CARE & COMPLICATIONS ..................... Questions 141-180
SECTION 5: NEWBORN ASSESSMENT & CARE ........................... Questions 181-220
SECTION 6: OBSTETRIC PHARMACOLOGY .............................. Questions 221-250
SECTION 7: PROFESSIONAL ISSUES & ETHICAL CONSIDERATIONS ....... Questions 251-280
SECTION 8: CONTRACEPTION & FAMILY PLANNING .................... Questions 281-300
SECTION 1: ANTENATAL CARE & PRENATAL SCREENING
QUESTION 1
When do we do antibody screening in RH-negative women?
A) At the first prenatal visit only
B) At 28 weeks gestation and at delivery
C) At the first prenatal visit and at 28 weeks gestation
D) Only if the partner is RH-positive
E) At delivery only
☑ CORRECT ANSWER: C) At the first prenatal visit and at 28 weeks gestation
RATIONALE: An RH-negative mother carrying an RH-positive fetus can become
alloimmunized against fetal cells due to RH incompatibility. Antibody screening
is performed at the first prenatal visit to establish baseline status and again
at 28 weeks gestation to detect any developing antibodies.
QUESTION 2
~1~
,Why do we check for RH-negative status in pregnant women?
A) To determine fetal blood type
B) To prevent alloimmunization in subsequent pregnancies
C) To assess the risk of gestational diabetes
D) To screen for fetal anemia
E) To determine the need for cesarean section
☑ CORRECT ANSWER: B) To prevent alloimmunization in subsequent pregnancies
RATIONALE: An RH-negative mother carrying an RH-positive fetus can become
alloimmunized against fetal cells (RH incompatibility). This can lead to
hemolytic disease of the newborn in subsequent pregnancies. Checking RH status
allows for appropriate administration of Rhogam to prevent alloimmunization.
QUESTION 3
What estimated fetal weight is cesarean section advised for macrosomia?
A) 4000g for diabetic mother; 4500g for non-diabetic
B) 4500g for diabetic mother; 5000g for non-diabetic
C) 4500g for diabetic mother; 5000g for non-diabetic
D) 5000g for diabetic mother; 4500g for non-diabetic
E) 4000g for both diabetic and non-diabetic mothers
☑ CORRECT ANSWER: C) 4500g for diabetic mother; 5000g for non-diabetic
RATIONALE: Cesarean section is advised for estimated fetal weight of 4500g in
diabetic mothers due to increased risk of shoulder dystocia and birth trauma.
For non-diabetic mothers, the threshold is 5000g. These guidelines help
prevent complications associated with macrosomic infants.
~2~
,QUESTION 4
During which week of pregnancy are teratogenic effects highest?
A) First 4 weeks
B) First 8 weeks
C) First 12 weeks
D) 8-16 weeks
E) 16-20 weeks
☑ CORRECT ANSWER: B) First 8 weeks
RATIONALE: Teratogenic effects are highest during the first 8 weeks of
pregnancy, which is the period of organogenesis when the major organ systems
are forming. Exposure to teratogens during this critical period can result in
major structural abnormalities.
QUESTION 5
What are the complications of pregnancy related to poor oral health?
A) Preterm birth, low birth weight, pre-eclampsia, gingivitis, and pregnancy
tumors
B) Gestational diabetes and hypertension
C) Anemia and thrombocytopenia
D) Urinary tract infections and pyelonephritis
E) Placental abruption and placenta previa
☑ CORRECT ANSWER: A) Preterm birth, low birth weight, pre-eclampsia,
gingivitis, and pregnancy tumors
RATIONALE: Poor oral health during pregnancy is associated with multiple
~3~
, complications including preterm birth (PB), low birth weight baby, pre-
eclampsia, gingival tissue ulcerations, pregnancy granuloma, gingivitis,
pregnancy tumors (epulis gravidarum), loose teeth, mouth dryness, and dental
erosions. Maintaining good oral hygiene is essential during pregnancy.
QUESTION 6
What is the recommended daily folic acid supplementation for all pregnant
women?
A) 200 mcg
B) 400 mcg
C) 600 mcg
D) 800 mcg
E) 1000 mcg
☑ CORRECT ANSWER: C) 600 mcg
RATIONALE: The recommended daily folic acid supplementation for all pregnant
women is 600 mcg. This helps prevent neural tube defects, including spina
bifida and anencephaly. For women at high risk (previous neural tube defect),
higher doses of 4000 mcg are recommended.
QUESTION 7
What is the recommended weight gain for a woman with a normal BMI (18.5-
24.9)
during pregnancy?
A) 11-20 lbs
B) 15-25 lbs
C) 25-35 lbs
~4~
NU 661 PRIMARY CARE CHILDBEARING WOMEN FINAL
EXAM REVIEW 300 REAL EXAM QUESTIONS AND CORRECT
VERIFIED ANSWERS WITH DETAILED RATIONALES ALREADY
GRADED A+ (BRAND NEW!!)
TABLE OF CONTENTS
SECTION 1: ANTENATAL CARE & PRENATAL SCREENING .................. Questions 1-50
SECTION 2: MEDICAL COMPLICATIONS IN PREGNANCY .................. Questions 51-100
SECTION 3: LABOR & DELIVERY COMPLICATIONS ..................... Questions 101-140
SECTION 4: POSTPARTUM CARE & COMPLICATIONS ..................... Questions 141-180
SECTION 5: NEWBORN ASSESSMENT & CARE ........................... Questions 181-220
SECTION 6: OBSTETRIC PHARMACOLOGY .............................. Questions 221-250
SECTION 7: PROFESSIONAL ISSUES & ETHICAL CONSIDERATIONS ....... Questions 251-280
SECTION 8: CONTRACEPTION & FAMILY PLANNING .................... Questions 281-300
SECTION 1: ANTENATAL CARE & PRENATAL SCREENING
QUESTION 1
When do we do antibody screening in RH-negative women?
A) At the first prenatal visit only
B) At 28 weeks gestation and at delivery
C) At the first prenatal visit and at 28 weeks gestation
D) Only if the partner is RH-positive
E) At delivery only
☑ CORRECT ANSWER: C) At the first prenatal visit and at 28 weeks gestation
RATIONALE: An RH-negative mother carrying an RH-positive fetus can become
alloimmunized against fetal cells due to RH incompatibility. Antibody screening
is performed at the first prenatal visit to establish baseline status and again
at 28 weeks gestation to detect any developing antibodies.
QUESTION 2
~1~
,Why do we check for RH-negative status in pregnant women?
A) To determine fetal blood type
B) To prevent alloimmunization in subsequent pregnancies
C) To assess the risk of gestational diabetes
D) To screen for fetal anemia
E) To determine the need for cesarean section
☑ CORRECT ANSWER: B) To prevent alloimmunization in subsequent pregnancies
RATIONALE: An RH-negative mother carrying an RH-positive fetus can become
alloimmunized against fetal cells (RH incompatibility). This can lead to
hemolytic disease of the newborn in subsequent pregnancies. Checking RH status
allows for appropriate administration of Rhogam to prevent alloimmunization.
QUESTION 3
What estimated fetal weight is cesarean section advised for macrosomia?
A) 4000g for diabetic mother; 4500g for non-diabetic
B) 4500g for diabetic mother; 5000g for non-diabetic
C) 4500g for diabetic mother; 5000g for non-diabetic
D) 5000g for diabetic mother; 4500g for non-diabetic
E) 4000g for both diabetic and non-diabetic mothers
☑ CORRECT ANSWER: C) 4500g for diabetic mother; 5000g for non-diabetic
RATIONALE: Cesarean section is advised for estimated fetal weight of 4500g in
diabetic mothers due to increased risk of shoulder dystocia and birth trauma.
For non-diabetic mothers, the threshold is 5000g. These guidelines help
prevent complications associated with macrosomic infants.
~2~
,QUESTION 4
During which week of pregnancy are teratogenic effects highest?
A) First 4 weeks
B) First 8 weeks
C) First 12 weeks
D) 8-16 weeks
E) 16-20 weeks
☑ CORRECT ANSWER: B) First 8 weeks
RATIONALE: Teratogenic effects are highest during the first 8 weeks of
pregnancy, which is the period of organogenesis when the major organ systems
are forming. Exposure to teratogens during this critical period can result in
major structural abnormalities.
QUESTION 5
What are the complications of pregnancy related to poor oral health?
A) Preterm birth, low birth weight, pre-eclampsia, gingivitis, and pregnancy
tumors
B) Gestational diabetes and hypertension
C) Anemia and thrombocytopenia
D) Urinary tract infections and pyelonephritis
E) Placental abruption and placenta previa
☑ CORRECT ANSWER: A) Preterm birth, low birth weight, pre-eclampsia,
gingivitis, and pregnancy tumors
RATIONALE: Poor oral health during pregnancy is associated with multiple
~3~
, complications including preterm birth (PB), low birth weight baby, pre-
eclampsia, gingival tissue ulcerations, pregnancy granuloma, gingivitis,
pregnancy tumors (epulis gravidarum), loose teeth, mouth dryness, and dental
erosions. Maintaining good oral hygiene is essential during pregnancy.
QUESTION 6
What is the recommended daily folic acid supplementation for all pregnant
women?
A) 200 mcg
B) 400 mcg
C) 600 mcg
D) 800 mcg
E) 1000 mcg
☑ CORRECT ANSWER: C) 600 mcg
RATIONALE: The recommended daily folic acid supplementation for all pregnant
women is 600 mcg. This helps prevent neural tube defects, including spina
bifida and anencephaly. For women at high risk (previous neural tube defect),
higher doses of 4000 mcg are recommended.
QUESTION 7
What is the recommended weight gain for a woman with a normal BMI (18.5-
24.9)
during pregnancy?
A) 11-20 lbs
B) 15-25 lbs
C) 25-35 lbs
~4~
