NU661/ NU 661: Midterm Exam
(Latest 2025/ 2026 Update) Primary
Care of Childbearing Woman Review|
Qs & As |With Rationals/ Grade A|
100% Correct (Verified Answers)
Unit 1: Prenatal Care & Assessment (Questions 1–40)
1. What is the recommended timing for the first prenatal
visit?
Answer: As soon as pregnancy is confirmed.
Rationale: Early assessment allows for identification of risks,
initiation of prenatal labs, and patient counseling.
2. What is the purpose of measuring fundal height?
Answer: To estimate gestational age and fetal growth.
Rationale: Fundal height in centimeters roughly correlates
with weeks of gestation after 20 weeks.
3. When is routine screening for gestational diabetes
performed?
Answer: Oral glucose tolerance test at 24–28 weeks
gestation.
, Rationale: Detects maternal hyperglycemia to prevent fetal
and maternal complications.
4. What is a common physiologic change in pregnancy?
Answer: Increased tidal volume and blood volume.
Rationale: Supports oxygen delivery to both the mother and
the developing fetus.
5. How are gravida and para defined?
Answer: Gravida = total number of pregnancies; Para =
births after 20 weeks gestation.
Rationale: This is standard obstetric terminology.
6. What is the recommended weight gain for a patient with a
pre-pregnancy BMI of 18.5–24.9?
Answer: 25–35 lbs.
Rationale: This weight gain supports healthy fetal growth
and maternal health.
7. When should an Rh-negative mother receive Rh
immunoglobulin (RhoGAM)?
Answer: At 28 weeks gestation and again after delivery if the
baby is Rh-positive.
Rationale: Prevents maternal antibody formation
(alloimmunization) against Rh-positive fetal cells.
8. What are common discomforts in the first trimester?
Answer: Nausea, fatigue, and urinary frequency.
, Rationale: These symptoms result from hormonal changes,
particularly rising hCG and progesterone.
9. When is screening for anemia typically performed in
pregnancy?
Answer: Complete blood count (CBC) at 12–16 weeks.
Rationale: Early detection of iron deficiency allows for timely
supplementation.
10. What does a biophysical profile (BPP) evaluate?
Answer: Fetal well-being (movement, tone, breathing, and
amniotic fluid volume).
Rationale: Assesses fetal health, particularly in high-risk
pregnancies.
11. What does the term "quickening" refer to?
Answer: The first fetal movements felt by the mother.
Rationale: Quickening is typically felt at 16–20 weeks
gestation.
12. Which vaccinations are recommended during pregnancy?
Answer: Influenza and Tdap.
Rationale: These vaccines protect both the mother and the
newborn.
13. What are danger signs in pregnancy?
Answer: Vaginal bleeding, severe headache, visual changes,
and decreased fetal movement.
(Latest 2025/ 2026 Update) Primary
Care of Childbearing Woman Review|
Qs & As |With Rationals/ Grade A|
100% Correct (Verified Answers)
Unit 1: Prenatal Care & Assessment (Questions 1–40)
1. What is the recommended timing for the first prenatal
visit?
Answer: As soon as pregnancy is confirmed.
Rationale: Early assessment allows for identification of risks,
initiation of prenatal labs, and patient counseling.
2. What is the purpose of measuring fundal height?
Answer: To estimate gestational age and fetal growth.
Rationale: Fundal height in centimeters roughly correlates
with weeks of gestation after 20 weeks.
3. When is routine screening for gestational diabetes
performed?
Answer: Oral glucose tolerance test at 24–28 weeks
gestation.
, Rationale: Detects maternal hyperglycemia to prevent fetal
and maternal complications.
4. What is a common physiologic change in pregnancy?
Answer: Increased tidal volume and blood volume.
Rationale: Supports oxygen delivery to both the mother and
the developing fetus.
5. How are gravida and para defined?
Answer: Gravida = total number of pregnancies; Para =
births after 20 weeks gestation.
Rationale: This is standard obstetric terminology.
6. What is the recommended weight gain for a patient with a
pre-pregnancy BMI of 18.5–24.9?
Answer: 25–35 lbs.
Rationale: This weight gain supports healthy fetal growth
and maternal health.
7. When should an Rh-negative mother receive Rh
immunoglobulin (RhoGAM)?
Answer: At 28 weeks gestation and again after delivery if the
baby is Rh-positive.
Rationale: Prevents maternal antibody formation
(alloimmunization) against Rh-positive fetal cells.
8. What are common discomforts in the first trimester?
Answer: Nausea, fatigue, and urinary frequency.
, Rationale: These symptoms result from hormonal changes,
particularly rising hCG and progesterone.
9. When is screening for anemia typically performed in
pregnancy?
Answer: Complete blood count (CBC) at 12–16 weeks.
Rationale: Early detection of iron deficiency allows for timely
supplementation.
10. What does a biophysical profile (BPP) evaluate?
Answer: Fetal well-being (movement, tone, breathing, and
amniotic fluid volume).
Rationale: Assesses fetal health, particularly in high-risk
pregnancies.
11. What does the term "quickening" refer to?
Answer: The first fetal movements felt by the mother.
Rationale: Quickening is typically felt at 16–20 weeks
gestation.
12. Which vaccinations are recommended during pregnancy?
Answer: Influenza and Tdap.
Rationale: These vaccines protect both the mother and the
newborn.
13. What are danger signs in pregnancy?
Answer: Vaginal bleeding, severe headache, visual changes,
and decreased fetal movement.
