APEA WOMEN'S HEALTH FINAL EXAM & PRACTICE EXAM 6 2026 question and
answers
Question 1
A 25-year-old G1P0 woman presents for her first prenatal visit at 11 weeks' gestation. She has
a history of Type 1 diabetes mellitus diagnosed at age 12. She reports taking insulin regularly
and has no diabetic complications. Her hemoglobin A1C is 8.9%.
Which fetal complication is most strongly associated with poorly controlled diabetes during the
first trimester?
A. Placenta previa
B. Congenital cardiac malformations
C. Placental abruption
D. Breech presentation
Correct Answer: B
Rationale
Poor glycemic control during organogenesis significantly increases the risk of congenital
anomalies, particularly cardiac and neural tube defects.
Question 2
Which laboratory value best reflects glycemic control over the previous 2–3 months?
A. Random glucose
B. Fasting glucose
C. Hemoglobin A1C
D. Serum insulin
Correct Answer: C
Question 3
,APEA WOMEN'S HEALTH FINAL EXAM & PRACTICE EXAM 6 2026 question and
answers
A 30-year-old woman at 32 weeks' gestation reports decreased fetal movement over the past 24
hours.
What is the most appropriate initial fetal assessment?
A. Pelvic CT scan
B. Nonstress test (NST)
C. Colonoscopy
D. Mammography
Correct Answer: B
Rationale
A nonstress test is the initial assessment for fetal well-being in pregnancies with decreased fetal
movement.
Question 4
A reactive nonstress test is characterized by:
A. Persistent fetal bradycardia
B. Two or more fetal heart rate accelerations within 20 minutes
C. Variable decelerations
D. Late decelerations
Correct Answer: B
Question 5
A 39-week pregnant woman develops repetitive late fetal heart rate decelerations during labor.
What is the most likely cause?
A. Umbilical cord compression
,APEA WOMEN'S HEALTH FINAL EXAM & PRACTICE EXAM 6 2026 question and
answers
B. Uteroplacental insufficiency
C. Maternal fever
D. Fetal sleep cycle
Correct Answer: B
Rationale
Late decelerations occur after uterine contractions and suggest inadequate placental perfusion
and fetal hypoxia.
Question 6
Which nursing intervention should be performed first for persistent late decelerations?
A. Continue oxytocin infusion
B. Reposition the mother onto her left side
C. Encourage ambulation
D. Begin pushing immediately
Correct Answer: B
Question 7
A 28-year-old woman presents at 35 weeks' gestation with spontaneous rupture of membranes.
She is afebrile, and fetal heart tones are reassuring.
What is the greatest maternal complication associated with prolonged rupture of membranes?
A. Hyperthyroidism
B. Chorioamnionitis
C. Gestational diabetes
D. Hyperemesis gravidarum
, APEA WOMEN'S HEALTH FINAL EXAM & PRACTICE EXAM 6 2026 question and
answers
Correct Answer: B
Question 8
Which maternal symptom is most suggestive of chorioamnionitis?
A. Fever and uterine tenderness
B. Bradycardia
C. Hypertension
D. Painless vaginal bleeding
Correct Answer: A
Question 9
A 26-year-old woman reports persistent nausea and vomiting at 10 weeks' gestation. She has
lost 8% of her prepregnancy weight, has ketonuria, and appears dehydrated.
Which diagnosis is most likely?
A. Morning sickness
B. Hyperemesis gravidarum
C. Appendicitis
D. Gastroenteritis
Correct Answer: B
Question 10
The priority treatment for hyperemesis gravidarum includes:
A. Immediate cesarean delivery
answers
Question 1
A 25-year-old G1P0 woman presents for her first prenatal visit at 11 weeks' gestation. She has
a history of Type 1 diabetes mellitus diagnosed at age 12. She reports taking insulin regularly
and has no diabetic complications. Her hemoglobin A1C is 8.9%.
Which fetal complication is most strongly associated with poorly controlled diabetes during the
first trimester?
A. Placenta previa
B. Congenital cardiac malformations
C. Placental abruption
D. Breech presentation
Correct Answer: B
Rationale
Poor glycemic control during organogenesis significantly increases the risk of congenital
anomalies, particularly cardiac and neural tube defects.
Question 2
Which laboratory value best reflects glycemic control over the previous 2–3 months?
A. Random glucose
B. Fasting glucose
C. Hemoglobin A1C
D. Serum insulin
Correct Answer: C
Question 3
,APEA WOMEN'S HEALTH FINAL EXAM & PRACTICE EXAM 6 2026 question and
answers
A 30-year-old woman at 32 weeks' gestation reports decreased fetal movement over the past 24
hours.
What is the most appropriate initial fetal assessment?
A. Pelvic CT scan
B. Nonstress test (NST)
C. Colonoscopy
D. Mammography
Correct Answer: B
Rationale
A nonstress test is the initial assessment for fetal well-being in pregnancies with decreased fetal
movement.
Question 4
A reactive nonstress test is characterized by:
A. Persistent fetal bradycardia
B. Two or more fetal heart rate accelerations within 20 minutes
C. Variable decelerations
D. Late decelerations
Correct Answer: B
Question 5
A 39-week pregnant woman develops repetitive late fetal heart rate decelerations during labor.
What is the most likely cause?
A. Umbilical cord compression
,APEA WOMEN'S HEALTH FINAL EXAM & PRACTICE EXAM 6 2026 question and
answers
B. Uteroplacental insufficiency
C. Maternal fever
D. Fetal sleep cycle
Correct Answer: B
Rationale
Late decelerations occur after uterine contractions and suggest inadequate placental perfusion
and fetal hypoxia.
Question 6
Which nursing intervention should be performed first for persistent late decelerations?
A. Continue oxytocin infusion
B. Reposition the mother onto her left side
C. Encourage ambulation
D. Begin pushing immediately
Correct Answer: B
Question 7
A 28-year-old woman presents at 35 weeks' gestation with spontaneous rupture of membranes.
She is afebrile, and fetal heart tones are reassuring.
What is the greatest maternal complication associated with prolonged rupture of membranes?
A. Hyperthyroidism
B. Chorioamnionitis
C. Gestational diabetes
D. Hyperemesis gravidarum
, APEA WOMEN'S HEALTH FINAL EXAM & PRACTICE EXAM 6 2026 question and
answers
Correct Answer: B
Question 8
Which maternal symptom is most suggestive of chorioamnionitis?
A. Fever and uterine tenderness
B. Bradycardia
C. Hypertension
D. Painless vaginal bleeding
Correct Answer: A
Question 9
A 26-year-old woman reports persistent nausea and vomiting at 10 weeks' gestation. She has
lost 8% of her prepregnancy weight, has ketonuria, and appears dehydrated.
Which diagnosis is most likely?
A. Morning sickness
B. Hyperemesis gravidarum
C. Appendicitis
D. Gastroenteritis
Correct Answer: B
Question 10
The priority treatment for hyperemesis gravidarum includes:
A. Immediate cesarean delivery
