EXAM 2- MATERNITY | FROM QUESTION TO PERFECTION|
STUDY WITH CONFIDENCE!
Course Code:
Course Title:
Programme:
Academic Year: 2026/2027.
Duration: 2 Hours.
Total Marks: 70%.
Candidate Instructions:
1) Write your Registration Number on every answer booklet used.
2) Answer ALL questions in Section A and ANY TWO (2) questions in Section B.
3) Read each question carefully before answering.
4) Begin each question on a new page.
5) The marks for each question are indicated in brackets.
6) This paper consists of several printed pages, including this page.
7) Ensure your copy is complete before the examination begins.
8) Unauthorized materials and communication with other candidates are not permitted.
Turn Over.
APPHIA – Crafted with Care and Precision for Academic Excellence.
1
, Which vaccines are safe for pregnant women? Answer: Flu, Tdap, and COVID-19 vaccines are
safe.
Which vaccines should be avoided during pregnancy? Answer: Rubella, MMR, Chicken Pox,
and HPV vaccines are contraindicated.
What is a TORCH infection? Answer: A group of infections that can be passed to the baby
during pregnancy, delivery, or birth.
When is Group B Strep (GBS) screening performed? Answer: GBS screening is performed at
35-36 weeks of pregnancy.
What is the treatment if a pregnant woman tests positive for GBS? Answer: She should receive
antibiotics during pregnancy and delivery.
What are the risks of HIV transmission during pregnancy? Answer: HIV can be transmitted
transplacentally and during birth and breastfeeding, potentially causing vision disruptions or
blindness in the baby.
What is the recommended management for women with HIV during pregnancy? Answer:
Continue treatment throughout pregnancy, counsel and test at initial visit and in the 3rd trimester
if high risk, and avoid breastfeeding.
What seafood consumption guidelines should pregnant women follow? Answer: Avoid
undercooked or raw eggs, unpasteurized milk and cheese, undercooked meats, and limit fish to
12oz or less per week due to mercury.
What is the appropriate weight gain for a woman with a normal BMI during pregnancy?
Answer: 25-35 pounds total, with 2-4 pounds in the 1st trimester and 1 pound per week in the
2nd and 3rd trimesters.
What are the nutritional needs during the 2nd and 3rd trimesters of pregnancy? Answer:
Increase caloric intake by 340 calories per day in the 2nd trimester and 452 calories in the 3rd
trimester.
What are the lab criteria for diagnosing HELLP syndrome? Answer: Hemolysis, elevated liver
enzymes, and low platelets (platelet count under 100,000).
What fetal outcomes are associated with poorly controlled diabetes during early pregnancy?
Answer: Increased risk for congenital abnormalities, macrosomia, and complications like
shoulder dystocia.
What is the screening process for gestational diabetes? Answer: Screen all pregnant women at
24-28 weeks with a 1-hour glucose tolerance test; a result of 130-140 or greater is positive.
APPHIA – Crafted with Care and Precision for Academic Excellence.
2
STUDY WITH CONFIDENCE!
Course Code:
Course Title:
Programme:
Academic Year: 2026/2027.
Duration: 2 Hours.
Total Marks: 70%.
Candidate Instructions:
1) Write your Registration Number on every answer booklet used.
2) Answer ALL questions in Section A and ANY TWO (2) questions in Section B.
3) Read each question carefully before answering.
4) Begin each question on a new page.
5) The marks for each question are indicated in brackets.
6) This paper consists of several printed pages, including this page.
7) Ensure your copy is complete before the examination begins.
8) Unauthorized materials and communication with other candidates are not permitted.
Turn Over.
APPHIA – Crafted with Care and Precision for Academic Excellence.
1
, Which vaccines are safe for pregnant women? Answer: Flu, Tdap, and COVID-19 vaccines are
safe.
Which vaccines should be avoided during pregnancy? Answer: Rubella, MMR, Chicken Pox,
and HPV vaccines are contraindicated.
What is a TORCH infection? Answer: A group of infections that can be passed to the baby
during pregnancy, delivery, or birth.
When is Group B Strep (GBS) screening performed? Answer: GBS screening is performed at
35-36 weeks of pregnancy.
What is the treatment if a pregnant woman tests positive for GBS? Answer: She should receive
antibiotics during pregnancy and delivery.
What are the risks of HIV transmission during pregnancy? Answer: HIV can be transmitted
transplacentally and during birth and breastfeeding, potentially causing vision disruptions or
blindness in the baby.
What is the recommended management for women with HIV during pregnancy? Answer:
Continue treatment throughout pregnancy, counsel and test at initial visit and in the 3rd trimester
if high risk, and avoid breastfeeding.
What seafood consumption guidelines should pregnant women follow? Answer: Avoid
undercooked or raw eggs, unpasteurized milk and cheese, undercooked meats, and limit fish to
12oz or less per week due to mercury.
What is the appropriate weight gain for a woman with a normal BMI during pregnancy?
Answer: 25-35 pounds total, with 2-4 pounds in the 1st trimester and 1 pound per week in the
2nd and 3rd trimesters.
What are the nutritional needs during the 2nd and 3rd trimesters of pregnancy? Answer:
Increase caloric intake by 340 calories per day in the 2nd trimester and 452 calories in the 3rd
trimester.
What are the lab criteria for diagnosing HELLP syndrome? Answer: Hemolysis, elevated liver
enzymes, and low platelets (platelet count under 100,000).
What fetal outcomes are associated with poorly controlled diabetes during early pregnancy?
Answer: Increased risk for congenital abnormalities, macrosomia, and complications like
shoulder dystocia.
What is the screening process for gestational diabetes? Answer: Screen all pregnant women at
24-28 weeks with a 1-hour glucose tolerance test; a result of 130-140 or greater is positive.
APPHIA – Crafted with Care and Precision for Academic Excellence.
2
