,FNP 593 Week 4 APEA QBank Quiz | Pregnancy (2026) Q&A |
USU
1. A 28-year-old woman at 10 weeks gestation presents for her initial prenatal visit. She has
no significant past medical history. Which of the following medications is considered safe for
routine use during pregnancy?
A) Lisinopril
B) Warfarin
C) Acetaminophen
D) Methotrexate
Correct Answer: C) Acetaminophen
Rationale: Acetaminophen is generally considered safe for pain and fever during pregnancy.
Lisinopril (ACE inhibitor) and warfarin are contraindicated due to fetal harm. Methotrexate is
an abortifacient and teratogen.
2. What is the recommended daily folic acid supplementation for a woman planning to
become pregnant?
A) 0.4 mg (400 mcg)
B) 1 mg
C) 4 mg
D) 10 mg
Correct Answer: A) 0.4 mg (400 mcg)
Rationale: The CDC recommends 400 mcg of folic acid daily for all women of reproductive
age to prevent neural tube defects. Higher doses are reserved for women with a history of
neural tube defect-affected pregnancy.
3. A pregnant patient at 24 weeks gestation is scheduled for a glucose challenge test. What is
the primary purpose of this test?
,A) To diagnose type 1 diabetes
B) To screen for gestational diabetes
C) To assess fetal lung maturity
D) To evaluate thyroid function
Correct Answer: B) To screen for gestational diabetes
Rationale: Gestational diabetes screening typically occurs between 24 and 28 weeks
gestation using a glucose challenge test. It does not diagnose type 1 diabetes or assess fetal
lung maturity.
4. A 32-year-old woman at 36 weeks gestation presents with a blood pressure of 158/102
mmHg and 3+ proteinuria. She reports a severe headache and visual changes. What is the
most appropriate initial management?
A) Oral labetalol and outpatient monitoring
B) Magnesium sulfate infusion and hospitalization
C) Immediate cesarean delivery
D) Bed rest and increased fluid intake
Correct Answer: B) Magnesium sulfate infusion and hospitalization
Rationale: This patient has severe preeclampsia with severe features. Magnesium sulfate is
indicated for seizure prophylaxis, and hospitalization is required for close monitoring and
potential delivery.
5. Which of the following is the most common cause of postpartum hemorrhage?
A) Uterine atony
B) Retained placenta
C) Coagulopathy
D) Uterine inversion
, Correct Answer: A) Uterine atony
Rationale: Uterine atony accounts for approximately 70-80% of postpartum hemorrhage
cases. It occurs when the uterus fails to contract after delivery of the placenta.
6. A pregnant patient is Rh-negative and has a negative antibody screen. When should she
receive RhoGAM?
A) At 28 weeks gestation and within 72 hours after delivery
B) Only after delivery if the infant is Rh-positive
C) At 12 weeks gestation only
D) At the first prenatal visit only
Correct Answer: A) At 28 weeks gestation and within 72 hours after delivery
Rationale: RhoGAM is given at 28 weeks gestation and within 72 hours after delivery to
prevent Rh sensitization in Rh-negative mothers carrying Rh-positive fetuses.
7. A 30-year-old woman at 8 weeks gestation presents with severe nausea and vomiting.
Which of the following is the most likely diagnosis?
A) Hyperemesis gravidarum
B) Gastroenteritis
C) Appendicitis
D) Peptic ulcer disease
Correct Answer: A) Hyperemesis gravidarum
Rationale: Hyperemesis gravidarum is characterized by severe, persistent nausea and
vomiting during pregnancy, leading to dehydration and weight loss. It is more severe than
typical morning sickness.
8. What is the recommended treatment for asymptomatic bacteriuria in pregnancy?
USU
1. A 28-year-old woman at 10 weeks gestation presents for her initial prenatal visit. She has
no significant past medical history. Which of the following medications is considered safe for
routine use during pregnancy?
A) Lisinopril
B) Warfarin
C) Acetaminophen
D) Methotrexate
Correct Answer: C) Acetaminophen
Rationale: Acetaminophen is generally considered safe for pain and fever during pregnancy.
Lisinopril (ACE inhibitor) and warfarin are contraindicated due to fetal harm. Methotrexate is
an abortifacient and teratogen.
2. What is the recommended daily folic acid supplementation for a woman planning to
become pregnant?
A) 0.4 mg (400 mcg)
B) 1 mg
C) 4 mg
D) 10 mg
Correct Answer: A) 0.4 mg (400 mcg)
Rationale: The CDC recommends 400 mcg of folic acid daily for all women of reproductive
age to prevent neural tube defects. Higher doses are reserved for women with a history of
neural tube defect-affected pregnancy.
3. A pregnant patient at 24 weeks gestation is scheduled for a glucose challenge test. What is
the primary purpose of this test?
,A) To diagnose type 1 diabetes
B) To screen for gestational diabetes
C) To assess fetal lung maturity
D) To evaluate thyroid function
Correct Answer: B) To screen for gestational diabetes
Rationale: Gestational diabetes screening typically occurs between 24 and 28 weeks
gestation using a glucose challenge test. It does not diagnose type 1 diabetes or assess fetal
lung maturity.
4. A 32-year-old woman at 36 weeks gestation presents with a blood pressure of 158/102
mmHg and 3+ proteinuria. She reports a severe headache and visual changes. What is the
most appropriate initial management?
A) Oral labetalol and outpatient monitoring
B) Magnesium sulfate infusion and hospitalization
C) Immediate cesarean delivery
D) Bed rest and increased fluid intake
Correct Answer: B) Magnesium sulfate infusion and hospitalization
Rationale: This patient has severe preeclampsia with severe features. Magnesium sulfate is
indicated for seizure prophylaxis, and hospitalization is required for close monitoring and
potential delivery.
5. Which of the following is the most common cause of postpartum hemorrhage?
A) Uterine atony
B) Retained placenta
C) Coagulopathy
D) Uterine inversion
, Correct Answer: A) Uterine atony
Rationale: Uterine atony accounts for approximately 70-80% of postpartum hemorrhage
cases. It occurs when the uterus fails to contract after delivery of the placenta.
6. A pregnant patient is Rh-negative and has a negative antibody screen. When should she
receive RhoGAM?
A) At 28 weeks gestation and within 72 hours after delivery
B) Only after delivery if the infant is Rh-positive
C) At 12 weeks gestation only
D) At the first prenatal visit only
Correct Answer: A) At 28 weeks gestation and within 72 hours after delivery
Rationale: RhoGAM is given at 28 weeks gestation and within 72 hours after delivery to
prevent Rh sensitization in Rh-negative mothers carrying Rh-positive fetuses.
7. A 30-year-old woman at 8 weeks gestation presents with severe nausea and vomiting.
Which of the following is the most likely diagnosis?
A) Hyperemesis gravidarum
B) Gastroenteritis
C) Appendicitis
D) Peptic ulcer disease
Correct Answer: A) Hyperemesis gravidarum
Rationale: Hyperemesis gravidarum is characterized by severe, persistent nausea and
vomiting during pregnancy, leading to dehydration and weight loss. It is more severe than
typical morning sickness.
8. What is the recommended treatment for asymptomatic bacteriuria in pregnancy?
