Actual Exam 2026/2027 | Complete Exam-Style
Questions with Detailed Rationales | Pass Guaranteed –
A+ Graded
Q1: A patient is G4 P3 T2 A1 L3. Which interpretation is correct?
A. The patient has been pregnant four times, with three living children. [CORRECT]
B. The patient has four living children.
C. The patient has had three pregnancies.
D. The patient has had two abortions.
Correct Answer: A
Rationale: Correct because GTPAL: G=gravida (4 pregnancies), P=para (3 births), T=term (2),
A=abortions (1), L=living children (3).
---
Q2: A patient at 28 weeks gestation is scheduled for a glucose tolerance test. Which condition is
being screened?
A. Gestational diabetes [CORRECT]
B. Preeclampsia
C. Anemia
D. Thyroid dysfunction
Correct Answer: A
Rationale: Correct because GDM screening is universally recommended at 24-28 weeks
gestation with a glucose challenge test.
---
Q3: A patient at 10 weeks gestation reports nausea and vomiting. Which intervention is
appropriate?
A. Eat small, frequent meals and avoid triggers. [CORRECT]
B. Skip meals to reduce nausea.
C. Take high-fat foods.
D. Restrict fluids.
Correct Answer: A
Rationale: Correct because small, frequent bland meals and avoiding triggers reduce nausea in
early pregnancy.
, ---
Q4: Which immunization is recommended during pregnancy?
A. Tdap [CORRECT]
B. MMR
C. Varicella
D. Live influenza
Correct Answer: A
Rationale: Correct because Tdap is recommended during each pregnancy, preferably at 27-36
weeks, to protect the newborn.
---
Q5: A patient has a positive Group B strep culture at 36 weeks. Which intervention is
appropriate during labor?
A. Administer IV penicillin. [CORRECT]
B. Administer oral antibiotics now.
C. No intervention needed.
D. Perform a cesarean section.
Correct Answer: A
Rationale: Correct because intrapartum IV penicillin prophylaxis prevents vertical transmission
of GBS to the newborn.
---
Q6: Which laboratory value requires immediate follow-up in a pregnant patient?
A. Hemoglobin 8.5 g/dL [CORRECT]
B. Hemoglobin 12 g/dL
C. WBC 9,000/mcL
D. Platelet count 250,000/mcL
Correct Answer: A
Rationale: Correct because hemoglobin below 10 g/dL indicates anemia, which increases risk of
preterm birth and low birth weight.
---
Q7: A patient at 32 weeks gestation has a fundal height of 28 cm. Which condition is most
likely?
A. Oligohydramnios or intrauterine growth restriction [CORRECT]
B. Polyhydramnios
C. Multiple gestation