OB FINAL EXAM STUDY GUIDE WITH OVER
200 QUESTIONS AND VERIFIED ANSWERS
LATEST UPDATE 2024/2025 FREQUENTLY
TESTED QUESTIONS ALREADY GRADED A
Presumptive Signs of Pregnancy - ANSWER>>changes felt by the woman
amenorrhea
fatigue
breast changes
Probable Signs of Pregnancy - ANSWER>>changes observed by an examiner
hegar sign
ballottment
positive pregnancy test
Positive Signs of Pregnancy - ANSWER>>signs attributed only to the presence of the fetus
fetal heart tones
visualizing the fetus (ultrasound)
palpating fetal movements
Nullipara - ANSWER>>Never pregnant
Primipara - ANSWER>>1st pregnancy
Multipara - ANSWER>>Multiple pregnancies
What is alpha-fetoprotein screening? When is it performed? Why is it performed? What do high and low
results indicate? - ANSWER>>Maternal serum levels used as screening tool for neural tube defects
(NTDs) in pregnancy
Detects 80% to 85% of all open NTDs and open abdominal wall defects early in pregnancy
Screening recommended for all pregnant women
If trisomy suspected, triple- and quad-screenings
Levels detectable between 13-14 weeks
What is a normal BMI and what is the expected weight gain? - ANSWER>>18.5-24.9
25-35lbs
What is an underweight BMI and what is the expected weight gain? - ANSWER>>less than 18.5
28-40lbs
What is an overweight BMI and what is the expected weight gain? - ANSWER>>25-29.9
15-25lbs
,What is an obese BMI and what is the expected weight gain? - ANSWER>>30 and greater
11-20lbs
Which hormone causes a positive pregnancy test? - ANSWER>>Progesterone
* Pregnancy hormone
* Produced in CL until 14 wks then placenta
* Function is to maintain pregnancy by
• ensuring endometrium is favorable for implantation of the fertilized ovum
Palmar and plantar grasp - ANSWER>>palmar
• place finger in baby's palm of hand
• infant's fingers curls around examiner's fingers
plantar
• place finger at base of toes
• toes curl downward
What is Naegele's rule? - ANSWER>>add one year to the first day of her last menstrual period
subtract 3 calendar months and add 7 days
What is couvade syndrome? What are some common symptoms? - ANSWER>>man may experience
pregnancy-like symptoms such as
* nausea, weight gain, and other physical symptoms
2-digit G-P - ANSWER>>First number: gravidity
• Number of pregnancies including the current one
Second number: parity
• Number of pregnancies that has reached 20 weeks of gestation
5-digit G-T-P-A-L - ANSWER>>First number: GRAVIDITY
• gravidity
Second number: TERM
• total number of term births
Third number: PRETERM
• number of preterm births
Fourth number: ABORUTS
• number of abortions (includes SABs, TABs, and EABs)
Fifth number: LIVING
• number of children currently living
What is pica? What condition in pregnancy is it associated with? - ANSWER>>* Craving for non-food
products
• cornstarch
• Ice
• Clay
• Dirt
• Cotton balls
• Furniture foam
Associated with vitamin C deficiency
Can lead to gestational diabetes
, What nutritional recommendations would a nurse give to a client to prevent neural tube defects in
pregnancy? - ANSWER>>Folate is the form found in natural foods
* used to fortify foods and is found in vitamin supplements
* need 0.6 daily while pregnant
Foods high in folate
* liver, chicken, turkey, goose
* lamb, beef, veal, enriched rice, fortified ready-to-eat breakfast cereals
* legumes (peas, lentils, beans)
* asparagus and spinach, papaya, and wheat germ
Vitamin B12
* Produce nucleic acids
* Form RBCs
* Promote normal fetal neurofunction
Quickening - ANSWER>>Fetal movement detected by the mother
Lightening - ANSWER>>Fundal height drops
Fetus descends and engages in pelvis
Occurs in Nullipara
• 2 weeks before start of labor
Occurs in Multipara
• At the start of labor
Ballottement - ANSWER>>* examiner technique used in the 16th-18th week to verify presence of fetus
* examiner inserts finger into vagina and taps gently on cervix
* this causes fetus to rise and then sink
* gentle tap is felt on examiner's finger as fetus sinks
Hegar sign - ANSWER>>a softening of the lower uterine segments that occurs at about six weeks
gestation.
The uterus anteflexes during the first three months of pregnancy.
It is this position that presses on the bladder causing urinary frequency.
Chadwick Sign - ANSWER>>violet-blue hue to the vagina and cervix due to an increase in vascularity
seen between the 6th and 8th week of pregnancy
Goodell sign - ANSWER>>softening of the cervical tip around the sixth week of pregnancy
caused by
* increased vascularity
* slight hypertrophy (increased size of cells)
* hyperplasia (increased number of cells)
What is the cause of physiological anemia? - ANSWER>>Plasma volume ↑es more than RBC production
* hemodilution
What vaccines are safe to receive during pregnancy? - ANSWER>>Tdap
* Between 27-36 weeks
* OR immediately postpartum
200 QUESTIONS AND VERIFIED ANSWERS
LATEST UPDATE 2024/2025 FREQUENTLY
TESTED QUESTIONS ALREADY GRADED A
Presumptive Signs of Pregnancy - ANSWER>>changes felt by the woman
amenorrhea
fatigue
breast changes
Probable Signs of Pregnancy - ANSWER>>changes observed by an examiner
hegar sign
ballottment
positive pregnancy test
Positive Signs of Pregnancy - ANSWER>>signs attributed only to the presence of the fetus
fetal heart tones
visualizing the fetus (ultrasound)
palpating fetal movements
Nullipara - ANSWER>>Never pregnant
Primipara - ANSWER>>1st pregnancy
Multipara - ANSWER>>Multiple pregnancies
What is alpha-fetoprotein screening? When is it performed? Why is it performed? What do high and low
results indicate? - ANSWER>>Maternal serum levels used as screening tool for neural tube defects
(NTDs) in pregnancy
Detects 80% to 85% of all open NTDs and open abdominal wall defects early in pregnancy
Screening recommended for all pregnant women
If trisomy suspected, triple- and quad-screenings
Levels detectable between 13-14 weeks
What is a normal BMI and what is the expected weight gain? - ANSWER>>18.5-24.9
25-35lbs
What is an underweight BMI and what is the expected weight gain? - ANSWER>>less than 18.5
28-40lbs
What is an overweight BMI and what is the expected weight gain? - ANSWER>>25-29.9
15-25lbs
,What is an obese BMI and what is the expected weight gain? - ANSWER>>30 and greater
11-20lbs
Which hormone causes a positive pregnancy test? - ANSWER>>Progesterone
* Pregnancy hormone
* Produced in CL until 14 wks then placenta
* Function is to maintain pregnancy by
• ensuring endometrium is favorable for implantation of the fertilized ovum
Palmar and plantar grasp - ANSWER>>palmar
• place finger in baby's palm of hand
• infant's fingers curls around examiner's fingers
plantar
• place finger at base of toes
• toes curl downward
What is Naegele's rule? - ANSWER>>add one year to the first day of her last menstrual period
subtract 3 calendar months and add 7 days
What is couvade syndrome? What are some common symptoms? - ANSWER>>man may experience
pregnancy-like symptoms such as
* nausea, weight gain, and other physical symptoms
2-digit G-P - ANSWER>>First number: gravidity
• Number of pregnancies including the current one
Second number: parity
• Number of pregnancies that has reached 20 weeks of gestation
5-digit G-T-P-A-L - ANSWER>>First number: GRAVIDITY
• gravidity
Second number: TERM
• total number of term births
Third number: PRETERM
• number of preterm births
Fourth number: ABORUTS
• number of abortions (includes SABs, TABs, and EABs)
Fifth number: LIVING
• number of children currently living
What is pica? What condition in pregnancy is it associated with? - ANSWER>>* Craving for non-food
products
• cornstarch
• Ice
• Clay
• Dirt
• Cotton balls
• Furniture foam
Associated with vitamin C deficiency
Can lead to gestational diabetes
, What nutritional recommendations would a nurse give to a client to prevent neural tube defects in
pregnancy? - ANSWER>>Folate is the form found in natural foods
* used to fortify foods and is found in vitamin supplements
* need 0.6 daily while pregnant
Foods high in folate
* liver, chicken, turkey, goose
* lamb, beef, veal, enriched rice, fortified ready-to-eat breakfast cereals
* legumes (peas, lentils, beans)
* asparagus and spinach, papaya, and wheat germ
Vitamin B12
* Produce nucleic acids
* Form RBCs
* Promote normal fetal neurofunction
Quickening - ANSWER>>Fetal movement detected by the mother
Lightening - ANSWER>>Fundal height drops
Fetus descends and engages in pelvis
Occurs in Nullipara
• 2 weeks before start of labor
Occurs in Multipara
• At the start of labor
Ballottement - ANSWER>>* examiner technique used in the 16th-18th week to verify presence of fetus
* examiner inserts finger into vagina and taps gently on cervix
* this causes fetus to rise and then sink
* gentle tap is felt on examiner's finger as fetus sinks
Hegar sign - ANSWER>>a softening of the lower uterine segments that occurs at about six weeks
gestation.
The uterus anteflexes during the first three months of pregnancy.
It is this position that presses on the bladder causing urinary frequency.
Chadwick Sign - ANSWER>>violet-blue hue to the vagina and cervix due to an increase in vascularity
seen between the 6th and 8th week of pregnancy
Goodell sign - ANSWER>>softening of the cervical tip around the sixth week of pregnancy
caused by
* increased vascularity
* slight hypertrophy (increased size of cells)
* hyperplasia (increased number of cells)
What is the cause of physiological anemia? - ANSWER>>Plasma volume ↑es more than RBC production
* hemodilution
What vaccines are safe to receive during pregnancy? - ANSWER>>Tdap
* Between 27-36 weeks
* OR immediately postpartum
