UPDATED ACTUAL Exam Questions and
CORRECT Answers
Presumptive signs of pregnancy - CORRECT ANSWER - Fatigue (12 weeks)
Breast tenderness (3-4 weeks)
Nausea and vomiting (4-14 weeks)
Amenorrhea (4 weeks)
Urinary frequency (6-12 weeks)
Hyperpigmentation of skin (16 weeks)
Fetal movements (quickening) (16-20 weeks)
Uterine enlargement (7-12 weeks)
Breast enlargement (6 weeks)
All are perceived by the mother
Probable (objective) signs of pregnancy - CORRECT ANSWER - Braxton Hicks
contractions (16-28 weeks)
Positive pregnancy test (4-12 weeks)
Abdominal enlargement (14 weeks)
Ballottement (16-28 weeks)
Goodell's sign (5 weeks)
Chadwick's sign (6-8 weeks)
Hegar's sign (6-12 weeks)
Positive signs of pregnancy - CORRECT ANSWER - Ultrasound verification of embryo
or fetus (4-6 weeks)
Fetal movement felt by experienced clinician (20 weeks)
Auscultation of fetal heart tones via Doppler (10-12 weeks)
, Probable signs are detected by who? - CORRECT ANSWER - Health care provider on
physical exam
Ballottement - CORRECT ANSWER - The examiner pushes against the womans cervix
and feels a rebound from a floating fetus
Chadwick's sign - CORRECT ANSWER - Bluish-pruple coloration of the vaginal mucosa
and cervix
Goodell's sign - CORRECT ANSWER - Softening of the cervix
Hegar's sign - CORRECT ANSWER - softening of the lower uterine segment or isthmus
What kind of sign is a positive pregnancy test? - CORRECT ANSWER - It is a probable
sign of pregnancy. Some cancers (ovarian) and molar pregnancy can cause similar results as
positive pregnancy tests. Other health issues can cause an elevated hCG level.
Adaptation of the uterus - CORRECT ANSWER - Increase in size, weight, length, width,
depth, volume, overall capacity. Egg shaped, positive Hegar's sign, enhanced contractility.
Fundal height - CORRECT ANSWER - The measurement from symphasis pubis bone to
top of uterus/fundus. The length determines gestational age until 36 weeks.
Adaption of the cervix - CORRECT ANSWER - Goodell's sign, mucous plug formation,
positive chadwick's sign, ripening about 4 weeks before birth
Adaptations of the vagina - CORRECT ANSWER - Increase vascularity with thickening,
lengthening of vaginal vault, secretions more acidic, white, and thick (leukorrhea)