UC ADV HEALTH ASSESSMENT ACTUAL EXAM
SCRIPT 2026 QUESTIONS WITH SOLUTIONS
GRADED A+
◉ A woman in her 30th week has a cervical length estimated at 1 cm.
Should you be concerned?
A) Yes; she may be at risk for preterm labor.
B) Yes; she most likely has a bicornuate uterus.
C) No; this is a normal measurement for this gestational age. . Answer:
A) Yes; she may be at risk for preterm labor.
◉ A woman has a positive pregnancy test and comes to you with left
lower quadrant pain. On bimanual examination, you feel a tender mass.
Which of the following should you suspect?
A) Threatened abortion
B) Appendicitis
C) Ovarian cyst
D) Tubal pregnancy . Answer: D) Tubal pregnancy
◉ You are examining for fetal heart tones with a fetoscope and are
unable to hear any. Using a Doptone, you measure the rate as 164.
Which gestational age is most likely?
,A) 8 weeks
B) 14 weeks
C) 20 weeks
D) 26 weeks . Answer: B) 14 weeks
◉ A 32-year-old attorney comes to your office for her second prenatal
visit. She has had two previous pregnancies with uneventful prenatal
care and vaginal deliveries. Her only problem was that with each
pregnancy she gained 50 lbs (23 kg) and had difficulty losing the weight
afterward. She has no complaints today. Looking at her chart, you see
she is currently 10 weeks pregnant and that her prenatal weight was 130
lbs (59 kg). Her weight today is 134 lbs (60.9 kg). Her height is 5'4",
giving her a BMI of 22. Her blood pressure, pulse, and urine tests are
unremarkable. The fetal heart tone is difficult to find but is located and is
150. While you give her first trimester education, you tell her how much
weight you expect her to gain.
How much weight should this patient gain during pregnancy?
A) Less than 15 pounds (less than 7 kg)
B) 15 to 25 pounds (7 to 11.5 kg)
C) 25 to 35 pounds (11.5 to 16 kg)
D) 30 to 40 pounds ( . Answer: C) 25 to 35 pounds (11.5 to 16 kg)
◉ A young mother presents with a pregnancy confirmed by urine HCG.
Her LMP was June 20. Using Naegele's rule, you estimate what day of
delivery?
,A) March 27
B) April 13
C) February 20
D) February 13 . Answer: A) March 27
◉ A young woman comes in for a routine wellness examination. You
notice that her vaginal walls have deep rugae and are slightly bluish in
color. She also has a thicker white discharge. What should you suspect?
A) Hypoxia
B) Varicosities
C) Pregnancy
D) Sexually transmitted infection . Answer: C) Pregnancy
◉ A 24-year-old cashier comes to your clinic for her first OB visit. She
had her last period 10 weeks before, which would mean she is 12 weeks
pregnant. She did a home pregnancy urine test a month ago and it was
positive. She has had some fatigue and nausea, but not in the last week.
She has had no cramping or bleeding. Her vital signs, head, eyes, ears,
nose, throat, thyroid, cardiac, pulmonary, and abdominal examinations
are all unremarkable. On speculum examination her os is closed and
there is a pinkish hue to the cervix. On bimanual examination the cervix
is soft and the uterus is enlarged to the pelvic brim. Despite 20 minutes
of trying, you cannot find heart tones. You repeat a urine pregnancy test
and it is negative. A serum pregnancy test is ordered and is positive. You
send the patient for a vaginal ultrasound. What is the most likely
explanation for her presentation?
, A) Earlier than 12 weeks
B) Fetal demise . Answer: C) False pregnancy
◉ Jeannie is a 24-year-old pregnant woman who asks you today if her
frequent urination is normal. Which of the following hormones is most
likely responsible for this?
A) TSH
B) HCG
C) Oxytocin
D) Estradiol . Answer: B) HCG
◉ A pregnant woman is concerned by the recent onset of a midline
swelling. It is soft and non-tender. What does this represent?
A) Linea nigra
B) Chadwick's sign
C) Round ligament pain
D) Diastasis recti . Answer: D) Diastasis recti
◉ A 22-year-old clerk, primigravida, comes to your office for a prenatal
visit. She is in her second trimester and has had prenatal care since she
was 8 weeks pregnant. Her only complaint is that she has a new
brownish line straight down her abdomen. On examination, her vital
signs are unremarkable. Her urine has no protein, glucose, or leukocytes.
With a Doptone the fetal heart rate is 140, and her uterus is palpated to
SCRIPT 2026 QUESTIONS WITH SOLUTIONS
GRADED A+
◉ A woman in her 30th week has a cervical length estimated at 1 cm.
Should you be concerned?
A) Yes; she may be at risk for preterm labor.
B) Yes; she most likely has a bicornuate uterus.
C) No; this is a normal measurement for this gestational age. . Answer:
A) Yes; she may be at risk for preterm labor.
◉ A woman has a positive pregnancy test and comes to you with left
lower quadrant pain. On bimanual examination, you feel a tender mass.
Which of the following should you suspect?
A) Threatened abortion
B) Appendicitis
C) Ovarian cyst
D) Tubal pregnancy . Answer: D) Tubal pregnancy
◉ You are examining for fetal heart tones with a fetoscope and are
unable to hear any. Using a Doptone, you measure the rate as 164.
Which gestational age is most likely?
,A) 8 weeks
B) 14 weeks
C) 20 weeks
D) 26 weeks . Answer: B) 14 weeks
◉ A 32-year-old attorney comes to your office for her second prenatal
visit. She has had two previous pregnancies with uneventful prenatal
care and vaginal deliveries. Her only problem was that with each
pregnancy she gained 50 lbs (23 kg) and had difficulty losing the weight
afterward. She has no complaints today. Looking at her chart, you see
she is currently 10 weeks pregnant and that her prenatal weight was 130
lbs (59 kg). Her weight today is 134 lbs (60.9 kg). Her height is 5'4",
giving her a BMI of 22. Her blood pressure, pulse, and urine tests are
unremarkable. The fetal heart tone is difficult to find but is located and is
150. While you give her first trimester education, you tell her how much
weight you expect her to gain.
How much weight should this patient gain during pregnancy?
A) Less than 15 pounds (less than 7 kg)
B) 15 to 25 pounds (7 to 11.5 kg)
C) 25 to 35 pounds (11.5 to 16 kg)
D) 30 to 40 pounds ( . Answer: C) 25 to 35 pounds (11.5 to 16 kg)
◉ A young mother presents with a pregnancy confirmed by urine HCG.
Her LMP was June 20. Using Naegele's rule, you estimate what day of
delivery?
,A) March 27
B) April 13
C) February 20
D) February 13 . Answer: A) March 27
◉ A young woman comes in for a routine wellness examination. You
notice that her vaginal walls have deep rugae and are slightly bluish in
color. She also has a thicker white discharge. What should you suspect?
A) Hypoxia
B) Varicosities
C) Pregnancy
D) Sexually transmitted infection . Answer: C) Pregnancy
◉ A 24-year-old cashier comes to your clinic for her first OB visit. She
had her last period 10 weeks before, which would mean she is 12 weeks
pregnant. She did a home pregnancy urine test a month ago and it was
positive. She has had some fatigue and nausea, but not in the last week.
She has had no cramping or bleeding. Her vital signs, head, eyes, ears,
nose, throat, thyroid, cardiac, pulmonary, and abdominal examinations
are all unremarkable. On speculum examination her os is closed and
there is a pinkish hue to the cervix. On bimanual examination the cervix
is soft and the uterus is enlarged to the pelvic brim. Despite 20 minutes
of trying, you cannot find heart tones. You repeat a urine pregnancy test
and it is negative. A serum pregnancy test is ordered and is positive. You
send the patient for a vaginal ultrasound. What is the most likely
explanation for her presentation?
, A) Earlier than 12 weeks
B) Fetal demise . Answer: C) False pregnancy
◉ Jeannie is a 24-year-old pregnant woman who asks you today if her
frequent urination is normal. Which of the following hormones is most
likely responsible for this?
A) TSH
B) HCG
C) Oxytocin
D) Estradiol . Answer: B) HCG
◉ A pregnant woman is concerned by the recent onset of a midline
swelling. It is soft and non-tender. What does this represent?
A) Linea nigra
B) Chadwick's sign
C) Round ligament pain
D) Diastasis recti . Answer: D) Diastasis recti
◉ A 22-year-old clerk, primigravida, comes to your office for a prenatal
visit. She is in her second trimester and has had prenatal care since she
was 8 weeks pregnant. Her only complaint is that she has a new
brownish line straight down her abdomen. On examination, her vital
signs are unremarkable. Her urine has no protein, glucose, or leukocytes.
With a Doptone the fetal heart rate is 140, and her uterus is palpated to
