MIDWIFERY PRACTICE EXAM
QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS) PLUS RATIONALES
2026 Q&A | INSTANT DOWNLOAD PDF
1. The most accurate method for estimating gestational age in
the first trimester is:
A. Fundal height
B. Last menstrual period
C. Ultrasound crown–rump length
D. Quickening
Rationale: CRL is the most precise measurement in early
pregnancy.
2. A normal fetal heart rate baseline is:
A. 100–120 bpm
B. 110–160 bpm
C. 130–180 bpm
D. 90–120 bpm
Rationale: The established normal baseline range is 110–160
bpm.
3. The recommended daily folic acid dose for low-risk pregnant
women is:
,A. 0.1 mg
B. 0.4 mg
C. 1 mg
D. 5 mg
Rationale: 0.4 mg reduces neural tube defect risk in low-risk
pregnancies.
4. A woman at 10 weeks presents with spotting and a closed
cervix. Diagnosis?
A. Incomplete abortion
B. Threatened abortion
C. Inevitable abortion
D. Missed abortion
Rationale: Vaginal bleeding with closed cervix is a threatened
abortion.
5. The earliest sign of pregnancy on ultrasound is:
A. Yolk sac
B. Gestational sac
C. Fetal pole
D. Fetal heartbeat
Rationale: The gestational sac is the first structure seen.
6. A key marker for preeclampsia is:
A. Hyperglycemia
B. Vaginal bleeding
C. Hypertension + proteinuria
, D. Bradycardia
Rationale: Diagnostic features include elevated BP and
proteinuria.
7. The safest antihypertensive in pregnancy is:
A. ACE inhibitors
B. ARBs
C. Labetalol
D. Warfarin
Rationale: Labetalol is first-line; ACEI/ARB are teratogenic.
8. Which vitamin deficiency is associated with neural tube
defects?
A. Vitamin A
B. Folate
C. B12
D. Vitamin D
Rationale: Folate deficiency directly affects neural tube
closure.
9. Fundal height at 20 weeks is expected at:
A. Symphysis pubis
B. Umbilicus
C. Xiphoid
D. Over the umbilicus
Rationale: At 20 weeks, the fundus is level with the umbilicus.
QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS) PLUS RATIONALES
2026 Q&A | INSTANT DOWNLOAD PDF
1. The most accurate method for estimating gestational age in
the first trimester is:
A. Fundal height
B. Last menstrual period
C. Ultrasound crown–rump length
D. Quickening
Rationale: CRL is the most precise measurement in early
pregnancy.
2. A normal fetal heart rate baseline is:
A. 100–120 bpm
B. 110–160 bpm
C. 130–180 bpm
D. 90–120 bpm
Rationale: The established normal baseline range is 110–160
bpm.
3. The recommended daily folic acid dose for low-risk pregnant
women is:
,A. 0.1 mg
B. 0.4 mg
C. 1 mg
D. 5 mg
Rationale: 0.4 mg reduces neural tube defect risk in low-risk
pregnancies.
4. A woman at 10 weeks presents with spotting and a closed
cervix. Diagnosis?
A. Incomplete abortion
B. Threatened abortion
C. Inevitable abortion
D. Missed abortion
Rationale: Vaginal bleeding with closed cervix is a threatened
abortion.
5. The earliest sign of pregnancy on ultrasound is:
A. Yolk sac
B. Gestational sac
C. Fetal pole
D. Fetal heartbeat
Rationale: The gestational sac is the first structure seen.
6. A key marker for preeclampsia is:
A. Hyperglycemia
B. Vaginal bleeding
C. Hypertension + proteinuria
, D. Bradycardia
Rationale: Diagnostic features include elevated BP and
proteinuria.
7. The safest antihypertensive in pregnancy is:
A. ACE inhibitors
B. ARBs
C. Labetalol
D. Warfarin
Rationale: Labetalol is first-line; ACEI/ARB are teratogenic.
8. Which vitamin deficiency is associated with neural tube
defects?
A. Vitamin A
B. Folate
C. B12
D. Vitamin D
Rationale: Folate deficiency directly affects neural tube
closure.
9. Fundal height at 20 weeks is expected at:
A. Symphysis pubis
B. Umbilicus
C. Xiphoid
D. Over the umbilicus
Rationale: At 20 weeks, the fundus is level with the umbilicus.
