Maternity EXAM LATEST 120 QUESTIONS AND
100- Verified ANSWERS JUST RELEASED
TABLE OF CONTENTS
Section Questions Topic Domain
Section 1 1–15 Antepartum Assessment & Prenatal Care
Section 2 16–30 Complications of Pregnancy
Section 3 31–45 Intrapartum (Labor & Delivery)
Section 4 46–60 Postpartum Assessment & Care
Section 5 61–75 Newborn Assessment & Care
Section 6 76–90 Pain Management & Pharmacologic Interventions
Section 7 91–105 High-Risk Conditions & Emergencies
Section 8 106–120 NGN-Style Case Studies & Clinical Judgment
SECTION 1: ANTEPARTUM ASSESSMENT & PRENATAL CARE (Questions 1–15)
1. Which mineral is most important in preventing neural tube defects during
pregnancy?
,A) Iron
B) Calcium
C) Folate (Folic Acid)
D) Magnesium
Rationale: Folic acid supplementation before conception and during early
pregnancy significantly reduces the risk of neural tube defects such as spina bifida
and anencephaly .
2. Which pelvic shape is most favorable for a vaginal delivery?
A) Anthropoid
B) Android
C) Gynaecoid
D) Platypelloid
Rationale: The gynaecoid pelvis is the most favorable shape for vaginal delivery as
it is round and spacious, allowing optimal fetal descent and rotation .
3. The anterior fontanelle, the largest fontanelle, has which shape and typically
closes by what age?
A) Triangular; 6–8 weeks
B) Diamond-shaped; 12–18 months
C) Diamond-shaped; 6–8 months
D) Triangular; 12–18 months
Rationale: The anterior fontanelle is diamond-shaped and typically closes between
12 and 18 months of age. The posterior fontanelle is triangular and closes by 6–8
weeks .
,4. A woman at 39 weeks gestation calls the labor unit at 7:00 PM questioning
whether she is in labor. Which statement suggests she is likely in true labor?
A) "At 5:00 PM, contractions were about 5 minutes apart. Now they're about 7
minutes apart."
B) "I took a walk at 5:00 PM, and now I talk through my contractions easier than I
could then."
C) "I took a shower about a half hour ago. The contractions seem to hurt more
since I finished."
D) "I had some tightening in my belly late this afternoon, and I still feel it after
waking up from my 2-hour nap."
Rationale: Contractions that intensify despite comfort measures (such as a
shower) indicate true labor. False labor contractions typically decrease with
comfort measures and activity .
5. Which of the following is considered a local cause of abnormal uterine
bleeding?
A) Endometrial hyperplasia
B) Psychological disturbance
C) Chronic renal diseases
D) Coagulation defects
Rationale: Endometrial hyperplasia is a local uterine cause of abnormal bleeding.
Coagulation defects are systemic causes, and psychological disturbance does not
directly cause abnormal uterine bleeding .
6. Which factor will place a patient at the highest risk of abruptio placentae?
, A) A history of abruptio placentae in a previous pregnancy
B) Cigarette smoking
C) Intrauterine growth restriction
D) Any hypertensive disorder of pregnancy
Rationale: Previous history of abruptio placentae significantly increases the risk of
recurrence, placing the patient at highest risk .
7. Prophylactic iron therapy is indicated for all of the following EXCEPT:
A) Previous anemia
B) Chronic blood loss
C) Dietary iron deficiency
D) History of preterm delivery
Rationale: Prophylactic iron therapy is indicated for previous anemia, chronic
blood loss, and poor dietary iron intake. A history of preterm delivery alone is not
an indication for prophylactic iron therapy .
8. During the first trimester, an insulin-dependent diabetic woman may
experience:
A) Need for less insulin than she normally injects
B) An increased risk for hyperglycemic episodes
C) Signs and symptoms of hydramnios
D) A need to be hospitalized for fetal testing
Rationale: During the first trimester, insulin requirements often decrease due to
increased insulin sensitivity, nausea/vomiting (reduced caloric intake), and
increased glucose utilization by the fetus .
100- Verified ANSWERS JUST RELEASED
TABLE OF CONTENTS
Section Questions Topic Domain
Section 1 1–15 Antepartum Assessment & Prenatal Care
Section 2 16–30 Complications of Pregnancy
Section 3 31–45 Intrapartum (Labor & Delivery)
Section 4 46–60 Postpartum Assessment & Care
Section 5 61–75 Newborn Assessment & Care
Section 6 76–90 Pain Management & Pharmacologic Interventions
Section 7 91–105 High-Risk Conditions & Emergencies
Section 8 106–120 NGN-Style Case Studies & Clinical Judgment
SECTION 1: ANTEPARTUM ASSESSMENT & PRENATAL CARE (Questions 1–15)
1. Which mineral is most important in preventing neural tube defects during
pregnancy?
,A) Iron
B) Calcium
C) Folate (Folic Acid)
D) Magnesium
Rationale: Folic acid supplementation before conception and during early
pregnancy significantly reduces the risk of neural tube defects such as spina bifida
and anencephaly .
2. Which pelvic shape is most favorable for a vaginal delivery?
A) Anthropoid
B) Android
C) Gynaecoid
D) Platypelloid
Rationale: The gynaecoid pelvis is the most favorable shape for vaginal delivery as
it is round and spacious, allowing optimal fetal descent and rotation .
3. The anterior fontanelle, the largest fontanelle, has which shape and typically
closes by what age?
A) Triangular; 6–8 weeks
B) Diamond-shaped; 12–18 months
C) Diamond-shaped; 6–8 months
D) Triangular; 12–18 months
Rationale: The anterior fontanelle is diamond-shaped and typically closes between
12 and 18 months of age. The posterior fontanelle is triangular and closes by 6–8
weeks .
,4. A woman at 39 weeks gestation calls the labor unit at 7:00 PM questioning
whether she is in labor. Which statement suggests she is likely in true labor?
A) "At 5:00 PM, contractions were about 5 minutes apart. Now they're about 7
minutes apart."
B) "I took a walk at 5:00 PM, and now I talk through my contractions easier than I
could then."
C) "I took a shower about a half hour ago. The contractions seem to hurt more
since I finished."
D) "I had some tightening in my belly late this afternoon, and I still feel it after
waking up from my 2-hour nap."
Rationale: Contractions that intensify despite comfort measures (such as a
shower) indicate true labor. False labor contractions typically decrease with
comfort measures and activity .
5. Which of the following is considered a local cause of abnormal uterine
bleeding?
A) Endometrial hyperplasia
B) Psychological disturbance
C) Chronic renal diseases
D) Coagulation defects
Rationale: Endometrial hyperplasia is a local uterine cause of abnormal bleeding.
Coagulation defects are systemic causes, and psychological disturbance does not
directly cause abnormal uterine bleeding .
6. Which factor will place a patient at the highest risk of abruptio placentae?
, A) A history of abruptio placentae in a previous pregnancy
B) Cigarette smoking
C) Intrauterine growth restriction
D) Any hypertensive disorder of pregnancy
Rationale: Previous history of abruptio placentae significantly increases the risk of
recurrence, placing the patient at highest risk .
7. Prophylactic iron therapy is indicated for all of the following EXCEPT:
A) Previous anemia
B) Chronic blood loss
C) Dietary iron deficiency
D) History of preterm delivery
Rationale: Prophylactic iron therapy is indicated for previous anemia, chronic
blood loss, and poor dietary iron intake. A history of preterm delivery alone is not
an indication for prophylactic iron therapy .
8. During the first trimester, an insulin-dependent diabetic woman may
experience:
A) Need for less insulin than she normally injects
B) An increased risk for hyperglycemic episodes
C) Signs and symptoms of hydramnios
D) A need to be hospitalized for fetal testing
Rationale: During the first trimester, insulin requirements often decrease due to
increased insulin sensitivity, nausea/vomiting (reduced caloric intake), and
increased glucose utilization by the fetus .
