Practice Exam Questions & Answers
Hyperemesis gravidarum, excessive nausea and vomiting, is influenced by all of the
following except:
A Increased hormones
B Metabolic Disturbances
C Psyche Disturbances
D Excessive eating - ANSWERSD Excessive eating
Hyperemesis gravidarum usually resolves spontaneously at:
A 20 weeks
B 14 weeks
C 12 weeks
D 24 weeks - ANSWERSB 14 weeks
The cause of hyperemesis gravidarum is:
A Failure of the placenta to implant effectively
B Unknown
C Low blood sugar levels
D Polyhydramnios - ANSWERSB Unknown
Antepartum haemorrhage is defined as bleeding from the genital tract occurring:
A In late pregnancy
B After the 20th week of gestation
C Before the onset of labour
D All of the above - ANSWERSD All of the above
When assessing a woman who has had a severe APH the IMMEDIATE care will be:
A To replace blood volume
B To complete an ultrasound scan
C To assess the foetal condition
D To complete a vaginal speculum examination - ANSWERSA To replace blood volume
In the event of an antepartum haemorrhage vaginal bleeding may be described as:
A Revealed bleeding
B Concealed bleeding
C Revealed and concealed (mixed) bleeding
D All of the above - ANSWERSD All of the above
, Beverley Smith a primigravida at 29 weeks, presents at delivery suite with a history of
one episode of painless vaginal bleeding. Ultrasound scanning reveals placenta previa
with the placenta reaching the cervical os edge. Which type of placenta previa is
Beverley presenting with?
A Type I
B Type II
C Type III
D Type IV - ANSWERSB Type II
Vaginal bleeding due to placenta previa is initiated by:
A Vaso constriction of vessels leading to the placenta
B A sudden increase in maternal blood pressure
C Blood seeping between foetal membranes and uterine wall
D Tearing of anchoring villi as the lower segment forms - ANSWERSD Tearing of
anchoring villi as the lower segment forms
Suzie is diagnosed as having a multiple pregnancy. Ultrasound confirms twins. Multiple
pregnancy may be suspected if:
A Foetal limbs are felt on both sides of the abdominal midline
B The uterus appears round, tense and tender
C There is excessive foetal movement
D The uterus appears too large for the estimated age of gestation - ANSWERSD The
uterus appears too large for the estimated age of gestation
Suzie asks about the likelihood of having dizygotic twins. The incidence:
A Remains unchanged throughout the reproductive life
B Increases with age
C Decreased with age
D Is not affected by age - ANSWERSB Increases with age
Monozygotic twins:
A Usually result from clomiphene treatment
B Develop from one ovum and two spermatozoa
C Share one placenta and one chorion
D May be of different sexes - ANSWERSC Share one placenta and one chorion
A monozygotic twin pregnancy is associated with:
A Increased risk of foetal abnormalities
B Increased maternal age
C Family history of twins
D Use of fertility drugs - ANSWERSA Increased risk of foetal abnormalities
Following delivery of the twins Suzie is at increased risk of:
A Postpartum haemorrhage
B Postpartum infection
Hyperemesis gravidarum, excessive nausea and vomiting, is influenced by all of the
following except:
A Increased hormones
B Metabolic Disturbances
C Psyche Disturbances
D Excessive eating - ANSWERSD Excessive eating
Hyperemesis gravidarum usually resolves spontaneously at:
A 20 weeks
B 14 weeks
C 12 weeks
D 24 weeks - ANSWERSB 14 weeks
The cause of hyperemesis gravidarum is:
A Failure of the placenta to implant effectively
B Unknown
C Low blood sugar levels
D Polyhydramnios - ANSWERSB Unknown
Antepartum haemorrhage is defined as bleeding from the genital tract occurring:
A In late pregnancy
B After the 20th week of gestation
C Before the onset of labour
D All of the above - ANSWERSD All of the above
When assessing a woman who has had a severe APH the IMMEDIATE care will be:
A To replace blood volume
B To complete an ultrasound scan
C To assess the foetal condition
D To complete a vaginal speculum examination - ANSWERSA To replace blood volume
In the event of an antepartum haemorrhage vaginal bleeding may be described as:
A Revealed bleeding
B Concealed bleeding
C Revealed and concealed (mixed) bleeding
D All of the above - ANSWERSD All of the above
, Beverley Smith a primigravida at 29 weeks, presents at delivery suite with a history of
one episode of painless vaginal bleeding. Ultrasound scanning reveals placenta previa
with the placenta reaching the cervical os edge. Which type of placenta previa is
Beverley presenting with?
A Type I
B Type II
C Type III
D Type IV - ANSWERSB Type II
Vaginal bleeding due to placenta previa is initiated by:
A Vaso constriction of vessels leading to the placenta
B A sudden increase in maternal blood pressure
C Blood seeping between foetal membranes and uterine wall
D Tearing of anchoring villi as the lower segment forms - ANSWERSD Tearing of
anchoring villi as the lower segment forms
Suzie is diagnosed as having a multiple pregnancy. Ultrasound confirms twins. Multiple
pregnancy may be suspected if:
A Foetal limbs are felt on both sides of the abdominal midline
B The uterus appears round, tense and tender
C There is excessive foetal movement
D The uterus appears too large for the estimated age of gestation - ANSWERSD The
uterus appears too large for the estimated age of gestation
Suzie asks about the likelihood of having dizygotic twins. The incidence:
A Remains unchanged throughout the reproductive life
B Increases with age
C Decreased with age
D Is not affected by age - ANSWERSB Increases with age
Monozygotic twins:
A Usually result from clomiphene treatment
B Develop from one ovum and two spermatozoa
C Share one placenta and one chorion
D May be of different sexes - ANSWERSC Share one placenta and one chorion
A monozygotic twin pregnancy is associated with:
A Increased risk of foetal abnormalities
B Increased maternal age
C Family history of twins
D Use of fertility drugs - ANSWERSA Increased risk of foetal abnormalities
Following delivery of the twins Suzie is at increased risk of:
A Postpartum haemorrhage
B Postpartum infection
