Maternity Final Exam.

MATERNITY FINAL EXAM




B,66C,66D66
Rationale:66True66labor66is66regular,66location66is66back66to66front,66and66the66duration66r
emains66constant.66Cervical66change66is66a66true66indicator66of66labor.66-66answer--
A66pregnant66woman66who66is66in66her66late663rd66trimester66called66her66primary66care6
6provider66complaining66of66contractions.66Which66of66the66following66indicates66that66th
e66patient66is66experiencing66true66labor?66Select66all66that66apply.
A.66My66pain66duration66changes66when66I66move66around
B.66My66contractions66are66occurring66every66666minutes66and66last66166minute66long
C.66I66have66pain66located66back66to66front
D.66My66cervix66is66changing
E.66My66contractions66are66coming6610,667,66and66then661566minutes66apart

B
Rationale:66HCG66levels66would66still66rise66because66the66fertilized66ovum66is66still66sec
reting66HCG66even66though66it66is66in66the66wrong66place.66The66HCG66level66would66de
cline66over664866hours66if66their66was66a66spontaneous66abortion/loss.66-66answer--
A66pregnant66women66presents66to66her66doctors66office66with66nausea,66vomiting,66and
66sharp66abdominal66pain.66The66doctor66suspects66an66ectopic66pregnancy.66What66wo
uld66her66HCG66levels66look66like?
A.66HCG66level66slowly66declining66over664866hours
B.66HCG66level66rising66but66not66doubling66appropriately66in664866hours
C.66HCG66level66drastically66drops66within662466hours
D.66No66HCG66hormone66detected

C66-66answer--Janine66is66a6634-year-
old66female66who66is663666weeks66pregnant66with66fraternal66twins,66has66two66living66ch
ildren66that66are66also66fraternal66twins66and66now66466years66old,66that66she66delivered6
6at663666weeks66via66c-
section.66She66had66a66therapeutic66abortion66at662366years66old66and66spontaneously66
aborted66during66her66second66pregnancy66at662766years66old.66What66is66her66GTPAL?
A.)66G=2,66T=1,66P=1,66A=2,66L=2
B.)66G=4,66T=1,66P=0,66A=2,66L=2
C.)66G=4,66T=0,66P=1,66A=2,66L=2
D.)66G=4,66T=0,66P=1,66A=1,66L=2
E.)66G=2,66T=1,66P=0,66A=1,66L=2

, D
subtract66366months,66add66766seven66days66&66adjust66year66-66answer--
Your66patient's66last66menstrual66cycle66was66February666,662020.66Using66Naegele's66
Rule,66what66is66her66expected66date66of66delivery?
A.66November6613,662021
B.66November669,662020
C.66October6613,662020
D.66November6613,662020

A66-66answer--
A662666year66old66woman66presents66to66her66OB66because66she66missed66her66last66m
enstrual66period.66She66reports66fatigue,66nausea,66and66urinary66frequency.66The66prov
ider66interprets66these66findings66as66which66indication66of66pregnancy?
Probable
Presumptive
Positive
Negative

B66-66answer--
A66patient66comes66into66the66GYN66clinic66in66her66second66trimester.66She66is663766ye
ars66old.66She66has66had66two66vaginal66births66in66the66past,66both66at664066weeks66ge
station.66She66miscarried66one66fetus66at662466weeks.66She66currently66has66two66living6
6children.66What66is66her66GTPAL?
G=2,66T=3,66P=1,66A=1,66L=3
G=4,66T=2,66P=0,66A=1,66L=2
G=3,66T=2,66P=1,66A=0,66L=2
G=4,66T=3,66P=0,66A=1,66L=1

A,66B,66C,66D
RationaleA-
66Asthma66may66affect66fetal66oxygenation66levels66due66to66inadequate66gas66exchang
e66in66the66mom66B-
66Gestational66diabetes66may66lead66to66placental66insufficiency66which66affects66fetal66
oxygenationC-
66Hypertension66may66reduce66blood66flow66to66placenta66due66to66vasospasmD-
66Epidural66side66effects66include66hypotension,66which66will66reduce66blood66flow66to66p
lacenta66and66therefore66affect66fetal66oxygenation66-66answer--
1.66Which66of66the66following66maternal66factors66may66decrease66fetal66oxygenation?
66Select66all66that66apply
A.66Asthma
B.66Gestational66diabetes
C.66Hypertension
D.66Epidural

B,66C,66D