APEA Management Pregnancy
Objective final exam
A+graded <<100% guaranteed
Pass>>updated syllabus;
Newest version
A patient who is found to be pregnant has asymptomatic bacteriuria. How should
this be managed?
Force fluids only
Order a culture only
Prescribe nitrofurantoin
Prescribe amoxicillin - ANSWER ✅Prescribed nitrofurantoin
A patient was diagnosed today with pregnancy. Her last pregnancy was 3 years
ago. At that time she had a protective rubella titer. What should be done about
evaluating a rubella titer today?
There is no need to get one since she has been pregnant before.
It should be evaluated to make sure it is still protective.
She should be vaccinated now to ensure protection.
She does not need one because it was protected 3 years ago. - ANSWER ✅She
does not need one because it was protective 3 years ago.
Does not need re-evaluation if protective titer from previous pregnancy
A patient has a positive pregnancy test that she performed from an over-the-
counter kit. It has been 6 weeks since her last menstrual period. What are the
chances that she is pregnant?
> 25%
> 50%
> 75%
> 90% - ANSWER ✅> 90%
, OTC urine pregnancy tests have high sensitivity and specificity
The most effective way to decrease neural tube defects is to prescribe folic acid.
For a woman with normal risks, how much is needed daily prior to becoming
pregnant?
0.2 mg
0.4 mg
1 mg
2 mg - ANSWER ✅0.4 mg
Which of the following immunizations may be safely administered during the first
trimester of pregnancy?
MMR and hepatitis B
Inactive influenza
Pneumococcal and varicella
Hepatitis A and varicella - ANSWER ✅Inactive influenza
Live and attenuated immunizations should not be given during pregnancy, meaning
MMR and varicella should not be given.
CDC recommends giving pneumococcal, hep A & B is a risk factor is present,
otherwise delay until after pregnancy
A 26-year-old pregnant female has complains of dysuria. She has the following
urinalysis report. Which statement below is true?
Cloudy
Leukocyte Esterase Positive
Nitrite Positive
WBC urine 15-20 (normal 0-4)
Bacteria urine Positive
Pregnant women should be treated for asymptomatic bacteriuria due to increases
risk of pyelonephritis
Which form of birth control would be the best choice in a lactating mother who
wanted to insure that she did not become pregnant?
Injectable progestin
Oral progesterone
Oral contraceptives
Natural family planning - ANSWER ✅Injectable progestin
Objective final exam
A+graded <<100% guaranteed
Pass>>updated syllabus;
Newest version
A patient who is found to be pregnant has asymptomatic bacteriuria. How should
this be managed?
Force fluids only
Order a culture only
Prescribe nitrofurantoin
Prescribe amoxicillin - ANSWER ✅Prescribed nitrofurantoin
A patient was diagnosed today with pregnancy. Her last pregnancy was 3 years
ago. At that time she had a protective rubella titer. What should be done about
evaluating a rubella titer today?
There is no need to get one since she has been pregnant before.
It should be evaluated to make sure it is still protective.
She should be vaccinated now to ensure protection.
She does not need one because it was protected 3 years ago. - ANSWER ✅She
does not need one because it was protective 3 years ago.
Does not need re-evaluation if protective titer from previous pregnancy
A patient has a positive pregnancy test that she performed from an over-the-
counter kit. It has been 6 weeks since her last menstrual period. What are the
chances that she is pregnant?
> 25%
> 50%
> 75%
> 90% - ANSWER ✅> 90%
, OTC urine pregnancy tests have high sensitivity and specificity
The most effective way to decrease neural tube defects is to prescribe folic acid.
For a woman with normal risks, how much is needed daily prior to becoming
pregnant?
0.2 mg
0.4 mg
1 mg
2 mg - ANSWER ✅0.4 mg
Which of the following immunizations may be safely administered during the first
trimester of pregnancy?
MMR and hepatitis B
Inactive influenza
Pneumococcal and varicella
Hepatitis A and varicella - ANSWER ✅Inactive influenza
Live and attenuated immunizations should not be given during pregnancy, meaning
MMR and varicella should not be given.
CDC recommends giving pneumococcal, hep A & B is a risk factor is present,
otherwise delay until after pregnancy
A 26-year-old pregnant female has complains of dysuria. She has the following
urinalysis report. Which statement below is true?
Cloudy
Leukocyte Esterase Positive
Nitrite Positive
WBC urine 15-20 (normal 0-4)
Bacteria urine Positive
Pregnant women should be treated for asymptomatic bacteriuria due to increases
risk of pyelonephritis
Which form of birth control would be the best choice in a lactating mother who
wanted to insure that she did not become pregnant?
Injectable progestin
Oral progesterone
Oral contraceptives
Natural family planning - ANSWER ✅Injectable progestin
