Obs I Exam question

1. Which of the following is among positive sign of pregnancy?

a. Skin change
b. Fetal heart tone
c. Nausea vomiting
d. Braxton Hick’s contraction
2. Which of the following statement is True about pregnancy diagnosis?
a. a positive test threshold for urine β -hCG is between 2–4mIU/mL
b. β -hCG is detected in the maternal serum 8–11 days after the LNMP
c. Cardiac activity is discernible at 5–6 weeks via transvaginal sonogram
d. β -hCG is detected in the maternal serum 21–22 days(3wks) after conception
3. Which of the following is a NOT among function of the placenta?
a. provides a protection barrier
b. Production of maternal red blood cells.
c. Excretion of Waste products from the fetus
d. Exchange of oxygen and nutrients between maternal and fetal blood.
4. Which of the following is a primary function of amniotic fluid during pregnancy?
a. To provide a source of maternal antibodies for fetal immune development
b. To facilitate the exchange of oxygen and carbon dioxide between the mother and
fetus
c. To cushion the fetus from external trauma and allow for fetal movement.
d. To produce red blood cells for the developing fetus

5. What is the typical appearance of normal amniotic fluid at term?

a. Thick and yellow.
b. Cloudy and white.
c. Clear or straw-colored
d. Green or brown.
6. Which of the following pairs of pregnancy-related terms is correctly matched?
a. Nulligravida: A woman who has given birth to multiple children.
b. Primipara: A woman who is currently pregnant for the first time.
 c. Multigravida: A woman who has been pregnant more than once
d. Nullipara: A woman who has delivered multiple live births.
7. A 28-year-old woman presents to antenatal care unit for her first prenatal visit. She reports
that her last menstrual period (LMP) was approximately 10 weeks ago. She has had one
previous pregnancy that resulted in a healthy, full-term delivery. She has had no
miscarriages or abortions.
8. What is the gravidity and parity of this client
a. Gravida 1, Para 1
b. Gravida 2, Para 1
c. Gravida 2, Para 2
d. Gravida 1, Para 2

9. A 25-year-old woman presents to her first prenatal appointment. She reports that the first
day of her last menstrual period (LMP) was 18 weeks ago. During the appointment, the
healthcare provider discusses the expected physiological changes and common discomforts
associated with her current stage of pregnancy.

Based on the patient's LMP, in which trimester of pregnancy is she currently?

a. First trimester
b. Second trimester
c. Third trimester
d. Fourth trimester
10. A 28-year-old woman presents for a prenatal check-up. Her last menstrual period (LMP)
was accurately recorded, and an early ultrasound confirmed her gestational age. At this
appointment, the patient is at 35 weeks and 2 days of gestation.

Based on her current gestational age, how would this pregnancy be classified?

a. Term pregnancy
b. Preterm pregnancy
c. Post-term pregnancy
d. Late term pregnancy
11. Which of the following is considered the normal fetal presentation for vaginal delivery?
a. Breech presentation
b. Vertex presentation
c. Face presentation
d. Shoulder presentation
12. Which of the following is the intervention for preventing anemia in pregnant women is
contraindicated during the first trimester?
a. Iron
b. Folic acid
c. Deworming
13. A 38-year-old Gravida-VII Para-VI mother came for antenatal care follow-up at 32 weeks
of gestation from known hookworm endemic area. Her vital signs are within the normal
range, conjunctiva and mucus membranes are pink, and hemoglobin is 13 gm/dl.
What prophylactic drug should be provided to this mother?
a. Mebendazole 500 mg PO stat
b. Ampicillin 2 g IV for two days
c. MgSo4 4 g IV for 24 hours after birth
d. Amoxicillin 500 mg BID for five days
14. A 22 years old primigravida mother whose her LMP was on 28/05/2017 E.C presented to
ANC clinic for a routine follow up. What is her GA & EDD respectively?
a. 6 weeks and 6 days, 3/3/2018
b. 7 weeks and 0 days, 27/2/2018
c. 7 weeks and 0 days, 3/3/2018
d. 6 weeks and 6 days, 27/2/2018

15. A 24-year-old woman, gravida 2 para 1, presents for her second prenatal visit at 28 weeks
gestation. She received her first dose of the tetanus-diphtheria (Td) vaccine at her initial
prenatal visit at 16 weeks gestation. She has no history of previous Td vaccinations.

According to the recommended vaccination schedule, when should the patient receive her
second and third doses of the Td vaccine?
 a. One month after the first dose and 6 months after the second dose
b. Three weeks after the first dose and 6 months after the second dose
c. One month after the first dose and 1 year after the second dose
d. Five weeks after the first dose and 5 months after the second dose
16. Which of the following correctly matches a Leopold maneuver with its primary purpose?
a. First maneuver: Determining fetal descent into the pelvis.
b. Second maneuver: Identifying the fetal presentation.
c. Third maneuver: Determining fetal attitude
d. Fourth maneuver: Determining fundal height
17. Which of the following fundal height landmarks MOST accurately correlates with the
a. Fundus at the symphysis pubis: 20 weeks gestation.
b. Fundus at the umbilicus: 28 weeks gestation
c. Fundus at the xiphoid process: 38 weeks gestation.
d. Fundus midway between the umbilicus and symphysis pubis: 24 weeks gestation.
18. A 26-year-old woman, gravida 2 para 1presents for prenatal appointment. During the
physical examination, the midwife measures the fundal height. The upper border of the
fundus is palpated at the level of the woman's umbilicus.

Based on this fundal height measurement, which of the following gestational age ranges
is MOST consistent with the finding?

a. 20 weeks
b. 24 weeks
c. 28 weeks
d. 32 weeks
19. Which of the following is correct statement about physical exercise during pregnancy?
a. A moderate-intensity physical activity for at least 150 minutes each week is
recommended
b. A pregnant woman with cardiovascular disease can do exercise During Pregnancy
c. A pregnant with cerclage can exercise without fear of preterm labor
d. Supine position is recommended during physical exercise
20. Which of the following is NOT Contraindications for sexual intercourse, during
pregnancy?
 a. vaginal bleeding
b. leakage of liquor
c. preterm labor
d. pregnancy itself
21. A 29-year-old G2P1 at 8 weeks’ gestation presents for her first prenatal care visit. She is
1.59m tall and weighs 69 kg, making her body mass index 27 kg/m2
What amount of total weight gain should you recommend for her pregnancy?
a. 7-11.5kg
b. 5-9kg
c. 12-16kg
d. 12-18kg
22. Which of the following statement is Correct regarding nutrition during pregnancy?
a. Calorie need among pregnant and non-pregnant is similar
b. caffeine intake should be encouraged during pregnancy
c. raw meat consumption is safe during pregnancy
d. Mid-upper arm circumference <23 cm indicates acute malnutrition