1.

Changes in maternal blood volume and cardiac output in pregnancy may mimic which following
disease states?
a. Hypertension
b. Thyrotoxicosis
c. Diabetes insipidus
d. Chronic renal disease
2. Uterine blood flow near term most closely approximates which of the following?
a. 150 mL/min
b. 350 mL/min
c. 550 mL/min
d. 850 mL/min
3. Regarding Braxton Hicks contractions, which of the following is true?
a. Their intensity varies between 20 and 40 mmHg
b. They occur early in pregnancy and may be palpated in the second trimester
c. Late in pregnancy, these contraction become more regular and may cause discomfort
d. B and C
4. Average blood loss for a vaginal delivery is which the following?
a. 500 mL
b. 1000 mL
c. Half of the loss during caesarean delivery of twins
d. A and C
5. During pregnancy, the venous pressure does which of the following?
a. Decrease when the woman is lying in the lateral position
b. Declines from 24 mmHg to 8 mmHg at term in the lower extremities
c. Is responsible for dependent edema in the lower extremities
d. A and C
6. The maternal arteriovenous oxygen difference decreases during pregnancy because of which of
the following?
a. Increased tidal volume
b. Increased cardiac output
c. Increased hemoglobin mass
d. All of the above
7. Which of the following is true regarding the gallbladder during pregnancy?
a. It empties more completely
b. It has reduced contractility caused by progesterone
c. Stasis leads to formation of pyruvate-containing stones
d. Cholestasis is linked to high circulating levels progesterone
8. What is the average duration of a normal menstrual cycle?
a. 14-28 days
b. 25-32 days
c. 28-55 days
d. 40-50 days
9. Of 2 million oocytes in the human ovary present at birth, how many are present at the onset of
puberty?
a. 200.000
 b. 300.000
c. 400.000
d. 500.000
10. What is the approximate peak production of ovarian progesterone during midluteal phase?
a. 10-20 mg/day
b. 25-50 mg/day
c. 60-80 mg/day
d. 75-100 mg/day
11. Pregnancy can be divided into three units or trimester each lasting how many weeks?
a. 12
b. 13
c. 15
d. 16
12. What is the average oxygen saturation of intervillous space blood?
a. 10-20%
b. 30-35%
c. 65-75%
d. 90-95%
13. Amniotic fluid volume peaks at what gestational age?
a. 24 weeks
b. 28 weeks
c. 34 weeks
d. 38 weeks
14. Common reason cited by women as barriers to enrolling in prenatal care include which of the
following?
a. Lack of funding
b. Late identification of pregnancy
c. Inability to obtain an appointment
d. All the above
15. Fetal movements are typically first perceived by the mother at approximately what gestational
age?
a. 8 weeks
b. 14 weeks
c. 16 weeks
d. 22 weeks
16. How should a woman who has had 4 pregnancies delivered at term, one of which was twin
pregnancy, be designated?
a. Gravida 5 para 4
b. Gravida 4 para 5
c. Gravida 4 para 4
d. Gravida 5 para 5
17. Which group of women should receive psychosocial screening as a part of their prenatal care?
a. All women
b. Women who use illicit substances
c. Women at risk for domestic violence
 d. Women of minority race or ethnicity
18. All except which of the following adverse outcomes have been linked to smoking in pregnancy?
a. Preeclampsia
b. Preterm birth
c. Placental abruption
d. Sudden infant death syndrome
19. According to the centers for disease control and prevention, which of the following are
characteristics of women who are most likely to use alcohol in pregnancy?
a. Teenagers
b. Unemployed
c. College educated
d. African American race
20. Intimate partner violence has been associated with all except which of the following untoward
pregnancy outcomes?
a. Perinatal death
b. Preterm delivery
c. Gestational hypertension
d. Fetal-growth restriction
21. At least how much elemental iron should be given daily as a supplement to pregnant women?
a. 15 mg
b. 27 mg
c. 42 mg
d. 60 mg
22. Doses of vitamin A in excess of what amount have been associated with congenital
malformations?
a. > 1.000 IU per day
b. > 10.000 IU per day
c. > 100.000 IU per day
d. > 1.000.000 IU per day
23. Which of the following vitamins, when combined with the antihistamine doxylamine, has been
found to be helpful in case of nausea and vomiting?
a. Vitamin C
b. Vitamin D
c. Vitamin B6
d. Vitamin B12
24. Maternal deficiency of vitamin D has been associated with of the following complication in the
offspring?
a. Anemia
b. Jaundice
c. Seizures
d. Congenital rickets
25. What is the normal amniotic fluid volume at term?
a. 300 mL
b. 800 mL
c. 1200 mL
1500 mL