1. During pregnancy, a brownish black pigmented vertical stripe along the midline of the abdomen may appear. This finding is:

2. During pregnancy, the Leopold maneuvers assist in determining all of the following except:

3. If regular uterine contractions occur prior to 37 weeks gestation, this could be:

4. When should all pregnant women be screened for human immunodeficiency virus (HIV)?

5.Which of the following is NOT a condition associated with hyperthyroidism in pregnancy?

6.During pregnancy, if fundal height is 4 centimeters larger than expected, consider all of the following except:

7.During pregnancy, a palpable softening of the cervical isthmus is noted. This finding is:

8.When performing the Leopold maneuver on a pregnant woman, if the buttocks are easily palpated at the fundus, the fetus is said to be in:

9.Weight gain should be monitored during pregnancy. For a pregnant woman whose BMI is = 30, the total weight gain should be:

10.Which substance used during pregnancy accounts for one third of all low-birth-weight infants, placental abruption, and preterm labor?

11.During pregnancy, which hormone is secreted by the corpus luteum and placenta to promote ligamentous laxity in the sacroiliac joint and pubic symphysis for passage of fetus? Relaxin

12.Upon cervical examination of a pregnant woman, cervical erosion, erythema, and irritation are noted. These findings could be suggestive of:

13.Inaudible fetal heart tones (FHT) may indicate:

14.Murmurs audible during pregnancy may suggest:

15.When examining the pregnant patient, conjunctival pallor may indicate:

16.If fetal movement cannot be perceived after 24 weeks, all of the following may be considered except:

17.During pregnancy, which supplement is recommended to decrease the risk of neural tube defect?

18.When performing a pelvic exam on a pregnant woman, a larger speculum may be needed because of:

19.During pregnancy, which hormone increases tidal volume and alveolar ventilation, lowers esophageal sphincter tone, and relaxes tone in the uterus and bladder?

20.When performing the first Leopold maneuver on a pregnant women, if the fetal buttocks and head are not easily palpated at the fundus, the fetus is said to be in:

21.A form of milk produced by the mammary glands during late pregnancy is referred to as:

22.Which one of the following symptoms would be seen in a 39 week gestational age patient who was suspected of having HELLP syndrome?

23.Weight gain should be monitored during pregnancy. For a pregnant woman whose whose BMI is 18.5-24.9, the total weight gain should be:

24.During pregnancy, a patient’s fundal height measured 26 centimeters. This would suggest that the gestational age was:

25.During pregnancy, which hormone promotes endometrial growth that supports the early embryo?

26.What is the importance of prenatal care?

27.Increased vascularity throughout the pelvis during pregnancy gives the vagina a bluish color. This sign is:

28.When should an oral glucose tolerance test be performed during pregnancy? 29.Irregular brownish patches around the forehead, cheeks, nose, and jaw noted during pregnancy are:

30.Normal findings of the vaginal wall of a pregnant woman, include all of the following except:

31.When performing the third Leopold maneuver on a pregnant woman, the cephalic prominence is on the same side as the back. This finding is referred to as the:

32.Normal changes in the breast and nipples during pregnancy include all of the following except:

33.New onset hypertension with proteinuria or end-organ damage is:

34.During pregnancy, as the skin over the abdomen stretches to accommodate the fetus, this purplish mark may appear. This finding is:

35.Inflamed and overgrown gingiva during pregnancy is:

36.During pregnancy, which hormone is responsible for increasing insulin resistance and hyperglycemia associated with gestational diabetes?

37.In pregnant women, between 10 to 18 weeks gestation, fetal heart tones (FHT) can be auscultated along the:

38.Hypertension that occurs after 20 weeks gestation in the absence of proteinuria is:

39.When performing the third Leopold maneuver on a pregnant woman, the fetal head is the presenting part. This finding is referred to as the:

40.During the examination of a pregnant woman, knee and ankle deep tendon reflexes appear hyperreflexic. This finding could be suggestive of:

41.During pregnancy, if fundal height is 4 centimeters smaller than expected, consider:

42.Which substance used during pregnancy accounts for the leading cause of preventable intellectual disability?

43.When might fundal height in a pregnant woman most accurately predict gestational age?

44.When should a vaginal swab for Group B streptococcus be obtained in a pregnant woman? 35-37 weeks

45.What is the standard instrument used to auscultate fetal heart tones?

46.In the third trimester of pregnancy, which position affords the greatest comfort by reducing the weight of the uterus on the abdominal vessels?

47.Symptoms on initial assessment of a pregnant woman with preeclampsia are:

48.Facial edema in a pregnant woman after 20 weeks gestation, could be:

49.The normal fetal heart rate (FHR) range is:

50.A five percent weight loss during the first trimester due to vomiting would be considered:

51.Pregnant women should avoid unpasteurized daily products, such as soft cheese, raw eggs, and delicatessen meats because of the risk of:

52.Adequate daily dietary intake of folic acid in pregnancy is:

53.During the vaginal examination of a pregnant woman in her first trimester, an adnexal mass with tenderness is palpated. This finding could be consistent with:

54.During pregnancy, dyspnea accompanied by increased respiratory rate, cough, rales, ,or respiratory distress raises concerns of:

55.During pregnancy, which hormone results in increased blood viscosity?

56.After 24 weeks gestation, auscultation of more than one fetal heart tone (FHT) in different locations with varying rates suggests:

57.The cervical opening or shortening noted during a bimanual examination prior to 37 weeks gestation, may indicate:

58.During the last trimester of pregnancy, the supine position causes the uterus to overlie the vertebral column and compress the descending aorta and inferior vena cava. This position causes the patient to become faint and dizzy resulting in:

59.Which of the following sexually transmitted disease (STD) screening tests is NOT routinely recommended during pregnancy?

60.B/P readings greater than 140 mm HG systolic and greater than 90 mm HG diastolic prior to pregnancy, before 20 weeks gestation, or beyond 12 weeks postpartum is:

61.Weight gain should be monitored during pregnancy. For a pregnant woman whose BMI is < 18.5,the total weight gain should be:

62.During pregnancy, which hormone is produced by the placental and supports progesterone synthesis in the corpus luteum?

63.During pregnancy, what sound may be auscultated at the second or third intercostal space at the sternal border due to increased blood flow through the vessels?

64.Weight gain should be monitored during pregnancy. For a pregnant woman whose BMI is 26- 29.9, the total weight gain should be: