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OB EXAM 5 PRACTICE QESTIONS WITH SOLUTIONS, Exams of Obstetrics

Virginia State University (VSU)Obstetrics

OB EXAM 5 PRACTICE QESTIONS WITH SOLUTIONS

Typology: Exams

2024/2025

Available from 07/03/2025

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OB EXAM 5 PRACTICE QESTIONS WITH SOLUTIONS
o
1. Which of the following is not a component of the Apgar score?
A. Pulse
B. Body size
C. Activity
D. Grimace: B. Body size
2. A nuchal cord is defined as an umbilical cord that:
A. has separated from the placenta.
B. is lacerated due to a traumatic delivery.
C. has abnormally developed blood vessels.
D. is wrapped around the baby's neck.: D. is wrapped around the baby's neck.
3. Abruptio placenta occurs when:
A. a tear in the placenta causes severe internal hemorrhage.
B. the placenta develops over and covers the cervical opening.
C. the placenta prematurely separates from the uterine wall.
D. the placenta affixes itself to the outer layer of the uterus.: C. the
placenta prematurely separates from the uterine wall.
4. Following delivery of a full-term baby, you have properly cared for the
baby and have clamped and cut the umbilical cord. During transport, you
note that the mother is experiencing moderate vaginal bleeding. You
should:
A. firmly massage the uterine fundus with a circular motion.
B. elevate her legs six to eight inches and cover her with a blanket.
C. carefully insert a sterile trauma dressing into her vagina.
D. place her legs together and position her on her left side: A. firmly
massage the uterine fundus with a circular motion.
5. Which of the following processes occurs immediately after ovulation?
A. Numerous follicles mature and release eggs into the fallopian tubes.
B. The inner lining of the uterus thickens in preparation for implantation.
C. Certain female hormone levels decrease significantly in quantity.
D.The endometrium sheds its lining and is expelled from the vagina.: B.
The inner lining of the uterus thickens in preparation for implantation.
6. During delivery, it is most important to position your partner at the
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o^ OB EXAM 5 PRACTICE QESTIONS WITH SOLUTIONS

  1. Which of the following is not a component of the Apgar score? A. Pulse B. Body size C. Activity D. Grimace: B. Body size
  2. A nuchal cord is defined as an umbilical cord that: A. has separated from the placenta. B. is lacerated due to a traumatic delivery. C. has abnormally developed blood vessels. D. is wrapped around the baby's neck.: D. is wrapped around the baby's neck.
  3. Abruptio placenta occurs when: A. a tear in the placenta causes severe internal hemorrhage. B. the placenta develops over and covers the cervical opening. C. the placenta prematurely separates from the uterine wall. D. the placenta affixes itself to the outer layer of the uterus.: C. the placenta prematurely separates from the uterine wall.
  4. Following delivery of a full-term baby, you have properly cared for the baby and have clamped and cut the umbilical cord. During transport, you note that the mother is experiencing moderate vaginal bleeding. You should: A. firmly massage the uterine fundus with a circular motion. B. elevate her legs six to eight inches and cover her with a blanket. C. carefully insert a sterile trauma dressing into her vagina. D. place her legs together and position her on her left side: A. firmly massage the uterine fundus with a circular motion.
  5. Which of the following processes occurs immediately after ovulation? A. Numerous follicles mature and release eggs into the fallopian tubes. B. The inner lining of the uterus thickens in preparation for implantation. C. Certain female hormone levels decrease significantly in quantity. D. The endometrium sheds its lining and is expelled from the vagina.: B. The inner lining of the uterus thickens in preparation for implantation.
  6. During delivery, it is most important to position your partner at the

mother's head because: A. the mother needs to be apprised of the situation. B. mothers often need assisted ventilation during delivery. C. she might need emotional support during the delivery. D. the mother might become nauseated and vomit.: D. the mother might become nauseated and vomit.

  1. You have just delivered a baby boy. His body is pink, but his hands and feet are blue. His heart rate is approximately 110 beats/min, and his respirations are rapid and irregular. He has a weak cry when stimulated and resists at- tempts to straighten his legs. His Apgar score is: A. 9 B. 7 C. 8 D. 6: C. 8
  2. Fetal complications associated with drug- or alcohol-addicted mothers in- clude all of the following, except: A. respiratory depression. B. profound tachycardia. C. premature delivery. D. low birth weight.: B. profound tachycardia.
  3. Three days after delivering her baby, a 30-year-old woman complains of a sudden onset of difficulty breathing. Her level of consciousness is decreased, and she is tachycardic. The EMT should suspect: A. intrauterine bleeding. B. acute pulmonary edema. C. pulmonary embolism. D. spontaneous pneumothorax.: C. pulmonary embolism.
  4. Supine hypotensive syndrome occurs when: A. the pregnant uterus compresses the inferior vena cava. B. the superior vena cava is compressed by the uterus. C. a supine position kinks the ascending aorta. D. blood pressure decreases as a result of hypovolemia.: A. the pregnant uterus compresses the inferior vena cava.

betes. B. Gestational diabetes results in permanent diabetes mellitus after delivery. C. In some cases, women with gestational diabetes require insulin injections. D.The onset of gestational diabetes typically manifests with hypoglycemia.: C. In some cases, women with gestational diabetes require insulin injections.

  1. The leading cause of maternal death during the first trimester of pregnancy is: A. unrecognized or untreated supine hypotensive syndrome. B. massive brain damage secondary to a prolonged seizure. C. internal bleeding caused by a ruptured ectopic pregnancy. D. blunt trauma to the abdomen during a motor vehicle crash.: C. internal bleeding caused by a ruptured ectopic pregnancy.
  2. Which of the following is a normal physiologic change that occurs in the mother's respiratory system during pregnancy? A. Increased respiratory reserve and decreased oxygen demand B. Decreased respiratory rate and increased minute volume C. Increased respiratory rate and decreased respiratory reserve D. Increased respiratory depth and decreased respiratory rate: C. Increased respiratory rate and decreased respiratory reserve
  3. If a pregnant patient must be placed onto a backboard, you should: A. raise the foot of the board 12 inches in order to maintain blood pressure. B. elevate the head of the board six inches to prevent breathing impairment. C. place a folded towel behind her head to make it easier to breathe. D. elevate the right side of the board with rolled towels or blankets.: D. elevate the right side of the board with rolled towels or blankets.
  4. Placenta previa is defined as: A. delivery of a portion of the placenta before the baby. B. development of the placenta over the cervical opening. C. abnormal development and functioning of the placenta. D. premature placental separation from the uterine wall.: B. development of the placenta over the cervical opening.
  5. After a baby is born, it is important to:

A. cool the infant to stimulate effective breathing. B. immediately clamp and cut the umbilical cord.

D. is pregnant for the first time.: D. is pregnant for the first time.

  1. Which of the following is an indication of imminent birth? A. Crowning of the baby's head B. Expulsion of the mucus plug from the vagina C. Rupture of the amniotic sac D. Irregular contractions lasting 10 minutes: A. Crowning of the baby's head
  2. The onset of labor begins with: A. thinning of the uterus. B. increased fetal movement. C. contractions of the uterus. D. full dilation of the cervix.: C. contractions of the uterus.
  3. By the 20th week of pregnancy, the uterus is typically at or above the level of the mother's: A. belly button. B. pubic bone. C. xiphoid process. D. superior diaphragm.: A. belly button.
  4. Which of the following statements regarding twins is correct? A. Twins are typically larger than single infants. B. Identical twins are typically of different gender. C. Most twins are born within 45 minutes of each other. D. Fraternal twins have two cords coming from one placenta.: C. Most twins are born within 45 minutes of each other.
  5. Which of the following statements regarding suctioning of a newborn's mouth and oropharynx is correct? A. Suctioning is indicated prior to cutting the cord if respiratory distress is present. B. Suctioning should be performed on all newborns immediately following delivery. C. If the head delivers face-down, the mouth and nose should be suctioned at once. D. Newborns rapidly expel fluid from their lungs and do not require suction- ing.: A. Suctioning is indicated prior to cutting the cord if respiratory distress is present.

A. Allow the mother to hold her baby.

B. Clamp and cut the umbilical cord. C. Begin assisting the newborn's breathing. D. Check the pulse rate at the brachial artery.: D. Check the pulse rate at the brachial artery.

  1. When determining the frequency of contractions, you should time the contractions from the: A. end of one to the end of the next. B. start of one to the end of the next. C. start of one to the start of the next. D. end of one to the start of the next.: C. start of one to the start of the next.
  2. Braxton-Hicks contractions are characterized by: A. regular contractions of progressively increasing intensity. B. a rupture of the amniotic sac just before the contractions begin. C. alleviation of pain with movement or changing positions. D. pink or red bloody show in conjunction with the contractions.: C. alleviation of pain with movement or changing positions.
  3. A history of pelvic inflammatory disease or tubal ligations increases a woman's risk for: A. placenta previa. B. an ectopic pregnancy. C. preeclampsia. D. gestational diabetes.: B. an ectopic pregnancy.
  4. The umbilical cord: A. carries oxygen to the baby via the umbilical vein. B. carries blood away from the baby via the artery. C. separates from the placenta shortly after birth. D. contains two veins and one large umbilical artery.: A. carries oxygen to the baby via the umbilical vein.
  5. Eclampsia is most accurately defined as: A. hypertension in the 20th week of pregnancy. B. a blood pressure greater than 140/90 mm Hg. C. seizures that result from severe hypertension. D. high levels of protein in the patient's urine.: C. seizures that result from
  1. An abortion occurs when the fetus and placenta deliver before: A. 20 weeks. B. 24 weeks. C. 26 weeks. D. 28 weeks.: A. 20 weeks.
  2. A pregnant trauma patient might lose a significant amount of blood before showing signs of shock because: A. pregnancy causes vasodilation and a lower blood pressure. B. pregnant patients can dramatically increase their heart rate. C. pregnant patients have an overall increase in blood volume. D. blood is shunted to the uterus and fetus during major trauma.: C. pregnant patients have an overall increase in blood volume.
  3. After the fetus has descended into the pelvis at the end of the third trimester, many mothers experience: A. a bloated feeling. B. mid-back pain. C. an urge to push. D. easier breathing.: D. easier breathing.
  4. A newborn infant will usually begin breathing spontaneously within seconds following birth. A. 3 to 5 B. 30 to 60 C. 15 to 30 D. 5 to 10: C. 15 to 30
  5. As a woman approaches menopause: A. her menstrual periods may become irregular and vary in severity. B. her risk of developing pelvic inflammatory disease lowers significantly. C. she usually experiences abdominal cramping without vaginal bleeding. D. she cannot become pregnant because of fluctuating hormone levels.: A. her menstrual periods may become irregular and vary in severity.
  6. Each ovary produces an ovum in alternating months and releases it into the:

A. vagina.

B. experience abdominal cramping, which may be misinterpreted.

C. lose up to 500 mL of blood within the first 24 hours. D. have a false positive home pregnancy test result.: B. experience abdominal cramping, which may be misinterpreted.

  1. Pelvic inflammatory disease (PID) typically does NOT affect the: A. uterus. B. fallopian tubes. C. ovaries. D. urinary bladder.: D. urinary bladder.
  2. Potentially life-threatening consequences of pelvic inflammatory disease (PID) include: A. ovarian abscess and ectopic pregnancy. B. uterine rupture with severe bleeding. C. ovarian cysts and gonorrhea. D. bacterial vaginosis and chlamydia.: A. ovarian abscess and ectopic pregnancy.
  3. The onset of menstruation usually occurs in females who are: A. between 25 and 28 years of age. B. between 18 and 23 years of age. C. between 11 and 16 years of age. D. between 8 and 10 years of age.: C. between 11 and 16 years of age.
  4. The physical examination of a sexual assault victim should be: A. limited to a brief survey for life-threatening injuries. B. performed in the presence of at least two police officers. C. deferred until the patient can be evaluated by a physician. D. as detailed as possible so all injuries can be documented.: A. limited to a brief survey for life-threatening injuries.
  5. When a female has reached menarche: A. she can no longer produce an ovum. B. she is capable of becoming pregnant. C. she usually requires hormone therapy. D. menstrual periods become less frequent.: B. she is capable of becoming pregnant.
  6. When a woman presents with abdominal pain or other vague symptoms,

A. ascertains if the patient was ever pregnant. B. has obtained a complete set of vital signs. C. has formed a general impression of the patient. D. has gathered patient history information.: D. has gathered patient history information.

  1. When caring for a female patient who has been sexually assaulted, you should: A. allow law enforcement to take her statement before you begin treatment. B. ask the patient for a concise, detailed report of what happened to her. C. place any bloodstained clothing or other articles in separate paper bags. D. advise her that she will not be allowed to shower or change her clothes.: C. place any bloodstained clothing or other articles in separate paper bags.
  2. When caring for a woman who is experiencing a gynecologic emergency, the EMT's main focus should be to: A. keep assessment and treatment to a minimum. B. determine the underlying cause of her problem. C. ask questions related to her gynecologic history. D. maintain her ABCs and transport without delay.: D. maintain her ABCs and transport without delay.
  3. When documenting a call in which a female was sexually assaulted, you should: A. record your opinion only if you have reasonable proof to justify the state- ment. B. translate the patient's words or statements using proper medical terminol- ogy. C. only use quotation marks when recording any statements made by witness- es. D. keep the report concise and record only what the patient stated in her own words.: D. keep the report concise and record only what the patient stated in her own words.
  4. Whenever possible, a female sexual assault victim should be: A. asked to provide a brief description of the perpetrator. B. given the option of being treated by a female EMT. C. thoroughly assessed, even if no signs of injury exist.

D. encouraged to take a shower and change her clothes.: B. given the option of being treated by a female EMT.

  1. Which of the following conditions would MOST likely lead to pelvic inflam- matory disease if left untreated? A. Genital herpes B. Ovarian cysts C. Ectopic pregnancy D. Chlamydia: D. Chlamydia
  2. Which of the following statements regarding pelvic inflammatory disease (PID) is correct? A. The most severe cases of PID occur in women who are not sexually active. B.The most common presenting symptom of PID is generalized upper abdom- inal pain. C. PID most commonly affects women who have had an ectopic pregnancy in the past. D. PID can scar the fallopian tubes, which increases the risk of an ectopic pregnancy.: D. PID can scar the fallopian tubes, which increases the risk of an ectopic pregnancy.
  3. Which of the following statements regarding rape is correct? A. The EMT should try to determine if rape occurred. B. Rape causes more physical than emotional harm. C. Rape is a legal term, not a medical diagnosis. D. Only a licensed physician can make a diagnosis of rape.: C. Rape is a legal term, not a medical diagnosis.
  4. You are dispatched to a residence for a 40-year-old female who complains of lower abdominal pain, fever and chills, and a foul-smelling vaginal dis- charge. Which of the following additional assessment findings would increase your index of suspicion for pelvic inflammatory disease? A. Vaginal passage of blood clots B. Bright red blood in the urine C. A history of ectopic pregnancy D. A shuffling gait when walking: D. a shuffling gait when walking
  5. During your assessment of a young female with nontraumatic vaginal bleeding, you note that her level of consciousness is decreased, her respira-