NCC Credential in Inpatient Antepartum Nursing (RNC-IAP) Practice Test

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• Which symptom is commonly associated with hypothyroidism in pregnancy?
• In contraction stress testing, an equivocal result is characterized by what?
• Which statement correctly describes Graves' disease in pregnancy?
• Placenta previa commonly presents with which symptom?
• A single dose of intravenous iron dextran provides about:
• Vascular permeability pulmonary edema is characterized by what mechanism?
• Which activities are evident in the second trimester indicating neurological development?
• Daily iron needs by term?
• What drug is highlighted as part of the combination antiretroviral regimen for an HIV-positive pregnant woman?
• Which of the following is a manifestation of venous thromboembolism (VTE)?
• Which statement best describes diabetic ketoacidosis?
• Which statement describes how monozygotic twinning occurs?
• Among monozygotic (identical) twins, what percentage are monochorionic diamniotic?
• Passive fetal descent can be considered for how long in nulliparous versus multiparous women with an epidural?
• Asymptomatic bacteriuria in pregnancy is defined as which?
• A negative fetal fibronectin test is highly predictive that preterm birth will not occur within the next what timeframe?
• Which adrenal changes occur during pregnancy?
• Which of the following is not listed as a cause of Addisonian crisis in pregnancy?
• Recurrent decelerations are defined as decelerations that occur with what proportion of contractions within 20 minutes?
• Magnesium sulfate tocolysis works by which mechanism?
• Total lung volume during pregnancy does what?
• What best describes variability in fetal heart rate tracing?
• GDM A1 management involves which of the following?
• Pulmonary edema is best described as which of the following?
• How do cholesterol and phospholipids change during pregnancy?
• In transposition of the great arteries, which intervention helps maintain systemic mixing before corrective surgery?
• What is the most common route of hepatitis C transmission to children?
• Maintaining adequate vitamin D levels during pregnancy may reduce the risk of MS progression and adverse fetal outcomes by decreasing which two risks?
• A common sign of hepatitis B virus infection is:
• If uteroplacental function is impaired to 50%, what happens to the fetus?
• Decreased albumin levels during pregnancy affect lipophilic drug binding by causing:
• Which class of tocolytics should be avoided in Marfan syndrome due to increasing heart rate?
• Which type of diabetes is characterized by insulin resistance?
• How does GFR change during pregnancy?
• Which of the following is NOT listed as a complication of thalassemia in pregnancy?
• How does blood volume change during pregnancy?
• Early-onset Group B Streptococcus infection in newborns typically manifests within how many hours after birth?
• Why might an HIV test be positive in an infant born to an HIV-infected mother for up to 18 months?
• Sickle cell anemia is inherited in which pattern?
• In hydrostatic pulmonary edema, which pressure relationship leads to edema formation?
• What outcome is associated with pregnancy-related enzyme induction regarding drug levels?
• Hypoxia is defined as what?
• Which statement best defines thrombophilia in pregnancy?
• Risk factors for gallbladder disease in pregnancy include obesity, dietary factors, increased pregnancy, diabetes, and family history.
• CD4 count monitoring frequency at the first visit in HIV management?
• Which is a maternal risk associated with methamphetamine use?
• For edema related to vascular permeability, which body position is associated with increased cardiac output?
• The posterior pituitary gland during pregnancy continues to produce which substances?
• Which electrolyte change is observed by mid-pregnancy?
• Which symptom indicates impending respiratory arrest in hypoxia?
• Which hepatic protein decreases by mid-pregnancy?
• How is oxygen demand met during pregnancy?
• What is a primary management goal in treating pulmonary edema?
• Which statement about multiple sclerosis in pregnancy is true?
• Which hormone is produced by the posterior pituitary that regulates water balance, and is secreted in larger amounts during pregnancy?
• What is the primary function of the cardio regulatory center in the fetus?
• Antiphospholipid syndrome is best described as:
• Common signs of hyperthyroidism in pregnancy include which of the following?
• Renal length increase during pregnancy is approximately:
• What magnesium range is associated with cardiac arrest?
• Autonomic dysreflexia most commonly occurs with spinal cord injuries at or above which vertebral level?
• Which therapy is contraindicated in the management of sickle cell anemia?
• Obese (BMI >30) weight gain recommendation?
• What preconception testing is recommended regarding cystic fibrosis?
• When does the heart return to its pre-pregnancy size?
• Under-treatment of Addison's disease during pregnancy is most likely to lead to which complication?
• Where is suprapubic pressure applied and for what purpose in shoulder dystocia?
• Acidosis is defined as which of the following?
• Which statement describes a maternal effect of cocaine use?
• Residual volume during pregnancy does what?
• Oligohydramnios is associated with which condition?
• In pulmonary edema due to hydrostatic fluid overload, which positioning is recommended?
• Which antihistamines are listed as H-1 receptor agonists used in this context?
• Which statement best describes preterm birth as it relates to neonatal outcomes?
• Which hormonal change during pregnancy leads to gallbladder distention and slower emptying?
• Conceiving after lung transplantation should be delayed for how long?
• Epidural anesthesia involves placement between which vertebrae according to the material?
• Daily iron needs in early pregnancy?
• HELLP syndrome stands for which of the following?
• Prevention of neonatal HSV exposure includes which measure?
• A complication of pneumonia in pregnancy can include which of the following?
• Spinal anesthesia is characterized by being injected into which anatomical space?
• Phenylephrine can cause fetal hypoxia due to:
• Anemia is defined as a decline in circulating red blood cells causing reduced oxygen carrying capacity. It is diagnosed when hemoglobin is less than what value?
• Which clotting factors increase during pregnancy?
• Hydatidiform mole occurs when trophoblast develop abnormally. True or false?
• When does sodium balance return to normal after pregnancy?
• Which statement about amniotic fluid embolism is true regarding its pathophysiology?
• Plasma albumin concentration during pregnancy?
• In hypopituitarism/Simmond's syndrome, which hormones are most commonly deficient?
• CMV congenital infection is a leading cause of which outcome in children?
• For a normal BMI pregnant person with a multiple gestation, what is the recommended weight gain range?
• Tetralogy of Fallot may present with episodic spells characterized by which finding?
• How does the heart reposition during pregnancy?
• Which neonatal effect is associated with maternal methamphetamine exposure?
• During labor for ischemic heart disease, which position is recommended to maximize cardiac output?
• During pregnancy lipid profile changes, which statement best describes the trend?
• PDA is typically considered which type of lesion?
• Cardiac output returns to pre-pregnancy levels by approximately which postpartum time?
• Which markers are assessed in the quad screen during prenatal screening?
• Chorionic villus sampling is typically performed at what gestational age?
• Hearing loss in congenital syphilis typically presents at what age?
• Vertical transmission of HIV occurs primarily through which routes?
• When does the gallbladder return to prepregnancy level?
• An embolus can travel to which organs?
• Hydatidiform mole typically presents with which uterine finding?
• What does the Kleihauer-Betke test detect?
• Which deceleration pattern is time-locked to contractions?
• What happens to total plasma protein during pregnancy?
• Episodic decelerations are decelerations that are not associated with a contraction.
• Which hormone is produced by the placenta and is important for fetal growth and maternal metabolism, acting as an insulin antagonist?
• The signs and symptoms of varicella infection include which of the following?
• Gestational thrombocytopenia is defined by a platelet count below which threshold?
• Short-acting nifedipine in pregnancy may cause:
• Which infection is commonly included in the TORCH panel?
• Calcium channel blockers used in pregnancy commonly cause which of the following adverse effects?
• Patent ductus arteriosus may be closed with which management approach?
• Congenital toxoplasmosis may present with:
• In chronic kidney disease, what happens to GFR and serum creatinine as kidney function declines?
• By 20 weeks, which becomes a major contributor to amniotic fluid?
• Which antiarrhythmic is contraindicated in pregnancy due to neonatal bradycardia and prolonged QT?
• Which hepatitis is common in developing countries and typically self-limiting?
• Which of the following are acquired cardiac diseases in the context of pregnancy?
• Decreased MSAFP levels are associated with which condition?
• What is a typical finding in coarctation of the aorta?
• Which of the following best describes the effect of hormonal regulation on the fetus?
• Which gestational change can increase fetal exposure to lipophilic drugs?
• What is given to newborns to prevent perinatal transmission of hepatitis B?
• Embolism is best described as which of the following?
• Which beta blocker is described as preferred in the setting of cardiac disease?
• Iron deficiency anemia in pregnancy is primarily caused by what?
• Toxoplasmosis is described as which type of infection?
• Periodic decelerations are decelerations that are associated with contractions.
• Gonorrhea is primarily transmitted by which route?
• During a postpartum hemorrhage in a patient with asthma, which method is contraindicated?
• Variable decelerations are caused by which mechanism?
• How does the anterior pituitary change during pregnancy?
• Increased infection risk in sickle cell anemia is primarily due to:
• Preeclampsia with severe features includes which of the following as part of its criteria?
• Leukocyte counts may reach 5000 to 12000 in the third trimester.
• Which pathogens are commonly implicated in sepsis?
• Which of the following is a sign of pulmonary compromise?
• Megaloblastic anemia in pregnancy is caused by deficiency of which nutrients?
• What causes reflux and heartburn in pregnancy?
• Which symptom is commonly associated with HELLP syndrome?
• Chorioamnionitis is also referred to as Triple I. What does Triple I stand for?
• Which statement best describes the relationship between Group I and Group II conditions in the WHO cardiovascular risk classifications?
• What causes constipation in pregnancy?
• Prepregnancy serum creatinine values are directly related to risk of adverse events such as IUGR, preterm birth, and preeclampsia.
• Leukocyte counts may reach 20000 to 30000 in labor and early postpartum.
• When do renal volumes return to pre-pregnancy levels?
• Aspiration pneumonia occurs due to what?
• Which statement best describes variability's role in fetal monitoring?
• Cystic fibrosis is best defined as a chronic, hereditary progressive disease involving which systems?
• Why must caution be used with IV fluid bolus in a laboring woman receiving magnesium sulfate or Pitocin?
• Celiac disease in pregnancy is best described as which of the following?
• In the second trimester to early third trimester, which changes occur in the heart?
• Lupus nephritis in pregnancy requires differentiation from preeclampsia and HELLP because they all have which features?
• Which statement is true about oxygen delivery during pregnancy?
• Thalassemia in pregnancy is best described as:
• Management of ischemic heart disease in pregnancy often includes which strategy regarding delivery?
• What RBC morphology is characteristic of megaloblastic anemia due to folic acid or vitamin B12 deficiency?
• How does the immune system adapt to pregnancy?
• Which inotrope may be used to optimize preload and increase contractility in pulmonary embolus management?
• The absence of an acceleration reliably predicts acidemia.
• If heart rate is 90 to 100 beats per minute in a pregnant woman with Marfan syndrome, which measure is considered appropriate?
• Which factor is described as an extrinsic influence on fetal heart rate related to placental transfer capacity?
• Which intervention is part of initial management for DKA?
• In pregnancy, which arterial blood gas change is typically observed?
• In umbilical artery Doppler, a S/D ratio greater than 3.0 is associated with what condition?
• Mortality from Addisonian crisis without treatment ranges most nearly to which percentage?
• Hydralazine administration in pregnancy may cause which of the following effects?
• How do the liver and LFTs change during pregnancy?
• Which anti-thyroid medication is avoided in the first trimester of pregnancy?
• What is the effect of estrogen on prolactin during pregnancy?
• What does hyperemesis gravidarum refer to?
• What does moderate variability on a fetal heart rate tracing reliably predict?
• What does the indirect Coombs test detect?
• What happens to parathyroid hormone during pregnancy?
• Symptoms of aspiration pneumonia typically appear within how many hours after aspiration?
• When does heart rate return to pre-pregnancy level?
• Physiologic anemia of pregnancy is primarily due to:
• Chronic hepatitis B is a cause of which of the following long-term liver conditions?
• Eclampsia is best defined as
• What are the five A's used in nicotine/tobacco cessation counseling?
• Which of the following is a known cause of vascular permeability (noncardiogenic) pulmonary edema?
• Neonatal HSV infection most commonly presents as which localized infection?
• Which fetal risk is associated with chronic hypoxia?
• Which parameter returns to pre-pregnancy levels by 6 to 12 weeks postpartum?
• Which of the following is a component of pulmonary embolus management?
• During pregnancy, alkaline phosphatase (ALP) changes significantly due to fetal production. Which best describes ALP in pregnancy?
• Which CBC change is not observed during pregnancy?
• Which is a neonatal effect of maternal cocaine use?
• In the management of thalassemia, which complication is associated with regular blood transfusions and is commonly treated with iron chelation therapy?
• How does cardiac output change during pregnancy?
• Which of the following is a manifestation of chorioamnionitis?
• Which condition would be considered Group I under WHO cardiovascular risk?
• What do umbilical artery Doppler flow studies assess?
• To reduce aortic wall stress in pregnancy for women with Marfan syndrome, clinicians should avoid which of the following?
• Chemoreceptor stimulation due to high CO2 leads to which fetal heart rate change?
• In transposition of the great arteries, which statement is true?
• Which management is appropriate for placenta previa in an asymptomatic patient?
• An S/D ratio greater than 3.0 on umbilical artery Doppler indicates what?
• Which statement correctly describes the cardio regulatory center?
• Which maneuver applies pressure on the anterior surface of the posterior shoulder to rotate it anteriorly?
• In pregnancy, sarcoidosis increases the risk of which complication?
• What is hPL?
• Progesterone has what effect on gastric emptying?
• Neonatal conjunctivitis caused by Chlamydia typically presents with which feature?
• Clearance is defined as.
• What is the preferred mode of delivery for pregnancies affected by cystic fibrosis?
• Cardiac output increases by 30-50% in which patient position?
• Hepatitis D infection occurs only in the presence of infection with which virus?
• If functioning near 75% capacity, which outcome is expected?
• During the third trimester, what happens to the cerebrum?
• Which condition is classified as WHO maternal CV risk group II?
• Pica is commonly associated with which pregnancy-related anemia?
• Pneumonia is defined as what?
• What is a cause of pregnancy-related dyspnea?
• Sarcoidosis most commonly affects which organ system?
• Amniotic fluid embolism is also known as which of the following?
• What effect does the sympathetic branch have on the fetal heart rate?
• What happens to PT and aPTT during pregnancy?
• In diabetes nutrition therapy for pregnancy, what percentage of daily calories should come from carbohydrates?
• Vasa previa risk factors include velamentous insertion and which of the following?
• The primary phase of acquired syphilis is characterized by:
• During fetal hypoxemia, what is the overall hemodynamic response described?
• Maintenance medication for asthma includes which option that reduces mucus, secretion, and airway edema?
• In the WHO classification of maternal cardiovascular risk, Group I corresponds to which level of mortality and morbidity risk?
• Which is a potential complication of epilepsy and seizures during pregnancy?
• Which platelet count criterion is used to indicate severe features in preeclampsia?
• In gestational thrombocytopenia, what is a potential fetal/neonatal complication?
• Which neuraxial anesthesia complication is described as a puncture of the dura mater with the epidural needle leading to a CSF leak and spinal headache?
• Newborn CMV complications commonly include which finding?
• Which statement differentiates autonomic dysreflexia from preeclampsia?
• What is a thrombus?
• Which intervention is the primary treatment for VTE?
• Which combination is used to reduce disease flares and risk of preeclampsia in pregnant patients with SLE?
• Which of the following is listed as a cause of oligohydramnios related to fetal underperfusion?
• Which of the following conditions is a known trigger for DIC in pregnancy?
• Gestational hyperthyroidism tends to be more severe in pregnancies with which conditions?
• Which statement about fetal septal defects is true?
• What renal changes occur during pregnancy?
• How does utero-placental circulation facilitate fetal gas and nutrient exchange?
• During blood component therapy, what is a known complication to monitor for?
• Underweight (BMI < 18.5) weight gain recommendation?
• Absorption refers to which process?
• Which treatment is commonly used for extrapulmonary sarcoidosis such as neurological or cardiac involvement?
• In systemic sclerosis, which maternal complication is significantly associated with poor outcomes and is a leading cause of death?
• What happens during the anabolic phase of pregnancy?
• Overweight (BMI 25 to 29.9) weight gain recommendation?
• Spinal anesthesia is injected directly into which space?
• Terbutaline is which class of drug and what is a common contraindication?
• Which statement about pneumonia is true?
• Which of the following is NOT listed as a pregnancy complication of hepatitis C?
• A patient with a mechanical heart valve falls into which WHO maternal CV risk group?
• Which medication is an example of a leukotriene modifier used for maintenance?
• During the first 20 weeks of pregnancy, the maternal metabolic state is best described as what?
• Dermatitis herpetiformis is a skin manifestation associated with which disease?
• Maternal complications of pyelonephritis in pregnancy include which of the following?
• What acid-base disturbance is seen in pregnancy due to ventilation changes?
• During newborn resuscitation, what is the recommended epinephrine dose when heart rate remains below 60 bpm?
• Which statement is true about ABO incompatibility?
• What effect does the parasympathetic branch have on the fetal heart rate?
• Which medications are contraindicated during labor for a patient with asthma due to potential respiratory depression and bronchospasm?
• Tidal volume during pregnancy tends to do what?
• During pregnancy, which anticonvulsants are associated with the greatest fetal risk?
• In contraction stress testing, what defines a negative result?
• What postpartum event stimulates prolactin release?
• Which sign indicates respiratory distress in pulmonary edema?
• What is the mechanism of action of hydralazine in obstetric hypertension?
• What is the fetus's primary energy source?
• Group II WHO cardiovascular risk indicates what level of risk?
• Which statement describes pharmacokinetics?
• Which obstetric complications are associated with autonomic dysreflexia?
• During pregnancy, renal plasma flow changes. Which statement is accurate?
• During pregnancy, which statement best describes thyroid hormone changes?
• Maternal exposure to Parvovirus B19 is managed by testing for what?
• When does the liver return to pre-pregnancy status?
• Management of Raynaud's phenomenon in pregnancy commonly includes which therapy?
• Rubella is transmitted by secretions and can cause which congenital syndrome?
• Hepatitis A infection in pregnancy is typically transmitted via contaminated food or water; intrauterine transmission is rare, and complications can include preterm labor, PROM, vaginal bleeding, and placental abruption.
• Signs of infection may accompany venous thromboembolism, including:
• Which cardiac adaptation is first observed during pregnancy?
• Complications of AFLP can mimic preeclampsia, viral hepatitis, and intrahepatic cholestasis, and include liver and kidney failure, infection, hemorrhage, and DIC.
• Procardia (nifedipine) belongs to which drug class and is contraindicated in which condition?
• For antiphospholipid syndrome in pregnancy, what prophylaxis is recommended?
• In preeclampsia with severe features, oliguria is defined as urine output less than how many milliliters in 24 hours?
• Patients with multiple sclerosis during pregnancy have an increased risk of which complication?
• Vasa previa is associated with velamentous cord insertion and requires consideration of delivery timing. If diagnosed prenatally, what is the recommended delivery approach?
• Neuraxial anesthesia is considered safe for patients with MS and does not influence relapse episodes. True or false?
• In the second trimester, the fetus begins preparing for breathing through movement of which structures?
• Which blood product is most appropriate to increase fibrinogen levels when coagulopathy is present?
• Which management strategy is part of caring for cystic fibrosis during pregnancy?
• In pregnancy, how is Cushing's syndrome typically diagnosed?
• Hydatidiform mole is also known as what?
• Around which weeks does blood volume reach its peak?
• Velamentous cord insertion is defined as the umbilical cord inserting...
• What best defines metabolism in pharmacology?
• Fetal SVT is commonly associated with which condition and can lead to which complication?
• In contraction stress testing, what defines a positive result?
• How does the increased GFR during pregnancy influence pharmacokinetics of renally excreted medications?
• Murmur audible during pregnancy is most commonly heard within which gestational window?
• What cardiac change occurs in the first trimester?
• How does the fetal compensatory mechanism for hypoxemia operate?
• Loss of deep tendon reflexes occurs at which magnesium level range?
• Transient postpartum thyroid disorder typically presents as which pattern?
• How is heart rate affected by pregnancy?
• Functional residual capacity during pregnancy?
• When do leukocytes return to pre-pregnancy levels?
• Secondary syphilis is associated with which features?
• Leukocyte production increases during pregnancy starting in which month?
• Cholecystitis in pregnancy is inflammation due to obstruction of the cystic duct by gallstones or sludge.
• Which factor increases the volume of distribution for hydrophilic drugs during pregnancy?
• In the described OGTT for gestational diabetes, how much glucose is ingested after fasting?
• Gestational hyperthyroidism is best described as which of the following?
• During pregnancy, what happens to electrolytes and osmolality?
• When does prolactin levels return to pre-pregnancy status in non-breast-feeding women?
• Which anesthesia approach is preferred to decrease risk of autonomic dysreflexia during labor?
• Which of the following is NOT listed as a complication of cystic fibrosis in pregnancy?
• Which of the following is NOT a component of Tetralogy of Fallot?
• For overweight BMI in pregnancy, what is the recommended weight gain range?
• Preeclampsia increases stroke risk by how much?
• Expiratory reserve volume in pregnancy...
• If there are no variable or late decelerations and the baseline is normal, what could this indicate?
• Normal liver fat content is about 5%; AFLP fat content ranges from 13% to 19%.
• The increase in cholesterol and phospholipids during pregnancy supports which processes?
• Thrombophlebitis is best described as which of the following?
• Management of placental abruption is best described as:
• Pathophysiology of amniotic fluid embolism is best described as which statement?
• MSAFP stands for maternal serum alpha-fetoprotein. What is it?
• If decelerations occur with less than 50% of contractions over 20 minutes, they are categorized as what?
• Which symptom is most characteristic of pulmonary edema?
• Which of the following is NOT a recognized pathway to preterm labor?
• Chorioamnionitis affects which structures according to the provided material?
• What is the antidote for heparin therapy?
• Maternal hyperglycemia can cause macrosomia through which mechanism?
• How does plasma volume change during pregnancy?
• Which finding would favor stroke over a benign headache in pregnancy?
• Which statement about cardiovascular changes around birth is correct?
• Which HSV strain is typically associated with oral lesions?
• In the management of DIC, which of the following is a key goal?
• Which medication is preferred for pain management during labor in a patient with asthma?
• Which of the following is a common management component for a sickle cell crisis?
• Indomethacin is contraindicated after how many weeks of gestation due to the risk of premature closure of the fetal ductus arteriosus?
• Greatest risk period for congenital varicella syndrome is which gestational window?
• Which medication is a prostaglandin inhibitor used to reduce preterm labor risk?
• What is true about Rh incompatibility?
• Typical laboratory findings in DIC include which combination?
• Which of the following is considered a severe feature of preeclampsia related to neurologic status?
• In a 1-hour glucose challenge test with 50 g glucose, when is the test considered positive?
• How is intrathecal (spinal) medication delivered in a combined spinal/epidural technique?
• During a 100 g oral glucose tolerance test for gestational diabetes, which reading is abnormal at the 1-hour mark?
• Systemic right ventricle after disposition of great vessels is categorized under which WHO group?
• In pregnancy, gastric pH tends to:
• Newborn prophylaxis with combination antiretroviral therapy should begin approximately how soon after birth?
• Which of the following is a typical cause of hydrostatic pulmonary edema in pregnancy?
• Infertility and pregnancy complications are associated with hypopituitarism; which complication is listed as possible during pregnancy?
• Cholesterol retention in the gallbladder during pregnancy increases the risk of which condition?
• Marfan syndrome with aortic dilation greater than 40 mm is classified as which WHO maternal CV risk group?
• Risk factors for acute fatty liver of pregnancy include first pregnancy, a male fetus, and multiple gestation.
• Which of the following are common signs of HIV infection in infants during the first year of life?
• What is the primary objective of the McRobert's Maneuver in shoulder dystocia management?
• Combining magnesium sulfate with calcium channel blockers in pregnancy can increase the risk of:
• In a still-pregnant patient needing coagulation factor replacement, what risk should be monitored?
• What is essential in acute management of stroke in pregnancy?
• Which of the following is an intrinsic influence on fetal heart rate?
• Congenital syphilis is acquired in which of the following ways?
• Hypoxemia is defined as what?
• In pregnancy, Addison's disease is treated with which glucocorticoid replacement?
• What placental changes associated with smoking complicate oxygen exchange?
• Which statement about low molecular weight heparin (LMWH) use in pregnancy is true?
• Vena cava syndrome in pregnancy presents with which symptom cluster?
• Serum calcium during pregnancy tends to:
• Fetal fibronectin testing is used after which gestational age range?
• Group II typically includes which of the following conditions?
• During pregnancy, folic acid requirements increase to what amount?
• Antibiotics in pregnancy: which class is contraindicated due to teratogenic risk?
• Chlamydia is transmitted through which routes?
• In the management of peripartum cardiomyopathy, which therapies are commonly considered to optimize cardiac output?
• Intermittent decelerations occur with what proportion of contractions within 20 minutes?
• In DIC treatment, replacement of which product is used to restore clotting factors?
• What is the effect of carbon monoxide exposure on fetal oxygen delivery?
• Vertical transmission rate range for hepatitis E infection is:
• Nephrolithiasis management in pregnancy: the initial option is which?
• In twin-to-twin transfusion syndrome, the recipient twin may develop which combination of findings?
• Fibrinogen level during pregnancy tends to?
• Which RA medications are considered acceptable up to the third trimester to minimize fetal risk?
• When does plasma volume return to pre-pregnancy levels?
• Which statement correctly describes pharmacodynamics?
• Which complication is associated with congenital syphilis?
• Which laboratory abnormality is commonly seen with preeclampsia?
• Which uterotonic is contraindicated in a patient with hypertension?
• Which statement best describes alcohol exposure in pregnancy?
• A decrease in total plasma protein during pregnancy is primarily due to what?
• Bleeding time and clotting time during pregnancy are unchanged. Which option best reflects this?
• Untreated gonorrhea in a newborn can cause which serious neonatal complication?
• What happens to creatinine levels by mid-pregnancy?
• Immediately after birth, cardiac output increases by what percentage compared with prepregnancy levels?
• Which statement about amniocentesis is true?
• HPV-related neonatal complications can include laryngeal papillomatosis presenting in infants at what age range?
• Acute fatty liver of pregnancy is rare and life-threatening, associated with accumulation of fetal free fatty acids in the maternal liver due to fetal LCHAD deficiency.
• Which electrolyte trend is observed by mid-pregnancy?
• How is minute ventilation influenced in pregnancy?
• What happens to BUN in early pregnancy as described in the material?
• Which of the following is NOT a manifestation of chorioamnionitis?
• In the omQSOFA criteria, which respiratory rate threshold is used?
• In fetal heart rate monitoring, an acceleration most commonly indicates what?
• Common signs of acute pancreatitis in pregnancy include epigastric or left upper quadrant pain radiating to the back, along with nausea and vomiting.
• Rescue medication for asthma includes which option?
• At what point does parasympathetic maturation influence the fetal heart rate baseline?
• In pregnancy, cortisol primarily regulates which metabolic processes?
• Which of the following is NOT listed as a complication of Cushing's syndrome in pregnancy?
• Indomethacin is what type of medication?
• Which is a possible complication of AKI in pregnancy?
• Epinephrine used for obstetric hypotension primarily increases:
• Which statement describes Hypoplastic Left Heart Syndrome?
• During the second 20 weeks of pregnancy, the maternal metabolism is characterized by which of the following?
• What is the primary treatment for multiple sclerosis relapse during pregnancy?
• For postpartum hemorrhage, the four Ts are Tone, Tear, Tissue, and Thrombin. Which is described as retained placental fragments?
• Citrate in banked blood can cause hypocalcemia, increasing the risk of which complication?
• Free cell DNA prenatal screening can be performed at what gestational age and detects which chromosomal anomalies?
• Which factor is NOT listed as an extrinsic influence on fetal heart rate?
• In twin-to-twin transfusion syndrome, which statement accurately describes the donor and recipient twins?
• Which of the following is NOT a listed Group II condition in the WHO cardiovascular risk classifications?
• What best describes systemic vascular resistance during pregnancy?
• What is a key metabolic action of hPL on maternal physiology?
• In hypothyroidism during pregnancy, which laboratory finding is typical?
• A common manifestation of hydatidiform mole prior to 24 weeks is which of the following?
• Normal weight (BMI 18.5 to 24.9) weight gain recommendation?
• During pregnancy, the bicarbonate level (HCO3) is typically in which range?
• Immune thrombocytopenia in pregnancy is most commonly associated with a platelet count below which level?
• Chemoreceptors respond to which condition and what is the fetal heart rate effect?
• Norepinephrine may cause fetal hypoxia and bradycardia because of:
• Battledore placenta refers to cord insertion at the placental...
• The initial treatment for Addisonian crisis includes which intervention?
• In the third trimester, which statement about brain growth is true?
• Fetal complications of intrahepatic cholestasis of pregnancy include intrauterine death, meconium-stained amniotic fluid, spontaneous preterm birth, and NICU admission.
• Gestational hypertension during pregnancy is characterized by hypertension after 20 weeks and resolution by 12 weeks postpartum and by the absence of what?
• Which statement describes mild intermittent asthma?
• Which of the following is a sign of magnesium sulfate toxicity?
• Sickle cell anemia causes tissue hypoxia and pain due to which mechanism?
• Which condition is categorized under WHO group III?
• Baroreceptors are stimulated by increased arterial pressure and cause which fetal heart rate response?
• Hypothyroidism in pregnancy can lead to which fetal complication?
• Folic acid deficiency may present with which features?
• Which is a risk factor for cerebrovascular accident during pregnancy?
• Hydramnios, or polyhydramnios, is defined by an amniotic fluid volume of which threshold?
• Signs and symptoms of a blood transfusion reaction include:
• Acute kidney injury in pregnancy is best described as which?
• What is the recommended management for a newborn when the mother develops varicella around the time of delivery?
• Normoxia refers to which of the following?
• What happens to red blood cell volume during pregnancy?
• Which of the following is a cause of polyhydramnios?
• During the catabolic phase of pregnancy, which statement best describes maternal and fetal energy metabolism?
• Which intervention is contraindicated in pregnancy for nephrolithiasis?
• In pregnancy, preeclampsia is defined as hypertension with what accompanying feature?
• Which finding is a SIRS criterion?
• Which statement accurately describes chronic kidney disease (CKD) staging based on glomerular filtration rate (GFR)?
• Which hormone produced by the anterior pituitary increases during pregnancy, contributing to metabolic changes?
• When does the respiratory system return to pre-pregnancy levels?
• Which virus is the most common viral infection in pregnancy?
• Which combination of clotting factors increases during pregnancy?
• Pulmonary edema can be a severe feature of preeclampsia. Which statement best reflects this finding?
• Hepatitis B virus is transmitted by:
• Asphyxia is best described as what combination?
• How does oxygen consumption change during pregnancy?
• What are the two types of pulmonary edema?
• What risk is associated with administering H-1 antihistamines together with opioids?
• Immediate delivery is recommended for AFLP to reduce maternal and fetal risk.
• By term, diastolic blood pressure returns to what level?
• ECG changes are associated with which magnesium level range?
• Chronic hypertension in pregnancy is defined as hypertension that predates pregnancy or occurs before 20 weeks gestation and persists beyond how long postpartum?
• Asthma is best defined as what?
• During pregnancy, cortisol levels rise to approximately how many times the pre-pregnancy level?
• Which is NOT a maternal complication of hyperthyroidism in pregnancy?
• In pregnancy, the arterial pH is typically in which range?
• In hemorrhagic and hypovolemic shock, which statement is true?
• Which finding is classic for congenital syphilis?
• Slurred speech and somnolence occur at which magnesium level range?
• In fetal circulation, which structure allows oxygenated blood from the umbilical vein to bypass the liver and enter the inferior vena cava?
• Which of the following is NOT listed as a fetal risk of chronic hypoxia?
• Hydralazine is best described as which type of agent, and what maternal-fetal effect is noted?
• Minute ventilation changes during pregnancy by term?
• Which statement best describes bilirubin, AST, and ALT during pregnancy?
• In the catabolic phase of pregnancy, what mechanism ensures fetal glucose supply?
• If most decelerations occur in conjunction with contractions, this pattern is called what?
• What happens to the CO2 threshold in pregnancy?
• What is the leading cause of neonatal mortality?
• Which combination of symptoms is commonly seen in Addisonian crisis?
• Prolactin levels during pregnancy?
• Which symptom is most consistent with stroke in pregnancy?
• Preterm labor is defined as labor occurring at which gestational ages?
• During labor in a patient with autonomic dysreflexia, when does hypertension most commonly occur?
• Which statement best describes anticonvulsant management in pregnancy?
• Which of the following is a reported pregnancy complication of hepatitis E infection?
• Which symptom is NOT a typical sign of pulmonary edema in pregnancy?
• Intrahepatic cholestasis of pregnancy management often includes ursodeoxycholic acid to reduce bile acids.
• The Rubin technique involves which of the following maneuvers?
• What happens when fetal glucose is insufficient?
• What is a consequence of progesterone-induced gallbladder distention during pregnancy?
• Disseminated intravascular coagulation (DIC) is best described as which of the following?
• Between tidal volume and minute ventilation, which shows the larger percent increase by term?
• Fetal fibronectin test is used to assess risk of preterm labor. A positive result after 20 weeks indicates what?
• At which serum magnesium level range is seizure prophylaxis used in preeclampsia management?
• Which adrenal hormone is noted to increase around 28 weeks of gestation?
• Which coagulation change occurs in pregnancy?
• Muscle paralysis and respiratory difficulty occur at which magnesium level range?
• By what gestational age does the neural tube close?
• In Marfan syndrome, aortic dilation greater than which measurement is associated with higher risk and may prompt surgical consideration?
• Which anticoagulant is closer to delivery because of its shorter half-life?
• Sodium balance in pregnancy?
• Which of the following is a common medical complication after spinal cord injury?
• Acute pancreatitis in pregnancy commonly results from gallstones, obstruction of the pancreatic duct, and hypertriglyceridemia.
• What is a key advantage of combined spinal/epidural anesthesia (CSE)?
• What is the primary physiological effect of smoking during pregnancy on fetal oxygen transport?
• Which of the following is a clinical sign of pulmonary edema?
• Peripartum cardiomyopathy is defined as left ventricular dysfunction occurring during which time frame?
• Antenatal testing for cystic fibrosis during pregnancy is typically initiated by which gestational age?
• Renal volume increase during pregnancy is approximately what percent?
• Acidemia is defined by which change in the blood?
• What volume expander dose is recommended during newborn resuscitation?
• Tachysystole affects placental gas exchange by causing what condition?
• Which of the following is a pregnancy complication associated with hepatitis B?
• Amniocentesis is typically performed at which gestational age?
• Fontan repair for hypoplastic left heart syndrome is categorized under which WHO maternal CV risk group?
• Which statement describes the treatment for aspiration pneumonia?
• Labetalol is primarily a beta blocker; which condition is a contraindication to its use?
• Signs and symptoms of a sickle cell crisis include:
• In vanishing twin syndrome, the prognosis for the remaining fetus is better if the loss occurs when?
• Which of the following is a sign/symptom of autonomic dysreflexia?
• Which statement best describes the pathophysiology of multiple sclerosis?
• Which action is appropriate in the management of autonomic dysreflexia?
• Postpartum thyroiditis is typically a transient condition that resolves within how many months?
• Indomethacin as a tocolytic is contraindicated after 32 weeks because of risk of:
• Patent ductus arteriosus (PDA) is best described as what?
• Oligohydramnios is defined as which of the following?
• Before pregnancy, splenectomy increases the risk of which complication?
• Which medication is used to maintain the ductus arteriosus in the management of Hypoplastic Left Heart Syndrome?
• Elevated creatinine level above which threshold is considered a severe feature of preeclampsia?
• By term, plasma volume has increased by what percent?
• Which of the following is a common cause of hypothyroidism in pregnancy?
• What is considered proteinuria concern in pregnancy?
• Hydrostatic edema management focuses on fluid balance with which strategy?
• Which statement best describes Th1 and Th2 balance during pregnancy?
• Which description matches a sinusoidal pattern on fetal heart rate tracing?
• Budd-Chiari syndrome involves obstruction of the hepatic venous outflow, usually due to thrombosis, and is managed with anticoagulation, angioplasty or stenting, shunting, or liver transplant.
• The diastolic blood pressure is at its lowest during which gestational window?
• During pregnancy, which blood pressure change is typical?