WALLAGA UNIVERSITY
INSTITUTE OF HEALTH SCIENCES
SCHOOL OF NURSING AND MIDWIFERY
DEPARTMENT OF MIDWIFERY
OBSTETRICS I
Part I-Choose the best answer from the given alternatives
1. The gold standard test for antenatal surveillance of the pregnancy at risk for an adverse
pregnancy outcome.
A. Biophysical profile
B. CTG only
C. Contraction stress test
D. Non stress test
2. Which of the following is not correct about maternal serum alpha-fetoprotein?
A. It is produced by yolk sac & fetal liver
B. Its fetal serum & amniotic fluid level is highest at 13 weeks
C. Its maternal serum level peaks at 42 weeks
D. Its lower levels are found in trisomies and GTD
3. Which is not a function of amniotic fluid?
A. To help practice using the digestive system and aid in its development
B. To keep fragile, growing body parts lubricated
C. To protect the fetus from blows
D. To provide the fetus with nutrients
4. From the following factors, which one is/are the most common cause of polyhydraminos?
A. Fetal factors
B. Placental factor
C. Maternal factor
D. Multiple pregnancy
5. Which of the following is/are not correct about nausea and vomiting during pregnancy?
A. It is the earliest symptoms of pregnancy.
B. Most commonly occurs in morning
C. It is also known as hyperemesis gravidarum
D. It happens mostly due to HCG
6. From the following cardiac disorders which one is/are common during pregnancy?
A. Rheumatic disease
B. Congenital disease
C. Teratology of fallot
D. Coarction of aorta
7. Which of the following is/are differential diagnosis for polyhydraminos?
A. Ascites
B. Large ovarian cyst
C. Twin pregnancy
D. All
8. Which drug is subscribed for patients with severe polyhydraminos to decrease amount of
AF?
A. Indomethacin B. Ibuprofen C. Ceftriaxone D. Ampicillin
9. A senior radiologist tries to assess the Biophysical profile of a 36 wks GA of fetus. He
found that the SDP =1 cm, one episode of extension and flexion of extremities, three
discrete body movement, two acceleration with 30 mins, and two episode of fetal breathing
pattern which lasts for more than 30 mins. Based on above scenario what is the score of
BPP?
A. 10/10 B. 9/10 C. 8/10 D. 7/10
10. Which of the following is the cause for oligohydraminos?
A. Autosomal recessive polycystic kidney
B. Drugs that synthesis the renin-angiotensin system
C. Esophageal or duodenal atresia
D. Facial clefts and neck masses
11. In which periods of fetal life in utero, if drugs can be prescribed can it cause fetal
malformation?
A. The fetal period
B. The embryonic period
C. The pre-implantation period
D. All
12. Bontu is a 28 years, Gravida II Para I and 32 wks of GA, and she comes to ANC with
sudden gush of fluid per vagina 4 hours ago. Her vital signs are normal. On physical
examination, Fundal height measures 28 wks.
Based on above scenario, what is your next examination?
A. Per-vaginal examination
B. Speculum examination
C. Ultrasound examination
D. X-ray examination
13. For Question no 12 if the final diagnosis is PROM, what is the management?
A. Ampicillin 2gm IV QID and Erythromycin 250 mg P.O QID for 48 hours
B. Betamethasone 12 mg intramuscularly 24 hours apart for two doses for lung maturity
C. Admit to the ward D. All
6. A 24 -year -old G2 P1 woman at 39 weeks gestation presents antenatal care with
painless uterine contractions. She also complains of bright red vaginal bleeding. Which
of the following describes the most likely etiology of her bleeding?
A. Placenta previa B. Placenta abruption C. Bloody show D. Vasa previa
7. Which of the following is/are not correct about nausea and vomiting during
pregnancy?
A. It is the symptom of pregnancy B. commonly occurs in the morning
C. It is also known as hyperemesis gravidarum D. mostly due to HCG
8. All are the differential diagnosis for polyhydraminos except?
A. Myoma B. Large ovarian cyst C. Twin pregnancy D. IUGR
9. A 34 year old G-4 P- 3 mother presents to the ANC clinic for a routine ANC service at
26 weeks. All laboratory investigations were normal. On ultrasound scanning, the
placenta was found to partially cover the internal os of the cervix. Otherwise, she has
no complaints. What should be the next management step?
A. Conservative management B. Delivery of the pregnancy
C. Re scan at 32 weeks D. Administer corticosteroids
10. The most definitive principal management of Eclampsia?
A. Delivery B. Control convulsion C. Drug management D. Mechanical management
11. A patient with pregnancy- induced hypertension is likely to exhibit any of the
following symptoms?
A. Proteinuria, headaches, double vision B. bleeding, headaches, double vision
C Proteinuria, double vision, uterine contractions D. bleeding, headaches, proteinuria
12. Chronic hypertension with new proteinuria after 20 wk GA is defined as?
A. superimposed Preeclampsia B. Atypical Preeclampsia
C. Chronic hypertension D. Gestational HPN
13. A 38 -year-old woman at 39 wk presents with a complaint of severe frontal headache
and visual disturbance of 06 hrs duration .Her BP: 150/100 mmhg, PR: 94 bpm, RR 20
bpm .On investigation ,protein 3+, PLT -50,000. She has epigastria pain.
What is the first step management option?
A. Administration Mgso4 B. Give hydralazine
C. Terminate the pregnancy D. Resuscitate with crystalloid fluids
