The main reason a woman with placenta praevia is advised to avoid sexual intercourse is that it may:

Provoke bleeding from the placenta

A woman at 28 weeks has a 75 g DIPSI 2-hour plasma glucose of 162 mg/dL. After two weeks of diet and exercise, her 2-hour post-meal values remain about 150 mg/dL. The next step is:

Start insulin as advised by the doctor

Continue diet alone until delivery

Repeat the DIPSI test at 36 weeks

Antenatal care and high-risk pregnancy

45 Staff nurse recruitment practice questions on Antenatal care and high-risk pregnancy, part of Midwifery and Gynaecological Nursing. The first 25 are below; the first 5 with answers and explanations (tap Show answer after you have chosen), the rest in Learn with a free account.

Question 1 · Hard
A woman with a regular 35-day cycle had her LMP on 1 April. Her corrected EDD, adjusting Naegele's rule for cycle length, is:
1. A8 January
2. B22 January
3. C15 January
4. D1 January
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Answer: C · 15 January
Naegele's rule gives 8 January for a 28-day cycle. Ovulation comes later in a longer cycle, so the extra days beyond 28 are added: 35 - 28 = 7 days. The corrected EDD is 15 January. For a cycle shorter than 28 days the difference is subtracted.
- A: 8 January is the uncorrected date for a 28-day cycle.
- B: 22 January adds the correction twice.
- D: 1 January adds no days at all after 9 months.
Question 2 · Easy
Softening of the lower uterine segment felt on bimanual examination at 6-8 weeks of pregnancy is called:
1. AChadwick's sign
2. BHegar's sign
3. COsiander's sign
4. DGoodell's sign
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Answer: B · Hegar's sign
Hegar's sign is softening and compressibility of the isthmus, so the fingers seem to meet between the cervix and the body of the uterus. It appears at 6-10 weeks. Goodell's sign is softening of the cervix, Chadwick's sign is bluish colour of the vagina and Osiander's sign is increased pulsation in the lateral fornices.
- A: Chadwick's sign is a colour change of the vagina and cervix.
- C: Osiander's sign is pulsation felt in the lateral fornices.
- D: Goodell's sign is softening of the cervix itself.
Question 3 · Medium
The main reason a woman with placenta praevia is advised to avoid sexual intercourse is that it may:
1. AProvoke bleeding from the placenta
2. BLead to Rh sensitisation
3. CCause gestational diabetes
4. DRaise the blood pressure
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Answer: A · Provoke bleeding from the placenta
Intercourse and cervical stimulation can disturb a placenta lying over or near the os and trigger haemorrhage. Women are also told to report any bleeding at once and to stay near a hospital in late pregnancy. Expectant care aims to reach 36-37 weeks.
- B: Rh sensitisation depends on a fetomaternal bleed and is prevented by anti-D.
- C: It has no link with GDM.
- D: Intercourse does not cause pre-eclampsia.
Question 4 · Hard
A woman at 28 weeks has a 75 g DIPSI 2-hour plasma glucose of 162 mg/dL. After two weeks of diet and exercise, her 2-hour post-meal values remain about 150 mg/dL. The next step is:
1. AContinue diet alone until delivery
2. BRepeat the DIPSI test at 36 weeks
3. CStart insulin as advised by the doctor
4. DStop carbohydrates completely
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Answer: C · Start insulin as advised by the doctor
A value of 162 mg/dL confirms GDM. Indian guidance targets a 2-hour post-meal glucose below 120 mg/dL; if this is not met after about two weeks of nutrition therapy, insulin is started. Poor control risks macrosomia, polyhydramnios and stillbirth.
- A: Diet alone has already failed to meet the target.
- B: Retesting at 36 weeks leaves the fetus exposed to high glucose.
- D: Removing carbohydrates causes ketosis harmful to the fetus.
Question 5 · Easy
Tetanus prophylaxis for a pregnant woman under the Indian schedule uses which vaccine?
1. ADPT vaccine
2. BBCG vaccine
3. CTT vaccine
4. DTd vaccine
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Answer: D · Td vaccine
India replaced TT with Td vaccine in 2018. A woman pregnant for the first time gets two doses four weeks apart, or one booster if vaccinated in a pregnancy within the last three years. Td also protects against diphtheria.
- A: DPT is for children under seven.
- B: BCG is a newborn vaccine for tuberculosis.
- C: TT was replaced by Td in the national schedule.
Question 6 · Medium
Babies of mothers with poorly controlled gestational diabetes are commonly:
1. ASmall for dates with hyperglycaemia
2. BPost-mature with hypercalcaemia
3. CAnaemic with low birth weight
4. DMacrosomic with risk of neonatal hypoglycaemia
Answer and explanation in LearnFree account
Question 7 · Easy
In a primigravida, lightening (descent of the fetal head into the pelvis) usually occurs at about:
1. A20-22 weeks
2. B36-38 weeks
3. C28-30 weeks
4. DAfter labour begins
Answer and explanation in LearnFree account
Question 8 · Hard
A woman at 30 weeks has haemoglobin 6.5 g/dL, breathlessness at rest and a pulse of 120/min. The most appropriate step is:
1. ADouble her oral iron dose at home
2. BAdmit for blood transfusion with careful monitoring
3. CWait and recheck haemoglobin in four weeks
4. DStart oral folic acid only
Answer and explanation in LearnFree account
Question 9 · Medium
Kick count (fetal movement count) taught to a woman in the third trimester is used to:
1. ACalculate gestational age
2. BEstimate fetal weight
3. CDiagnose placenta praevia
4. DMonitor fetal well-being at home
Answer and explanation in LearnFree account
Question 10 · Easy
Under current Indian guidance, the minimum number of antenatal contacts recommended for a pregnant woman is:
1. AFour
2. BTwo
3. CTwelve
4. DThree
Answer and explanation in LearnFree account
Question 11 · Easy
Routine antenatal anti-D prophylaxis for an unsensitised Rh-negative woman is given at about:
1. A28 weeks
2. B20 weeks
3. C12 weeks
4. D40 weeks
Answer and explanation in LearnFree account
Question 12 · Hard
At a visit on 20 August, a woman whose last menstrual period began on 14 May asks how far along she is. Her gestational age is:
1. A16 weeks
2. B14 weeks
3. C12 weeks
4. D10 weeks
Answer and explanation in LearnFree account
Question 13 · Medium
Physiological anaemia of pregnancy is mainly due to:
1. ABone marrow suppression caused by hCG
2. BPlasma volume rising more than red cell mass
3. CIncreased iron loss in maternal urine
4. DHaemolysis caused by placental hormones
Answer and explanation in LearnFree account
Question 14 · Medium
In an Rh-negative mother sensitised in an earlier pregnancy, the fetus is harmed because:
1. AMaternal IgG anti-D crosses the placenta and lyses fetal red cells
2. BMaternal IgM anti-D crosses the placenta and blocks fetal growth
3. CRh antigen on fetal cells triggers clotting in the placenta
4. DFetal antibodies cross back and attack the maternal red cells
Answer and explanation in LearnFree account
Question 15 · Easy
In suspected placenta praevia, which examination must be avoided outside an operation theatre?
1. AInspection of the vulval pad
2. BAbdominal palpation
3. CPer vaginal examination
4. DFetal heart auscultation
Answer and explanation in LearnFree account
Question 16 · Medium
In a woman with a previous pregnancy affected by GDM, the nurse advises that she should be screened for diabetes:
1. AOnly if the baby is large on ultrasound
2. BOnly if glucose appears in urine
3. COnly after 36 weeks
4. DAt the first antenatal visit in every later pregnancy
Answer and explanation in LearnFree account
Question 17 · Medium
A woman on magnesium sulphate has absent knee jerks and respiration of 10/min. The nurse's first action is to:
1. APlace her in the Trendelenburg position
2. BWithhold the next dose and inform the doctor
3. CGive the next dose and recheck in an hour
4. DIncrease the IV fluid rate
Answer and explanation in LearnFree account
Question 18 · Medium
The best position to advise for a woman in late pregnancy who feels faint lying flat on her back is:
1. AProne
2. BLeft lateral
3. CSupine with legs raised
4. DRight lateral with head down
Answer and explanation in LearnFree account
Question 19 · Easy
Under the Indian national programme, a pregnant woman is given prophylactic iron and folic acid tablets daily for at least:
1. A60 days
2. B365 days
3. C180 days
4. D30 days
Answer and explanation in LearnFree account
Question 20 · Hard
A woman with hyperemesis is to receive 750 mL of IV fluid over 6 hours using a set delivering 15 drops/mL. The drip rate should be about:
1. A125 drops/min
2. B31 drops/min
3. C21 drops/min
4. D62 drops/min
Answer and explanation in LearnFree account
Question 21 · Medium
Severe anaemia in late pregnancy most directly increases the mother's risk of:
1. ACardiac failure
2. BPre-eclampsia
3. CPlacenta praevia
4. DPolyhydramnios
Answer and explanation in LearnFree account
Question 22 · Medium
A woman at 34 weeks with pre-eclampsia complains of severe headache and blurred vision. These symptoms suggest:
1. ANormal discomfort of late pregnancy
2. BPlacenta praevia
3. CHypoglycaemia
4. DImminent eclampsia
Answer and explanation in LearnFree account
Question 23 · Medium
During pregnancy, iron requirement is highest during which period?
1. AThe first trimester
2. BBefore conception
3. CThe second half of pregnancy
4. DThe first four weeks
Answer and explanation in LearnFree account
Question 24 · Easy
Under WHO criteria, anaemia in pregnancy is diagnosed when haemoglobin is below:
1. A9 g/dL
2. B10 g/dL
3. C11 g/dL
4. D12 g/dL
Answer and explanation in LearnFree account
Question 25 · Easy
At 36 weeks of gestation, the fundal height in a normal singleton pregnancy is at the level of:
1. AThe umbilicus
2. BMidway between symphysis and umbilicus
3. CMidway between umbilicus and xiphisternum
4. DThe xiphisternum
Answer and explanation in LearnFree account

20 more Antenatal care and high-risk pregnancy questions

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Study Midwifery and Gynaecological Nursing

Antenatal care and high-risk pregnancy

A woman with a regular 35-day cycle had her LMP on 1 April. Her corrected EDD, adjusting Naegele's rule for cycle length, is:

Softening of the lower uterine segment felt on bimanual examination at 6-8 weeks of pregnancy is called:

The main reason a woman with placenta praevia is advised to avoid sexual intercourse is that it may:

A woman at 28 weeks has a 75 g DIPSI 2-hour plasma glucose of 162 mg/dL. After two weeks of diet and exercise, her 2-hour post-meal values remain about 150 mg/dL. The next step is:

Tetanus prophylaxis for a pregnant woman under the Indian schedule uses which vaccine?

Babies of mothers with poorly controlled gestational diabetes are commonly:

In a primigravida, lightening (descent of the fetal head into the pelvis) usually occurs at about:

A woman at 30 weeks has haemoglobin 6.5 g/dL, breathlessness at rest and a pulse of 120/min. The most appropriate step is:

Kick count (fetal movement count) taught to a woman in the third trimester is used to:

Under current Indian guidance, the minimum number of antenatal contacts recommended for a pregnant woman is:

Routine antenatal anti-D prophylaxis for an unsensitised Rh-negative woman is given at about:

At a visit on 20 August, a woman whose last menstrual period began on 14 May asks how far along she is. Her gestational age is:

Physiological anaemia of pregnancy is mainly due to:

In an Rh-negative mother sensitised in an earlier pregnancy, the fetus is harmed because:

In suspected placenta praevia, which examination must be avoided outside an operation theatre?

In a woman with a previous pregnancy affected by GDM, the nurse advises that she should be screened for diabetes:

A woman on magnesium sulphate has absent knee jerks and respiration of 10/min. The nurse's first action is to:

The best position to advise for a woman in late pregnancy who feels faint lying flat on her back is:

Under the Indian national programme, a pregnant woman is given prophylactic iron and folic acid tablets daily for at least:

A woman with hyperemesis is to receive 750 mL of IV fluid over 6 hours using a set delivering 15 drops/mL. The drip rate should be about:

Severe anaemia in late pregnancy most directly increases the mother's risk of:

A woman at 34 weeks with pre-eclampsia complains of severe headache and blurred vision. These symptoms suggest:

During pregnancy, iron requirement is highest during which period?

Under WHO criteria, anaemia in pregnancy is diagnosed when haemoglobin is below:

At 36 weeks of gestation, the fundal height in a normal singleton pregnancy is at the level of: