antenatal care mcqs Flashcards
How can you confirm that a patient is pregnant?
A. By checking for lower abdominal pain
B. By assessing breast tenderness
C. By testing urine with a standard pregnancy test
D. By examining the size of the uterus
C - By testing urine with a standard pregnancy test.
What is the common method for diagnosing an intra-uterine pregnancy?
A. Assessment of lower abdominal pain
B. Examination of breast tenderness
C. Evaluation of the size of the uterus
D. Measuring the height of the fundus
C - Evaluation of the size of the uterus.
What is a characteristic of an extra-uterine (ectopic) pregnancy?
A. Lower abdominal pain and vaginal bleeding
B. Appropriate uterine size for the duration of pregnancy
C. No tenderness in the lower abdomen
D. Rapid weight gain during pregnancy
A - Lower abdominal pain and vaginal bleeding are characteristic of an extra-uterine pregnancy.
When should a patient first attend an antenatal clinic for care?
A. As soon as pregnancy is confirmed
B. After the second trimester
C. After the third trimester
D. When labor begins
A - As early as possible, preferably when the second menstrual period has been missed, i.e., at a gestational age of 8 weeks.
What is the purpose of the first antenatal visit?
A. To determine the baby’s gender
B. To establish the duration of pregnancy
C. To start prenatal exercises
D. To book the patient for antenatal care and assess risk factors
D - To book the patient for antenatal care and assess risk factors.
What information should be included in the previous obstetric history?
A. The patient’s current symptoms
B. The number of pregnancies, miscarriages, and ectopic pregnancies
C. The patient’s family history
D. The patient’s HIV status
B - The number of pregnancies, miscarriages, and ectopic pregnancies.
What is the recommended treatment for syphilis during pregnancy if the patient is not allergic to penicillin?
A. Erythromycin
B. Tetracycline
C. Benzathine penicillin
D. Azithromycin
C - Benzathine penicillin (Bicillin LA or Penilente LA).
When should a patient with an abnormal cervical smear showing infiltrating cervical carcinoma be referred?
A. After delivery
B. Immediately to a gynaecological oncology clinic
C. After 9 months
D. When the pregnancy reaches full term
Immediately to a gynaecological oncology clinic.
What is the importance of atypical antibodies?
A. They indicate the patient’s blood group.
B. They suggest a potential risk of preterm labor.
C. They may endanger the fetus.
D. They are a common result of blood transfusion.
C
What should you do if the ultrasound findings do not agree with the patient’s dates?
A. Accept the patient’s dates.
B. Schedule additional ultrasound examinations.
C. Adjust the patient’s due date based on ultrasound findings.
D. Consider the ultrasound findings incorrect.
D. Consider the ultrasound findings incorrect.
What action should you take if an ultrasound examination at 18 to 24 weeks shows a placenta praevia?
A. Wait for natural resolution.
B. Arrange a follow-up ultrasound examination at 32 weeks.
C. Refer the patient for a cesarean section.
D. Start antenatal care.
b
What should you do if the ultrasound examination shows a possible fetal abnormality?
A. Continue with routine antenatal care.
B. Refer the patient to a level 3 hospital for further evaluation.
C. Perform an amniocentesis to confirm the abnormality.
D. Schedule a cesarean section.
B
When should a patient return for further antenatal visits?
A. Every 2 weeks until 40 weeks.
B. Every 4 weeks until 36 weeks.
C. Based on the ultrasound findings.
D. According to the patient’s risk category.
D. According to the patient’s risk category.
Why are the visits at 30, 34, and 36 weeks important?
A. To schedule a cesarean section.
B. To check for maternal weight loss.
C. To monitor fetal movements.
D. To assess the lie of the fetus and other factors.
D
Why is the visit at 40 weeks important?
A. To perform an amniocentesis.
B. To monitor maternal blood pressure.
C. To assess the risk of gestational diabetes.
D. To assess the risk of intrapartum fetal distress.
D
