Antenatal Care: A Comprehensive Guide for Nursing and Midwifery Students

Question 1

Which aspect is NOT included in an initial comprehensive antenatal assessment?

Accepted Answer

Ultrasound scan

Answer

Medical history

Answer

Physical examination

Answer

Psychosocial assessment

Question 2

The primary purpose of a risk assessment in antenatal care is to:

Accepted Answer

Identify potential complications and develop an individualized care plan

Answer

Rule out all possible congenital anomalies

Answer

Determine the exact due date

Question 3

The primary goal of childbirth education is to:

Accepted Answer

Prepare pregnant women for labor, delivery, and the postpartum period

Answer

Provide detailed information on fetal development

Answer

Educate women on postpartum care only

Answer

Teach women how to minimize pain during labor

Question 4

Which of the following is a classic sign of pre-eclampsia?

Accepted Answer

Elevated blood pressure and protein in the urine

Answer

Excessive weight gain

Answer

Frequent headaches

Answer

Nausea and vomiting

Question 5

The recommended frequency of antenatal visits is:

Accepted Answer

Monthly in the first trimester, fortnightly in the second trimester, and weekly in the third trimester

Answer

Monthly throughout the pregnancy

Question 6

Which of the following is a potential benefit of regular exercise during pregnancy?

Accepted Answer

Reduced risk of gestational diabetes

Answer

Increased risk of premature birth

Answer

Increased risk of miscarriage

Answer

Increased back pain

Question 7

The primary purpose of performing Leopold's maneuvers is to:

Accepted Answer

Assess fetal presentation, position, and engagement in the pelvis

Answer

Determine the fetal heart rate

Answer

Rule out major congenital anomalies

Answer

Estimate fetal weight

Question 8

Which of the following is a contraindication to vaginal birth?

Accepted Answer

Placenta previa

Answer

Pre-eclampsia

Answer

Gestational diabetes

Question 9

The primary reason for monitoring fetal heart rate during labor is to:

Accepted Answer

Assess the well-being of the fetus

Answer

Predict the length of labor

Answer

Prevent uterine rupture

Answer

Determine the stage of labor

Question 10

**Primary Goal of Antenatal Care**

What is the primary objective of antenatal care?

Accepted Answer

To safeguard the health of the mother and fetus through early identification and management of potential risks

Answer

To determine the gender of the baby

Answer

To provide emotional support to the mother

Question 11

**Optimal Timing of First Antenatal Appointment**

At which stage of pregnancy is the initial antenatal appointment usually recommended?

Accepted Answer

First trimester

Answer

Postnatal period

Answer

Third trimester

Answer

Second trimester

Question 12

**Recommended Daily Iron Intake During Pregnancy**

What is the advised daily dosage of iron for pregnant women?

Accepted Answer

27mg

Answer

45mg

Answer

15mg

Answer

60mg

Question 13

**Safe Physical Activity During Pregnancy**

Which form of exercise is generally considered safe for pregnant individuals?

Accepted Answer

Swimming

Answer

Heavy weightlifting

Answer

Marathon running

Answer

Contact sports

Question 14

**Purpose of a Biophysical Profile**

What is the primary reason for conducting a biophysical profile?

Accepted Answer

To evaluate the well-being and health of the fetus

Answer

To predict the estimated date of delivery

Answer

To diagnose placental abruption

Answer

To determine the sex of the fetus

Question 15

**Signs of Preterm Labor**

Which symptoms might indicate the onset of preterm labor?

Accepted Answer

Pelvic pressure and lower back pain

Answer

Mood swings

Answer

Heartburn and indigestion

Answer

Frequent urination

Question 16

**Benefits of Childbirth Education Classes**

What is a key advantage of attending childbirth education classes?

Accepted Answer

Reduced fear and anxiety during labor

Answer

Guarantee of a natural childbirth experience

Answer

Complete control over the birthing environment

Answer

Elimination of labor pain

Question 17

**Role of Midwife in Antenatal Care**

What is the main role of a midwife in providing antenatal care?

Accepted Answer

To provide comprehensive care to the mother and her family throughout pregnancy

Answer

To perform invasive medical interventions

Answer

To diagnose and treat all pregnancy complications independently

Question 18

During pregnancy, what is the recommended daily intake of folic acid?

Accepted Answer

400 micrograms

Answer

100 micrograms

Answer

1,200 micrograms

Answer

800 micrograms

Question 19

Which of the following is a recognized benefit of regular exercise during pregnancy?

Accepted Answer

Reduced risk of gestational diabetes

Answer

Diminished energy levels

Answer

Heightened risk of back pain

Answer

Increased likelihood of preterm labor

Question 20

In the context of labor, what is the initial stage known as?

Accepted Answer

Dilation of the cervix

Answer

Delivery of the placenta

Answer

Separation of the membranes

Answer

Expulsion of the baby

Question 21

Which of the following is an indication of potential fetal distress?

Accepted Answer

Abnormal fetal heart rate

Answer

Premature rupture of membranes

Answer

Increased uterine contractions

Answer

Excessive fetal movement

Question 22

What is the primary purpose of performing an amniocentesis?

Accepted Answer

To detect genetic abnormalities

Answer

To treat infections

Answer

To monitor the fetal heartbeat

Answer

To initiate labor

Question 23

Which of the following is a contraindication for vaginal birth after cesarean (VBAC)?

Accepted Answer

Prior classical cesarean section

Answer

Previous low-transverse cesarean section

Answer

Breech presentation

Answer

Gestational age less than 37 weeks

Question 24

After giving birth, when is the recommended postpartum follow-up visit scheduled?

Accepted Answer

6-8 weeks

Answer

2-4 weeks

Answer

16-18 weeks

Answer

10-12 weeks

Question 25

Which of the following is the primary purpose of antenatal care throughout the pregnancy period?

Accepted Answer

To optimize the health and well-being of the pregnant person and developing fetus, while minimizing associated risks.

Answer

To precisely predict the exact date of delivery.

Answer

To provide a guaranteed prenatal diagnosis for any possible fetal anomalies.

Question 26

Among the following factors, which is NOT considered a risk factor for developing pre-eclampsia?

Accepted Answer

Being a first-time pregnant person

Answer

Being over the age of 40

Answer

Having a history of pre-eclampsia in previous pregnancies

Answer

Obesity

Question 27

What is the recommended daily intake of folic acid during pregnancy?

Accepted Answer

400 micrograms

Answer

800 micrograms

Answer

600 micrograms

Question 28

Which type of exercise is generally regarded as safe to perform during pregnancy?

Accepted Answer

Walking

Answer

Heavy weightlifting

Answer

Contact sports

Answer

High-intensity interval training

Question 29

What is the central role of a midwife in the antenatal care team?

Accepted Answer

To provide comprehensive and individualized care and support to pregnant people and their families throughout the pregnancy journey.

Answer

To carry out medical procedures, such as ultrasounds.

Answer

To prescribe medications and treatments.

Question 30

Which combination of signs and symptoms may indicate a potential placental abruption?

Accepted Answer

Severe abdominal pain accompanied by vaginal bleeding

Answer

Absence of fetal heart sounds

Answer

Increased fetal movement

Question 31

What is the primary purpose of a Bishop score?

Accepted Answer

To assess the likelihood of achieving a successful labor induction.

Answer

To predict the risk of preterm birth.

Answer

To determine the gestational age of the fetus

Question 32

What is the main significance of prenatal screening tests?

Accepted Answer

They can identify potential health conditions in the fetus or pregnant person, allowing for early intervention and management.

Answer

They can eliminate all risks associated with pregnancy.

Answer

They are completely accurate and can guarantee a healthy pregnancy.

Question 33

Which of the following is a primary purpose of antenatal care?

Accepted Answer

To monitor the health of both the mother and developing fetus

Answer

To induce labor

Answer

To confirm pregnancy

Answer

To reduce pain during labor

Question 34

When should the first antenatal appointment typically occur?

Accepted Answer

Within the first 8-10 weeks of pregnancy

Answer

Only if the mother has preexisting medical conditions

Answer

Never, as appointments are not necessary

Answer

After 20 weeks of pregnancy

Question 35

Which type of exercise is generally considered safe and beneficial during pregnancy?

Accepted Answer

Low-impact exercises such as walking

Answer

Exercises that require lying on the back

Answer

Contact sports

Answer

Vigorous exercise that elevates heart rate

Question 36

What is the purpose of a biophysical profile in antenatal care?

Accepted Answer

To assess fetal health and well-being

Answer

To determine the baby's gender

Answer

To monitor maternal blood pressure

Answer

To predict the due date

Question 37

Which of the following is a potential sign of preterm labor?

Accepted Answer

Regular uterine contractions that increase in frequency and intensity

Answer

Heartburn

Answer

Vaginal discharge

Answer

Back pain

Question 38

What is the primary role of a midwife in antenatal care?

Accepted Answer

To provide holistic care, support, and education to pregnant women and their families

Answer

To administer anesthesia

Answer

To prescribe medications

Answer

To perform cesarean deliveries

Question 39

What is a primary purpose of estimating the gestational age of a pregnant woman?

Accepted Answer

To determine the expected date of delivery and monitor fetal growth

Answer

To assess maternal health

Answer

To plan for postnatal care appointments

Question 40

According to the National Health Service (NHS) of the United Kingdom, what is the recommended daily intake of folic acid during pregnancy to prevent neural tube defects in the baby?

Accepted Answer

400 micrograms

Answer

800 micrograms

Answer

200 micrograms

Answer

600 micrograms

Question 41

Which type of exercise is generally safe and can offer benefits such as strengthening muscles used in childbirth during pregnancy?

Accepted Answer

Low-impact aerobic exercise, such as walking or swimming

Answer

High-impact aerobics

Answer

Weightlifting involving heavy weights

Answer

Contact sports with a high risk of falls or collisions

Question 42

What is the primary aim of childbirth education?

Accepted Answer

To equip pregnant individuals and their partners with the knowledge and skills to make informed choices and cope effectively with labor, delivery, and the postpartum period

Answer

To provide comprehensive information on fetal development

Answer

To teach pain management techniques exclusively

Question 43

Which of the following symptoms may indicate a potential placental abruption?

Accepted Answer

Sudden onset of severe abdominal pain and vaginal bleeding

Answer

Persistent nausea and vomiting

Answer

Gradual onset of lower back pain and decreased fetal movement

Question 44

What is typically the initial step in managing a pregnant woman with suspected preeclampsia?

Accepted Answer

Monitoring blood pressure and protein levels in the urine

Answer

Delivering the baby immediately

Answer

Administering antihypertensive medication immediately

Answer

Referring the woman to a specialist without further assessment

Question 45

Which of the following is outside the scope of practice for midwives in the United Kingdom?

Accepted Answer

Performing surgical interventions, such as cesarean deliveries

Answer

Monitoring pregnancy and fetal development

Answer

Providing counseling and support

Answer

Educating pregnant women and their partners

Question 46

Which of the following is NOT a primary goal of antenatal care?

Accepted Answer

To diagnose all fetal disorders before birth

Answer

To promote a healthy pregnancy

Answer

To prepare women for labor and delivery

Answer

To provide support and education to pregnant women and their families

Question 47

Which of the following conditions is an absolute contraindication for vaginal birth?

Accepted Answer

Placenta previa

Answer

Gestational diabetes

Answer

Small for gestational age

Answer

Premature rupture of membranes

Question 48

What is the primary intention of a nuchal translucency scan?

Accepted Answer

To detect potential chromosomal abnormalities, such as Down syndrome

Answer

To determine the gestational age of the fetus

Answer

To evaluate fetal anatomy in detail

Question 49

Which of the following is a potential benefit of regular physical activity during pregnancy?

Accepted Answer

Reduced risk of gestational diabetes

Answer

Delayed onset of labor

Answer

Worsening of varicose veins

Answer

Increased likelihood of perineal tearing

Question 50

What is the first-line medical management for anemia in pregnancy?

Accepted Answer

Iron supplements

Answer

Blood transfusion

Answer

Dietary modifications (alone)

Answer

Erythropoietin injections