Certified Midwife Exam Prep Antepartum Care & Prenatal Assessment 2 — Questions and Answers
Question 1: Which vaccine is recommended during each pregnancy, ideally between 27–36 weeks gestation?
- MMR
- Varicella
- Tdap (Correct answer)
- Hepatitis A
Correct answer: Tdap
Tdap is recommended during every pregnancy between 27–36 weeks to provide passive immunity to the newborn against pertussis.
Question 2: At what gestational age is the glucose challenge test (GCT) routinely performed to screen for gestational diabetes?
- 10–14 weeks
- 15–20 weeks
- 24–28 weeks (Correct answer)
- 32–36 weeks
Correct answer: 24–28 weeks
The 1-hour 50g GCT is routinely administered between 24–28 weeks gestation when insulin resistance peaks.
Question 3: Which finding is most consistent with polyhydramnios on ultrasound?
- Amniotic fluid index (AFI) of 8 cm
- AFI of 12 cm
- AFI of 22 cm (Correct answer)
- Single deepest pocket of 4 cm
Correct answer: AFI of 22 cm
Polyhydramnios is defined as an AFI greater than 24 cm (or a single deepest pocket >8 cm), making 22 cm approaching but not yet diagnostic.
Question 4: A midwife documents a fetus in occiput posterior (OP) position at 38 weeks. Which maternal symptom is most commonly associated with this fetal position?
- Anterior pelvic pressure
- Intense back pain during contractions (Correct answer)
- Decreased fetal movement
- Early rupture of membranes
Correct answer: Intense back pain during contractions
Occiput posterior position frequently causes intense back labor due to fetal occiput pressing against the maternal sacrum.
Question 5: Which maternal condition is an absolute contraindication to air travel after 36 weeks gestation?
- Mild gestational hypertension
- Placenta previa (Correct answer)
- Iron-deficiency anemia
- Hypothyroidism on levothyroxine
Correct answer: Placenta previa
Placenta previa is an absolute contraindication to air travel after 36 weeks due to the risk of hemorrhage and emergency delivery.
Question 6: A patient at 32 weeks reports decreased fetal movement. Which initial assessment tool should the midwife recommend?
- Contraction stress test
- Biophysical profile
- Kick count (fetal movement count) (Correct answer)
- Non-stress test
Correct answer: Kick count (fetal movement count)
Kick counts are the first-line, non-invasive tool recommended to monitor fetal well-being when a patient reports decreased movement.
Certified Midwife Exam Prep Antepartum Care & Prenatal Assessment 2
Which vaccine is recommended during each pregnancy, ideally between 27–36 weeks gestation?