Certified Midwife Exam Prep Antepartum Care & Prenatal Assessment 2

Question 1

Which vaccine is recommended during each pregnancy, ideally between 27–36 weeks gestation?

Accepted Answer

Tdap

Answer

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?

Accepted Answer

24–28 weeks

Answer

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?

Accepted Answer

AFI of 22 cm

Answer

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?

Accepted Answer

Intense back pain during contractions

Answer

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?

Accepted Answer

Placenta previa

Answer

Placenta previa is an absolute contraindication to air travel after 36 weeks due to the risk of hemorrhage and emergency delivery.

Certified Midwife Exam Prep Practice Test

Certified Midwife Exam Prep Practice Test

Certified Midwife Exam Prep Antepartum Care & Prenatal Assessment 2