Certified Midwife Exam Prep Antepartum Care & Prenatal Assessment

Question 1

At what gestational age is a first-trimester ultrasound most accurate for dating a pregnancy?

Accepted Answer

11–14 weeks

Answer

6–10 weeks

Answer

15–18 weeks

Answer

20–24 weeks

Question 2

Which lab value is routinely checked at the initial prenatal visit to screen for anemia in pregnant patients?

Accepted Answer

Complete blood count (CBC)

Answer

Serum ferritin only

Answer

Reticulocyte count

Answer

Hemoglobin electrophoresis

Question 3

A certified midwife is counseling a patient at 16 weeks gestation. Which screening test is typically offered between 15–20 weeks?

Accepted Answer

Quad screen

Answer

Cell-free fetal DNA

Answer

Group B Streptococcus culture

Answer

Glucose challenge test

Question 4

Which finding on fundal height measurement at 28 weeks would prompt further evaluation?

Accepted Answer

22 cm

Answer

28 cm

Answer

26 cm

Answer

29 cm

Question 5

What is the recommended daily folic acid supplementation dose for a low-risk pregnant patient to prevent neural tube defects?

Accepted Answer

0.4 mg

Answer

1 mg

Answer

4 mg

Answer

10 mg

Question 6

A patient at 10 weeks gestation presents with painless vaginal bleeding and an open cervical os. Which term best describes this presentation?

Accepted Answer

Inevitable abortion

Answer

Threatened abortion

Answer

Missed abortion

Answer

Complete abortion