Antepartum Care & Prenatal Assessment Flashcards
6 cards from real Certified Midwife Exam Prep practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 6 Antepartum Care & Prenatal Assessment flashcards as text
Which vaccine is recommended during each pregnancy, ideally between 27–36 weeks gestation?
Answer: Tdap
Tdap is recommended during every pregnancy between 27–36 weeks to provide passive immunity to the newborn against pertussis.
At what gestational age is the glucose challenge test (GCT) routinely performed to screen for gestational diabetes?
Answer: 24–28 weeks
The 1-hour 50g GCT is routinely administered between 24–28 weeks gestation when insulin resistance peaks.
Which finding is most consistent with polyhydramnios on ultrasound?
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.
A midwife documents a fetus in occiput posterior (OP) position at 38 weeks. Which maternal symptom is most commonly associated with this fetal position?
Answer: Intense back pain during contractions
Occiput posterior position frequently causes intense back labor due to fetal occiput pressing against the maternal sacrum.
Which maternal condition is an absolute contraindication to air travel after 36 weeks gestation?
Answer: Placenta previa
Placenta previa is an absolute contraindication to air travel after 36 weeks due to the risk of hemorrhage and emergency delivery.
A patient at 32 weeks reports decreased fetal movement. Which initial assessment tool should the midwife recommend?
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.
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