CPM Prenatal Care & Risk Assessment 2

Question 1

Per current ACOG guidance, universal Group B Streptococcus vaginal-rectal culture screening is recommended at what gestational age?

Accepted Answer

36 0/7 to 37 6/7 weeks

Answer

ACOG (2020) recommends GBS screening at 36 0/7 to 37 6/7 weeks so results stay valid through 41 weeks.

Question 2

A client with no risk factors asks when routine screening for gestational diabetes is typically performed. What is the best answer?

Accepted Answer

Between 24 and 28 weeks

Answer

Routine GDM screening is done at 24-28 weeks, when placental insulin resistance becomes evident.

Question 3

An Rh-negative, antibody-negative client with an Rh-positive partner should routinely receive Rh immune globulin prophylaxis at about what gestational age?

Accepted Answer

28 weeks

Answer

Antepartum RhIG is given at about 28 weeks, with a postpartum dose within 72 hours if the newborn is Rh-positive.

Question 4

According to CDC criteria, anemia in the second trimester of pregnancy is defined as a hemoglobin below which value?

Accepted Answer

10.5 g/dL

Answer

The CDC threshold is Hgb <11.0 g/dL in the first and third trimesters and <10.5 g/dL in the second, reflecting peak hemodilution.

Question 5

Cell-free DNA (NIPT) screening for fetal aneuploidy can be performed starting at what gestational age?

Accepted Answer

10 weeks

Answer

Cell-free DNA screening is valid from about 10 weeks, when the fetal fraction is usually adequate.

CPM - Certified Professional Midwife Practice Test

CPM - Certified Professional Midwife Practice Test

CPM Prenatal Care & Risk Assessment 2