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Which of the following is NOT a change that a pregnant woman can expect in the third trimester?


A) Less fatigue
B) An increase in noticeable stretch marks
C) Large weight gain
D) The baby moves lower into the pelvis

E) A) and C)
F) B) and D)

Correct Answer

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All of the following are food borne illnesses that can be dangerous to pregnant mothers EXCEPT:


A) Listeriosis
B) Toxoplasmosis
C) Campylobacteriosis
D) Vaginosis

E) A) and B)
F) C) and D)

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While cravings and aversions are common in pregnancy, the desire to eat non-food substances can be dangerous and should be discussed with a healthcare provider. What is this type of craving called?


A) Hyperemesis gravidarum
B) Pica
C) Gestational diabetes
D) Preeclampsia

E) A) and B)
F) A) and C)

Correct Answer

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Which of the following is a non-pharmacological way of treating constipation in pregnancy?


A) Drinking plenty of water
B) Eating protein-rich foods
C) Avoiding cold foods
D) Stopping exercise until your bowel movements return to normal

E) None of the above
F) B) and C)

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The term for regular contractions that start before 37 weeks of pregnancy is?


A) Preterm labor
B) True labor
C) Braxton Hicks
D) Non-progressing

E) All of the above
F) None of the above

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All of the following are good exercises during pregnancy EXCEPT:


A) High impact aerobics
B) Swimming
C) Yoga
D) Walking

E) A) and C)
F) A) and B)

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All of the following are true about the group B strep test EXCEPT:


A) The test screens for a bacteria that is commonly found in the genitourinary tract.
B) It is typically performed in week 36 of pregnancy.
C) It requires a blood draw.
D) A positive result will likely lead to prophylactic antibiotics during labor.

E) A) and C)
F) A) and B)

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The doula is creating a dietary plan with a pregnant vegan client. Which of the following interventions for this client is inaccurate?


A) The client should increase her intake of dark-green vegetables.
B) Vitamin B12 supplementation is recommended.
C) Instruct the client to combine different protein sources in one meal.
D) Instruct the client to go outside the house for 20 to 30 minutes in the early morning sun.

E) B) and D)
F) All of the above

Correct Answer

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Which of the following is NOT a normal pregnancy change?


A) Blurred vision
B) Swelling in the feet and hands
C) Nasal congestion
D) Increased breast size

E) A) and C)
F) None of the above

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What can a woman do during pregnancy to prepare her body for breastfeeding?


A) Use a washcloth daily to toughen her nipples
B) Start using an electric breast pump
C) Know whether she has flat or inverted nipples
D) Stop taking all medications

E) A) and C)
F) B) and D)

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After an ultrasound, a client in labor is informed that she has a low-lying placenta. Which of the following statements accurately describes the client's diagnosis?


A) The placenta is improperly implanted in the upper uterine segment.
B) The placenta attaches in the lower uterine segment but it does not reach the cervical os.
C) Only the edge of the placenta extends to the os.
D) The internal os is covered entirely by the placenta.

E) A) and D)
F) A) and C)

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How is a woman's due date calculated?


A) By adding nine months to the day she found out she was pregnant
B) By adding 40 weeks to the date of the positive pregnancy test
C) By adding 280 days to the date of her last menstrual period
D) By ultrasound

E) None of the above
F) A) and B)

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A client at 32 weeks' gestation complains of easy fatigability. During the history taking, the client tells the doula that she has been frequently awakened from sleep almost every night for the past week due to fetal activity. The client also reports shortness of breath every time she sleeps flat in bed. Which of the following suggestions given by the doula is the LEAST appropriate when managing the client's sleeping problems?


A) "Sleep on two pillows, or on a couch with an armrest."
B) "Sleep in a modified Sims' position, with the top leg forward."
C) "Schedule a rest period during the afternoon."
D) "When sitting or lying down, rest with the knees sharply bent."

E) A) and D)
F) A) and C)

Correct Answer

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Exercise during pregnancy can alleviate many common aches and pains. Which of the following is NOT a benefit of exercise in pregnancy?


A) Shorter, less complicated labor
B) Reduced back pain
C) Improved circulation
D) Enhanced appetite

E) A) and D)
F) All of the above

Correct Answer

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Car travel during pregnancy is safe, but women should follow all of these precautions EXCEPT:


A) Turn off the air bags.
B) Be sure to always wear a seat belt, with the lap belt positioned over the hips and the shoulder belt between the breasts.
C) Stop and stretch every couple of hours to improve circulation.
D) Move the seat as far back as possible from the steering wheel or dashboard.

E) A) and B)
F) A) and C)

Correct Answer

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The baby grows inside the ___________, which is a hollow muscle that grows as pregnancy progresses. The baby is protected by the ____________, and is connected to the __________ by the ___________.


A) Uterus / amniotic sac / placenta / umbilical cord
B) Placenta / amniotic fluid / cervix / uterus
C) Cervix / fundus / umbilical cord / placenta
D) Amniotic sac / uterus / placenta / cervix

E) A) and B)
F) A) and C)

Correct Answer

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Once a woman has decided she would like to conceive, she should consider all of the following lifestyle changes EXCEPT:


A) Determining what to do about hormonal birth control
B) Beginning to take a dietary supplement containing folic acid
C) Cutting down on her exercise routine
D) Pursuing smoking cessation

E) All of the above
F) A) and D)

Correct Answer

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Pregnant women need 30 mg of iron per day. Which of the following is a good source of iron?


A) Fruit
B) Red meat
C) Milk
D) Dietary supplements

E) All of the above
F) B) and D)

Correct Answer

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Non-pharmacological ways to treat heartburn during pregnancy include all of the following EXCEPT:


A) Avoiding spicy and fatty foods
B) Drinking only with meals
C) Eating small, frequent meals
D) Avoiding carbonated beverages

E) B) and C)
F) A) and B)

Correct Answer

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Pelvic floor exercises that promote better muscle tone, which can aid in the birth of the baby, are called:


A) Kegels
B) Isometrics
C) Braxton Hicks
D) Aerobics

E) A) and B)
F) A) and D)

Correct Answer

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