Free Practice Quiz Question List

2 Pregnancy Assessment and Fetal Development Online Quiz Questions

Use this free practice quiz with 20 questions to review 2 Pregnancy Assessment and Fetal Development, test your knowledge, and prepare for your next test or exam.

20 questions

True or false

1 point

True or false: Nonstress testing, biophysical profiles, and Doppler studies are routinely used for every uncomplicated pregnancy.

A
True
B
False

Choose one

1 point

Which ultrasound approach is the most accurate for establishing or confirming gestational age?

A
A third-trimester ultrasound measuring fetal size
B
A first-trimester ultrasound using crown–rump length
C
A single fundal-height measurement
D
A second-trimester ultrasound measuring fetal size

Fill in the blank

1 point

The second trimester begins at weeks, and the third trimester begins at weeks.

Written response

1 point

At about how many gestational weeks can cell-free DNA screening be offered? Enter the number of weeks.

Choose all

1 point

Select all assessments commonly included during prenatal visits. Choose every correct answer.

A
Review of maternal history and symptoms
B
Blood pressure measurement
C
Routine Doppler study at every visit
D
Weight or weight-gain pattern
E
Fetal heart tones and, as pregnancy advances, fundal height and reported movement

True or false

1 point

True or false: Fetal growth is assessed over time rather than determined from a single measurement.

A
True
B
False

Choose one

1 point

A patient receives a positive cell-free DNA screening result. Which response is most appropriate?

A
Treat the result as confirmation of a fetal condition
B
Repeat the same screening method as an independent screen without counseling
C
Discuss counseling, ultrasound assessment, and the option of diagnostic testing
D
Conclude that diagnostic testing is unnecessary

Fill in the blank

1 point

The estimated due date is conventionally days after the LMP. Naegele’s rule adds days and subtracts months from the LMP.

Choose all

1 point

Which changes are common physiologic adaptations during pregnancy? Select all correct answers.

A
Plasma volume rises more than red-cell mass, which can lower measured hemoglobin through dilution
B
Blood pressure typically rises markedly throughout pregnancy
C
Kidney filtration increases
D
Urinary frequency is common
E
Placental hormones increase insulin resistance

Written response

1 point

What examination is recommended for all pregnancies, ideally at 18–22 weeks, regardless of the aneuploidy screening method?

Choose one

1 point

A fundal-height pattern differs from what is expected for gestational age. What is an appropriate next assessment to consider?

A
Use the single fundal-height measurement to determine fetal health conclusively
B
Consider ultrasound assessment of fetal size, fluid, anatomy, or placental and umbilical blood flow
C
Change the established due date based only on the size discrepancy
D
Begin nonstress testing for every pregnancy with a size discrepancy

Open ended

1 point

For a pregnancy conceived through assisted reproductive technology, what information should guide pregnancy dating?

Choose one

1 point

Which group best describes tests commonly included in early prenatal laboratory screening?

A
Complete blood count, blood type and Rh status, urine testing and culture, and screening for relevant infections
B
Fetal Doppler studies and biophysical profiles for every pregnancy
C
Only a fetal anatomy ultrasound and fundal-height measurement
D
Only cell-free DNA screening, with no maternal laboratory testing

Choose one

1 point

A pregnant patient reports mild breathlessness with exertion. Which interpretation best reflects common respiratory adaptations while recognizing the need for clinical context?

A
Pregnancy normally reduces ventilation and oxygen demand, so breathlessness cannot be a common adaptation
B
Breathlessness always indicates a complication and requires no further contextual assessment
C
Increased ventilation and oxygen demand can contribute to mild exertional breathlessness, but symptoms should be evaluated in context
D
Respiratory changes are not expected until after birth

Choose one

1 point

A pregnant patient has a lower measured hemoglobin than before pregnancy but no other concerning findings. Which normal physiologic change can help explain this?

A
Red-cell mass rises more than plasma volume, concentrating hemoglobin.
B
Plasma volume rises more than red-cell mass, diluting measured hemoglobin.
C
Blood volume and red-cell mass remain unchanged.
D
Hemoglobin falls because kidney filtration decreases.

Choose one

1 point

A patient is unsure of the last menstrual period and has irregular cycles. Which approach provides the most accurate ultrasound estimate of gestational age?

A
A third-trimester ultrasound measuring fetal size
B
A second-trimester ultrasound measuring fetal size
C
A first-trimester ultrasound using crown–rump length
D
A fundal-height measurement at a single prenatal visit

Choose one

1 point

A patient receives a positive cell-free DNA screening result for a common trisomy. What is the most appropriate interpretation and next step to discuss?

A
Explain that the result is not a diagnosis and discuss counseling and the option of diagnostic testing.
B
Tell the patient the condition is confirmed and treatment should begin.
C
Repeat multiple independent screening methods until one is negative.
D
Reassure the patient that a positive result has no clinical significance.

True or false

1 point

True or false: A positive prenatal screening result confirms that the fetus has the condition being screened for.

A
True
B
False

Written response

1 point

What clinical term describes a pregnancy with no ultrasound confirming or revising the estimated due date before 22 weeks?

Written response

1 point

Using the conventional pregnancy-dating estimate, how many days after the first day of the last menstrual period is the estimated due date?