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1. A 23-year old G2P1 presents for her initial prenatal visit at 10 weeks' gestation. Her first pregnancy was notable for spontaneous rupture of membranes and delivery at 35 weeks gestational age. Which of the following treatments would you offer this patient?
Oral terbutaline beginning at 16-20 weeks
Betamethasone at 23-24 weeks
17 alph-hydroxyprogesterone caproate beginning at 16-20 weeks
No treatment is necessary

2. A 25-year old G1 presents for her initial prenatal visit. Which of the following blood tests is routinely recommended as part of the prenatal laboratory evaluation?
Thyroid stimulating hormone
Varicella titer
HSV I and II antibodies

3. A 32-year old G4P2 presents for her 30 week visit. You discuss Tdap vaccination, and she states that she received a dose during her last pregnancy two years ago. You advise her that:
She has had a booster as an adult and needs no additional Tdap vaccination
Tdap vaccination is recommended at 27-36 weeks for all patients regardless of vaccination history
Tdap vaccination has been associated with autism and should be avoided
Tdap vaccination is required only if she is in close contact with individuals affected by pertussis

4. A 38-year old G1 presents for her initial prenatal visit. Her body mass index is 32. Which of the following additional tests should be ordered for her at this time?
Fasting blood glucose and A1c
Fasting lipid profile

5. A 26-year old G2P1 presents for a preconception visit. She is healthy, but her first pregnancy was complicated by delivery of an 8 pound 6 oz baby boy with an open neural tube defect. You recommend:
Folic acid supplementation 1 mg daily beginning 3 months prior to planned conception
Neural tube defects cannot be prevented
Folic acid supplementation 4 mg daily beginning 1 month prior to planned conception
A daily prenatal multivitamin is recommended for all patients

6. A 22-year old G1 presents for prenatal visit at 24 weeks. She weighs 130 pounds with a BMI of 23, Blood type is B positive, and initial prenatal blood work showed: hematocrit = 35, platelet = 220, rubella immune, hepatitis B surface antigen negative, HIV non-reactive, RPR non-reactive. Which of the following tests should be ordered
Complete blood count with platelets
50 g glucose challenge test
Antibody screen
All of the above

7. The prior patient's glucose challenge test returns with a result of 137 mg/dl. She undergoes a 3-hour Glucose Tolerance Test. Results of this test show:
Fasting: 96, 1 hour: 174, 2 hours: 148, 3 hours: 120
The next appropriate step in this patient's care is:
Refer her for dietary counseling and instruction in home blood glucose monitoring
Initiate an intensive regimen of split-mixed insulin
Reassure the patient that she is normal
The patient has a single abnormal value and should repeat the test in 4 weeks

8. A healthy 27-year old G3P2 presents at 32 weeks for prenatal care. She has had two prior cesarean deliveries at term and would like a repeat cesarean delivery. She will be 40 weeks on November 16 but would like to deliver on November 7 (38 weeks 5 days) to commemorate her late father's birthday. You advise her
We try to schedule cesareans as close to 39 weeks as possible without going over, so that date will be fine.
She will be at term by that time so delivery on that date will be fine.
Planned delivery prior to 39 weeks in uncomplicated pregnancies increases the risk for neonatal complications and should be avoided
Because she has had two prior cesarean deliveries she must attempt VBAC (vaginal birth after cesarean)

9. A 31-year old G1 undergoes screening for asymptomatic bacteria at her first prenatal visit. Results of the urine culture show 50-100,000 CFU/mL Group B Streptococcus. Which is the recommended course of action?
Treat with amoxicillin 500 mg by mouth twice daily for 5 days. Provide GBS prophylaxis in labor.
Treat with amoxicillin 500 mg by mouth twice daily for 5 days. Perform test of cure 1 week after completion of therapy. Provide GBS prophylaxis in labor.
No treatment or follow-up is necessary.
No treatment is necessary at this time. Provide GBS prophylaxis in labor.

10. A 28-year old G2P0 presents for evaluation of bleeding at 12 weeks. She is not actively bleeding at the time of the examination and there is only a small amount of dark blood in her vaginal vault. Ultrasound shows a single viable intrauterine pregnancy. Laboratory tests show a hemoglobin of 13, hematocrit of 39, platelets of 210, blood type B negative, and the antibody screen is negative. The father of the baby is blood type O positive. Your plan going forward includes
RhoD Immune Globulin (Rhogam), 300 mcg intramuscularly now. This will not need to be repeated as it will cover for the remainder of her pregnancy
RhoD Immune Globulin (Rhogam) 300 mcg intramuscularly now, and repeating every 12 weeks until delivery
RhoD Immune Globulin (Rhogam) 300 mcg intramuscularly now, with repeat at 28 weeks or sooner if recurrent bleeds develop
She is not due for RhoD Immune Globulin (Rhogam) at this time but should receive it at 28 weeks.