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Which of the following is TRUE about pregnancy hormones?


A) Testosterone acts as a relaxant and an anti-inflammatory.
B) Estrogen production decreases.
C) Relaxin contributes to uterine contractions.
D) Human chorionic gonadotropin (hCG) supports estrogen and progesterone production until the placenta takes over.

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

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A 20-year-old female client is pregnant for the first time. The client is a marathon runner and has been on a rigorous exercise and training program. The client asks the doula if she could still exercise while pregnant. Which of the following statements by the doula is the most appropriate for the client?


A) "You should stop exercising when pregnant as it can cause miscarriage or intrauterine growth retardation."
B) "If you are an athlete, you may proceed with your pre-pregnancy exercise program without limitations."
C) "You may continue exercising, but make sure to decrease the intensity of exercises. You may return to your pre-pregnancy exercise program two weeks after delivery."
D) "You should modify the intensity and type of your exercises. Non-weight-bearing exercises are recommended. Always check with your doctor or midwife first, though, to be sure there are no contraindications."

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

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CVS, or chorionic villus sampling, may be used instead of amniocentesis to test for which of the following?


A) Genetic disorders in the fetus
B) Pregnancy induced hypertension
C) Gestational diabetes
D) Placenta previa

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

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The benefits of relaxation exercises during pregnancy include all of the following EXCEPT:


A) Improved posture
B) Enhanced mood
C) Reduced energy
D) Increased oxygen to the fetus

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

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Protein is essential for growing a baby! Which of the following is a good source of protein?


A) Meat, fish, and soy
B) Citrus fruits
C) Dark green leafy vegetables
D) Olive oil

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

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While discussing nutrition, a client mentions that her healthcare provider recommended she eat fresh fruits and green, leafy vegetables before conceiving. The provider also recommended 400 mcg of folic acid a day pre-pregnancy, with an increase to 600 mcg per day during the first trimester. Which of the following is NOT a benefit of folic acid supplementation before and during pregnancy?


A) It prevents the formation of large, but ineffective, red blood cells.
B) It prevents neural tube defects.
C) It decreases the baby's risk for cleft lip or palate.
D) It ensures proper functioning of the thyroid gland.

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

Correct Answer

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Which of the following is an abnormal physical change during pregnancy that should be checked by a healthcare provider?


A) Increased white or clear vaginal discharge
B) Dizziness or faintness at rest
C) Visual disturbances
D) Frequent urination

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

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A 23-year-old female client at eight weeks' gestation is pregnant for the first time. The client asks the doula for the recommended safe limit of alcohol per day during early pregnancy. Which of the following statements by the doula is the most appropriate?


A) "You should not drink any form of alcoholic beverages when pregnant."
B) "Women who drink alcohol when pregnant usually have babies with birth defects."
C) "Women should not drink more than 14 units of alcohol per week or no more than three units per day."
D) "The recommended safe limit of alcohol per day for pregnant women during early pregnancy is not known."

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

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The top of the uterus is usually referred to as the _________. The doctor will measure the distance from this point to the _________ to gauge the progress of the growing fetus.


A) Os / cervix
B) Cervix / mucous plug
C) Placenta / umbilical cord
D) Fundus / pelvic bone

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

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Which of the following is NOT a reason amniocentesis might be performed?


A) To turn a breech baby
B) To assess fetal lung maturity
C) To determine if the baby has a chromosomal disorder
D) To assess for intrauterine infection

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

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While fish is a great source of essential fatty acids, pregnant women should limit their consumption to:


A) One serving per week
B) Only tuna
C) Fish from local waters
D) 12 ounces per week

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

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Pregnant women need, on average, how many extra calories per day?


A) 1000
B) 300
C) 500
D) Zero

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

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A doula is teaching a client at 20 weeks' gestation how to perform abdominal muscle contractions. Which of the following is NOT a benefit of this exercise?


A) It stretches the perineal muscles.
B) It prevents constipation.
C) It alleviates back pain.
D) It helps restore abdominal muscle tone after pregnancy.

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

Correct Answer

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A client learns that she is pregnant with twins after an ultrasound. The client asks the doula how much weight she should gain during the pregnancy. Which of the following statements made by the doula is the most accurate?


A) "You need to gain one pound per month during the first trimester, and then one pound per week during the last two trimesters."
B) "You need to gain one pound per month on all three trimesters."
C) "While your doctor or midwife will provide you with guidelines, a woman pregnant with twins ideally gains one pound per week during the entire pregnancy."
D) "You need to control your weight gain. You must not gain more than fifteen pounds during the entire pregnancy."

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

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Average weight gain for pregnancy is _____________ for a woman who starts pregnancy at an ideal weight for her height.


A) About 30 pounds
B) At least 50 pounds
C) No more than 20 pounds
D) Rarely calculated

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

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A clinically obese client with a BMI of 32 is pregnant for the first time at 10 weeks' gestation, She asks the doula how much weight she should gain by the end of her pregnancy. The most appropriate statement by the doula is:


A) "You need to lose weight during your pregnancy to avoid gestational diabetes. We need to come up with a diet plan that can help you restrict your food intake."
B) "Your doctor or midwife will likely instruct you to gain no more than 20 pounds during your pregnancy. Let's consider how you might meet this goal without going over."
C) "This is not the best time to go on a diet. It does not matter how much you gain. What is more important is that you eat healthy food throughout your pregnancy."
D) "You may gain 25 pounds during your pregnancy. The quality of your foods is more important than the amount of your food intake per day."

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

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A client who is eight weeks pregnant tells a doula that she has a strange craving for laundry starch. The client says, "I think I am losing my mind, but I need to tell someone about this odd behavior." Which of the following interventions is the most appropriate for the client?


A) Encourage the client to stop eating laundry starch.
B) Inform the client her behavior is an indirect way of calling attention to the pregnancy.
C) Suggest she may need iron supplementation.
D) Suggest she eat a high-carbohydrate diet.

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

Correct Answer

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When considering whom to choose as a care provider for pregnancy and birth, all of the following are true EXCEPT:


A) A woman should ask a potential provider about his or her rates of interventions, such as Caesarean sections or episiotomy.
B) A woman should choose someone with a birth philosophy like her own.
C) Birth can safely take place in a hospital or birthing center, or at home with a trained attendant.
D) A woman's care provider and place of birth do not affect her confidence.

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

Correct Answer

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While caffeine consumption is safe during pregnancy, pregnant moms should limit their consumption to:


A) 150-300 mg per day
B) Less than 100 mg per day
C) Almost none
D) No more than 500 mg

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

Correct Answer

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Which of the following is true about calcium in pregnancy?


A) Pregnant moms need at least six servings of calcium rich foods per day.
B) A woman can never get enough calcium from food sources alone.
C) A woman should always take a calcium supplement.
D) Calcium regulates maternal and fetal heart rate.

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

Correct Answer

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