CPPHC 2ND EXAMINATION

A 28-year-old woman visits the prenatal clinic for her first check-up. She states her last menstrual period (LMP) started on June 10, 2024. Using Naegele's rule, what is her estimated date of confinement (EDC)?

• March 17, 2025

• March 10, 2025

• September 17, 2025

• March 3, 2025

A patient tells you she is pregnant for the fourth time. Her first pregnancy was a full-term boy. Her second pregnancy ended in a miscarriage at 10 weeks. Her third pregnancy was twin girls born at 35 weeks. What is her correct gravida and para?

• Gravida 3, Para 3

• Gravida 3, Para 2

• Gravida 4, Para 2

• Gravida 4, Para 3

A 32-year-old woman, currently pregnant, has one living child who was born at 39 weeks. She also had a pregnancy that ended at 15 weeks. How would you document her status using the G/P system?

• G3 P1

• G3 P2

• G2 P2

• G2 P1

A woman's LMP was November 20, 2023. What is the most accurate EDC for her?

• August 27, 2024

• August 13, 2024

• February 27, 2024

• September 3, 2024

A patient is documented as G5 P3 T2 P1 A1 L3. She is currently pregnant. What does this information indicate?

• She is pregnant with her third child.

• She has had 5 pregnancies, with 2 term births, 1 preterm birth, 1 abortion, and 3 living children.

• She has had 5 pregnancies, 3 of which went to term.

• She has had 3 preterm births and 2 term births.

A midwifery student prepares to measure the fundic height of a pregnant woman at 28 weeks gestation. Which landmark should the student use as the starting point when placing the tape measure?

• Umbilicus

• Symphysis pubis

• Xiphoid process

• Costal margin

During antenatal care, the fundic height of a woman at 24 weeks AOG measures 20 cm. What does this finding most likely indicate?

• The fetus is large for gestational age

• The fetus is smaller than expected

• The woman has polyhydramnios

• The woman is in active labor

A midwife is about to measure the fundic height of a 32-week pregnant woman. The patient has just finished urinating. What should the midwife do next to ensure an accurate reading?

• Position the woman standing upright

• Place the woman in a supine position with legs bent

• Place the woman in a supine position with knees straight

• Ask the woman to lie on her left side

During a prenatal exam, the midwife first uses inspection. Which of the following should be noted during abdominal inspection of a pregnant woman?

• Fetal heart tone

• Fundic height

• Abdominal contour and skin changes

• Cervical dilation

A 32-week pregnant woman asks why the midwife is pressing on her abdomen during Leopold's maneuver. What should the midwife explain?

• To listen to the baby's heart

• To feel the baby's position and presentation

• To measure uterine contractions

• To assess cervical dilation