High-Risk Pregnancy: Online Learning Quizzes for Medical Students

Question 1

For the management of gestational diabetes, which intervention should be prioritized?

Accepted Answer

Lifestyle modifications to improve glycemic control

Answer

Initiation of insulin therapy

Answer

Prescription of oral hypoglycemic agents

Answer

Administration of metformin

Question 2

In the management of preterm labor, what is the main objective of tocolytic therapy?

Accepted Answer

Delaying labor sufficiently to allow for corticosteroid administration

Answer

Preventing the onset of labor completely

Answer

Improving the outcomes for the fetus

Answer

Treating the underlying cause of preterm labor

Question 3

Which of the following is the most prevalent cause of fetal growth restriction?

Accepted Answer

Problems with the placenta's function

Answer

Malnutrition in the mother

Answer

Genetic disorders

Answer

Smoking during pregnancy

Question 4

In a patient with gestational diabetes, which condition may preclude vaginal delivery?

Accepted Answer

Excessive fetal size (macrosomia)

Answer

Signs of fetal distress

Answer

A previous cesarean section

Answer

Breech presentation of the baby

Question 5

Which of the following is NOT considered a major risk factor for preeclampsia?

Accepted Answer

Advanced paternal age (>40 years)

Answer

Preexisting hypertension

Answer

Nulliparity

Answer

Type 1 diabetes

Question 6

What is the most common cause of fetal intrauterine growth restriction (IUGR)?

Accepted Answer

Placental insufficiency

Answer

Genetic disorders

Answer

Intrauterine infections

Answer

Maternal smoking

Question 7

Which of the following is NOT a recognized risk factor for preeclampsia?

Accepted Answer

Previous vaginal delivery

Answer

Nulliparity

Answer

Advanced maternal age

Question 8

In high-risk pregnancies, which fetal monitoring technique is used to continuously track the baby's well-being?

Accepted Answer

Electronic fetal monitoring

Answer

Intermittent listening with a fetoscope

Answer

Ultrasound

Answer

Non-stress test

Question 9

Which of the following characteristics is NOT typically associated with a high-risk pregnancy?

Accepted Answer

Maternal age less than 35 years

Answer

Gestational age of less than 24 weeks

Answer

Multiple gestations

Answer

Abnormal fetal growth parameters

Question 10

A patient with a history of preterm labor is being treated with progesterone. What is the primary mechanism of action of progesterone in preventing preterm labor?

Accepted Answer

Inhibition of uterine contractions

Answer

Cervical ripening

Answer

Placental growth

Answer

Fetal lung maturation

Question 11

In high-risk pregnancies, which condition necessitates consideration of cesarean delivery?

Accepted Answer

Placenta previa with significant bleeding

Answer

Gestational diabetes with poor blood sugar control

Answer

Fetal distress due to restricted growth in the womb

Question 12

In routine fetal growth surveillance of high-risk pregnancies, which parameter is NOT typically monitored?

Accepted Answer

Cervical length

Answer

Amniotic fluid index

Answer

Estimated fetal weight

Answer

Fetal heart rate variability

Question 13

For a pregnant woman with gestational diabetes, which dietary change is most important for both mother and baby's health?

Accepted Answer

Limiting carbohydrate intake

Answer

Increasing protein intake

Answer

Eliminating sugar intake

Answer

Maintaining a low-fat diet

Question 14

In preeclampsia, which medication is the primary choice for preventing seizures?

Accepted Answer

Magnesium sulfate

Answer

Hydralazine

Answer

Nifedipine

Answer

Aspirin

Question 15

Which of the following is a major risk factor for placental abruption?

Accepted Answer

Abdominal trauma

Answer

Oligohydramnios

Answer

Placenta previa

Answer

Preterm labor

Question 16

Which of the following is NOT a characteristic of pre-eclampsia?

Accepted Answer

Polyhydramnios

Answer

Proteinuria

Answer

Hypertension

Answer

Edema

Question 17

What is the primary goal of antepartum fetal monitoring?

Accepted Answer

To assess fetal well-being

Answer

To determine gestational age

Answer

To monitor uterine contractions

Answer

To assess amniotic fluid volume

Question 18

What is the recommended frequency of antenatal care visits in a high-risk pregnancy?

Accepted Answer

Every 2-4 weeks

Answer

Every week

Answer

Every month

Answer

As needed

Question 19

Which of the following is a sign of intrauterine growth restriction (IUGR)?

Accepted Answer

Asymmetrical fetal growth

Answer

Breech presentation

Answer

Polyhydramnios

Answer

Large fundal height

Question 20

What is the cornerstone of gestational diabetes management?

Accepted Answer

Lifestyle modifications

Answer

Insulin therapy

Answer

Antihypertensive medications

Answer

Oral hypoglycemic agents

Question 21

What is a common clinical sign suggestive of placental abruption?

Accepted Answer

Vaginal bleeding with uterine tenderness

Answer

Increased fetal heart rate

Answer

Premature rupture of membranes

Answer

Uterine inversion

Question 22

What is the primary objective in managing placenta previa?

Accepted Answer

Achieving a healthy delivery with minimal maternal and fetal complications

Answer

Reducing the risk of postpartum hemorrhage

Answer

Preventing preterm labor

Question 23

What is the recommended approach for monitoring a woman with a twin pregnancy?

Accepted Answer

Close prenatal assessments and timely delivery when indicated

Answer

Cesarean delivery at 37 weeks

Answer

Induction of labor at 34 weeks

Question 24

Which of the following is a recognized complication of preterm labor?

Accepted Answer

Respiratory distress syndrome

Answer

Placental abruption

Answer

Preeclampsia

Answer

Macrosomia

Question 25

Which of the following is a contraindication for vaginal delivery in a woman with gestational diabetes?

Accepted Answer

Significant fetal macrosomia

Answer

Well-controlled blood glucose levels

Answer

Nulliparity

Answer

Advanced maternal age

Question 26

What is the main purpose of monitoring a high-risk pregnancy?

Accepted Answer

Identifying and addressing potential complications for optimal maternal and fetal outcomes

Answer

Ensuring a natural birth

Answer

Preventing preterm labor

Question 27

Which of the following is a well-established risk factor for a high-risk pregnancy?

Accepted Answer

Maternal age over 35 years

Answer

Gravida 2, para 1

Answer

Hemoglobin A1c of 5.8%

Answer

BMI of 24

Question 28

A pregnant patient with a history of preeclampsia returns to the clinic at 32 weeks gestation with severe headaches, visual disturbances, and elevated blood pressure. Which of the following is the most appropriate next step?

Accepted Answer

Administer magnesium sulfate and prepare for immediate delivery

Answer

Monitor blood pressure and prescribe antihypertensives

Answer

Reassure the patient and schedule a follow-up appointment

Question 29

Which of the following conditions is strongly associated with an increased risk of placental abruption?

Accepted Answer

Chronic hypertension

Answer

Gestational diabetes

Answer

Premature rupture of membranes

Answer

Uterine fibroids

Question 30

A pregnant patient at 24 weeks gestation presents with preterm labor. Which of the following medications is the first-line choice for tocolysis?

Accepted Answer

Terbutaline

Answer

Magnesium sulfate

Answer

Nifedipine

Answer

Indomethacin

Question 31

In a patient with a history of recurrent pregnancy loss, which of the following tests is most likely to provide valuable information about the underlying cause?

Accepted Answer

Karyotype analysis

Answer

Pelvic exam

Answer

Ultrasound

Answer

Cervical culture

Question 32

Which of the following interventions is considered the definitive treatment for twin-twin transfusion syndrome?

Accepted Answer

Laser ablation of placental anastomoses

Answer

Delivery at term

Answer

Amniocentesis to reduce amniotic fluid volume

Answer

Bed rest and close monitoring

Question 33

Which of the following is an absolute contraindication for vaginal delivery in a patient with a high-risk pregnancy?

Accepted Answer

Placenta previa

Answer

Oligohydramnios

Answer

Advanced maternal age

Answer

Gestational diabetes

Question 34

When monitoring a patient with a high-risk pregnancy in the hospital, which parameter should be given the highest priority?

Accepted Answer

Fetal heart rate and activity

Answer

Maternal blood pressure

Answer

Cervical dilation

Answer

Maternal weight gain

Question 35

A 35-year-old woman at 32 weeks gestation presents with persistent headaches and elevated blood pressure. Which of the following is the most likely diagnosis?

Accepted Answer

Preeclampsia

Answer

Gestational hypertension

Answer

Eclampsia

Answer

HELLP syndrome

Question 36

Which of the following is a potential complication of high-risk pregnancies?

Accepted Answer

Placental abruption

Answer

Dental caries

Answer

Common cold

Answer

Appendicitis

Question 37

A patient with a history of recurrent miscarriages (three or more consecutive pregnancy losses before 20 weeks of pregnancy) is undergoing evaluation to determine the underlying cause. Which of the following tests is most likely to provide the most information?

Accepted Answer

Karyotype analysis, a test that examines the chromosomes to identify any abnormalities

Answer

Ultrasound, an imaging test that uses sound waves to create pictures of the uterus and fetus

Answer

Hysterosalpingogram, an X-ray exam of the uterus and fallopian tubes to assess their structure and function

Answer

Blood clotting studies, tests that assess the ability of blood to clot

Question 38

In cases of intrauterine growth restriction (IUGR), what is the recommended gestational age for delivery?

Accepted Answer

34-36 weeks

Answer

28-32 weeks

Answer

41-42 weeks

Answer

37-40 weeks

Question 39

Which of the following clinical signs is characteristically associated with placental abruption?

Accepted Answer

Abdominal pain and vaginal bleeding

Answer

Uterine rupture

Answer

Preeclampsia

Answer

Preterm labor

Question 40

What is the most common underlying cause of post-partum hemorrhage?

Accepted Answer

Uterine atony

Answer

Retained placenta

Answer

Placental abruption

Answer

Vaginal lacerations

Question 41

What is the overarching goal of prenatal care for high-risk pregnancies?

Accepted Answer

To optimize maternal and fetal outcomes

Answer

To provide emotional support to the mother

Answer

To prevent birth defects

Answer

To reduce the risk of preterm birth

Question 42

What is the recommended approach for managing intrauterine growth restriction?

Accepted Answer

Serial ultrasound monitoring and delivery at an appropriate gestational age

Answer

Bed rest

Answer

Anti-coagulation

Question 43

Which strategy has proven most effective in preventing post-partum hemorrhage?

Accepted Answer

Active management of the third stage of labor

Answer

Prophylactic antibiotics

Answer

Post-partum massage

Answer

Cesarean section

Question 44

Which of the following is NOT a risk factor for preeclampsia?

Accepted Answer

Nulliparity

Answer

Advanced maternal age (>35 years)

Answer

Chronic hypertension

Answer

Multiple gestation

Question 45

A woman with a short cervix (<25 mm) on transvaginal ultrasound is at increased risk for:

Accepted Answer

Preterm birth

Answer

Preeclampsia

Answer

Placental abruption

Answer

Intrauterine growth restriction

Question 46

A pregnant woman with a history of recurrent miscarriages is being evaluated for:

Accepted Answer

Antiphospholipid syndrome (an autoimmune disorder that can cause blood clots and pregnancy loss)

Answer

Preeclampsia

Answer

Placental abruption

Answer

Gestational diabetes

Question 47

Which of the following is a contraindication for vaginal birth after cesarean (VBAC)?

Accepted Answer

Classical uterine incision (a type of cesarean incision that involves cutting through the whole thickness of the uterus)

Answer

Previous vaginal delivery

Answer

Term gestation (37 weeks or later)

Answer

Singleton pregnancy (carrying only one baby)

Question 48

Which of the following is a risk factor for high-risk pregnancy?

Accepted Answer

Previous preterm birth

Answer

Maternal age < 25 years

Answer

Single gestation

Answer

Absence of chronic medical conditions

Question 49

Which of the following is an early sign of placental abruption?

Accepted Answer

Vaginal bleeding

Answer

Uterine contractions

Answer

Fetal distress

Answer

Preterm labor

Question 50

The primary aim of prenatal care for high-risk pregnancies is to:

Accepted Answer

Optimize maternal and fetal outcomes

Answer

Reduce maternal mortality

Answer

Detect chromosomal abnormalities

Answer

Prevent birth defects

Question 51

Management of placenta previa typically requires:

Accepted Answer

Cesarean section

Answer

Antiplatelet medication

Answer

Bed rest

Answer

Vaginal delivery