Pregnancy Trimester 3 Exam Questions and Solutions, Quizzes of Obstetrics

A series of exam questions and detailed solutions related to the third trimester of pregnancy. It covers various aspects such as fetal growth, musculoskeletal issues, hormonal effects, skin changes, and routine prenatal assessments. The questions address key topics like sciatica, diastasis recti, braxton hicks contractions, lightening, and important screenings and treatments during this stage of pregnancy. It serves as a valuable resource for students and healthcare professionals seeking to deepen their understanding of late-stage pregnancy care and management. The document also includes essential information on fetal kick counts, gestational diabetes screening, rh immunoglobulin administration, and group b strep testing, ensuring a comprehensive review of critical third-trimester topics.

Typology: Quizzes

2025/2026

Available from 09/22/2025

hesigrader002
hesigrader002 🇺🇸

4.1

(43)

7.7K documents

1 / 7

Toggle sidebar

This page cannot be seen from the preview

Don't miss anything!

bg1
1
/
7
Pregnancy Trimester 3 Exam Questions with Correct
Solutions
1. In the 3rd trimester, the fetus continues growing, increasing in
size from
about
what?:
2 1/2 lbs and 16 inches in length at about 28 weeks, to weighing on
average 6-9 lbs and being 18-22 inches long in week 40
2.
What is the biggest musculoskeletal issue in pregnancy?:
the change in
center of
gravity
3.
What causes the change in center of gravity?:
the uterus expands and the
center of gravity
gets
shifted
back
over
the
pelvis
and
higher
up
in
the
body,
which
puts
strain
on
ligaments
in
the
back,
causing
back
pain and balance issues, increases chance of injury
4.
What
does
the
pregnancy
hormone
relaxant
do?:
helps relax the joints of the
pelvis to
facilitate
the
birth
of
the
fetus
at
the
end
of
pregnancy,
however,
this
hormone
ettects
the
ligaments/joints
and
leads
to inflammation, pain, and instability
5. When should you notify a midwife or physician when a pregnant
women is
experiencing
backache?:
if it is severe pain that's coming and going in a rhythmic manner,
pf3
pf4
pf5

Partial preview of the text

Download Pregnancy Trimester 3 Exam Questions and Solutions and more Quizzes Obstetrics in PDF only on Docsity!

1 /

Pregnancy Trimester 3 Exam Questions with Correct

Solutions

  1. In the 3rd trimester, the fetus continues growing, increasing in size from about what?: 2 1/2 lbs and 16 inches in length at about 28 weeks, to weighing on average 6-9 lbs and being 18-22 inches long in week 40
  2. What is the biggest musculoskeletal issue in pregnancy?: the change in center of gravity
  3. What causes the change in center of gravity?: the uterus expands and the center of gravity gets shifted back over the pelvis and higher up in the body, which puts strain on ligaments in the back, causing back pain and balance issues, increases chance of injury
  4. What does the pregnancy hormone relaxant do?: helps relax the joints of the pelvis to facilitate the birth of the fetus at the end of pregnancy, however, this hormone ettects the ligaments/joints and leads to inflammation, pain, and instability
  5. When should you notify a midwife or physician when a pregnant women is experiencing backache?: if it is severe pain that's coming and going in a rhythmic manner,

2 / even if it's located all in their back and not at all in their stomach, that could still be contractions

  1. What is sciatica?: pain from the sciatic nerve, which is the longest nerve in the body
  2. What causes sciatica in pregnancy?: nerve is irritated by the uterus putting pressure on it or even impinging or trapping it as the uterus grows
  3. What pain would a pregnant person experience from sciatica?: tingling, numbness, or stabbing pain that starts up in the buttocks and can shoot down the leg into the calf
  4. What can you teach to the patient to help relieve pain from sciatica?: try lying on the side opposite of the pain, applying heat or cold to relieve pain
  5. What causes diastasis recti?: growing uterus causes separation of the rectus abdominal muscle when there is more than 2 cm separation of those muscles in the center
  6. How do you fix diastasis recti?: it usually resolves itself postpartum, but there will occasionally be a person who needs physical therapy or possibly even surgical repair when they know they won't have any future pregnancies; you can't do anything during pregnancy to keep it from getting worse
  7. What happens to BHC in 3rd trimester?: become much more noticeable
  8. What should you teach the patient about BHC?: make sure she can distinguish the deterrence between BHC and PTL
  9. What is lightening?: sensation that a women feels when the fetus descends into the

4 /

  1. What pain medication should woman take for headaches?: tylenol
  2. What pain medication should a woman not take? Why?: ibuprofen or aspirin because it can prematurely close the ductus arteriosus
  3. Why are there skin changes?: because of hormones, stretching of skin, and increased blood volume
  4. Where is hyperpigmentation common? Is it permanent?: on the breasts, inner thighs, and face; some will be permanent, but some may fade during the first postpartum year
  5. Can acne increase during pregnancy?: yes
  6. What are some common skin changes in pregnancy?: striae, palmar erythema, cholas- ma, linea nigra, varicose veins, spider nevi
  7. Why does palmar erythema happen?: due to the increased blood volume and we have all sorts of capillaries in our hands and is a common place to see redness occurring, especially when their hands are warm
  8. Cholasma is referred to as the: "mask of pregnancy"
  9. What is cholasma?: freckly or darkened areas on the women's face that can happen during pregnancy as a result of hormonal changes
  10. Do varicose veins get better after pregnancy? Who gets them?:

5 / no, some fami- lies/women are more prone

  1. What is spider nevi?: a type of varicose vein that can occur on the face, legs, or anywhere on the body
  2. Do spider nevi get better after pregnancy?: sometimes fade, but if not you can do laser
  3. What screening should you do at least once a trimester?: depression
  4. What are the routine prenatal assessments in the 3rd trimester?: fundal height, FHR, BP, weight, ask about s/s of UTI, leaking fluid (amniotic), RUCs, visual changes (seeing double, black spots), RUQ pain (sign of enlarged liver), increased swelling in hands/face/vulva/sacral areas, headaches, sense of emotional well-being and safety, fetal movement, educate about late pregnancy warning signs, s/s labor, postpartum expectations and transition to parenthood
  5. What should you ask the patient concerning headaches?: can they be resolved by tylenol and sleep
  6. Fetal kick counts should happen: twice daily at the same time q day beginning at 28 weeks
  7. For fetal kick counts, you should record what?: how long it takes to get

7 /

  1. What labs/treatments do you get at 36-37 weeks?: group beta strep testing
  2. How do you perform a Group B Beta Strep (GBS) test?: swab of the outer third of the vagina and the perianal swab after (women can do themselves, but often the nurses do)
  3. About 1 in 4 pregnant women carry what? Why?: GBS bacteria, it is a common microbe that is part of their normal gut flora or reproductive tract
  4. If the GBS test comes back positive what can you plan to give?: IV antibiotics during labor to prevent most early-onset GBS disease in newborns
  5. Why is it important to prevent GBS disease in babies?: about 30% of those babies die
  6. What won't prevent neonatal infection with GBS?: antibiotics before labor
  7. When is the most cruical time to treat GBS?: during labor and birth