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Maternal, Newborn & Women's Health Flashcards

6 cards from real DHA practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.

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  1. A primigravida at 38 weeks gestation presents with blood pressure 158/104 mmHg, proteinuria 2+, and headache. Which condition does this most likely represent?

    Answer: Preeclampsia with severe features

    BP ≥160/110 mmHg with proteinuria and a severe symptom (headache) meets criteria for preeclampsia with severe features. Gestational hypertension has no proteinuria; chronic hypertension predates 20 weeks; HELLP requires hemolysis, elevated liver enzymes, and low platelets.

  2. A newborn's APGAR score is assessed at 1 minute. The baby has a heart rate of 90 bpm, weak cry, some flexion of limbs, grimaces to stimulation, and is blue peripherally but pink centrally. What is the APGAR score?

    Answer: 6

    HR 90 bpm = 1 (below 100), weak cry = 1, some flexion = 1, grimace = 1, blue peripherally/pink centrally (acrocyanosis) = 1. Total = 6. Each of 5 criteria scores 0–2.

  3. Which of the following is the FIRST-LINE management for postpartum hemorrhage caused by uterine atony?

    Answer: Uterine massage and oxytocin administration

    Oxytocin is the first-line uterotonic agent for atonic PPH; uterine fundal massage is initiated simultaneously. Surgical options and misoprostol are escalation steps if oxytocin fails.

  4. At which cervical dilation does the active phase of the first stage of labor begin, according to contemporary obstetric guidelines?

    Answer: 6 cm

    Current ACOG/WHO guidelines (revised from older 4 cm threshold) define the onset of active labor at 6 cm dilation, with regular contractions and progressive cervical change.

  5. A breastfeeding mother asks how to recognize correct infant latch. Which finding indicates a PROPER latch?

    Answer: Most of the areola is inside the infant's mouth with lips flanged outward

    A correct latch involves the infant taking most of the areola (not just the nipple) into the mouth, with lips flanged outward. Nipple-only latch causes pain and poor milk transfer; clicking indicates a suction break.

  6. A neonate born at 34 weeks gestation is assessed for respiratory distress syndrome (RDS). Which finding is MOST consistent with this diagnosis?

    Answer: Expiratory grunting, nasal flaring, and subcostal retractions

    RDS in preterm neonates is caused by surfactant deficiency and presents with expiratory grunting (auto-PEEP), nasal flaring, and subcostal/intercostal retractions shortly after birth. Stridor suggests upper airway obstruction; absent breath sounds with deviation suggest pneumothorax.