1.Ovulation takes place during which of the following phases of the menstrual cycle?

Select one:
a. Luteal phase
b. Ischemic
c. Proliferative phase
d. Secretory phase 
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The correct answer is: Secretory phase

Question 2
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2. The phases of the normal menstrual cycle, in order of their occurrence are:

Select one:
a. sloughing, secretory, luteal, endometrial
b. sloughing, secretory, luteal, ischemic
c. sloughing, proliferative, secretory, ischemic 
d. follicular, luteal, ischemic, sloughing
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The correct answer is: sloughing, proliferative, secretory, ischemic

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3. When teaching a class of young adolescents about menstruation and menstrual

Select one:
a. Estrogen
b. Human chorionic gonadotrophin hormone
c. Luteinizing hormone 
d. Follicle stimulating hormone
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The correct answer is: Luteinizing hormone

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4. The endometrium of uterus is thinnest at what time?

Select one:
a. Just before ovulation
b. Between ovulation and menstruation
c. At the beginning of menstruation
d. Just after menstruation 
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The correct answer is: Just after menstruation

Question 5
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SITUATION: Obstetrical assessment entails knowledge of both normal and abnormal

Select one:
a. March 13, 2021
b. March 27, 2021 
c. April 27, 2021
d. April 26, 2021
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The correct answer is: March 27, 2021

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6. Mrs. Wakwak asks the nurse, “ When will I feel my baby moving”?. The nurse
responds by telling her that fetal movement will be noted between?

Select one:
a. 6 and 8 weeks
b. 8 and 10 weeks
c. 10 and 12 weeks
d. 16 and 20 weeks 
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The correct answer is: 16 and 20 weeks

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7. Mrs. Rubi has been constipated and unable to defecate everyday like before when
she was not yet pregnant. She reads about the use of castor oil in the internet so she
asks the nurse if she can take castor oil for her constipation. How should response to
the client?

Select one:
a. “ Yes, it produces no adverse effect.”
b. “ No, it can initiate premature uterine contraction.” 
c. “No, it can promote sodium retention.”
d. “No, it can lead to increased absorption of fat-soluble vitamins.”
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The correct answer is: “ No, it can initiate premature uterine contraction.”

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8. When measuring the fundic height, which of the following techniques demotes the
correct method of measurement used by Nurse Jillian?

Select one:
a. From the xyphoid process to the umbilicus
b. From the xyphoid process to the symphasis pubis
c. From the symphasis pubis to the uterine fundus 
d. From the fundus to the umbilicus
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The correct answer is: From the symphasis pubis to the uterine fundus

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9. Hisu Cute is measuring the fundic height of a client who is 36 weeks gestation when
the client’s complains of feeling light headed. She determines that the client’s
complaint is most likely caused by:

Select one:
a. Fear
b. Compression of the vena cava 
c. A full bladder
d. Anemia
Feedback

The correct answer is: Compression of the vena cava

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10. Upon assessment the nurse found the following: fundus at 2 fingerbreadths above
the umbilicus, last menstrual period (LMP) 5 months ago, fetal heart beat (FHB) not
appreciated and having vaginal bleeding. Which of the following is the most possible
diagnosis of this condition?

Select one:
a. Hydatidiform mole
b. Pelvic inflammatory disease 
c. Missed abortion
d. Ectopic pregnancy
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The correct answer is: Hydatidiform mole

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11. Ms. Flawless ,a sexually hyperactive nurse should explain to Mrs. Caridad that
hyperemesis gravidarum is thought to be related to high level of which of the
following hormones?

Select one:
a. Progesterone
b. HCG 
c. Somatotropin
d. Aldosterone
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The correct answer is: HCG

Question 12
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12. Robert the Explorer expresses concern about having occasional heartburn. Which
of the following measures will the nurse advice most likely?

Select one:
a. take a cup of tea after meals
b. take one tablet of Simeco three times daily
c. decrease intake of fluids to 1 liter a day
d. eat smaller and more frequent meals 
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The correct answer is: eat smaller and more frequent meals

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13. The early symptoms that cause a woman to suspect that she might be pregnant
include all of the following except:

Select one:
a. amenorrhea
b. increase appetite 
c. nausea
d. abdominal enlargement
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The correct answer is: abdominal enlargement

Question 14
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14. Which of the following nursing statements is TRUE about the sex of the unborn
child?

Select one:
a. "Sex of the fetus is determined after implantation."
b. "The sex of your child can only be determined after complete organ development."
c. "At the moment of fertilization, the sex is determined" 
d. "Before sex can be determined, cleavage must occur."
Feedback

The correct answer is: "At the moment of fertilization, the sex is determined"

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15. When teaching a group of pre-conception adolescents, the nurse includes which of
the following recommendations to decrease the risk of neural tube defects?

Select one:
a. 500 mg Vitamin C daily
b. 0.4 mg Folic acid daily 
c. 1,500 mg calcium daily
d. 600 mg Vitamin A daily .
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The correct answer is: 0.4 mg Folic acid daily

Question 16
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16. Subjective changes of pregnancy include which of the following?

Select one:
a. Hegar's sign
b. Chloasma
c. Uterine enlargement and breast tenderness
d. Amenorrhea and quickening 
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The correct answer is: Amenorrhea and quickening

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17. The nurse should assess the mother's knowledge of danger signs of pregnancy.
Which of the following statements of the client indicate a need for further teaching?

Select one:
a. "Any urinary burning should be reported to the nurse-midwife." 
b. "Fluid leaking from my vagina maybe my bag of waters."
c. "The baby will have quiet days when he will not move."
d. "Blurred vision may mean that my blood pressure is high."
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The correct answer is: "The baby will have quiet days when he will not move."

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18. A 36 year old primigravida client at 22 weeks age of gestation without any
complications to date is being seen in the clinic for a routine visit. The nurse expects to
assess the client’s fundal height for which of the following reasons?

Select one:
a. Determine the level of uterine activity.
b. Assessing the location of the placenta.
c. Identifying the need for increased weight gain.
d. Estimating the fetal gestational age. 
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The correct answer is: Estimating the fetal gestational age.

Question 19
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19. Celine will likely notice which of the following normal physiologic changes in
pregnancy?

Select one:
a. blurring of vision
b. increased blood pressure
c. palpitations
d. anemia 
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The correct answer is: anemia

Question 20
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20. The urine test yields positive for pregnancy. Which of the following hormones
serves as the basis for this?

Select one:
a. progesterone
b. human chorionic gonadotropin 
c. FSH
d. estrogen
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The correct answer is: human chorionic gonadotropin

Question 21
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21. Which of the following method to determine the AOG could not be use if LMP is
unknown?

Select one:
a. Bartholomews
b. Haases Rule
c. Naegels Rule 
d. Mc Donald’s Rule
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The correct answer is: Naegels Rule

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22. A patient who is new to the genetic clinic, asks the nurse, “ Why do my baby’s face
seems to resembles my husband and not me?” The nurse’s correct response by saying
that this is due to:

Select one:
a. Pictograph
b. Genotype
c. Phenotype 
d. Hologram
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The correct answer is: Phenotype

Question 23
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23. Ovulation takes place during which of the following phases of the menstrual cycle?

Select one:
a. Slough-off
b. Proliferative phase
c. Ischemic
d. Secretory phase 
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The correct answer is: Secretory phase

Question 24
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24. When there is a cord coil around the fetal neck, which of the following are the
correct actions of the nurse to release the cord?
1. Release the cord coil around the fetal head and neck if loose enough
2. Pull the head down to deliver the neck
3. If the coil is tight, cut the cord between two clamps
4. Attempt to deliver the posterior shoulder to release the cord coil

Select one:
a. 1 & 2
b. 2 & 3
c. 1 & 3 
d. 2 & 4
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The correct answer is: 1 & 3

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25. Which of the following would the nurse identify as a presumptive sign of
pregnancy?

Select one:
a. Softening of the cervix.
b. Presence of chloasma 
c. Bluish discoloration of the vagina
d. Positive serum pregnancy test.
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The correct answer is: Presence of chloasma

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26. Josefa with a term, uncomplicated pregnancy comes into the labor and delivery
unit in early labor saying that she thinks her water has broken. Which of the following
actions by the nurse would be most appropriate?

Select one:
a. Prepare the woman for delivery 
b. Immediately contact the physician
c. Note the color, amount, and odor of the fluid
d. Collect sample of the fluid for microbial analysis
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The correct answer is: Note the color, amount, and odor of the fluid

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27. A nurse in a delivery room is assisting with the delivery of a newborn infant. After
the delivery of the newborn, the nurse assists in delivering the placent

Select one:
a. Which observation would indicate that the placenta has separated from the uterine
wall and is ready for delivery?
{
b. The umbilical cord shortens in length and changes in color
c. A soft and boggy uterus 
d. Maternal complaints of severe uterine cramping
e. Changes in the shape of the uterus
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The correct answer is: Changes in the shape of the uterus

Question 28
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28. A client comes to labor and delivery at 34 weeks gestation with a moderate amount
of painless vaginal bleeding. Which question should the nurse asks the client first?

Select one:
a. “ Have you had intercourse for the past 24 hours?”
b. “ Do you have any uterine contractions?”
c. “Have you had an ultrasound exam?” 
d. “ Has your doctor checked your cervix?”
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The correct answer is: “Have you had an ultrasound exam?”

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29. A pregnant client with class 3 cardiac disease is seen during an initial prenatal visit.
The nurse selects which of the following priority nursing diagnoses?

Select one:
a. Knowledge deficit related to self-care during pregnancy
b. Fear; client and family, related to pregnancy outcome
c. Alteration in nutrition related to sodium-restricted diet 
d. Activity intolerance related to compromised cardiac status
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The correct answer is: Activity intolerance related to compromised cardiac status

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30. Which of the following best describes pre-term labor?

Select one:
a. Labor that begins after 20 weeks gestation and before 37 weeks gestation. 
b. Labor that begins after 15 weeks gestation and before 37 weeks gestation.
c. Labor that begins after 24 weeks gestation and before 28 weeks gestation.
d. Labor that begins after 28 weeks gestation and before 40 weeks gestation.
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The correct answer is: Labor that begins after 20 weeks gestation and before 37 weeks
gestation.

Question 31
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31. Upon assessment the nurse found the following: fundus at 2 fingerbreadths above
the umbilicus, last menstrual period (LMP) 5 months ago, fetal heart beat (FHB) not
appreciated and having vaginal bleeding. Which of the following is the most possible
diagnosis of this condition?

Select one:
a. Hydatidiform mole
b. Pelvic inflammatory disease 
c. Missed abortion
d. Ectopic pregnancy
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The correct answer is: Hydatidiform mole

Question 32
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32. When preparing a plan of care for a multigravida client with heart disease, which of
the following signs should the nurse expect to assess frequently?

Select one:
a. Dehydration
b. Nausea and vomiting
c. Iron deficiency anemia
d. Tachycardia 
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The correct answer is: Tachycardia

Question 33
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33. The following are the predisposing factors for H-mole, EXCEPT:
Select one:
a. Multiple pregnancy
b. Oral Contraceptive Pills 
c. Age less than 18 above 35
d. 72 year old female who is sexually hyperactive
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The correct answer is: 72 year old female who is sexually hyperactive

Question 34
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34. In the case of chorioncarcinoma, H-mole is treated with which of the following
drug?

Select one:
a. Methotrexate 
b. 5 FU
c. Morphine sulfate
d. Magnesium sulfate
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The correct answer is: Methotrexate

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35. Which of the following is a classic sign of abruption placenta that the nurse might
encounter?

Select one:
a. Bright red, painless vaginal bleeding.
b. Dark red, painful bleeding. 
c. Palpable fetal outline.
d. Soft and non-tender abdomen.
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The correct answer is: Dark red, painful bleeding.

Question 36
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36. Which of the following is the most likely effect on the fetus if he woman is severely
anemic during pregnancy?

Select one:
a. Large of gestational age (LGA) fetus
b. Hemorrhage
c. Small of gestational age (SGA) fetus 
d. Erythroblastosis fetalis
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The correct answer is: Small of gestational age (SGA) fetus

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37. Which of the following is NOT a sign of placental separation?

Select one:
a. Lengthening of the cord
b. Sudden gush of blood
c. Uterus becomes globular and fundus rises up the abdomen
d. Lower uterine segment is soft and relax 
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The correct answer is: Lower uterine segment is soft and relax

Question 38
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38. The nurse assesses the woman at 20 weeks’ gestation and expects the woman to
report:

Select one:
a. symptoms of diabetes as human placental lactogen is released
b. nausea and vomiting related to hCG production
c. spotting related to fetal implantation
d. feeling fetal kicks 
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The correct answer is: feeling fetal kicks

Question 39
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39. The following are the functions of the placenta, except:

Select one:
a. Facilitates musculoskeletal development. 
b. Respiratory system
c. Endocrine System
d. Gastrointestinal tract
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The correct answer is: Facilitates musculoskeletal development.

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40. After the neonate is delivered, the physician instructs nurse Duen to add 10 units of
oxytocin (Pitocin) to Mrs. Thea’s IV to:

Select one:
a. Contract the uterine muscles.
b. Prevent DIC
c. Relax the uterine muscles
d. Augment the clotting action of the platelets. 
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The correct answer is: Contract the uterine muscles.

Question 41
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41. Which of the following would the nurse assess in a client experiencing abruption
placenta?

Select one:
a. Bright red, painless vaginal bleeding
b. Concealed or external dark red bleeding. 
c. Palpable fetal outline.
d. Soft and non-tender abdomen.
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The correct answer is: Concealed or external dark red bleeding.

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42. Before surgery to remove an ectopic pregnancy, which of the following would alert
nurse Stephanie to the possibility of the tubal rupture?

Select one:
a. Amount of the vaginal bleeding and discharge.
b. Falling hematocrit and hemoglobin levels. 
c. Slow bounding pulse rate of 80 beats per minute.
d. Marked abdominal edema.
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The correct answer is: Falling hematocrit and hemoglobin levels.

Question 43
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43. Which of the following body system should the nurse assess first in a patient with
abruption placenta?

Select one:
a. Endocrine
b. Cardiovascular 
c. Neuromuscular
d. Renal
Feedback

The correct answer is: Cardiovascular

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44. This is a substance present in maternal serum that is measured in detecting neural
tube defects?

Select one:
a. Estrogen
b. Alpha-fetoprotein (AFP) 
c. Progesterone
d. Luteinizing hormone (LH)
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The correct answer is: Alpha-fetoprotein (AFP)

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45. May Landhie, a 16 year old, at 34 weeks gestation is diagnosed with mild
preeclampsi

Select one:
a. Assessment reveals that she gained 2 lbs in the past weeks and her current blood
pressure is 130/87 mmHg. Which of the following
assessment findings would provide further evidence to support the client’s diagnosis?
{
b. Pounding headache after reading.
c. History of urinary tract infection
d. Frequent voiding in large amount.
e. Mild edema in hands and face. 
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The correct answer is: Mild edema in hands and face.

Question 46
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46. A patient who is 37 weeks gestation, is admitted to the hospital with the diagnosis
of severe preeclampsia. In planning care for this client, the nurse would set the
following priority goal. The client will:

Select one:
a. Conform to the nutritional regimen.
b. Be a seizure- free prior to delivery 
c. Have a decreased B/P within 24 hours.
d. Maintain a sodium restriction diet.
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The correct answer is: Be a seizure- free prior to delivery

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47. Which procedure would best determine if Mrs. Thea has spontaneously ruptured
amniotic membranes?

Select one:
a. A complete blood count
b. A fern test 
c. Urinalysis
d. A vaginal exam
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The correct answer is: A fern test

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48. The life threatening complication brought by short umbilical cord is:

Select one:
a. Cord coil
b. Neural Tube Defect
c. Abruptio placenta 
d. Fetal limb defect
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The correct answer is: Abruptio placenta

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49. The mother is considered to 10wks pregnant and manifesting nausea and
vomiting.During assessing the mother complains of headache and blurring of vision.
B/P reveals 190/110. The nurse is aware that this is due to:

Select one:
a. PIH 
b. Expected changes during pregnancy
c. Molar pregnancy
d. Stress
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The correct answer is: Molar pregnancy

Question 50
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50. In the later part of the 3rd trimester, the mother may experience shortness of
breath. This complaint maybe explained as:

Select one:
a. A normal occurrence in pregnancy because the fetus is using more oxygen
b. The fundus of the uterus is high pushing the diaphragm upwards 
c. The woman is having allergic reaction to the pregnancy and its hormones
d. The woman maybe experiencing complication of pregnancy
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The correct answer is: The fundus of the uterus is high pushing the diaphragm upwards