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| 1 |  |  Traditionally, physicians count the first day of pregnancy from: |
|  | A) | the day on which the woman began her last menstrual period. |
|  | B) | the day on which the woman ended her last menstrual period. |
|  | C) | when the couple last had sex. |
|  | D) | nine lunar months from the first day of the woman's last menstrual period. |
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| 2 |  |  In order for Avram and Sara to get pregnant, intercourse must take place: |
|  | A) | when Sara is ovulating. |
|  | B) | within one day after Sara ovulates. |
|  | C) | within one day before and one day after Sara ovulates. |
|  | D) | within five days before and one day after Sara ovulates. |
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| 3 |  |  What is the correct order of prenatal development? |
|  | A) | zygote, embryo, blastocyst, fetus |
|  | B) | zygote, blastocyst, embryo, fetus |
|  | C) | fetus, blastocyst, zygote, embryo |
|  | D) | embryo, zygote, blastocyst, fetus |
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| 4 |  |  Nutrients are passed to the fetus through the: |
|  | A) | amniotic fluid. |
|  | B) | chorion. |
|  | C) | yolk sac. |
|  | D) | placenta. |
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| 5 |  |  Approximately two weeks following a missed menstrual period, pregnancy can usually be detected by the presence of: |
|  | A) | excessive dopamine. |
|  | B) | high levels of estrogen. |
|  | C) | human chorionic gonadotropin. |
|  | D) | increased levels of testosterone. |
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| 6 |  |  The best antidote to a woman's anxieties in the first trimester of pregnancy is: |
|  | A) | reassurance that everything will be okay. |
|  | B) | patience, as the pregnancy will eventually end. |
|  | C) | education about the birth process and support from family and friends. |
|  | D) | massage to help her relax. |
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| 7 |  |  Exposure of the pregnant woman to which teratogen has been implicated in a variety of learning disorders for the child? |
|  | A) | HIV |
|  | B) | syphilis |
|  | C) | lead |
|  | D) | gonrrhea |
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| 8 |  |  At the present time, most experts counsel pregnant women to: |
|  | A) | drink no more than one beer or one glass of wine per day. |
|  | B) | drink beer, wine, or other alcohol only after the fourth month, since vital organs are formed by then. |
|  | C) | abstain entirely from alcohol because there is no safe dosage known at this time. |
|  | D) | drink whatever they want to relax them, but to stay away from street drugs. |
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| 9 |  |  The greatest concern about a woman conceiving after age 35 is that: |
|  | A) | she is likely to miscarry. |
|  | B) | there is a greater likelihood that her child with have Down syndrome. |
|  | C) | the delivery will be more difficult. |
|  | D) | the child is more likely to be born with a serious disorder, like autism or schizophrenia. |
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| 10 |  |  Tina is 42 years old and pregnant. Because of a higher likelihood of Down syndrome, her health care practitioner is likely to recommend which test? |
|  | A) | Alpha-fetoprotein (AFP) |
|  | B) | sonogram |
|  | C) | ultrasound |
|  | D) | amniocentesis or chorionic villus sampling (CVS) |
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| 11 |  |  Most miscarriages are caused by: |
|  | A) | an abnormal number of chromosomes. |
|  | B) | a misshapen or scarred uterus. |
|  | C) | hormonal imbalances. |
|  | D) | poor prenatal care. |
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| 12 |  |  Which of the following is one of the primary causes of male infertility? |
|  | A) | immunological causes |
|  | B) | stress |
|  | C) | misshapen sperm |
|  | D) | below-normal percentage of body fat |
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| 13 |  |  An easy nonmedical technique to enhance fertility is: |
|  | A) | having the man switch from jockey shorts to boxer shorts. |
|  | B) | practicing relaxation techniques. |
|  | C) | hypnosis. |
|  | D) | changing eating habits. |
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| 14 |  |  Which form of assisted reproductive technology involves fertilizing the woman's eggs in the laboratory, then transferring the fertilized eggs into her fallopian tubes? |
|  | A) | artificial insemination |
|  | B) | in-vitro fertilization (IVF) |
|  | C) | gamete intrafallopian transfer (GIFT) |
|  | D) | zygote intrafallopian transfer (ZIFT) |
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| 15 |  |  Which stage of labor is usually the longest? |
|  | A) | the first |
|  | B) | the second |
|  | C) | the third |
|  | D) | They are usually all equally as long. |
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| 16 |  |  Recent research suggests that which commonly used delivery procedure should be discontinued because it offers no benefits but can cause complications? |
|  | A) | use of epidurals |
|  | B) | episiotomies |
|  | C) | Cesarean sections |
|  | D) | prepared childbirth |
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