1.Easy
The anterior fontanelle of a newborn is:
- ATriangular, where the parietal and occipital bones meet
- BRound, at the base of the skull
- CClosed at birth in a term baby
- DDiamond-shaped, where the frontal and parietal bones meet
2.Easy
Eclampsia is pre-eclampsia complicated by:
- AProteinuria
- BSeizures
- CLow platelets
- DAnkle oedema
3.Easy
The Ballard (New Ballard) score is used to assess a newborn's:
- ABlood glucose
- BBreathing effort at 1 minute
- CHearing
- DGestational age
4.Medium
The fundus is boggy, above the umbilicus and displaced to the right. What is the most likely cause?
- ARetained placental tissue on the left
- BA tear in the perineum
- CA normal finding on day 1
- DA full bladder
5.Medium
What should parents be taught about the water for a newborn's bath?
- ALeave the baby briefly if the water is only shallow
- BUse very hot water so that germs on the skin are killed
- CAdd adult bubble bath to soften the baby's skin
- DCheck that it is warm, not hot, before the baby goes in
6.Medium
A breastfed baby has jaundice in the first week with poor feeding and few wet nappies. What is the most likely cause?
- ABiliary atresia with obstruction
- BABO incompatibility
- CSuboptimal intake jaundice
- DBreast milk jaundice
7.Hard
A woman has a postpartum haemorrhage. Which nursing action should be done first while help is coming?
- AWeigh the used pads and record the total
- BMassage the fundus and look for the source
- CGive the baby a bath to free the mother's time
- DDocument the estimated blood loss in the notes
8.Hard
A woman received an opioid IV 30 minutes ago. The tracing now shows minimal variability but no decelerations. What is the most likely cause?
- ASevere fetal anaemia from Rh disease
- BProlapse of the umbilical cord
- CThe opioid's effect on the fetal brain
- DPlacental abruption
Answer key
- 1. D · Diamond-shaped, where the frontal and parietal bones meet
- 2. B · Seizures
- 3. D · Gestational age
- 4. D · A full bladder
- 5. D · Check that it is warm, not hot, before the baby goes in
- 6. C · Suboptimal intake jaundice
- 7. B · Massage the fundus and look for the source
- 8. C · The opioid's effect on the fetal brain
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