1.Easy
What is lanugo?
- AFine, downy hair on the body
- BA birthmark on the face
- CPeeling skin on the hands and feet
- DA white coating on the skin
2.Easy
A pregnancy that continues to 42 weeks or more is called:
- APost-term
- BEarly term
- CFull term
- DLate preterm
3.Easy
An intrauterine pressure catheter (IUPC) measures:
- AThe volume of amniotic fluid
- BThe strength of uterine contractions
- CThe fetal heart rate from the scalp
- DMaternal blood pressure
4.Medium
In the leg check of BUBBLE-HE, how is a postpartum woman assessed for venous thromboembolism today?
- ACheck only the capillary refill of the toes
- BLook for one-sided swelling, warmth, redness and tenderness of the leg
- CForcefully bend the foot upward and rely on calf pain (Homans' sign)
- DMassage the calf to feel for a clot
5.Medium
A woman received an opioid shortly before giving birth, and the baby is born with poor breathing effort. Which statement about the baby's care is correct?
- ANo support is needed because the effect lasts only seconds
- BFlumazenil is given to reverse the opioid
- CNaloxone is given before any ventilation is started
- DEffective ventilation comes first; naloxone is not routine
6.Medium
A woman in labour has severe back pain with each contraction. The fetus is in an occiput posterior position. Which measure is most likely to help?
- AHolding her breath and pushing with each contraction
- BLying flat on her back with her legs raised
- CSacral counterpressure and a hands-and-knees position
- DAvoiding movement until full dilation
7.Hard
A woman at 29 weeks is in preterm labour and is given magnesium sulfate. What is the main reason for giving it at this gestation?
- ATo reduce the baby's risk of cerebral palsy
- BTo speed up fetal lung maturation
- CTo treat a urinary tract infection
- DTo prevent eclamptic seizures
8.Hard
A newborn in the first hours sneezes, has a high-pitched cry, tremors and loose stools. The mother took opioids throughout pregnancy. Which intervention is most appropriate first?
- AWithholding feeds until the symptoms settle
- BBright lights and frequent handling to keep the baby awake
- CGiving naloxone to reverse the opioids
- DA quiet, dim room, swaddling and small, frequent feeds
Answer key
- 1. A · Fine, downy hair on the body
- 2. A · Post-term
- 3. B · The strength of uterine contractions
- 4. B · Look for one-sided swelling, warmth, redness and tenderness of the leg
- 5. D · Effective ventilation comes first; naloxone is not routine
- 6. C · Sacral counterpressure and a hands-and-knees position
- 7. A · To reduce the baby's risk of cerebral palsy
- 8. D · A quiet, dim room, swaddling and small, frequent feeds
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