1.Easy
Why are women often very sweaty in the first days after birth?
- AIt is caused by low blood glucose
- BIt shows that the breast milk is starting to come in
- CThe body is shedding extra pregnancy fluid
- DIt is a sign of infection
2.Easy
What does the "T" in TORCH infections stand for?
- ATrichomoniasis
- BTetanus
- CToxoplasmosis
- DTuberculosis
3.Easy
What does "effacement" of the cervix mean?
- AThinning and shortening of the cervix
- BSoftening of the cervix in early pregnancy
- COpening of the external cervical os
- DDescent of the presenting part into the pelvis
4.Medium
Which position of the fetal head presents the smallest diameter to the pelvis?
- AA neutral position with no flexion
- BFull extension, with the face presenting
- CFull flexion, with the chin on the chest
- DPartial extension, with the brow presenting
5.Medium
A pregnant woman asks why she needs a whooping cough (pertussis) vaccine in pregnancy. Which answer is correct?
- AIt protects her from pre-eclampsia
- BIt prevents the baby from developing rubella
- CHer antibodies cross the placenta and protect the newborn
- DIt is a live vaccine that gives the baby lifelong immunity to whooping cough
6.Medium
A woman with pre-eclampsia is on magnesium sulfate. Which task can be delegated to a healthcare assistant (unlicensed assistive personnel)?
- AEvaluating her for signs of toxicity
- BAssessing her deep tendon reflexes
- CAdjusting the magnesium infusion rate
- DMeasuring and recording urine output
7.Hard
At 7 weeks of pregnancy, a woman reports sudden severe pain on one side of the lower abdomen, pain in the shoulder tip and dizziness. What should the nurse suspect?
- ANormal round ligament pain caused by the growing uterus
- BA ruptured ectopic pregnancy with internal bleeding
- CHyperemesis gravidarum
- DBraxton Hicks contractions
8.Hard
Fluid leaking from the vagina is tested. Which result supports rupture of the membranes?
- AFluid that smells of ammonia
- BFluid that contains glucose on a urine dipstick
- CA nitrazine test that turns yellow, showing acidic fluid
- DA ferning pattern on a dried slide under the microscope
Answer key
- 1. C · The body is shedding extra pregnancy fluid
- 2. C · Toxoplasmosis
- 3. A · Thinning and shortening of the cervix
- 4. C · Full flexion, with the chin on the chest
- 5. C · Her antibodies cross the placenta and protect the newborn
- 6. D · Measuring and recording urine output
- 7. B · A ruptured ectopic pregnancy with internal bleeding
- 8. D · A ferning pattern on a dried slide under the microscope
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