1.Easy
A woman lists her symptoms. Which one is a presumptive (subjective) sign of pregnancy?
- AA positive pregnancy test
- BFetal heart tones heard by Doppler
- CBallottement of the fetus
- DAmenorrhoea
2.Easy
Which hormone is detected by a standard pregnancy test?
- AFollicle-stimulating hormone (FSH)
- BHuman chorionic gonadotrophin (hCG)
- CHuman placental lactogen (hPL)
- DLuteinising hormone (LH)
3.Easy
In Rubin's "taking-in" phase after birth, the mother typically:
- AIs eager to learn how to bathe the baby
- BTakes full control of the baby's care
- CReturns to her usual work and roles
- DFocuses on her own needs and the birth
4.Medium
After rupture of the membranes, the amniotic fluid is green. What does this suggest?
- AThe fluid is normal at term
- BThe fetus has passed meconium
- CThere is bleeding from the placenta
- DThe mother has an infection with group B streptococcus
5.Medium
A breastfeeding mother has afterpains (cramping) during feeds on day 2. What explains this?
- AHer milk supply is too low
- BShe has a urinary tract infection
- COxytocin released during breastfeeding makes the uterus contract
- DThe placenta has not been fully delivered and is still being expelled
6.Medium
How can a cephalhaematoma be told apart from caput succedaneum?
- AA cephalhaematoma is present at birth and disappears within a few days
- BA cephalhaematoma does not cross the suture lines
- CA cephalhaematoma is a soft swelling of the scalp skin only
- DA cephalhaematoma crosses the midline of the skull
7.Hard
A newborn's cord stump has redness spreading onto the abdominal skin and a foul discharge. What is the priority?
- ATeach the parents to pull the stump off
- BReport it as possible omphalitis
- CCover the cord with a tight dressing
- DApply talc and recheck in a week
8.Hard
A woman on a magnesium sulfate infusion has a respiratory rate of 10/min and absent patellar reflexes. What should the nurse do first?
- ARecheck the reflexes in 2 hours
- BIncrease the infusion rate, because these signs show her pre-eclampsia is worsening
- CGive a dose of naloxone
- DStop the infusion and call the provider urgently, with calcium gluconate ready
Answer key
- 1. D · Amenorrhoea
- 2. B · Human chorionic gonadotrophin (hCG)
- 3. D · Focuses on her own needs and the birth
- 4. B · The fetus has passed meconium
- 5. C · Oxytocin released during breastfeeding makes the uterus contract
- 6. B · A cephalhaematoma does not cross the suture lines
- 7. B · Report it as possible omphalitis
- 8. D · Stop the infusion and call the provider urgently, with calcium gluconate ready
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