Maternity & obstetric nursing worksheet with answers

Which teratogenic effect is linked with maternal rubella infection in early pregnancy?

1. ADeafness, cataracts and heart defects
2. BLimb reduction defects and missing fingers
3. CNeural tube defects
4. DCleft lip, cleft palate and club foot

What is "moulding" of the fetal head?

1. AEarly closure of the fontanelles before birth
2. BBleeding under the outer layer of a skull bone
3. CSwelling of the scalp from pressure on the cervix
4. DOverlapping of the skull bones in the birth canal

Which scale is commonly used to screen for postnatal depression?

1. AEdinburgh Postnatal Depression Scale
2. BGlasgow Coma Scale
3. CBishop score
4. DApgar score

What do accelerations of the fetal heart rate usually indicate?

1. APlacental insufficiency
2. BCompression of the umbilical cord
3. CFetal sleep
4. DThe fetus is well oxygenated

A newborn's blood glucose is low but the baby is well and able to feed. What is the usual first step?

1. AFeed the baby and recheck the glucose
2. BGive the baby plain water by bottle
3. CWithhold feeds and observe for 6 hours
4. DGive IV insulin immediately

Why is tight glucose control before conception important in women with pre-existing diabetes?

1. AEarly hyperglycaemia raises the risk of birth defects
2. BIt prevents the mother from developing pre-eclampsia
3. CIt guarantees that the baby will be born at term
4. DIt prevents the need for any monitoring during pregnancy

Which statement by a woman being discharged after birth shows a need for further teaching?

1. A"I should report a painful, swollen calf straight away."
2. B"I should change my pads regularly and wash my hands."
3. C"I can use tampons for the bleeding as soon as I get home."
4. D"I should call if my bleeding gets heavier or smells bad."

A woman with gestational diabetes asks if she will have diabetes after the baby is born. Which reply is accurate?

1. AIt usually resolves, but her risk of type 2 diabetes stays higher
2. BIt never returns, so no further glucose testing is needed after birth
3. CIt will continue unless she stops breastfeeding
4. DIt always becomes type 1 diabetes after birth