Maternity & obstetric nursing worksheet with answers

Free printable Maternity & obstetric nursing worksheet: 8 problems from easy to exam level, with an answer key. Print it or save it as a PDF.

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1.Easy

What is placenta accreta?

  1. AA placenta attached too deeply into the wall
  2. BA placenta that implants over the cervix
  3. CA placenta that separates from the wall before birth
  4. DA placenta with an extra small lobe
2.Easy

Which definition of a fetal heart rate acceleration applies from 32 weeks?

  1. AA fall of 15 bpm lasting at least 15 seconds
  2. BA rise of 5 bpm lasting 5 seconds
  3. CA rise of 30 bpm lasting 2 minutes
  4. DA rise of at least 15 bpm lasting at least 15 seconds
3.Easy

Pre-eclampsia is new hypertension after 20 weeks of pregnancy together with:

  1. ALow blood glucose
  2. BProteinuria or signs of organ dysfunction
  3. CA raised haemoglobin
  4. DPainless vaginal bleeding from a low-lying placenta
4.Medium

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

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

Which statement about the lactational amenorrhoea method (LAM) is correct?

  1. AIt needs full breastfeeding, no periods and a baby under 6 months
  2. BIt becomes more reliable after the periods return
  3. CIt is reliable even when the baby is formula-fed at night
  4. DIt works for as long as the mother breastfeeds at all
6.Medium

At 30 weeks, which fundal height is consistent with expected growth?

  1. A29 cm
  2. B18 cm
  3. C36 cm
  4. D22 cm
7.Hard

A woman at 30 weeks is in a minor car accident. She feels fine and has no bleeding. What should the nurse advise?

  1. ACome in only if she bleeds within a week
  2. BStay at home because there is no bleeding
  3. CCome in for fetal monitoring even without symptoms
  4. DTake a warm bath and rest
8.Hard

A labouring woman refuses a recommended caesarean for fetal distress after a full explanation. She has decision-making capacity. What should the nurse do?

  1. AAsk her partner to consent instead
  2. BPrepare her for surgery anyway because the baby is at risk
  3. CStop caring for her because she refused advice
  4. DRespect her decision, document it and inform the team

Answer key

  1. 1. A · A placenta attached too deeply into the wall
  2. 2. D · A rise of at least 15 bpm lasting at least 15 seconds
  3. 3. B · Proteinuria or signs of organ dysfunction
  4. 4. C · Feed the baby and recheck the glucose
  5. 5. A · It needs full breastfeeding, no periods and a baby under 6 months
  6. 6. A · 29 cm
  7. 7. C · Come in for fetal monitoring even without symptoms
  8. 8. D · Respect her decision, document it and inform the team

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