1.Easy
Which stool pattern is typical of a breastfed baby after the first week?
- ABlack, tarry and sticky stools
- BHard, pale and formed stools
- CGreen, watery stools with mucus
- DYellow, soft and seedy stools
2.Easy
Which is a main function of the placenta?
- AProduction of fetal bile
- BExchange of gases and nutrients
- CProduction of fetal antibodies
- DProduction of insulin for the fetus
3.Easy
Between about 20 and 36 weeks, how does fundal height in centimetres relate to gestational age?
- AIt roughly equals the number of weeks of gestation, give or take about 2 cm
- BIt is about twice the number of weeks of gestation, give or take about 2 cm
- CIt is about half the number of weeks of gestation
- DIt stays constant once the fundus reaches the umbilicus
4.Medium
A postpartum woman who is not immune to rubella receives the vaccine before discharge. What advice is essential?
- AKeep away from her newborn for 2 days
- BAvoid becoming pregnant for at least 4 weeks
- CHave the vaccine repeated in 6 months
- DStop breastfeeding for 4 weeks
5.Medium
During the hip examination, the nurse hears a "clunk" as the newborn's hip is abducted. What does this suggest?
- AA fractured femur from the birth
- BA normal finding in all newborns
- CDevelopmental dysplasia of the hip
- DClubfoot affecting the same side
6.Medium
A woman's epidural has just been inserted. Which nursing action is a priority in the next hours?
- AKeep her lying flat on her back
- BCheck her blood pressure and bladder often
- CRestrict all oral and IV fluids
- DEncourage her to walk around the room on her own
7.Hard
A woman at 37 weeks has severe itching of the palms and soles, worse at night, without a rash. Which condition should be considered?
- AAn allergy to washing detergents
- BNormal stretching of the abdominal skin
- CIntrahepatic cholestasis of pregnancy
- DPre-eclampsia only
8.Hard
A woman with a history of postnatal depression is pregnant again. What is the most appropriate plan?
- AWait to see whether depression returns after birth
- BTell her that breastfeeding will prevent it
- CPlan early support and monitoring before and after birth
- DAdvise her that it will not happen again
Answer key
- 1. D · Yellow, soft and seedy stools
- 2. B · Exchange of gases and nutrients
- 3. A · It roughly equals the number of weeks of gestation, give or take about 2 cm
- 4. B · Avoid becoming pregnant for at least 4 weeks
- 5. C · Developmental dysplasia of the hip
- 6. B · Check her blood pressure and bladder often
- 7. C · Intrahepatic cholestasis of pregnancy
- 8. C · Plan early support and monitoring before and after birth
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