1.Easy
The darkened line that may appear from the umbilicus to the pubis in pregnancy is called:
- ASpider naevi
- BStriae gravidarum
- CLinea nigra
- DChloasma
2.Easy
What is vernix caseosa?
- AFine, soft hair on the shoulders and back
- BSmall white spots on the nose
- CA white, cheesy coating on the skin
- DBluish patches over the lower back
3.Easy
What is a uterine inversion?
- AThe placenta implants low in the uterus
- BThe uterus turns inside out after birth
- CThe uterus tears along an old caesarean scar
- DThe uterus tilts backwards towards the spine
4.Medium
A woman is about to get out of bed for the first time after birth. What should the nurse do?
- AHelp her sit, then stand slowly with support
- BAsk her to stand quickly to reduce dizziness
- CLet her walk alone so she feels independent
- DWait until day 3 before letting her stand
5.Medium
After birth of the baby, the placenta has not been delivered after a long time despite active management. What is this called?
- APlacenta praevia
- BUterine inversion
- CPlacental abruption
- DRetained placenta
6.Medium
Which finding points to postpartum depression rather than the baby blues?
- AFeeling emotional when visitors leave
- BFeeling tired after a night with a crying baby
- CLow mood and loss of interest lasting more than 2 weeks and affecting daily life
- DCrying spells and mood swings on day 3 that settle within a few days without treatment
7.Hard
A woman is treated with methotrexate for an unruptured ectopic pregnancy. Which statement shows a need for further teaching?
- A"I will come back for blood tests until my hCG level is back to zero."
- B"I will avoid alcohol while I am being treated."
- C"I will take a folic acid supplement to stay healthy while on this drug."
- D"I will go to the emergency department if I get sudden severe abdominal pain."
8.Hard
The nurse must deliver a baby before the provider arrives. As the head crowns, what should the nurse do?
- APull firmly on the head to speed the birth
- BPush the head back to delay the birth
- CAsk the woman to cross her legs tightly until help comes
- DApply gentle pressure to the head to slow the birth
Answer key
- 1. C · Linea nigra
- 2. C · A white, cheesy coating on the skin
- 3. B · The uterus turns inside out after birth
- 4. A · Help her sit, then stand slowly with support
- 5. D · Retained placenta
- 6. C · Low mood and loss of interest lasting more than 2 weeks and affecting daily life
- 7. C · "I will take a folic acid supplement to stay healthy while on this drug."
- 8. D · Apply gentle pressure to the head to slow the birth
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