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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Name: ____________________   Date: ____________

1.Easy

What is lochia alba?

  1. ABright red discharge in the first days
  2. BGreen, foul-smelling discharge
  3. CWhite-yellow discharge in the later weeks
  4. DPink to brown discharge from about day 4 to day 10
2.Easy

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

  1. APainless vaginal bleeding from a low-lying placenta
  2. BLow blood glucose
  3. CA raised haemoglobin
  4. DProteinuria or signs of organ dysfunction
3.Easy

What is an amniotomy?

  1. ARemoval of amniotic fluid with a needle for testing
  2. BManual removal of the placenta
  3. CArtificial rupture of the membranes
  4. DA cut in the perineum to enlarge the outlet
4.Medium

The fundus is boggy, above the umbilicus and displaced to the right. What is the most likely cause?

  1. ARetained placental tissue on the left
  2. BA normal finding on day 1
  3. CA tear in the perineum
  4. DA full bladder
5.Medium

Which finding points to postpartum depression rather than the baby blues?

  1. ALow mood and loss of interest lasting more than 2 weeks and affecting daily life
  2. BCrying spells and mood swings on day 3 that settle within a few days without treatment
  3. CFeeling emotional when visitors leave
  4. DFeeling tired after a night with a crying baby
6.Medium

What should parents be taught about the water for a newborn's bath?

  1. AUse very hot water so that germs on the skin are killed
  2. BAdd adult bubble bath to soften the baby's skin
  3. CLeave the baby briefly if the water is only shallow
  4. DCheck that it is warm, not hot, before the baby goes in
7.Hard

Over the last hour, a labour tracing shows variable decelerations that are becoming deeper and longer, a baseline rising from 135 to 165 bpm and falling variability. How should the nurse interpret this?

  1. AEvolving fetal hypoxia; escalate for urgent obstetric review
  2. BA normal fetal sleep cycle; recheck in an hour
  3. CBenign head compression; continue routine monitoring
  4. DA sign of fetal well-being; no action is needed
8.Hard

A fetus has severe oligohydramnios from the second trimester. Which complication is a major concern for the newborn?

  1. ANeonatal hypoglycaemia
  2. BMacrosomia
  3. CPulmonary hypoplasia
  4. DNeural tube defect

Answer key

  1. 1. C · White-yellow discharge in the later weeks
  2. 2. D · Proteinuria or signs of organ dysfunction
  3. 3. C · Artificial rupture of the membranes
  4. 4. D · A full bladder
  5. 5. A · Low mood and loss of interest lasting more than 2 weeks and affecting daily life
  6. 6. D · Check that it is warm, not hot, before the baby goes in
  7. 7. A · Evolving fetal hypoxia; escalate for urgent obstetric review
  8. 8. C · Pulmonary hypoplasia

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