1.Easy
An ultrasound report says "oligohydramnios". What does this mean?
- ABlood in the amniotic fluid
- BInfection of the amniotic fluid
- CToo little amniotic fluid
- DToo much amniotic fluid
2.Easy
What is lochia alba?
- APink to brown discharge from about day 4 to day 10
- BWhite-yellow discharge in the later weeks
- CGreen, foul-smelling discharge
- DBright red discharge in the first days
3.Easy
A newborn is placed on a cold scale without a cover. Which type of heat loss is this?
- AConvection
- BEvaporation
- CConduction
- DRadiation
4.Medium
What is a "reactive" non-stress test?
- ALate decelerations with every contraction
- BAt least 2 fetal heart rate accelerations within 20 minutes
- CNo accelerations of the fetal heart rate within 40 minutes
- DA baseline heart rate above 160 bpm
5.Medium
At 32 weeks the fundal height is 37 cm. Which explanation should be considered?
- AThe fetus has dropped into the pelvis
- BA multiple pregnancy or excess amniotic fluid
- CToo little amniotic fluid
- DFetal growth restriction
6.Medium
A woman who is not breastfeeding has painful engorged breasts on day 3. Which advice is best?
- AApply warm showers to the breasts several times a day
- BWear a supportive bra and use cold packs
- CExpress milk often to relieve fullness
- DMassage the breasts to stimulate milk flow
7.Hard
A woman with a placenta praevia at 35 weeks is waiting for a planned caesarean. Which activity should she avoid?
- AGentle walking
- BLying on her side
- CSexual intercourse
- DEating a normal diet
8.Hard
A woman in labour is receiving oxytocin. The tracing now shows recurrent late decelerations. Which action should the nurse take first?
- AIncrease the oxytocin rate to speed up the birth
- BHelp her lie flat on her back
- CDocument the pattern and reassess in 30 minutes
- DStop the oxytocin infusion
Answer key
- 1. C · Too little amniotic fluid
- 2. B · White-yellow discharge in the later weeks
- 3. C · Conduction
- 4. B · At least 2 fetal heart rate accelerations within 20 minutes
- 5. B · A multiple pregnancy or excess amniotic fluid
- 6. B · Wear a supportive bra and use cold packs
- 7. C · Sexual intercourse
- 8. D · Stop the oxytocin infusion
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