1.Easy
What is the "bloody show"?
- AGreen fluid leaking from the vagina
- BHeavy bright red bleeding before labour
- CDark red bleeding with constant abdominal pain
- DBlood-tinged mucus as the cervix starts to change
2.Easy
Which drug is given routinely in active management of the third stage of labour?
- AOxytocin
- BTerbutaline
- CMagnesium sulfate
- DNifedipine
3.Easy
Taking folic acid before conception and in early pregnancy mainly reduces the risk of:
- APre-eclampsia
- BGestational diabetes
- CNeural tube defects
- DPostpartum haemorrhage
4.Medium
A woman whose first language is not English is in labour. Which action best ensures informed consent for a caesarean?
- AAsk her 10-year-old child to interpret
- BUse gestures and simple English only
- CAsk her partner to sign for her
- DUse a professional interpreter
5.Medium
A breastfeeding mother asks how she will know her baby is getting enough milk. Which sign is reassuring by day 5 or 6?
- AThe baby sleeps for 8 hours without feeding
- BThe baby feeds for exactly 5 minutes each side
- CAt least 6 wet nappies a day and yellow stools
- DHer breasts never feel full
6.Medium
A woman with pre-eclampsia is on magnesium sulfate. Which task can be delegated to a healthcare assistant (unlicensed assistive personnel)?
- AAdjusting the magnesium infusion rate
- BAssessing her deep tendon reflexes
- CEvaluating her for signs of toxicity
- DMeasuring and recording urine output
7.Hard
A preterm baby's parents are being taught about breast milk. Which statement shows they understand its special benefit for preterm babies?
- A"Breast milk means our baby will not need any oxygen."
- B"Breast milk removes the need for eye screening."
- C"Breast milk lowers the risk of necrotising enterocolitis."
- D"Breast milk stops jaundice from ever developing."
8.Hard
A labouring woman has a temperature of 38.5 °C (101.3 °F), and the fetal baseline has risen from 140 to 170 bpm over the last hour. What is the most likely explanation?
- AFetal tachycardia due to a maternal opioid
- BReassuring fetal response to contractions
- CFetal head compression
- DFetal tachycardia due to maternal fever or infection
Answer key
- 1. D · Blood-tinged mucus as the cervix starts to change
- 2. A · Oxytocin
- 3. C · Neural tube defects
- 4. D · Use a professional interpreter
- 5. C · At least 6 wet nappies a day and yellow stools
- 6. D · Measuring and recording urine output
- 7. C · "Breast milk lowers the risk of necrotising enterocolitis."
- 8. D · Fetal tachycardia due to maternal fever or infection
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