1.Easy
What is polyhydramnios?
- AGreen-stained amniotic fluid
- BAn excess of amniotic fluid
- CToo little amniotic fluid
- DLeakage of amniotic fluid
2.Easy
Which drug class is used to treat uterine atony?
- AAntihypertensives
- BUterotonics
- CAnticoagulants
- DTocolytics
3.Easy
A woman with leg cramps in late pregnancy asks how to relieve one. What should she do?
- AStraighten the leg and pull the foot upwards
- BLie flat on her back and raise both legs
- CMassage the calf firmly with the knee bent
- DPoint the toes downwards as far as possible
4.Medium
Which finding suggests magnesium sulfate toxicity?
- AAbsent deep tendon reflexes
- BA respiratory rate of 18/min
- CBrisk reflexes with clonus
- DUrine output of 60 mL/h
5.Medium
A woman has painful haemorrhoids after a vaginal birth. Which measure is appropriate?
- ASitz baths, cold pads and stool softeners
- BSitting on a hard surface for long periods
- CStraining hard to open the bowels
- DAvoiding all fluids to prevent loose stools
6.Medium
At station +2, where is the presenting part?
- A2 cm above the ischial spines
- B2 cm below the ischial spines
- CAt the level of the ischial spines
- DFloating above the pelvic inlet
7.Hard
At 38 weeks, a woman phones to say her baby has been moving much less than usual since yesterday. What is the best advice?
- AWait until the next routine appointment next week
- BDrink a cold, sugary drink and call only if there is no movement for 3 days
- CCome in today for assessment of the fetal heart rate
- DReduced movement is normal close to term and needs no action
8.Hard
A multiparous woman arrives with strong contractions and the baby is born within an hour of their onset. What should the nurse monitor closely afterwards?
- AOnly the mother's temperature
- BThe mother's ability to walk alone
- COnly the newborn's blood glucose
- DUterine tone, bleeding and newborn injury
Answer key
- 1. B · An excess of amniotic fluid
- 2. B · Uterotonics
- 3. A · Straighten the leg and pull the foot upwards
- 4. A · Absent deep tendon reflexes
- 5. A · Sitz baths, cold pads and stool softeners
- 6. B · 2 cm below the ischial spines
- 7. C · Come in today for assessment of the fetal heart rate
- 8. D · Uterine tone, bleeding and newborn injury
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