1.Easy
What is the typical head circumference of a term newborn?
- AAbout 25 to 28 cm
- BAbout 33 to 35 cm
- CAbout 20 to 23 cm
- DAbout 40 to 43 cm
2.Easy
A pregnancy that continues to 42 weeks or more is called:
- AFull term
- BPost-term
- CLate preterm
- DEarly term
3.Easy
What is "quickening"?
- AThe start of regular labour contractions
- BThe first fetal movements felt by the pregnant woman
- CThe first fetal heartbeat heard with a Doppler
- DThe descent of the fetus into the pelvis late in pregnancy
4.Medium
Where universal screening for group B streptococcus is used, when is the vaginal–rectal swab usually taken?
- AAfter the membranes rupture in labour
- BAt about 20 weeks
- CAt the first antenatal visit
- DAt about 36 to 37 weeks
5.Medium
Which position of the fetal head presents the smallest diameter to the pelvis?
- AFull extension, with the face presenting
- BPartial extension, with the brow presenting
- CFull flexion, with the chin on the chest
- DA neutral position with no flexion
6.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 a professional interpreter
- CAsk her partner to sign for her
- DUse gestures and simple English only
7.Hard
A woman at 29 weeks is in preterm labour and is given magnesium sulfate. What is the main reason for giving it at this gestation?
- ATo speed up fetal lung maturation
- BTo prevent eclamptic seizures
- CTo reduce the baby's risk of cerebral palsy
- DTo treat a urinary tract infection
8.Hard
A breastfeeding mother has a hot, red, painful area on one breast and a fever. She asks whether she should stop feeding. What is the best advice?
- AStop drinking fluids to reduce milk production
- BFeed only from the other breast for a week
- CStop breastfeeding completely, and express and discard the milk until the fever and redness have gone
- DKeep breastfeeding often, including from the affected breast, and take treatment as prescribed
Answer key
- 1. B · About 33 to 35 cm
- 2. B · Post-term
- 3. B · The first fetal movements felt by the pregnant woman
- 4. D · At about 36 to 37 weeks
- 5. C · Full flexion, with the chin on the chest
- 6. B · Use a professional interpreter
- 7. C · To reduce the baby's risk of cerebral palsy
- 8. D · Keep breastfeeding often, including from the affected breast, and take treatment as prescribed
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