1.Easy
What is lochia alba?
- ABright red discharge in the first days
- BPink to brown discharge from about day 4 to day 10
- CWhite-yellow discharge in the later weeks
- DGreen, foul-smelling discharge
2.Easy
What is polyhydramnios?
- AGreen-stained amniotic fluid
- BAn excess of amniotic fluid
- CLeakage of amniotic fluid
- DToo little amniotic fluid
3.Easy
A pregnancy that continues to 42 weeks or more is called:
- AFull term
- BPost-term
- CEarly term
- DLate preterm
4.Medium
During birth the baby's head is delivered but the shoulders are stuck. Which first manoeuvre is standard?
- AFirm pressure on the fundus
- BPushing the head back into the vagina as a first step
- CMcRoberts manoeuvre with suprapubic pressure
- DPulling hard on the baby's head
5.Medium
Which complication should the nurse monitor for after an epidural is started in labour?
- AMaternal hyperglycaemia
- BMaternal hypertension
- CMaternal hypotension
- DIncreased bladder sensation
6.Medium
Which factors help start the newborn's first breath?
- AChemical, thermal, mechanical and sensory cues
- BOnly the baby's first cry from hunger
- COnly the pressure from the obstetrician's hand
- DOnly the cutting of the umbilical cord
7.Hard
On day 1 after an epidural, a woman has a headache. Which feature most suggests a post-dural puncture headache rather than pre-eclampsia?
- AThe headache is much worse sitting up and eases when she lies flat
- BShe has pain under the right ribs
- CShe sees flashing lights
- DHer blood pressure is 158/104 mmHg and her urine shows 2+ protein on dipstick
8.Hard
A woman has cytomegalovirus (CMV) infection in pregnancy. Which outcome in the baby is a major concern?
- APhenylketonuria
- BOpen neural tube defects such as spina bifida
- CClubfoot only
- DHearing loss and developmental delay
Answer key
- 1. C · White-yellow discharge in the later weeks
- 2. B · An excess of amniotic fluid
- 3. B · Post-term
- 4. C · McRoberts manoeuvre with suprapubic pressure
- 5. C · Maternal hypotension
- 6. A · Chemical, thermal, mechanical and sensory cues
- 7. A · The headache is much worse sitting up and eases when she lies flat
- 8. D · Hearing loss and developmental delay
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