1.Easy
Which phase of the first stage of labour is often marked by irritability, nausea, shaking and a feeling of losing control?
- AEarly active phase
- BLatent phase
- CTransition
- DThird stage
2.Easy
What is the typical respiratory rate of a healthy newborn at rest?
- A30 to 60 breaths per minute
- B60 to 90 breaths per minute
- C20 to 30 breaths per minute
- D12 to 20 breaths per minute
3.Easy
Pre-eclampsia is new hypertension after 20 weeks of pregnancy together with:
- AProteinuria or signs of organ dysfunction
- BA raised haemoglobin
- CLow blood glucose
- DPainless vaginal bleeding from a low-lying placenta
4.Medium
A woman is about to get out of bed for the first time after birth. What should the nurse do?
- AAsk her to stand quickly to reduce dizziness
- BWait until day 3 before letting her stand
- CLet her walk alone so she feels independent
- DHelp her sit, then stand slowly with support
5.Medium
Why is congenital hypothyroidism included in newborn screening?
- AEarly treatment prevents brain damage
- BIt can only be treated before birth
- CIt causes hip dysplasia
- DIt causes jaundice that cannot be treated
6.Medium
The fundus is boggy, above the umbilicus and displaced to the right. What is the most likely cause?
- AA tear in the perineum
- BRetained placental tissue on the left
- CA full bladder
- DA normal finding on day 1
7.Hard
A newborn's left foot is turned inward and downward and cannot be moved to a normal position. What should the nurse tell the parents?
- ASurgery is needed within the first day
- BIt is normal positioning in the uterus and needs no follow-up
- CIt suggests clubfoot, treated early with casting
- DIt is caused by a lack of vitamin D
8.Hard
Which postpartum task can be delegated to an assistive staff member (healthcare assistant)?
- AAssessing the fundus of a woman with heavy bleeding
- BTaking vital signs of a stable woman
- CEvaluating a woman for signs of postpartum depression
- DTeaching a first-time mother about breastfeeding
Answer key
- 1. C · Transition
- 2. A · 30 to 60 breaths per minute
- 3. A · Proteinuria or signs of organ dysfunction
- 4. D · Help her sit, then stand slowly with support
- 5. A · Early treatment prevents brain damage
- 6. C · A full bladder
- 7. C · It suggests clubfoot, treated early with casting
- 8. B · Taking vital signs of a stable woman
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