Maternity & obstetric nursing worksheet with answers

Which type of tissue lets newborns produce heat without shivering?

1. ALanugo hair
2. BSkeletal muscle
3. CBrown fat
4. DWhite subcutaneous fat

A woman with sickle cell disease is pregnant. Which complication is she at higher risk of?

1. AMacrosomia of the baby
2. BPolycythaemia
3. CHyperthyroidism
4. DPainful sickle crises

What are milia?

1. ARed blotches with small yellow centres
2. BPinkish marks on the back of the neck
3. CTiny white spots on the nose and chin
4. DFlat bluish-grey patches on the lower back

A woman at 22 weeks describes sharp pain on one side of the lower abdomen when she stands up quickly. Her vital signs and fetal heart rate are normal. What is the most likely cause?

1. ARound ligament pain
2. BPlacental abruption
3. CPreterm labour
4. DAppendicitis

Why is tight glucose control before conception important in women with pre-existing diabetes?

1. AIt prevents the mother from developing pre-eclampsia
2. BEarly hyperglycaemia raises the risk of birth defects
3. CIt prevents the need for any monitoring during pregnancy
4. DIt guarantees that the baby will be born at term

Which newborn is at greatest risk of hypoglycaemia in the first hours after birth?

1. AA large baby of a mother with diabetes
2. BA baby born by planned caesarean to a healthy mother
3. CA term baby of average weight who is breastfeeding well
4. DA baby with an APGAR of 9 at 5 minutes

A newborn boy's scrotum is empty on one side and the testis cannot be felt in the groin. What is appropriate?

1. AMassage the groin daily to push it down
2. BArrange emergency surgery on the testis today
3. CTell the parents it will never descend
4. DRecord it and arrange follow-up; many descend later

A woman at 37 weeks has severe itching of the palms and soles, worse at night, without a rash. Which condition should be considered?

1. AIntrahepatic cholestasis of pregnancy
2. BPre-eclampsia only
3. CNormal stretching of the abdominal skin
4. DAn allergy to washing detergents