1.Easy
Twins that develop from one fertilised ovum that splits are called:
- AMonozygotic twins
- BDizygotic twins
- CConjoined twins only
- DFraternal twins
2.Easy
What does fetal station 0 mean?
- AThe presenting part is floating above the pelvis
- BThe cervix is fully dilated
- CThe presenting part is at the vaginal opening
- DThe presenting part is at the level of the ischial spines
3.Easy
How should the umbilical cord stump be cared for at home?
- ACover it tightly with a plaster
- BApply baby oil to soften it
- CKeep it clean, dry and outside the nappy
- DPull it off once it starts to dry
4.Medium
A woman on day 3 after a caesarean has calf pain, swelling and warmth in one leg. What should the nurse do?
- AMassage the calf to relieve the cramp
- BReport it promptly and avoid massaging the leg
- CEncourage her to do vigorous leg exercises
- DApply a heating pad and reassess tomorrow
5.Medium
During newborn resuscitation, what is the ratio of chest compressions to breaths?
- A30 compressions to 2 breaths
- B5 compressions to 1 breath
- C15 compressions to 2 breaths
- D3 compressions to 1 breath
6.Medium
A woman's cultural practice involves eating only warm foods after birth. How should the nurse respond?
- AIgnore her requests to save time
- BTell her the practice is harmful and must stop
- CRespect it and offer suitable warm foods
- DInsist that she eat the standard hospital diet
7.Hard
A woman who had a placenta praevia and two previous caesareans is scheduled for a caesarean. The team plans for possible hysterectomy and blood products. Why?
- AShe is at high risk of a post-term birth
- BShe is at high risk of gestational diabetes
- CShe is at high risk of placenta accreta spectrum
- DShe is at high risk of pre-eclampsia only
8.Hard
A woman at 26 weeks has a haemoglobin of 95 g/L (9.5 g/dL) and a low ferritin. She is already taking oral iron but has severe side effects. What might be considered?
- AStopping iron and waiting until after birth
- BA routine blood transfusion
- CIntravenous iron
- DDoubling her caffeine intake
Answer key
- 1. A · Monozygotic twins
- 2. D · The presenting part is at the level of the ischial spines
- 3. C · Keep it clean, dry and outside the nappy
- 4. B · Report it promptly and avoid massaging the leg
- 5. D · 3 compressions to 1 breath
- 6. C · Respect it and offer suitable warm foods
- 7. C · She is at high risk of placenta accreta spectrum
- 8. C · Intravenous iron
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