1.Easy
Hegar's sign, a softening of the lower uterine segment found by the examiner, is classified as:
- AA probable sign of pregnancy
- BA positive sign of pregnancy
- CA danger sign in pregnancy
- DA presumptive sign of pregnancy
2.Easy
At about which week of pregnancy does the uterine fundus usually reach the level of the umbilicus?
- A28 weeks
- B20 weeks
- C36 weeks
- D12 weeks
3.Easy
Using US (ACOG) definitions, preterm labour is labour that begins:
- ABefore 20 weeks of pregnancy
- BAfter 42 weeks of pregnancy
- CBetween 20 and 37 weeks
- DAt any time before the due date at 40 weeks
4.Medium
What should parents be taught about the water for a newborn's bath?
- ALeave the baby briefly if the water is only shallow
- BAdd adult bubble bath to soften the baby's skin
- CUse very hot water so that germs on the skin are killed
- DCheck that it is warm, not hot, before the baby goes in
5.Medium
Which event in an Rh-negative, non-sensitised woman requires an extra dose of anti-D immunoglobulin?
- AAmniocentesis
- BA routine urine test
- CA blood pressure check
- DA glucose tolerance test
6.Medium
Contractions start at 10:00, 10:04 and 10:08, and each lasts 60 seconds. How should the nurse describe them?
- AEvery 4 minutes, lasting 60 seconds
- BEvery 3 minutes, lasting 60 seconds
- CEvery 5 minutes, lasting 60 seconds
- DEvery 4 minutes, lasting 240 seconds
7.Hard
A nurse is teaching a mother how to prevent shaken baby syndrome. Which statement shows a need for further teaching?
- A"I can call someone to help when I feel overwhelmed."
- B"If I feel very angry, it is fine to shake him a little to stop the crying."
- C"Crying often increases in the first weeks, and that can be normal."
- D"If I get too frustrated, I will put him in his cot and step away for a few minutes."
8.Hard
Ten days after birth, a woman phones to say her bleeding has suddenly become heavy and bright red with clots, with lower abdominal pain and a temperature of 38.2 °C (100.8 °F). Which response is most appropriate?
- AAdvise her to use tampons so the blood loss is easier to measure
- BReassure her that lochia rubra often returns and review at 6 weeks
- CAsk her to come in now; retained tissue or infection is possible
- DTell her it is probably her first period and needs no action
Answer key
- 1. A · A probable sign of pregnancy
- 2. B · 20 weeks
- 3. C · Between 20 and 37 weeks
- 4. D · Check that it is warm, not hot, before the baby goes in
- 5. A · Amniocentesis
- 6. A · Every 4 minutes, lasting 60 seconds
- 7. B · "If I feel very angry, it is fine to shake him a little to stop the crying."
- 8. C · Ask her to come in now; retained tissue or infection is possible
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