1.Easy
Which phase of the first stage of labour is often marked by irritability, nausea, shaking and a feeling of losing control?
- ATransition
- BEarly active phase
- CLatent phase
- DThird stage
2.Easy
Which description fits the "baby blues" after birth?
- ALow mood, loss of interest and poor sleep that last more than 2 weeks and affect daily life
- BHallucinations and confusion that begin suddenly in the first weeks after birth
- CThoughts of harming the baby that persist for months
- DTearfulness and mood swings that start within a few days and settle within about 2 weeks
3.Easy
Which fish should pregnant women avoid because of its high mercury content?
- ACod
- BSwordfish
- CSalmon
- DSardines
4.Medium
How does a port-wine stain differ from a "stork bite" (salmon patch)?
- AA stork bite is a raised tumour that grows quickly
- BA port-wine stain does not fade with time
- CA stork bite only occurs in preterm babies
- DA port-wine stain always disappears within a year
5.Medium
Which set of findings is consistent with hypovolaemia after a postpartum haemorrhage?
- AIncreased urine output and flushed skin
- BSlow heart rate, high blood pressure and warm, dry skin
- CRising pulse, falling blood pressure, low urine output
- DSlow breathing and a rising blood pressure
6.Medium
A woman at 37 weeks is GBS-positive. When should she receive antibiotics?
- ANot at all, because GBS is normal flora
- BIntravenously during labour
- COrally at 37 weeks only
- DOnly to the baby after birth
7.Hard
A small for gestational age baby is born at term. Which complications should the nurse anticipate?
- AHypoglycaemia, hypothermia and polycythaemia
- BRespiratory distress from surfactant deficiency only
- CHyperglycaemia, fever and anaemia
- DMacrosomia and shoulder dystocia
8.Hard
A fetal heart rate tracing shows absent baseline variability with recurrent late decelerations. How is this classified and what does it require?
- ACategory III: an abnormal tracing that needs prompt intervention and preparation for expedited birth
- BCategory I: normal, routine care
- CCategory II: an indeterminate tracing that only needs continued routine observation and documentation
- DA normal pattern during fetal sleep
Answer key
- 1. A · Transition
- 2. D · Tearfulness and mood swings that start within a few days and settle within about 2 weeks
- 3. B · Swordfish
- 4. B · A port-wine stain does not fade with time
- 5. C · Rising pulse, falling blood pressure, low urine output
- 6. B · Intravenously during labour
- 7. A · Hypoglycaemia, hypothermia and polycythaemia
- 8. A · Category III: an abnormal tracing that needs prompt intervention and preparation for expedited birth
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