1.Easy
Mastitis is most often caused by which organism?
- AStaphylococcus aureus
- BCandida albicans
- CEscherichia coli
- DGroup B streptococcus
2.Easy
Which type of tissue lets newborns produce heat without shivering?
- ALanugo hair
- BBrown fat
- CWhite subcutaneous fat
- DSkeletal muscle
3.Easy
Which uterine incision allows a woman to be considered for a vaginal birth after caesarean (VBAC)?
- AA classical vertical incision
- BA T-shaped incision
- CA low transverse incision
- DAn incision through the upper segment
4.Medium
A woman with pre-existing type 1 diabetes is pregnant. How do her insulin needs usually change?
- AThey often fall early on and then rise later in pregnancy
- BThey stay the same throughout pregnancy
- CInsulin is stopped during pregnancy and restarted after birth
- DThey rise in the first trimester and fall in the third
5.Medium
The first day of a woman's last menstrual period was 10 March. Using Naegele's rule, what is her estimated date of birth?
- A17 December
- B17 June
- C3 December
- D10 January
6.Medium
A newborn has flat, blue-grey patches over the lower back and buttocks. How should the nurse interpret this?
- AA port-wine stain that will need laser treatment
- BHarmless dermal melanocytosis, to be documented
- CBruising that suggests birth trauma or abuse
- DA sign of a serious blood clotting disorder
7.Hard
A woman 5 hours after birth had a large blood loss and now has a heart rate of 128/min, blood pressure of 88/50 mmHg and cold hands. Which action is most important?
- AGive her a hot drink and recheck in an hour
- BAsk her to walk to improve circulation
- CEncourage her to breastfeed to contract the uterus
- DCall for urgent help and start fluid resuscitation
8.Hard
A woman with a placenta praevia at 35 weeks is waiting for a planned caesarean. Which activity should she avoid?
- AGentle walking
- BLying on her side
- CSexual intercourse
- DEating a normal diet
Answer key
- 1. A · Staphylococcus aureus
- 2. B · Brown fat
- 3. C · A low transverse incision
- 4. A · They often fall early on and then rise later in pregnancy
- 5. A · 17 December
- 6. B · Harmless dermal melanocytosis, to be documented
- 7. D · Call for urgent help and start fluid resuscitation
- 8. C · Sexual intercourse
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