Maternity & obstetric nursing worksheet with answers

Free printable Maternity & obstetric nursing worksheet: 8 problems from easy to exam level, with an answer key. Print it or save it as a PDF.

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Name: ____________________   Date: ____________

1.Easy

A woman lists her symptoms. Which one is a presumptive (subjective) sign of pregnancy?

  1. AA positive pregnancy test
  2. BFetal heart tones heard by Doppler
  3. CBallottement of the fetus
  4. DAmenorrhoea
2.Easy

Shortly after birth the fundus feels soft and boggy. What is the first nursing action?

  1. AGive the woman a large glass of water
  2. BApply an ice pack to the perineum
  3. CRecord the finding and reassess the fundus again in 4 hours
  4. DMassage the fundus while supporting the lower uterus
3.Easy

How many vessels does a normal umbilical cord contain?

  1. AOne artery and one vein
  2. BOne artery and two veins
  3. CTwo arteries and two veins
  4. DTwo arteries and one vein
4.Medium

Why must the fetal heart rate be monitored before and after external cephalic version?

  1. AIt confirms the baby's sex
  2. BThe procedure can cause cord compression or abruption
  3. CIt is used to diagnose gestational diabetes
  4. DIt is needed only to record the baby's position for billing
5.Medium

A woman at 10 weeks has morning sickness. Which suggestion is most likely to help?

  1. ADrink large amounts of fluid with each meal
  2. BEat spicy and fatty foods to settle the stomach
  3. CSkip breakfast and eat one large meal in the evening
  4. DEat dry crackers before rising and eat small meals
6.Medium

Which pattern defines uterine tachysystole?

  1. AMore than 2 contractions in 10 minutes
  2. BContractions every 5 minutes in early labour, each lasting 60 seconds
  3. CMore than 5 contractions in 10 minutes, averaged over 30 minutes
  4. DContractions lasting 60 seconds
7.Hard

A small for gestational age baby is born at term. Which complications should the nurse anticipate?

  1. ARespiratory distress from surfactant deficiency only
  2. BHypoglycaemia, hypothermia and polycythaemia
  3. CMacrosomia and shoulder dystocia
  4. DHyperglycaemia, fever and anaemia
8.Hard

One hour after a vaginal birth, the fundus is firm at the umbilicus, but there is a steady trickle of bright red blood. What is the most likely cause?

  1. AA full bladder
  2. BUterine atony with blood pooling in the uterus
  3. CA tear of the cervix, vagina or perineum
  4. DNormal lochia rubra

Answer key

  1. 1. D · Amenorrhoea
  2. 2. D · Massage the fundus while supporting the lower uterus
  3. 3. D · Two arteries and one vein
  4. 4. B · The procedure can cause cord compression or abruption
  5. 5. D · Eat dry crackers before rising and eat small meals
  6. 6. C · More than 5 contractions in 10 minutes, averaged over 30 minutes
  7. 7. B · Hypoglycaemia, hypothermia and polycythaemia
  8. 8. C · A tear of the cervix, vagina or perineum

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