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 second-degree perineal tear involves:

  1. AThe anal sphincter muscle complex
  2. BOnly the perineal skin and vaginal mucosa
  3. CThe skin, vaginal mucosa and perineal muscles
  4. DThe rectal mucosa and anal sphincter
2.Easy

What is the main role of a support person such as a doula in labour?

  1. AGiving pain medication
  2. BPerforming vaginal examinations
  3. CContinuous emotional and physical support
  4. DInterpreting the fetal heart rate tracing
3.Easy

What is placenta accreta?

  1. AA placenta attached too deeply into the wall
  2. BA placenta that implants over the cervix
  3. CA placenta with an extra small lobe
  4. DA placenta that separates from the wall before birth
4.Medium

A labouring woman's tracing shows variable decelerations. Which action should the nurse take first?

  1. AStart pushing efforts straight away
  2. BChange the woman's position
  3. CIncrease the oxytocin infusion
  4. DPlace her flat on her back
5.Medium

A woman in labour has severe back pain with each contraction. The fetus is in an occiput posterior position. Which measure is most likely to help?

  1. AHolding her breath and pushing with each contraction
  2. BSacral counterpressure and a hands-and-knees position
  3. CLying flat on her back with her legs raised
  4. DAvoiding movement until full dilation
6.Medium

What do accelerations of the fetal heart rate usually indicate?

  1. AThe fetus is well oxygenated
  2. BCompression of the umbilical cord
  3. CPlacental insufficiency
  4. DFetal sleep
7.Hard

After treatment for a molar pregnancy, what is the most important teaching point?

  1. ATry to conceive again as soon as possible to reduce recurrence
  2. BAvoid all physical activity for 6 months
  3. CNo further follow-up is needed once the uterus is empty
  4. DAttend serial hCG checks and use reliable contraception during follow-up
8.Hard

A woman at 11 weeks has heavy bleeding, cramping and an open cervical os, and she has passed some tissue. Which type of miscarriage is this?

  1. AIncomplete miscarriage
  2. BComplete miscarriage
  3. CMissed miscarriage
  4. DThreatened miscarriage

Answer key

  1. 1. C · The skin, vaginal mucosa and perineal muscles
  2. 2. C · Continuous emotional and physical support
  3. 3. A · A placenta attached too deeply into the wall
  4. 4. B · Change the woman's position
  5. 5. B · Sacral counterpressure and a hands-and-knees position
  6. 6. A · The fetus is well oxygenated
  7. 7. D · Attend serial hCG checks and use reliable contraception during follow-up
  8. 8. A · Incomplete miscarriage

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