Maternity & obstetric nursing worksheet with answers

Why is anti-D immunoglobulin given to an Rh-negative pregnant woman?

1. ATo stop her immune system forming antibodies against Rh-positive fetal blood
2. BTo make the baby Rh-negative
3. CTo protect the baby against infections such as rubella and group B streptococcus
4. DTo treat anaemia in the mother

The anterior fontanelle of a newborn is:

1. ADiamond-shaped, where the frontal and parietal bones meet
2. BClosed at birth in a term baby
3. CRound, at the base of the skull
4. DTriangular, where the parietal and occipital bones meet

A "contraction stress test" assesses how the fetus responds to:

1. ALoud sound applied to the abdomen
2. BReduced blood flow during contractions
3. CMaternal exercise on a treadmill
4. DA change in maternal position only

A pregnant woman takes warfarin for a mechanical heart valve. Why is she usually switched to heparin for much of the pregnancy?

1. AWarfarin crosses the placenta and can harm the fetus
2. BWarfarin is ineffective in pregnancy
3. CHeparin can be taken as a tablet once a day
4. DHeparin crosses the placenta better and also protects the fetus

Which findings are typical of placental abruption?

1. AAbdominal pain, a firm or rigid uterus and dark red bleeding
2. BItching of the palms and soles
3. CLeaking clear fluid without contractions
4. DPainless bright red bleeding with a soft, relaxed, non-tender uterus

During newborn resuscitation, what is the ratio of chest compressions to breaths?

1. A30 compressions to 2 breaths
2. B15 compressions to 2 breaths
3. C5 compressions to 1 breath
4. D3 compressions to 1 breath

A woman with a fourth-degree tear is being discharged. Which instruction is appropriate?

1. ATake rectal temperatures twice daily
2. BUse rectal suppositories each day to prevent constipation
3. CUse stool softeners and avoid suppositories and enemas
4. DDo strong straining exercises to strengthen the muscles

A woman in active labour has been at 6 cm for 4 hours despite regular contractions. Which factor among the "5 Ps" should the nurse consider first?

1. AThe pulse rate during contractions
2. BThe placenta: whether it is anterior or posterior
3. CThe passenger: fetal size, position or presentation
4. DThe past history of her mother's labour