1.Easy
Where is an intramuscular injection such as vitamin K given to a newborn?
- ADorsogluteal muscle
- BDeltoid muscle
- CVastus lateralis
- DVentrogluteal muscle
2.Easy
An intrauterine pressure catheter (IUPC) measures:
- AThe strength of uterine contractions
- BThe fetal heart rate from the scalp
- CThe volume of amniotic fluid
- DMaternal blood pressure
3.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
- CTearfulness and mood swings that start within a few days and settle within about 2 weeks
- DThoughts of harming the baby that persist for months
4.Medium
How can a cephalhaematoma be told apart from caput succedaneum?
- AA cephalhaematoma is present at birth and disappears within a few days
- BA cephalhaematoma does not cross the suture lines
- CA cephalhaematoma is a soft swelling of the scalp skin only
- DA cephalhaematoma crosses the midline of the skull
5.Medium
A woman receiving an oxytocin infusion for many hours has a headache, confusion and very little urine. Which complication is suspected?
- AHypoglycaemia
- BMagnesium toxicity
- CSpinal headache
- DWater intoxication
6.Medium
A woman 2 hours after birth has a temperature of 37.8 °C (100.0 °F), a firm fundus and normal lochia. What is the most likely cause?
- AEndometritis
- BMastitis
- CPulmonary embolism
- DDehydration after labour
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?
- AAsk her to walk to improve circulation
- BEncourage her to breastfeed to contract the uterus
- CGive her a hot drink and recheck in an hour
- DCall for urgent help and start fluid resuscitation
8.Hard
A woman at 41 weeks has a Bishop score of 3 and is booked for induction. What is the most likely first step?
- AAn emergency caesarean
- BA high-dose oxytocin infusion straight away
- CAn immediate amniotomy at the bedside
- DCervical ripening with a prostaglandin
Answer key
- 1. C · Vastus lateralis
- 2. A · The strength of uterine contractions
- 3. C · Tearfulness and mood swings that start within a few days and settle within about 2 weeks
- 4. B · A cephalhaematoma does not cross the suture lines
- 5. D · Water intoxication
- 6. D · Dehydration after labour
- 7. D · Call for urgent help and start fluid resuscitation
- 8. D · Cervical ripening with a prostaglandin
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