Maternity & obstetric nursing worksheet with answers

What is the most common cause of postpartum haemorrhage?

1. AUterine atony (a uterus that does not contract well)
2. BA tear of the cervix
3. CA clotting disorder
4. DRetained fragments of placenta or membranes in the uterus

What causes the let-down (milk ejection) reflex?

1. AProlactin
2. BOxytocin
3. CInsulin
4. DHuman placental lactogen

Why should a pregnant woman avoid emptying a cat's litter tray?

1. ATo reduce the risk of toxoplasmosis
2. BTo reduce the risk of rubella
3. CTo reduce the risk of listeriosis
4. DTo reduce the risk of group B streptococcus

In early pregnancy, how does the serum hCG level normally change?

1. AIt rises slowly until it peaks just before birth
2. BIt roughly doubles every 2 to 3 days in the first weeks
3. CIt falls steadily from the day of implantation
4. DIt stays at the same level throughout the first trimester

Which complication should the nurse monitor for after an epidural is started in labour?

1. AMaternal hypertension
2. BMaternal hypotension
3. CIncreased bladder sensation
4. DMaternal hyperglycaemia

A preterm baby on feeds develops a swollen abdomen, bloody stools and feeding intolerance. Which condition is suspected?

1. AInfantile pyloric stenosis
2. BCow's milk protein allergy
3. CHirschsprung disease
4. DNecrotising enterocolitis

A preterm baby's parents are being taught about breast milk. Which statement shows they understand its special benefit for preterm babies?

1. A"Breast milk means our baby will not need any oxygen."
2. B"Breast milk stops jaundice from ever developing."
3. C"Breast milk lowers the risk of necrotising enterocolitis."
4. D"Breast milk removes the need for eye screening."

A preterm infant receiving oxygen has saturations that are consistently 100%. What should the nurse do?

1. AIncrease the oxygen to provide a safety margin
2. BRemove the saturation probe to save the skin
3. CWean the oxygen to the target saturation range
4. DLeave it unchanged because 100% is ideal