1.Easy
Which drug class is used to treat uterine atony?
- AAnticoagulants
- BAntihypertensives
- CUterotonics
- DTocolytics
2.Easy
When is the best time to teach a new mother about baby care, according to Rubin's phases?
- AIn the taking-hold phase
- BIn the first hour after birth
- CIn the letting-go phase
- DIn the taking-in phase
3.Easy
An intrauterine pressure catheter (IUPC) measures:
- AMaternal blood pressure
- BThe strength of uterine contractions
- CThe volume of amniotic fluid
- DThe fetal heart rate from the scalp
4.Medium
Parents ask where their newborn should sleep at night. Which advice reduces the risk of sudden infant death?
- AIn a separate cot or crib in the parents' room
- BIn a separate bedroom from the first night
- COn a sofa with a parent when the baby is unsettled
- DIn the parents' bed, between the two adults
5.Medium
A newborn appears jaundiced at 18 hours of age. What does this suggest?
- ABreast milk jaundice
- BPathological jaundice that needs prompt assessment
- CA normal effect of vitamin K
- DNormal physiological jaundice that needs no further action
6.Medium
What does the acronym HELLP stand for?
- AHaemolysis, elevated liver enzymes, low platelets
- BHaemorrhage, eclampsia, low pressure
- CHyperglycaemia, elevated lactate, low potassium
- DHypertension, elevated lipids, low protein
7.Hard
At a booking visit, a woman says she drinks heavily most weekends. Which nursing response is most appropriate?
- AAdvise her to change to beer, which has less alcohol
- BExplain the risks and refer her for support to stop
- CTell her the damage is done, so stopping will not help
- DReassure her that weekend drinking is safe if she avoids weekdays
8.Hard
At 18 weeks, a woman's maternal serum alpha-fetoprotein is well above the normal range for her dates. Which condition does this result most suggest?
- AGestational diabetes
- BAn open neural tube defect
- CDown syndrome (trisomy 21)
- DPre-eclampsia
Answer key
- 1. C · Uterotonics
- 2. A · In the taking-hold phase
- 3. B · The strength of uterine contractions
- 4. A · In a separate cot or crib in the parents' room
- 5. B · Pathological jaundice that needs prompt assessment
- 6. A · Haemolysis, elevated liver enzymes, low platelets
- 7. B · Explain the risks and refer her for support to stop
- 8. B · An open neural tube defect
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